You need immediate surgical attention.. Consult nearest surgeon for clinical examination as treatment depends upon clinical grading The following is a quick summary of treatment for internal hemorrhoids by grade: Grade 1 hemorrhoids are treated with conservative medical therapy and avoidance of nonsteroidal anti-inflammatory drugs and spicy or fatty foods Grade 2 or 3 hemorrhoids are initially treated with nonsurgical procedures Very symptomatic grade 3 and grade 4 hemorrhoids are best treated with surgical hemorrhoidectomy Treatment of grade 4 internal hemorrhoids requires prompt surgical consultation..

Hello.. Well first thing is you need to bring about dietary modifications like eating more of green leafy vegetables,fibre like oats...you need to drink lot of water....avoid spicy food and oily food...do not strain while passing stools...try to drink warm glass if water empty stomach in the morning...you can also do sitz bath...that is out some warn me water in a tub and you sit on that... conuslt a surgeon...thank you

1.Cap Pan-L once daily before breakfast. 2.Syrup Sorbiline 2 TSF twice daily before meals  3.Syrup Duphalac 15 ml at night . 4.Tab Osil Plus twice daily after meals . 5.Osil Cream twice daily local application in anus. Also there are other treatment that can be given ,but have to ask you more questions. You can consult for the same