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..

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Hi..... Soak regularly in a warm bath or sitz bath. Soak your anal area in plain warm water 10 to 15 minutes two to three times a day..... Apply cold. Apply ice packs or cold compresses on your anus to relieve swelling. With these treatments, hemorrhoid symptoms often go away within a week. See your doctor if you don't get relief in a week, or sooner if you have severe pain or bleeding. Consult surgeon....