Hemorrhoid - Painful

Hie, I am from Tinsukia, Assam. I am suffering from hemorrhoids from around 6 months. It doesn't bleed. But it's continuously painful. I got it checked by a local doctor. He says that I have got both fissures and internal piles. I can feel a tissue outside my anus. What should i do? Should I go for surgery?
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No most likely thrombosed to surgeon
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