Internal piles bleeding. Help me doctor!

Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. 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. . Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Soap isn't necessary and may aggravate the problem. Avoid alcohol based or perfumed wipes. Gently dry the area with a hair dryer after bathing. . Apply cold. Apply ice packs or cold compresses on your anus to relieve swelling. Take oral pain relievers. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort. Hemmoroidectomy has to be done ,consult surgeon