Hello, Internal hemorrhoids are far enough inside the rectum that you can t usually see or feel them. They don t generally hurt because you have few pain-sensing nerves there. Bleeding may be the only sign of them. External hemorrhoids are under the skin around the anus, where there are many more pain-sensing nerves, so they tend to hurt as well as bleed. Sometimes hemorrhoids prolapse, or get bigger and bulge outside the anal sphincter. Then you may be able to see them as moist bumps that are pinker than the surrounding area. And they re more likely to hurt, often when you poop. Treatment: Home remedies: You can often relieve the mild pain, swelling and inflammation of hemorrhoids with home treatments. Often these are the only treatments needed. 1. Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas. Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent. 2. 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. A sitz bath fits over the toilet. 3. Keep the anal area clean. Bathe (preferably) or shower daily to cleanse the skin around your anus gently with warm water. Avoid alcohol-based or perfumed wipes. Gently pat the area dry or use a hair dryer. 4. Don t use dry toilet paper. To help keep the anal area clean after a bowel movement, use moist towelettes or wet toilet paper that doesn t contain perfume or alcohol. 5. Apply cold. Apply ice packs or cold compresses on your anus to relieve swelling. 6. Take oral pain relievers. You can use acetaminophen (Tylenol, others), aspirin or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort. 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. Medications: If your hemorrhoids produce only mild discomfort, your doctor may suggest over-the-counter creams, ointments, suppositories or pads. These products contain ingredients, such as witch hazel, or hydrocortisone and lidocaine, that can relieve pain and itching, at least temporarily. Don t use an over-the-counter steroid cream for more than a week unless directed by your doctor because it may cause your skin to thin. 1. External hemorrhoid thrombectomy 2. Minimally invasive procedures i. Rubber band ligation ii. Injection (sclerotherapy) iii. Coagulation (infrared, laser or bipolar) Surgical procedures: i. Hemorrhoid removal ii. Hemorrhoid stapling Once the hemorrhoids are treated, itching will reduce. Also take worm treatment like Tab. Albendazole. Hope I have answered your query. Let me know if I can assist you further.