The painful anus with hemorrhoids will not heal on its own and requires medication or surgery to heal. For hemorrhoids that are relatively mild, take oral cleansing gardenia wheat tablets, triphala tablets, and then use light salt water for local anal cleansing, which will show significant improvement in about 3 days and heal in about 1 week. If the hemorrhoid is bleeding, painful, itchy and swollen, take oral amoxicillin capsules, cephalosporin, hemorrhoid elimination pills and other drugs, and then use Ma Yinglong hemorrhoid suppositories, Tai Ning suppositories, Anal Tai hemorrhoid suppositories and other anal medications to treat the hemorrhoid, there will be significant improvement in 1 week. If the situation is serious, surgical treatment is also required. To sum up, if you have hemorrhoids and they are painful, you need to have further examination in the hospital and use the appropriate medication to treat them and if necessary, surgical removal.