Patients with swollen and painful hemorrhoids, which are caused by external hemorrhoids, can be treated in several ways: 1. Relief treatment through hemorrhoid suppositories or hemorrhoid creams, because these creams have anti-inflammatory, swelling and lubricating effects, and the painful symptoms can be improved through conservative methods of treatment. 2. Patients can also take sitz baths with warm salt water as well as local physiotherapy of the anus, which can improve the affected area The actual hemorrhoids are a lot more than just the hemorrhoids. In addition to this, surgical interventions such as thrombosed external hemorrhoid removal can also be performed.