Painful hemorrhoids are mainly caused by inflammatory infections, sudden blood clots or embedded edema in internal hemorrhoids. For such cases, you can take oral painkillers to relieve discomfort, such as ibuprofen extended-release tablets or codeine extended-release tablets, which can relieve anal pain to some extent. In this case, you can choose to take a sitz bath, such as the commonly used potassium permanganate solution, compound bitter ginseng lotion for sitz bath also has the effect of reducing swelling and pain, with diclofenac sodium internal anal plug can also play the role of anti-inflammatory analgesia. When the pain is relieved, you can also take oral diosmin tablets and other drugs to relieve edema. But this situation is more serious, or need to go to the hospital as soon as possible to take surgical treatment to avoid infection necrosis of hemorrhoids.