Hemorrhoids are very painful, this situation should be rectal examination, and then placed in the anoscope to observe, there are two reasons: 1, may be long-term hemorrhoid venous stasis, venous stasis and lead to hemorrhoids hardened to form a thrombus, appear this situation if it is in the early can also be decongestion, conservative treatment. You can pay attention to your diet, avoid spicy and stimulating foods, take warm salt water baths to promote blood circulation around the anus, take oral medications to reduce swelling, such as Mai Zhi Ling, anal fissures apply hemorrhoid cream, Tai Ning cream that is compounded with carrageenan to play a role in reducing swelling and anti-inflammatory. If, after a period of treatment, the symptoms gradually worsen and the thrombus is not easily agitated, surgical treatment, such as thrombus stripping, should be performed in a timely manner.2. Long-term dry stools and then prolapsed hemorrhoids can lead to anal fissure skin fractures. Hemorrhoids combined with anal fissures can also lead to very painful, if the symptoms are relatively mild, you can also take conservative treatment; if the symptoms are more severe, such as blood in the stool, anal fissures, fissures are deeper, and the pain is repeatedly aggravated, you should promptly perform surgical treatment, such as anal fissure removal, hemorrhoidectomy.