Patients with hemorrhoids commonly present with perianal pain, a feeling of swelling, and also blood in the bowels, with symptoms evident during acute episodes. In this case, you can first choose to apply a warm salt water sitz bath, which has a local effect of reducing swelling, pain and itching. For severe hemorrhoids, especially stage III or IV internal hemorrhoids, they can easily become embedded and can also become stuck, and the patient’s pain symptoms are very severe. The most effective treatment is to choose surgery to remove the hemorrhoid, either traditional surgery or the application of an anastomosis to remove the internal hemorrhoid mucosa locally or circumferentially. Thrombosed external hemorrhoids can be treated with a simple incision to peel away the nucleus and the embolus. Postoperative anti-infective treatment should be aggressively administered intravenously, and topical hemorrhoid creams can also relieve the patient’s symptoms. During the treatment period, you can also perform appropriate exercises for the anal levator muscle, which can also significantly relieve the symptoms of anal swelling.