Internal hemorrhoids especially painful can take general treatment, drug treatment, surgical treatment, etc., please follow the doctor’s instructions. 1. General treatment: the pain caused by prolapse of internal hemorrhoids, the prolapse of internal hemorrhoids should be promptly reset by manipulation, and the pain may be relieved after reset. You can also take a hot water sitz bath to promote blood circulation, so as to relieve the pain. 2. medication: external hemorrhoid cream or hemorrhoid suppository for local treatment, pain relief; can also be applied locally lidocaine gel and other drugs, to play the role of local anesthesia, so as to stop the pain. 3. Surgical treatment: If patients experience severe bleeding, prolapse and other symptoms, they need to consider surgical treatment, such as ligation, ligation, excision, PPH (rectal mucosal anastomosis) and so on. The pain of internal hemorrhoids is particularly severe, often indicating that the condition is more serious, you should go to the hospital in a timely manner, the doctor to give targeted treatment, do not blindly self-medication.