Painful hemorrhoids can first be treated with a sitz bath using pepper water or 1:5000 potassium permanganate solution, along with oral Myzolene tablets or Tramadol tablets. If the pain is particularly severe, you can also inject flurbiprofen or tyrosine or aminotriol intravenously, which can effectively relieve the pain caused by hemorrhoids. If the pain is still not relieved after the use of medication, you can choose surgical treatment. Hemorrhoid pain should be treated according to the specific condition of hemorrhoids, and the appropriate surgical method should be chosen, such as mixed hemorrhoids external peeling and internal ligation or PPH surgery. Hemorrhoid patients must pay more attention to their diet, with a light diet, eat more vegetables and fruits, drink more water, try to avoid constipation and diarrhea, because constipation and diarrhea can cause hemorrhoid pain aggravation.