If the hemorrhoid does not come back, it can be treated conservatively with medication or surgically, as follows: 1. Conservative treatment with medication: After the hemorrhoid comes out, the sphincter contraction leads to congestion, edema or thrombosis of the hemorrhoid nucleus, resulting in impaction and inability to return, this situation can be treated conservatively with medication, patients can take Diosmin orally, use hemorrhoid cream externally, with warm water, warm salt water sitz bath, and The hemorrhoids are not accompanied by local pain symptoms, they are normal prolapse, even if they are inserted into the anus, they will come out on their own, this is a more serious stage IV hemorrhoids, patients need to consider surgery.