When hemorrhoids are congested and edematous, they can cause severe anal pain, which is commonly known as inflammation of hemorrhoids, but the inflammation is not caused by bacterial infection, and there is no need for antibiotics for anti-inflammation. You can use conservative methods of treatment, such as using warm boiled water or potassium permanganate water anal baths, improve blood circulation around the anus, can play a role in reducing swelling, relieve pain. If the pain is severe and unbearable, diclofenac sodium suppositories can be incorporated into the anus for pain relief. Applying hemorrhoidal ointment, such as Anusite Ointment and Ma Yinglong Hemorrhoidal Ointment, to the edematous area can also serve to clear away heat and detoxify the toxins, reduce swelling and relieve pain. At the same time, it should also soften the stool, if the stool is too dry and knotty, you can orally take Ma Ren Pills, Sophora Jiao Pills, Lactulose Oral Liquid, etc. for laxative. Generally through the above conservative treatment, the symptoms such as congestion and edema, anal pain can be relieved in about 3-5 days. If the effect of conservative treatment is not good, it is recommended to carry out surgical treatment as soon as possible.