The common clinical manifestation of internal hemorrhoids is bleeding or prolapsed nuclei, and pain is rarely seen. If there is pain, it is likely that the hemorrhoid nucleus has prolapsed and become embedded. You can use a 1:5000 potassium permanganate bath and then apply local hemorrhoid cream for treatment. Also, pay attention to eating more fresh vegetables and fruits, drink more water, especially more honey water, and try to avoid spicy and oily foods to avoid constipation. If the treatment with these methods is still not effective, you can consider surgery to remove the nucleus to relieve the symptoms of painful internal hemorrhoids. The internal hemorrhoids can be plugged anally with tylenol suppositories or Ma Yinglong hemorrhoid suppositories, which can also relieve the symptoms caused by prolapsed and embedded hemorrhoids.