Have the hemorrhoids removed with rubber band ligation

if you have anal pain with bowel movements then you most likely have an anal fissure. Have a colorectal surgeon do a focused anal exam. You may have to introduce stool softeners and fiber supplements. If this is a chronic affliction you may require an outpatient surgery which is called a sphincterotomy.

There are other treatments for hemorrhoids but these are somewhat limited because you take blood thinners. The options increase if you can stop blood thinners for a couple of weeks or more. I’d not, there are still a couple of options available. You may benefit from a consultation with a colon and rectal specialist. Also as a bit of information. Internal hemorrhoids cause PAINLESS bleeding. If you have pain there may be a secondary issue such as anal fissure. Hope this is helpful.