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This is Dr. David
this depends on how severe your case of hemorrhoids are .
for mild hemorrhoids, you can use over the counter or prescription steroid creams like 1% hydrocortisone cream (over the counter) on hemorrhoids externally to the anus twice a day for 2-3 weeks to help shrink them up.
you should also eat lots of fruits and vegetables. or all fruits and vegetables like in a vegan diet to help soften your stools and to avoid constipation so you don't have to strain and push with bowel movements.
you might need prescription 25mg hydrocortisone suppositories to treat internal hemorrhoids where your creams can't reach.
let me know if you have other questions.