Conservative Management + Lifestyle Changes
a. Increase dietary fiber and hydration.
b. Maintain good anal hygiene.

Medical Treatments
a. Pilorute Cream: Apply as prescribed for pain and inflammation relief.

Minimally Invasive Procedures
a. Consider rubber band ligation or sclerotherapy if symptoms persist.

Surgical Options
a. Hemorrhoidectomy may be needed for severe, recurrent cases.

When to See a Specialist
a. Consult a proctologist if symptoms worsen or do not improve with treatment.