Since your pain is severe and worsening today without bleeding, you may have a thrombosed haemorrhoid, which requires urgent evaluation by your doctor or surgeon. For immediate, temporary relief: Ointment: Apply an over-the-counter cream containing Lidocaine (for numbing) or Hydrocortisone (to reduce swelling). Sitz Bath: Soak your pelvic area in warm water for 15-20 minutes, 2-3 times a day. Pain Relievers: Take oral anti-inflammatories like Ibuprofen or Acetaminophen. Stool Softeners: Use a gentle stool softener to prevent straining.\n\nPlease avoid straining and consult a specialist promptly for a proper physical examination.