You can try dietary changes first. These would include whole-grain foods (such as bran cereals) and breads (made with whole wheat grains), fresh fruits (including the skin and pulp), dried or stewed fruits (such as prunes, raisins or apricots), root vegetables (such as carrots, turnips or potatoes), and raw or fresh vegetables, such as cabbage (lettuce is actually low in fiber).
The second tier of treatment would include what are called fixative procedures include tying off the hemorrhoids with a rubber band (rubber band ligation) or using heat, lasers, or electric current to create scar tissue (coagulation therapy).
Finally, if the hemorrhoids are large or very painful, surgery is the final option.
I hope this helps and thank you.