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This is Dr. David
with bad hemorrhoids, surgery and banding are probably the best long term solution to get rid of them
25mg hydrocortisone suppositories twice a day can help shrink internal hemorrhoids.
ask your doctor for lidocaine suppositories and lidocaine 5% ointment which can help numb the area and decrease pain from the hemorrhoids.
Lactulose is a strong laxative
also you can try 1/2-1 bottle of magnesium citrate which is a strong laxative as well sold over the counter.
let me know if you have other questions.