Webthey become worse after a bm with a feeling of pressure, burning, and throbbing pain. It lasts for more than half a day and then dulls down. But i too have no bleeding. Webmy husband has 1 internal hemorrhoid that has been causing him pain for 2 months. Recently, he reached out to a gi for a separate issue resulting in him getting scheduled. Webthe only thing that can help an external hemorrhoid is a hemorrhoidectomy. If you’re in that much pain, it may be thrombose actually and if you go to the er, they will do emergency.
