Hemorrhoids are more common than you think. I once had a bad one that it hurt to sit or walk. I eventually had to go see my doc about it. He said there were two roads to take. (1) the less painfull way but takes longer to get rid of.....Put cream on it to relieve the pain and let it subside, usually a month or longer or (2) most painful but heals in 2 weeks and your done with it...... Lance it and drain the clot inside of it.
I took the 2nd road but I will tell you this, after he numbed the area it killed all pain. Then he lanced and drained it. He then bandaged my rear up and sent me to pharmacy for pain med. I was fine untill I was in line at pharmacy. The local wore off and a wave of pain hit me that like to knocked me out. The drive home was extremely painful. But after that I have never had another one and had quite a few before then. But talk to your doc about the risks involved- and there are long term risks.
The lanceing procedure is kinda embarassing just to warn you but if your in enough pain, you will not care...Lol