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Will surgery be necessary? Most painful hemorrhoids stop hurting on their own in 1 to 2 weeks. If yours keep causing problems, talk with your doctor. Rubber band ligation can be used to treat internal hemorrhoids. It involves placing a small rubber band around the base of the hemorrhoid. This stops the flow of blood to the area and the hemorrhoid withers away. Internal hemorrhoids can also be destroyed by injecting them with a chemical. A hemorrhoidectomy (surgical removal of the hemorrhoid) may be needed if internal hemorrhoids are prolapsed or very large.
