A number of methods may be used to remove or reduce the size of internal hemorrhoids. These techniques include

• Rubber band ligation. A rubber band is placed around the base of the hemorrhoid inside the rectum. The band cuts off circulation, and the hemorrhoid withers away within a few days.
  
  
• Sclerotherapy. A chemical solution is injected around the blood vessel to shrink the hemorrhoid.
  
  
• Infrared coagulation. A special device is used to burn hemorrhoidal tissue.
  
  
• Hemorrhoidectomy. Occasionally, extensive or severe internal or external hemorrhoids may require removal by surgery known as hemorrhoidectomy.