Hemorrhoid symptoms include rectal bleeding, pain, itching, constipation, and sometimes protrusion or prolapse of the hemorrhoid. Rectal bleeding may be a symptom of other anal-rectal disorders and it is important to bring these symptoms to your physician’s attention when they occur. Now there are established and effective, non-surgical, hemorrhoid treatments available with a procedures called Sclero-injection (Sclero), Rubberband Ligation (RBL) or Infrared Coagulation (IRC). There are usually well tolerated (producing little, if any, discomfort) and requires no anesthesia the day of treatment. For those with much pain or anxiety, topical anesthesia can be applied for optimal patient comfort.