While your response to measures taken to help yourself will be affected by your age and general health, the more factors you can correct that affect your own situation, the more likely your approach will resolve your issues without surgical intervention, so please be sure to take into consideration the following;
1. The need to avoid constipation is paramount. It is vital that you achieve and maintain regularity and softened stools. To do so, there must always be sufficient soft fibre and liquid in your diet. Fruits, vegetables, and whole grains are good sources of fibre, while psyllium hulls (stir a tablespoon into a glass of water and drink immediately) will provide excellent soft bulky fibre as opposed to coarse wheat fibre/bran etc which may aggravate bleeding hemorrhoids. An adequate fluid intake requires that you sip through in the order of six glasses of clean water per day and of course, the general dietary program will be further enhanced if accompanied by regular periods of daily exercise.
It would also be wise to avoid or minimise coffee intake as it is a diuretic and causes harder stools and increased constipation. Coffee and alcohol both irritate haemorrhoids.
2. Bathroom factors should be managed to avoid worsening your hemorrhoid symptoms by ensuring the toilet paper is soft and/or moist and your cleaning technique is gentle on the affected area.
3. The primates, (our closest animal cousins), squat when nature calls and there is good reason why humans should do the same, especially when there is a problem with hemroids.
Squatting with knees drawn close to the chest straightens the lower colon and rectum allowing stools to pass more easily. The practise is common in Asia, Africa and the Middle East and may be simulated on Western toilets by raising the feet approximately six inches high using a step or blocks while seated on the toilet. You can try out this technique by raising the seat and squatting on the rim, or when barefoot, by squatting on the seat itself. Be sure to steady yourself by holding a shelf or other solid object close by.
4. The use of a Stiz bath has been used successfully to obtain temporary relief and when more severe episodes are encountered, it also may be very helpful to lie down horizontally for a time, preferably on your right side, while raising your hips on a pillow to allow gravity to help drain the blood away from the affected area.
5. Over many centuries, sufferers have used natural, herbal hemorrhoid remedies either taken per mouth or applied externally to find relief. Such herbs have included Pilewort, Butchers Broom, Horse Chestnut, even Cayenne Pepper, taken alone or in combination. Without doubt there is merit in this non toxic and natural approach but it does have limitations because of the difficulty of obtaining standardised pristine herbs that have their active ingredients fully intact. The variation in recommended recipes also tends to lead to variable results.
6. The requirements that will ensure adequate and wholesome nutrition to support your healing process is beyond the scope of this discussion, but the internet now provides a wealth of mostly good information such as is found at https://www.mercola.com/.