Hemorrhoids are a collection of blood vessels on the inside and the outside of the anus. Although we are all born with hemorrhoids, we are usually unaware of their presence until they become symptomatic. The symptoms of hemorrhoids can vary but can include bleeding, itching, a burning sensation, or protrusion of tissue from the anus. There are multiple treatment options for hemorrhoids which include topical creams and suppositories, office-based procedures, and surgical therapies. The optimal treatment for each patient depends on the size of the hemorrhoids and the severity of the symptoms.