Will post this anyway.
If they are not severe generally your GP will give you a stronger treatment (to one you buy over the counter without a prescription), to use, as this will most often ease and shrink them. If not and your GP suggests otherwise, their are 2 common treatments. A 3rd for more serious cases.
1. ( Sclerotherapy) in which the affected area (internal piles) is injected with a solution that causes the veins to shrink.
2. Banding is used for large or prolapsing piles, where a band is placed around the base of the haemorrhoid. As a result, the pile gradually shrinks over a period of several days and eventually drops off. This procedure is sometime carried out in the doc's surgery and is usually painless. The treated area may be sore for a few days afterwards.
3. Persistent, painful, bleeding piles can be destroyed by electrical, laser or infrared heat treatment, or be removed surgically.