Answer by  
                                                                                          jaimesgirl (1055)
                                                            
                          
                          
                                                           Check with your physician. If the internal hemorrhoid is large enough to make having a bowel movement difficult, you may need to have a surgical removal of the hemorrhoid. This is known as a hemorrhoidectomy. It is an outpatient procedure, and is relatively painless, and will probably offer a considerable amount of relief from your suffering.