http://helpforhemorrhoids.org/internal-hemorrhoids.html. Both Internal & External Hemorrhoids can be very painful and embarrassing. Lack of exercise and constipation are major factors behind development of Hemorrhoids. It is very important that Internal Hemorrhoids be treated well in time before they get thrombosed and painful. Trying out natural and home remedies can ease the discomfort to great extent. When home remedies for hemorrhoids fail to show any efficacy, hemorrhoidectomy or laser coagulation may be recommended.