Hi, Welcome to Healthcaremagic.com. I had gone through your question I can understand your concern. You must take another gel like nitroglycerin gel which is also effective in many cases of internal hemorrhoids. Also continue to use the steroid too. Yes you can use it, it is also anti inflammatory and pain killers but use under the guidance of your doctor, because as I don t know your medical history, you need to consult the doctor before it s use. Also take more fibers in your foods like green leafy vegetables and fruits, so that there is no constipation which can Aggregate the pain. Hope my answer will help you and visit us back if you have any further queries. Regards Dr Muzaffer Hussain Parray.