Hello and welcome to HCM..
Thank you for posting your query here and I'm definitely going to help you out..
I being a surgeon, we encounter so many such cases of hemorrhoids day in and day out..
I read your question completely and have understood have understood it well enough..
Hemorrhoids are the most common causes of lower intestinal bleed. Though they don't bleed profusely, definitely it's bothersome..
Well, I will analyze all your points and give the best solutions..
1. Yes, digital and proctoscopic examination is best to diagnose hemorrhoids.
Classified as internal and external.
2. You say that you have 1 grade hemorrhoids. And again, it's a very very common problem most people have..
3. String like and dark color indicates hemorrhoidal bleed and most of the times it's a venous bleed..
4. So after looking at all your symptoms and history, it's clear that you have hemorrhoids and which needs treatment..
5. Here are the few treatment options available. Generally, grade 2 and below are managed conservatively without surgery. And results are good..
A. Please avoid
constipation..
To achieve this, drink lots of water around 4 litre a day, eat fruits and vegetables, a high fiber diet, avoid excessive consumption of meat.
B. Stay positive, feel that your hemorrhoids will heal. It definitely has a good effect.
C. In case you develop pain, please use lignocaine gel 2 % for local application.
Hope this helps you, in case you need any further assistance, please let me know.
Take care and God bless..