“…It is also to mention the use of recombinant streptokinase suppositories for HT at a 100,000 to 200,000 UI dose with sodium salicilate which offer a significative clinical improvement of symptoms in 5 days, although its promising cost must be evaluated as well as mid and long term complications [12]. Lastly the use of the Merocel anal pack which is a polyvinyl alcohol sponge biocompatible and highly absorbent that is used for epistaxis treatment, accelerating the reduction on the internal hemorrhoids prolapse in acute phase but with partial results and still in research [13]. As noted, the management of HT is multiple and it will depend on each individual case, as well as the physician's experience.…”