I have grade 3 hemorrhoids. Currently, I am taking Daflon 500mg. I want to ask the doctor if I have 3rd degree hemorrhoids, can I use topical cream?

Hemorrhoids are quite common disease, most of the cases of disease treatment are quite late due to the patient's fear and subjective psychology. Surgery is one of the leading, long-term effective hemorrhoid treatments. So when does a patient need surgery to treat hemorrhoids?