If he is in bad pain, he may need a visit to the Outpatients for some treatment - they can attach tiny elastic bands which strangle the haeomerroids and they drop off after a few days.
I had this one once, the proctologist was a gorgeous young woman, and that was in scrubs, heaven knows how divine she would have been outside work!
However, we met under less that fortunate circumstances, but i did make her smile - when she asked me to lift up my gown, roll on my side, draw my knees up and relax, I advised her I don't normally do that without dinner and a movie first!