Rubber bands DO NOT WORK - Don't do that.
If it is off "to the side" and "not interfering" with the daily process - then you can let it go and it will reduce on it's own in about 1 week.
If it is "standing in the way of progress' - then you will just reaggrevate it doing your business and you need to see a rectal surgeon and have it removed. Laser or Knife are your options. BOTH F'IN HURT LIKE MAD!

The rubber bands changed my life. they are funny to joke about but I am serious when I tell you I was debilitated by these things - the fear of an attack always in the back of my mind.
I had numerous embarrassing, public episodes. I have not had a single problem since I got the rubber band treatment.
Okay - time for one more, this one was the last straw:I was on vacation in Florida with my family. We stayed in a condo near Clearwater for a few days, then drove up to Disney and stayed there for five. I got up early the morning we were leaving Clearwater and played a round of golf. My ### was killing me, made the round absolutely miserable. I actually quit a few holes early – which I have never done before or since. I went back to the condo, packed the car and we set out for Orlando.
I was a cranky ##### the entire ride, shifting around in my seat uncomfortably, saying very little unless I was snapping at my wife or kids over something not worth snapping about. I told her that if her ### hurt like mine did she’d be in a hospital somewhere crying. She replied that she’s sick of listening to me complain about my ### and if it
was her it would have been fixed years ago. She called me an idiot. She had a point.
We got to the Animal Kingdom hotel, checked in and of course my kids immediately wanted to go to the pool. So we got changed, headed down and jumped in. It was sweet relief for my ###. I swam around for an hour, playing with the little ones, having a great time. My frown was totally turned upside down – I was a new man. My little girl, four at the time, asked if we could get a drink so I hopped out of the pool and wrapped a white towel around my waist. I walked over to the chairs where we left some stuff and grabbed some money, then walked around the pool to the snack bar. The place was packed, and there was a line so we stood there for a few minutes and waited. I finally got to the front and ordered a beer for myself, sodas for the kids, and started the walk back around the pool to where our chairs were. I got a step or two ahead of my kids when my girl chimed in:
Girl: “Daddy, why is your towel all red?”
Me: “Huh?”
Girl: “The back of your towel is all red.”
Me:

“Oh dear God…” – reach back, rub the towel with my hand, look at hand – yup, soaked with effing blood. “Come on guys! Follow me!! Hurry!!”
Girl: “Where?”
Me: “To our room – let’s go!!”
Boy: “We want to swim!” stops in his tracks
Girl: “Is your butt bleeding again?”
Me: “Yes!” turn around, run back and grab crying boy, tuck under arm like a football, and start running inside hotel towards elevators.
Girl: “Gross!!!” - running behind me
By the time we made it back to the room the entire back of the towel was soaked with blood. My wife made me call then and there for an appointment and I got it fixed the week after we got back.
It was a spectacle. I’m sure I was known as “the bloody ### guy” for the rest of our stay there. My wife says she was at the game room with the kids later and she overheard chatter that the pool had been closed for a while that afternoon. Unconfirmed that it was due to my ### blood but I wouldn’t be shocked.