I have 4th degree hemorrhoids that protrude from the anus & cannot be pushed back in. Can I remove it myself?

Creams or ointment wont make the skin tag retract on its own. I happen to live in a backward town where the government doctors refuse to perform surgery on me as it is not health-threatening. And I’m not a candidate for rubber band ligation. If I perform the surgery myself under anesthetic, will I die of infection or worse, cut a nerve or artery?

just pull them out until you get them all out and cut them like an umbilical cord

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