A Patient Reports Anal Pruritis and Occasional Bleeding with Defecation

A patient reports anal pruritis and occasional bleeding with defecation. An examination of the perianal area reveals external hemorrhoids around the anal orifice as the patient is bearing down. The provider orders a colonoscopy to further evaluate this patient. What is the treatment for this patient's symptoms?

A) A high-fiber diet and increased fluid intake
B) Daily laxatives to prevent straining with stools
C) Infiltration of a local anesthetic into the hemorrhoid
D) Referral for possible surgical intervention