The goal of this clinical trial is to learn if a topical ointment containing two local anesthetics (lidocaine 23% and tetracaine 7%) can reduce pain after hemorrhoid surgery in adults. The main questions it aims to answer are:
* Does the ointment lower post-defecation pain movements in the first 10 days after surgery?
* Does the ointment lower overall daily pain in the 10 days after surgery?
* Does the ointment reduce the need for rescue pain medication (tramadol)?
Researchers will compare the lidocaine/tetracaine ointment to a placebo (a look-alike ointment that contains no active drug) to see if the active ointment works better to reduce pain after hemorrhoid surgery.
Participants will:
* Apply the ointment or placebo to the anal area every 12 hours for 10 days after surgery
* Rate their pain on a scale from 0 to 10 each day, including pain after bowel movements/defecation
* Record how many times they take rescue pain medication each day
* Receive check-in calls/mesages from the research team after surgery