If you are experiencing increased pain with your internal hemorrhoids after using a product with an anesthetic effect, it is recommended to stop using the product and consult a doctor. It is unlikely that a cream without an applicator will effectively treat the type of hemorrhoid you are describing. A doctor may prescribe a product with an applicator for better treatment. In the meantime, you can try to soften your stool to prevent straining during bowel movements, which can worsen hemorrhoids. You can use a product like Lax-A-Day™ for this purpose, but be cautious not to cause diarrhea, especially if you have had a bypass. Start with a lower dose and gradually increase as needed.