Understanding why you get hemorrhoids is the first step in finding an effective hemorrhoids remedy.
Some of the common causes of hemorrhoids are:

1. Increased straining during bowel movements, for instance, when suffering from constipation or diarrhea
2. Pregnancy
3. Obesity
4. Hypertension

These are just a few of the common causes of hemorrhoids, but it is easy to see that the link is that there is increased pressure on the veins and tissues of the rectum in all of them, which means that an effective hemorrhoids remedy should address these.
Some of the common hemorrhoids remedies out there are:

1. Analgesic pain relievers, either topically or orally
2. Dietary improvements, for instance eating more fibre, thereby improving bowel function, can have a positive effect.
   
3. Vasoconstrictors, applied topically, like phenylephrine or topical astringents, like witch-hazel can have a positive effect as a hemorrhoid remedy.
   
4. Cold compresses and hydro therapy, in the form of baths, bidets or showers, can also have a constrictive effect on the blood vessels affected, thereby reducing the hemorrhoid.
   

Aside from these natural, home hemorrhoid remedies, there are also more intrusive surgical procedures that can be effective as a hemorrhoid remedy, as well as many other treatment options.
The best bet, if you are suffering chronic hemorrhoids, is to speak to your doctor, and find out which treatments are likely to be most effective in your specific case.
The good news is, that with so many options out there, you do not need to suffer in silence, or at all.
Simply speak to your health care provider, and find out which of the hemorrhoid treatments out there will work for you.
You may find that you need to experiment with various treatments, but, eventually, you should find one that works for you.