Abstract: A cooling cylindrical insert device to aid in the removal of pain and for the therapeutic treatment of hemorrhoids and anal fissures. The device includes a hollow insert, finger or bulb contoured for insertion into the anus. At least one inlet and/or outlet opening is provided in the insert at its base, with one or two tubes connected to the openings. A container of cold liquid is provided connected to the inlet and outlet tubes. Thus, cold liquid is circulated from the container, through the inlet tube and inlet opening, through the cylindrical insert device, through the outlet opening and outlet tubes back into the container. A pump is provided to circulate the liquid.