External hemorrhoids can be treated either conservatively or surgically. Conservative treatment includes sitting baths and oral medication, while surgical treatment includes excision. 1. Conservative treatment: If the bruising and swelling is not particularly obvious, and there is no pain when touching, you can first take a sitz bath and apply external medication. The most commonly used sitz bath is 1:5000 potassium permanganate solution sitz bath, apply hemorrhoid cream, can promote blood circulation, enhance local resistance, reduce inflammation. Oral medication can choose Diosmin tablets to dilate capillaries and reduce bruising and swelling. 2. Surgical treatment: for patients with severe bruising and swelling and unrelieved pain, the swollen area can be treated with local anesthesia, and the epidermis can be cut open to remove the bruising, which can provide rapid relief, but attention should be paid to maintaining dryness and avoiding infection. Therefore, for the external hemorrhoid bruising and swelling should go to the hospital in time to check, clarify the specific situation, choose the appropriate treatment method, to avoid disease progression.