A lump in a hemorrhoid is usually a local thrombosis of the hemorrhoid nucleus, or a local infection of the hemorrhoid nucleus with edema impaction. In both cases, it takes about a week for the lumps to subside after active conservative treatment, with thrombosed external hemorrhoids possibly taking longer, some taking more than two weeks. You can use medications such as oral Diosmin tablets or anti-depressant tablets, topical hemorrhoid cream, and warm water or warm salt water sitz baths. In case of localized infection of the hemorrhoid nucleus, additional antibiotics are needed, such as oral levofloxacin or methotrexate tablets and topical Bactrim ointment. However, not all symptoms of acute flare-ups of hemorrhoids can be controlled by conservative treatment with medication. If the symptoms are not relieved or have a tendency to worsen after 3-5 days of use, surgical treatment needs to be considered. During the treatment period, you should pay attention to a light diet, keep the stool soft and fluent, and pay attention to the cleanliness of the anal area after the stool.