If you have a small pile of flesh outside the anus, consider superfluous external hemorrhoids, varicose external hemorrhoids, inflammatory external hemorrhoids, or thrombosed external hemorrhoids. If it is a superfluous external hemorrhoid, it is formed due to the overgrowth of the skin around the anus and does not have any symptoms and does not need to be treated. If it is a varicose external hemorrhoid, it is formed due to enlargement and thickening of the veins around the anus and usually has no obvious symptoms and does not need to be treated. If it is an inflammatory external hemorrhoid, it will be accompanied by pain in the anal area, and the flesh is soft to the touch. You can insert diclofenac sodium suppositories inside the anus to relieve pain, and at the same time apply hemorrhoid cream or anal tylenol ointment around the anus to reduce swelling and pain, and also take oral diosmin tablets to promote venous and lymphatic reflux to improve the effect of edema. Usually, the inflammatory external hemorrhoids will gradually dissipate after a week or so of medication. In case of thrombosed external hemorrhoids with pain in the anal region and a hard and granular texture to the touch, surgery is required. The wound needs to be changed daily after surgery and it takes about ten days to heal completely.