A soft pile of flesh at the anal opening is more likely to be a hemorrhoid, and if it does not cause pain, it is called a connective tissue external hemorrhoid. This kind of hemorrhoid does not have a great impact without treatment, because hemorrhoids without clinical symptoms can be left untreated. You just need to take good care of your diet, keep your bowels open, and keep your symptoms from getting worse. If it causes pain, such as in an acute attack, it can cause inflammatory edema and painful discomfort in the anus, which requires a sitz bath with warm water to improve the blood circulation around the anus and applying hemorrhoid cream to the anal opening to reduce swelling and pain. It is important to eat a light diet and avoid spicy and stimulating foods as well as fried foods. With this treatment, the symptoms of inflammatory flare-ups of hemorrhoids can be improved, but of course they still need to be removed surgically for complete elimination.