External hemorrhoids are not easy to bleed, mainly with pain and a foreign body sensation as the main symptoms, unless there is an external collision, only easy to bleed. Patients with external hemorrhoids are advised to visit the hospital and follow the doctor’s instructions for treatment. External hemorrhoids are hemorrhoids that occur below the dentate line, and the surface of the tissues below the dentate line is skin, and the skin is very tough and generally difficult to rupture, so external hemorrhoids are not easy to rupture and bleed. And because the skin layer near the anus has a large number of dense nociceptive nerve endings, so the pain threshold of the area is relatively low, a little stimulation will cause intense pain, so the clinical manifestation of external hemorrhoids is mainly pain-based. If the hemorrhoids and nearby parts of the collision or trauma, it will be easy to rupture leading to bleeding symptoms. Once the external hemorrhoid is found and accompanied by discomfort, it is recommended to go to the hospital, improve the examination, under the guidance of the doctor for reasonable treatment.