Most of the hard bumps in hemorrhoids are due to local thrombosis, and there are two ways to remove the hard bumps: 1, conservative treatment with medication, you can take two tablets orally, three times a day, or four tablets, three times a day, to improve local circulation, external use of Ma Yinglong hemorrhoid cream, with warm water or warm salt water sitz bath, to accelerate local blood circulation, to promote the dissolution of the thrombus. 2, you can use surgical treatment, you can perform thrombectomy or thrombosed external hemorrhoidectomy under local anesthesia. The procedure can be performed under local anesthesia with thrombus stripping or thrombosed external hemorrhoidectomy. It should be noted that some of the thrombus and hard bumps can not be eliminated by conservative treatment with medicine, and the thrombus will be mechanized after a long time, resulting in long-term residue, which needs to be surgically removed to completely disappear.