External hemorrhoids are a little painful possibly because of venous stagnation and local thrombosis can form. This kind of thrombosed external hemorrhoid is usually manifested as a purple colored, poorly mobile swelling around the anus: first, conservative treatment can be carried out, such as paying attention to diet, avoiding spicy and stimulating food, eating more coarse fiber food to promote the smooth discharge of stool and prevent the increase in pressure in the hemorrhoid veins. Secondly, you can take a warm salt water bath to promote blood circulation around the anus, which can locally reduce the swelling of the hemorrhoids and can slow down the symptoms of stasis. Third, you can apply hemorrhoid creams around the anus, such as tylenol, compound keratanate cream, which mainly play the role of anti-inflammatory and anti-swelling as well as pain relief. If the thrombus has been formed for a longer period of time and the formation of the envelope is more obvious, it is necessary to perform thrombus stripping under local anesthesia, and then give a comprehensive treatment such as anti-inflammatory pain relief and hemostasis after the operation.