External hemorrhoids are composed of varicose blood vessels, and if you puncture them yourself, it may lead to two serious consequences: the first is the possibility of bringing bacteria into the blood vessels, which can travel to various parts of the body through the blood circulation, causing serious infections throughout the body. The second is the possibility of serious hemorrhaging after the puncture, so it is not recommended to puncture the hemorrhoid yourself. The treatment of hemorrhoids depends on the symptoms. For mild and mild hemorrhoids, you can use suppositories and creams for conservative treatment to control the symptoms, and no special treatment is needed if there are no symptoms; if the hemorrhoids have serious symptoms and the conservative treatment with medication is not effective, surgical treatment should be considered.