Should I have surgery for hemorrhoids that won’t heal for a long time?

Description of the disease (onset time, main symptoms, hospital visits, etc.): Hello doctor, I have a flesh lump outside the anus for more than a year, before going to see said hemorrhoids, has been using hemorrhoid medicine, but still can not get better, usually does not hurt, but sometimes walking more or eating too spicy will be uncomfortable, a little pain, I want to consult me is hemorrhoids? How should I treat it? I would like to ask if I have hemorrhoids? What should I do to treat it? The symptoms you describe are more likely to be external hemorrhoids of the skin, if it is not swollen and inflamed, it is recommended that conservative observation can be done, if you obviously feel discomfort, it is still recommended that you visit a professional anorectal surgery department as soon as possible to clarify the diagnosis. Patient: Thank you doctor, but that flesh lump is relatively large, if that lump does not go down all the time what will be the consequences? Is it serious? Hello, there may be the possibility of swelling and inflammation, and the above-mentioned situation can usually be solved with warm water sitz bath. If it is complicated by thrombosed external hemorrhoids, you should consult the anorectal surgery department early for symptomatic treatment; Patient: Thank you very much doctor, thank you!