Thrombosed hemorrhoids are a type of hemorrhoid, and external hemorrhoids are generally divided into inflammatory external hemorrhoids, thrombosed external hemorrhoids, and varicose veins and connective tissue external hemorrhoids. Thrombosed external hemorrhoids manifest as a subcutaneous bruised mass at the anal verge, with local skin edema, a more intense painful mass, a harder texture, and significant tenderness. It occurs at the 3 and 9 points of the anal truncus, and is more common in middle-aged men. The general types of hemorrhoids include, varicose veins and connective tissue external hemorrhoids, which present as soft perianal masses that are mobile and have no painful symptoms. So the main difference between thrombosed hemorrhoids and hemorrhoids is that thrombosed hemorrhoids are more painful and should be aggressively operated on, either by thrombectomy or hemorrhoidectomy. In contrast, if the symptoms of general hemorrhoids are not particularly severe, they can be treated conservatively and with medication, and surgery should be applied only if necessary.