Generally speaking, it is not recommended to puncture thrombosed external hemorrhoids on your own. Thrombosed external hemorrhoids, that is, perianal subcutaneous hematoma, due to the location of the perianal area may have a lot of bacteria, the self puncture is likely to be infected, accompanied by severe pain, and may not be able to control the bleeding caused by the aggravation of the condition. It is recommended that the patient first warm water sitz bath to accelerate the absorption of local thrombus, relieve pain. If the pain is severe, consider oral treatment with ibuprofen or acetaminophen tablets. For more severe cases, consider surgical treatments such as thrombosed external hemorrhoid stripping and venous plexus stripping. Overall, it is not recommended to puncture thrombosed external hemorrhoids by oneself, and patients are advised to seek timely medical treatment and consider removing the entire hemorrhoid nucleus through surgery so as to achieve clinical cure. At the same time, patients need to avoid increasing abdominal pressure, avoiding strenuous exercise, weight-bearing long-distance walking, coughing, standing for a long time, and so on.