There is a small meatball on the outside of the hemorrhoid, if there are no clinical symptoms, no special medication is needed, much less surgery. You should pay attention to a light diet, keep your stools soft and clear, avoid spicy and irritating foods, and pay attention to the cleanliness of the anal area after the stool, as long as you prevent it from continuing to worsen or prevent acute attacks. If the meatball is locally swollen and painful with edema, you can take oral Diosmin tablets or anti-depressant tablets, use topical Ma Yinglong hemorrhoid cream, and then take a sitz bath with warm water or warm salt water to control its symptoms. If you have local itching symptoms, you can use potassium permanganate solution with water at a ratio of 1:5000 by mass to take a sitz bath, along with topical dextran ointment to control the itching symptoms, and consider surgery only if the above conservative treatment still fails to control the hemorrhoid symptoms.