A particularly large ball of flesh on the outside of the hemorrhoid is considered to be an acute embolus formation induced after constipation, which is an aggravation of the hemorrhoid nucleus, and the patient may also experience localized pain, blood in the bowels, and even significant anal discomfort as well as fever. The most effective treatment is surgery, which is usually performed under epidural or sacral anesthesia, with the option of local excision or circumferential excision of the hemorrhoidal mucosa with an anastomosis, or local incision of the external hemorrhoid, excision and stripping of the embolus, revision of the wound, and also the wound needs to be left open and dressed with local pressure with petroleum jelly gauze. After the procedure, it is necessary to prevent infection by intermittent dressing changes, especially after each bowel movement, and timely cleaning of the wound. If conditions permit, it is best to insist on a warm salt water bath every day before bedtime to promote wound healing.