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When a patient has external hemorrhoids, they will lie under the skin around the anus. They can become very itchy and may bleed. Sometimes, the blood may accumulate and form a thrombus (clot), which can be painful; the area will swell and become inflamed. External hemorrhoids are more likely to present with pain.
MYTHS ABOUT HEMORRHOIDS: 1  All bumps around the anus which cause pain and bleeding are hemorrhoids. 2  Laser hemorrhoidectomy hurts less than cold scalpel hemorrhoidectomy. 3  Hemorrhoids are hereditary (donât forget we are all born with hemorrhoids)  All hemorrhoids require surgery to treat the problem.