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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.
Depend on the Types of Hemorrhoids. Most hemorrhoids will only last 3-4 days without the use of medication or other treatments. More severe hemorrhoids may last for several weeks before they fully heal. Internal hemorrhoids may take up to two months to heal. External hemorrhoids that have developed a blood clot may take between three weeks and three months to heal.