How to relieve pain and swelling of an external hemorrhoid lump
Under normal circumstances, the causes of pain and swelling of external hemorrhoidal masses may include impaired blood circulation, constipation or diarrhea, inflammatory external hemorrhoids, thrombosed external hemorrhoids, and connective tissue external hemorrhoids. Treatment options such as general care and medication therapy can be adopted under a doctor's guidance. The specific analysis is as follows:

1. Impaired Blood Circulation
Maintaining the same posture for extended periods, such as sitting or standing for long durations, can hinder local blood circulation around the anus and cause poor venous return, leading to the formation of external hemorrhoidal masses accompanied by pain and swelling. Avoid prolonged sitting or standing by getting up and moving around periodically to promote blood circulation. Engage in appropriate anal muscle exercises, such as Kegel exercises, to strengthen the anal sphincter muscles and improve pressure resistance.
2. Constipation or Diarrhea
A lack of dietary fiber and excessive consumption of spicy or greasy foods can lead to constipation or diarrhea. Difficult or frequent bowel movements increase pressure on the anal area, which can trigger external hemorrhoids. Increase dietary fiber intake by eating more vegetables, fruits, whole grains, etc., to maintain regular bowel movements. At the same time, ensure adequate water intake to soften stools and reduce pressure on the anus during defecation.
3. Inflammatory External Hemorrhoids
Inflammatory external hemorrhoids may result from acute or chronic inflammation of the subcutaneous venous plexus in the anal area caused by infection. The inflammation causes redness, swelling, itching, and pain in the anal region, with the formation of mass-like protrusions. Systemic symptoms such as fever and chills may also be present. Under medical guidance, medications such as potassium permanganate solution, amoxicillin capsules, and roxithromycin dispersible tablets may be used for treatment.
4. Thrombosed External Hemorrhoids
Thrombosed external hemorrhoids may be caused by obstructed blood flow. The hematoma gradually becomes fibrotic, forming a mass-like protrusion accompanied by severe pain. Local congestion and edema may also occur. Follow medical advice to use medications such as Ma Yinglong Musk Hemorrhoid Ointment, compound seaweed acid ester cream, and hemorrhoid suppositories for treatment.
5. Connective Tissue External Hemorrhoids
Connective tissue external hemorrhoids are usually skin tags formed by hyperplasia of connective tissue beneath the anal skin. They typically present without obvious symptoms, but may occasionally cause mild pain and form mass-like protrusions. Accompanying symptoms may include itching. Asymptomatic connective tissue external hemorrhoids generally do not require special treatment. If symptoms such as itching occur, surgical excision may be performed to improve the condition.
In daily life, increase dietary fiber intake by eating more vegetables and fruits to maintain regular bowel movements. Avoid prolonged sitting or standing, get up and move around periodically to promote blood circulation. Additionally, clean the perianal skin promptly after defecation to reduce bacterial growth and prevent infection.