The main cause of pain in thrombotic external hemorrhoids is the thrombus within the local hemorrhoid nucleus, which increases the congestion pressure and leads to discomfort and pain. During the acute phase of thrombotic external hemorrhoids, there is generally pain or bloating in the local area, along with difficulty in defecation. To quickly alleviate the pain, one can manually break the local thrombus or use traditional Chinese medicine washes for hot compresses to promote the absorption of the thrombus. If the thrombus is large or the condition is severe, surgery can also be performed to peel and remove the local thrombus, which is the most effective method for pain relief. After the surgery for peeling off thrombotic external hemorrhoids, it is necessary to disinfect the local wound surface to avoid infection.