Conversation: The conversation between human and AI assistant.
[|Human|] I ve had problems with hemorrhoids for several years. This week I got a large external hemorrhoid that has been very painful. I have been using over the counter creams to treat it. Today It started bleeding, the bleeding its bad, but enough to leave spotting in my under wear. Is this normal or something that needs to be checked?
[|AI|]  Hi, Usually all external hemorrhoids are painful because pain receptors are presented only outer part of anal canal while internal canal hemorrhoids are painless. In external hemorrhoids you can manage pain with local anesthetic cream and stool softer, but you have to maintain your stool soft. When your stool became hard because of strafing during defecation it leads to bleeding. If you are bleeding heavily only surgery is the option.use home remedies like banana, spinache and fiber rich foods can make your stool soft. Proteins make your stool hard. Get Well Soon. Hope I have answered your query. Let me know if I can assist you further.