Tiny purple spots on anus, bumpy?

Ouch-it really hurts: External hemorrhoids are basically varicose-vein, and when thombosed (clotted) it sure can cause much pain in the _ _ _. This is easy excised in the office, if you r doc does it, which can relief your pain quickly. If not, topical steroid mixed with Lidocaine such as anapram can help quite a bit. Increase fibers and fluid, avoid straining, and minimize prolonged sitting. Consult doc. Good luck.