What is the best initial treatment for pain of small external hemorrhoid with no bleeding.

Drainage: Most likely it is thrombosed external hemorrhoids , where samll amount blood collects and clots under the skin causing pain, if drained will get immediate relief, if left alone may take 2 to 3 wks to clear. First you have to see the doctor to make sure it is only hemorrhoid not some thing else.

Hemorrhoids: Initial treatment consists of warm water baths to rectal area called sitz baths, gentle hygiene with wet wipes and blotting, and application of otc Hydrocortisone cream. Also, dietary changes with gradual increase in fiber, controlling carbohydrates, and increasing water intake. Activity increases help too. Visit with your doctor to make sure that they are hemorrhoids and nothing else.