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In this case the anal skin tag was thought to be caused by excessively large stools earlier in life. The thrombosed hemorrhoid actually looks like a black pearl in many respects, but even though it was thrombosed and causing severe pain, the surgeon considered it too small and sent this lovely lady home with the directions to take an anti-inflammatory, and to take a wash cloth soaked in warm water and salt and place it on the hemorrhoid for a period of 5 minutes twice per day. My suggestion therefore would be to wait for the blood clot to clear or be surgically removed, before trying to treat the hemroid. This next hemorrhoids picture again appears to be of external hemorrhoid, and another thank you to the owner for providing it.