An external hemorrhoid is the more painful type of pile when compared to an internal one. The reason for this is because an internal pile is located up inside the rectum. It does not make contact with much else because it is protected from contact from wiping, sitting, running, etc. An internal pile does have to deal with the occasional contact when stool passes through the canal.
Sometimes when this happens, the stool is sharp and can actually sever the internal vein. An external hemorrhoid is not immune from this happening, either, though. A torn vein that was already inflamed can be incredibly painful, adding to it the addition of bleeding. A bleeding external hemorrhoid is incredibly painful which does not help you with your situation at all.
An external hemorrhoid is not the end of the world. There are worse types of piles such as thrombosed or even prolapsed. This does not lessen the extreme discomfort that many feel when dealing with an external hemorrhoid. Several are tempted to opt for a topical treatment for their external hemorrhoid because they are able to apply directly to the pile. This is not necessarily recommended for several reasons.
The main reason is that clearly anything that is rubbed on will just as quickly and just as easily be wiped back off. This offers no long term benefits and therefore is not highly recommended to treat an external hemorrhoid. Another reason that a topical application is not recommended is that while it may offer some temporary relief, it does not help to heal your internal problems that have caused this situation in the first place.
Truly, only an oral external hemorrhoid treatment would really solve your problem long term. To see what we recommend for your hemroid treatment, click here.