hiya, It sound to me like a thrombosed external hemorrhoid (pile) is a hemorrhoid in which blood has pooled and formed a clot (thrombus). A thrombosed external hemorrhoid can be diagnosed by visual and/or rectal exams. This type of hemorrhoid occurs outside the rectum, around the anal region. It will usually appear as bulging, purple or bluish skin-covered veins, or can be reddish when inflamed. To the touch, a thrombosed external hemorrhoid usually feels like a small, hard lump, roughly the size of a pea. Occasionally, this type of lump is referred to as a “skin tag”, and sometimes feels like a small mass of extra skin. With this type of hemorrhoid, most sufferers experience some degree of pain, often quite a lot. A thrombosed external hemorrhoid can cause swelling, itching and/or pain, but it will almost never bleed.