Maybe seeing pictures and photos of hemorrhoids or piles in women and men will help you to get more familiar with this disease. External hemorrhoids feel and look like small lumps that form beneath the skin surrounding the anus. They may bleed or itch. Here’s what you need to know. External hemorrhoids are lumps that protrude from the anus and can cause bleeding, itching, and pain. Learn how to identify them, what home remedies and surgical options are available, and how to prevent them. There are four types of hemorrhoids : internal, external, prolapsed, and thrombosed. Find out what they look like and more.