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In this case, it is a thrombosed external haemorrhoid, meaning a blood clot has formed inside it. Non-thrombosed external hemroids look just the same for the most part, but a less vivid blue color. Such skin tags can also be formed when an external hemorrhoid goes away, as the stretched skin caused by the hemorrhoid is unable to resume normal shape. Photo of thrombosed external hemorrhoid graciously donated. 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.