1) External hemorrhoid can present as palpable skin tag around anus. This may be reducible or prolapse permanently.

2) Yes hemorrhoid cream is to relieve symptoms of bleeding and pain for both external and internal hemorrhoid.

3) The indication for staple hemorrhoid is frequent bleeding and pain and difficulty to reduce the prolapse. The total general hospital charge is around $25000 including $6000 for the staple device, $10000 for surgeon fee and $3000 for anaesthetist fee and $6000 for gerneal hospital fee.

Dr Leung Kam Fung