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External hemorrhoid?

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2 months ago I had some very minor itching and slight pain with bowel movement. I got some witch hazel wipes and figured it would go away. About 2 weeks ago I had some constipation and there was a small amount of blood on the toilet paper, since then I have been eating more fiber and have been going more regularly but the mild pain, itch and burning persist. Would I be able to use an otc hydrocortisone cream for a week? I wanted to but have been nervous to use it because of the skin thinning...

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