I'm 21 and dealing with external piles. I haven't been able to talk to my family about it because it's embarrassing, and now they're interfering with getting a government job. It's been about 6 months since I've had any symptoms like bleeding, pain, or itching, but the lump around my anal area still isn't going away. I do get constipated now and then. What should I do about this, and how can I get rid of the lumps?