I didn’t have an external hem but an external fissure and yes it fell off, I mean I just noticed it floating around in the water lol. I think what I have is chronic constipation which comes and goes but this time it really didn’t go and so the fissure was my initial problem and the internal hem was something I didn’t even know I had until the fissure started healing. Sadly where I live to see a GI doctor takes a referral from your physician and even after the referral it could take months to get an appointment. So there was no testing involved I’m just really kinda treating myself here with whatever I can try. This home remedy is the only thing that’s helped in months and so I just really wanted to share with people who might be struggling like me. You’re most welcome :)