After the excision of an external hemorrhoidal nodule, recurrence at the same surgical site is not possible. However, prolapse of external hemorrhoidal nodules may occur at other locations in the anal canal, which is directly related to the patient's dietary and defecation habits. If the patient frequently experiences constipation, diarrhea, prolonged toilet time, or excessive straining during bowel movements, these conditions can also lead to the recurrence of external hemorrhoids. Additionally, if the patient's diet is too spicy, irritating, and hot, regular consumption of alcohol, smoking, eating hotpot, staying up late, and consuming fried foods can also lead to varicose veins in the hemorrhoidal plexus, forming hemorrhoids. This too can cause a recurrence of an external hemorrhoidal nodule. Therefore, after the excision of an external hemorrhoidal nodule, it is crucial for patients to develop good dietary and defecation habits.