Understanding External Hemorrhoids: Causes and Treatment Options

July. 16,2025

External hemorrhoids are swollen veins around the anus caused by factors like straining and pregnancy. Symptoms include itching, lumps, and pain. Treatment options range from medications and minimally invasive procedures to surgical removal for severe cases. Preventive measures such as a fiber-rich diet and avoiding straining are essential. Consulting a doctor helps achieve effective relief and reduces recurrence risks.

Understanding External Hemorrhoids: Causes and Treatment Options

Understanding External Hemorrhoids: Causes and Treatment Options

External hemorrhoids are swollen veins located around the anus, often causing discomfort and pain. These veins become enlarged and protrude due to various factors, leading to irritation and sometimes bleeding. Unlike internal hemorrhoids, which develop inside the rectum and are less painful, external hemorrhoids are visible and tend to cause noticeable symptoms.

Causes of External Hemorrhoids

The primary cause of external hemorrhoids is straining during bowel movements, often resulting from constipation or diarrhea. Increased pressure from pregnancy or persistent sitting can also contribute. These factors cause veins in the anal area to dilate, leading to swelling.

Recognizing Symptoms

Symptoms include itching, discomfort, lumps near the anus, and pain, especially during bowel movements. Swelling and bleeding are common signs, with severity varying among individuals.

Treatment Options for External Hemorrhoids

  • Over-the-counter remedies: Mild cases may respond to topical ointments containing numbing agents like lidocaine or steroid creams, used cautiously for short durations.
  • Clot removal: When a blood clot forms, a simple incision can extract it, providing rapid relief within 72 hours of clot formation.
  • Minimally invasive procedures: Rubber band ligation, injections, or coagulation techniques shrink hemorrhoids without anesthesia. These are suitable for moderate cases.
  • Surgical intervention: Hemorrhoidectomy involves removing enlarged tissue, offering definitive relief but with a recovery period. Stapled hemorrhoidectomy and laser burning are other options to prevent recurrence.

Preventive Measures

To reduce the risk, avoid straining during bowel movements by consuming a high-fiber diet, staying hydrated, and using stool softeners if needed. Pregnant women should manage pressure through safe medical options. Timely treatment and lifestyle adjustments can help manage or prevent external hemorrhoids effectively.

Hemorrhoids are common but manageable. Consulting a healthcare professional ensures appropriate treatment and relief from symptoms.