External Hemorrhoids, Why Are They Popping Out?

Man suffering from external hemorrhoids, anal pain on gray background

Hemorrhoids are veins that can swell up with blood, often because of constipation. In most people, the hemorrhoidal veins go back into the body on their own when they empty after a bowel movement. When too much extra pressure is put on them in this way, they may be left in plain sight and cause discomfort. 

What are external hemorrhoids?

External hemorrhoids occur outside of the anal canal. This means that the hemorrhoid is visible from the outside of your body. You can feel it if you touch it or lay a finger on it to see what it feels like. They’re also called “perianal” hemorrhoids, even though they’re just next to the anus and not actually in the anus. 

External hemorrhoids can be treated with topical creams or ointments or surgically removed. Most will go away on their own within a few weeks, but some may require treatment. 

What are external hemorrhoid symptoms?

External hemorrhoids cause any number of irritating symptoms such as itching, irritation, pain, burning during a bowel movement, and bleeding. They can also be painful to touch or bump into things, sometimes to the point of becoming very painful for those who sit or stand for long periods. 

You may notice small blood vessels around hemorrhoids, which show up as blue coloration once they’ve popped out and become engorged with blood. They usually flatten back down after a bowel movement, but sometimes they stick around and need to be treated before too much damage occurs to surrounding tissues. 

How long until external hemorrhoids go away?

External hemorrhoids usually take about a week to two weeks to go away on their own after the symptoms start to dissipate. In more severe cases, they may take longer, but typically they will not persist once all the inflammation and swelling goes down.

Can you push external hemorrhoids back in?

Yes, they can be pushed back in with a clean finger, but it is best not to do this as it increases the chances of becoming infected. Pushing external hemorrhoids back in can often relieve pain and discomfort.

What are external hemorrhoid treatments?

There are several treatments, including home remedies such as Sitz baths, cold compresses, topical medications, or suppositories, which can help reduce inflammation and swelling. If the hemorrhoid is severe and does not go away after a few weeks, then you may need to have it surgically removed. Talk to your doctor about the best treatment for you.

If you are experiencing pain or discomfort from external hemorrhoids, there are several treatments that you can try. One is to apply a topical cream or ointment to the area. This can help to reduce inflammation and pain. 

Another is to soak hemorrhoids in warm water for 15-20 minutes several times a day. This can reduce pain as well as inflammation. Taking sitz baths is another treatment option, especially if they’re are causing difficulty when going to the bathroom. Lastly, you can use a suppository or cream that contains hydrocortisone to reduce swelling and relieve discomfort.

External hemorrhoids can be very painful and cause a lot of bothersome symptoms. Thankfully, they usually resolve on their own within a week or two. If they do not improve or worsen, see your doctor for treatment options.

There are many treatment options, both at home and with medications or surgery. Whichever route you choose, make sure to follow your doctor’s instructions closely to get the best results. 

Ask your doctor about HemWell, an FDA-approved, pain-free treatment that’s permanent. If your provider doesn’t offer HemWell, we can assist you in finding one that does. Please visit our website to learn more about this life-changing treatment. Learn more about hemorrhoids.