How to Cure External Hemorrhoids: Causes, Symptoms, Diagnosis and Natural and Conventional Treatments

These are usually found under the skin surrounding the anus.

Hemorrhoids develop when the veins of the rectum or anus dilate or enlarge and can be “internal” or “external.” The most common cause of external hemorrhoids is repeated exertion while defecating.


There are a variety of symptoms that can affect a person with hemorrhoids. Symptoms tend to vary depending on the severity of your hemorrhoids. Some of the symptoms you may have include:

  • Itching around the anus.
  • Lumps near or around the anus that may feel swollen.
  • Blood in the stool (this includes seeing blood on toilet paper or in the toilet.)

These symptoms can also occur due to other conditions. But if you experience these symptoms, you should schedule an exam with your doctor.

What are the causes of external hemorrhoids?

The most common cause of hemorrhoids is repeated tension while defecating. This is often caused by severe cases of constipation or diarrhea. The effort gets in the way of blood flow in and out of the area. This results in the accumulation of blood and enlargement of the vessels in that area.

Risk factor’s

Pregnant women may also be at increased risk of hemorrhoids due to the pressure that the uterus exerts on these veins.

If your parents have had hemorrhoids, you are more likely to have them too.

As we get older, hemorrhoids can occur due to the increased pressure caused by sitting a lot. And everything that makes you strain during bowel movements can cause external hemorrhoids.

If you are not sure of the cause of your hemorrhoids, your doctor may determine why.

How are external hemorrhoids diagnosed?

Because many of the symptoms of external hemorrhoids can also be caused by other conditions, an in-depth examination is necessary. Your doctor may use a series of tests to confirm the presence of external hemorrhoids near the anus.

These tests may include:

  • Proctoscopia.
  • Digital examination of the rectum.
  • Colonoscopy .
  • Sigmoidoscopia.
  • Anoscopia.

Your doctor can start with a physical exam. In cases of external hemorrhoids, you may be able to see the hemorrhoids.

If your doctor suspects you have internal hemorrhoids instead of external hemorrhoids, you can use an anoscopy to examine the inside of the anus. Internal hemorrhoids can also be seen with colonoscopy, sigmoidoscopy or proctoscopy.


Home remedies:

It can often relieve mild pain, swelling and inflammation of hemorrhoids with home treatments. Often these are the only treatments needed.

Eat foods rich in fiber. Eat fruits, vegetables and whole grains. This will soften the stool and increase its volume, which will help you avoid the strain that can worsen the symptoms of existing hemorrhoids.

Use topical treatments:
  • Apply an over-the-counter hemorrhoid cream or suppository that contains hydrocortisone , or use pads that contain witch hazel or an anesthetic agent.
  • Soak regularly in a warm bath or sitz bath. Soak your anal area in warm water for 10 to 15 minutes two or three times a day. A toilet seat fits the toilet. Keep the anal area clean.
  • Bathe or shower daily to gently clean the skin around your anus with warm water.
  • Avoid alcohol-based or perfumed wipes. Gently dry the area or use a hair dryer.
  • Do not use dry toilet paper : To help keep the anal area clean after defecation, use wet wipes or moist toilet paper.
  • Apply cold: Apply ice packs or cold packs to your anus to relieve swelling.
Take oral analgesics:

You may use acetaminophen (Tylenol, others), aspirin, or ibuprofen (Advil, Motrin IB, others) temporarily to help relieve your discomfort. With these treatments, the symptoms of hemorrhoids often disappear in a week.

Consult your doctor if you do not get relief in a week, or sooner if you have severe pain or bleeding.

If your hemorrhoids only cause mild discomfort, your doctor may suggest creams, ointments, suppositories or compresses without a prescription. These products contain ingredients, such as witch hazel or hydrocortisone and lidocaine, which can relieve pain and itching, at least temporarily.

Do not use an over-the-counter steroid cream for more than a week, unless your doctor tells you to, as it can make your skin thin.

External hemorrhoidal thrombectomy:

If a painful blood clot ( thrombosis ) has formed inside an external hemorrhoid, your doctor can remove the clot with a simple incision and drainage, which can provide immediate relief.

This procedure is most effective if it is done within 72 hours after the development of a clot.

Minimally invasive procedures

For persistent hemorrhages or painful hemorrhoids, your doctor may recommend one of the other minimally invasive procedures available.

These treatments can be performed in the doctor’s office or other outpatient setting and usually do not require anesthesia.

Elastic band ligation:

Your doctor places one or two rubber bands around the base of an internal hemorrhoid to cut off your circulation. The hemorrhoid withers and falls in a week. This procedure is effective for many people.

Hemorrhoid bands can be uncomfortable and can cause bleeding, which can start two to four days after the procedure, but is rarely serious. Occasionally, more serious complications may occur.

Injection (sclerotherapy):

In this procedure, your doctor injects a chemical solution into the tissue of the hemorrhoids to reduce it. While the injection causes little or no pain, it may be less effective than rubber band ligation.

Coagulation (infrared, laser or bipolar):

The coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal hemorrhoids to harden and wither.

While coagulation has few side effects and may cause little immediate discomfort, it is associated with a higher recurrence rate of hemorrhoids than with rubber band treatment.

Surgical procedures

If other procedures have not been successful or if you have large hemorrhoids, your doctor may recommend a surgical procedure. Your surgery may be performed as an outpatient or may require a hospital stay during the night.


In this procedure, also called hemorrhoid removal, your surgeon removes excess tissue that causes bleeding. Several techniques can be used. The surgery can be done with a local anesthetic combined with sedation, a spinal anesthetic or a general anesthetic.

Hemorrhoidectomy is the most effective and complete way to treat severe or recurrent hemorrhoids. Complications may include temporary difficulty in emptying the bladder and resulting urinary tract infections.

Most people experience some pain after the procedure. Medications can relieve your pain. Soaking in a warm bath can also help.

Hemorrhoid hitch:

This procedure, called hemorrhoidectomy stapled or stapled hemorrhoidopexy, blocking blood flow to the hemorrhoidal tissue. It is usually used only for internal hemorrhoids.

Stapling generally involves less pain than hemorrhoidectomy and allows an earlier return to regular activities. Compared to hemorrhoidectomy, however, stapling has been associated with an increased risk of recurrence and rectal prolapse, in which part of the rectum protrudes from the anus.

Complications can also include bleeding, urinary retention and pain, as well as, rarely, a life-threatening blood infection ( sepsis ).