Common "External Hemorrhoids" queries answered by top doctors | iCliniq

External Hemorrhoids

When one or more painful lumps appear beneath the skin around the anus, this is referred to as external hemorrhoids. These are caused due to dilation of the blood vessels, which have swollen, enlarged, and protruded. Blood inside the protruded blood vessel may clot or thrombose and forms a hard lump around the anus, creating excruciating pain. Hemorrhoids may be caused by straining to poo, sitting on the toilet for a longer duration, pregnancy, obesity, and lifting heavy weights.

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All the answers published in this website are written by verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

Is Xyloproct ointment effective for reducing hemorrhoid size?

Query: Hello, I am wondering how long it usually takes for an external hemorrhoid to shrink. It is pea-sized and located just beside my anus. It has been there for a week. I went to the pharmacy, and they prescribed me 20 gm of Xyloproct ointment (Lidocaine and Hydrocortisone acetate). Will it go away soo...  Read Full »


Dr. Ramesh Kumar S

Answer: Hello, Welcome to icliniq.com. I can understand your concern. Suggestions for conservative management are as follows: Firstly, consider starting syrup. Lactulose at a dosage of 10 to 15 ml once daily before bedtime. This laxative is widely used and well-tolerated by patients over the long term...  Read Full »

Is it possible to relieve pain and itching from external hemorrhoids?

Query: Hello doctor,I am experiencing pain and itching in the anus along with external hemorrhoids. Additionally, I find it challenging to fully pass stool, feeling as if it is stuck inside. Seeking advice on how to manage these symptoms and alleviate discomfort. Kindly help.Thank you.  Read Full »


Dr. Varunbabu Aucha

Answer: Hello, Welcome to icliniq.com. I can understand your concern. If you are dealing with hemorrhoids, here is a recommended course of action: Syrup Lactihep(Lactitol): Take 20 ml at night. Free Lac Powder: Consume two teaspoons twice a day in a glass of water. Tablet OSIL: Take twice daily for...  Read Full »

I am suffering from an external hemorrhoid. Please help.

Query: Hello doctor,I am a 25-year-old male, 5.7 feet tall, weighing 209 pounds, and I am suffering from an external hemorrhoid (pile). It is extremely painful, and I am currently using Hydrocortisone ointment. It has been three days since I started using it.Please advise.Thank you.  Read Full »


Dr. Vishnu Priya. G

Answer: Hello, Welcome to icliniq.com. I understand your concern. External hemorrhoids can cause pain and bleeding. There could be a mass that may protrude while passing stools. There are four stages depending on how the pile mass is positioned: whether it retracts on its own, requires manual reduction, ...  Read Full »

What might be causing my bleeding while passing stools?

Query: Hello doctor.I had been noticing blood in my stool for the past six days. Last week, I saw a private general practitioner who examined the rectal area but found nothing. He also performed an abdominal examination and found nothing. My blood count is normal. I had a colonoscopy two years ago, and eve...  Read Full »


Dr. Vandana Andrews

Answer: Hello, Welcome to icliniq.com. It is incredible that you have already sought medical attention and had tests done to figure out what is causing the bleeding. Here are a few things to consider: Yes, hemorrhoids are the source of the bleeding in your case. Hemorrhoids can cause intestinal bleeding, an...  Read Full »

I am experiencing an external projection in my anal area, which requires reinsertion. What are they?

Query: Hello doctor,I am experiencing an external extrusion from my anal side. There is no pain or itchiness. I generally put it back in and readjust it. I would like to know the severity and treatment options for this particular issue.Please help.  Read Full »


Dr. Ghulam Fareed

Answer: Hello, Welcome to icliniq.com. I have reviewed your case history and attached pictures (attachments removed to protect the patient's identity). So, these are external hemorrhoids (piles) which are likely grade 3, if they come out of the anal verge and you have to manually reduce them. Medical trea...  Read Full »

I have hemorrhoids with tissue behind the anus. What is it?

Query: Hi doctor, I am suffering from hemorrhoids, but for the last few days, I have felt like there is a hard tissue (feel like cartilage) just behind the anal region; it is very painful too. Kindly advice.  Read Full »


Dr. Vedprakash Verma

Answer: Hi. Welcome to iCliniq.com. These are hemorrhoids only with a skin tag; due to the long duration, it becomes hard and ulcerated. Two things we have to rule out are hemorrhoids or fistula. Most probably, it is only hemorrhoids, which are considered external hemorrhoids, treated very easily with hem...  Read Full »

I noticed a small pimple-like structure on the external part of my anus. Can it be due to piles?

Query: Hi doctor, I have a small pimple-like structure on my external anus side. It started discomforting me today. I guess it is piles. I took pictures of it and compared them with available pictures of piles online. It looks exactly like that. What should I do? Can you suggest any cream? Thank you.  Read Full »


Dr. Ramesh Kumar S

Answer: Hi, Welcome to icliniq.com. I have gone through your details, and I understand your concern. As per your queries, the answers are as follows- Rubber band ligation is when the hemorrhoid is tied off at its base with rubber bands, cutting off the blood flow to hemorrhoid. This treatment is only fo...  Read Full »

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