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External can cause a variety of discomforts. This includes itching or irritation in the anal region, pain or discomfort especially when sitting, and swelling or a hard lump around the anus, which may be coagulated blood.

Pain during bowel movements is also joint. Additionally, bleeding can be noticed on toilet paper or in the stool, and excessive straining, rubbing, or cleaning around the anus can exacerbate the pain and irritation.

Make sure to check out these other helpful articles too!

• How to deal with hemorrhoids
• Difference Between Internal And External Hemorrhoids
• How To Shrink External Hemorrhoids Without Surgery
• How To Get Rid Of External Hemorrhoids
• Hemorrhoid Grading

How External Hemorrhoids Affect Daily Life

External hemorrhoids are like uncomfortable bumps that show up around the backdoor, which is actually the end part of our digestive system.

Imagine you have a small bag filled with blood, right at the edge of the place where your body gets rid of waste.

These little bags can cause some real trouble when they get swollen or irritated.

What pain do external hemorrhoids cause?

Now, what kind of pain do these external hemorrhoids cause? Well, it can be a mix of different kinds of discomforts.

Firstly, you might feel itching. Just like how a mosquito bites itches, this area might make you want to scratch.

But scratching will only make it feel worse, so it’s best to leave it alone.

Next, there’s actual pain. Think about the soreness you feel when you have a bruise. It’s that kind of pain but in a very delicate area.

Sitting down can be especially uncomfortable. Every time you sit on a hard surface or even just move in a certain way, it reminds you that there’s something not quite right.

How big do external hemorrhoids get?

Then there’s a feeling of something being “out of place.” It can feel like there’s a small lump or bump.

Sometimes, these hemorrhoids might get filled with blood that doesn’t flow out, making them feel hard.

Going to the bathroom can also become a challenge. Every time you try to get rid of body waste, you might feel pain.

That’s because the area is already sensitive, and passing waste can make it even more so.

To make matters a bit more challenging, sometimes these external hemorrhoids can bleed. You might notice a bit of blood when you use toilet paper.

How to deal with external hemorrhoids?

This can be alarming, but it’s a common symptom.

Lastly, because this area is so delicate, doing things like cleaning or even just rubbing can make the pain and discomfort worse.

It’s like when you have a cut or scrape, and you touch it — every touch reminds you of the pain.

In short, external hemorrhoids can cause itching, pain, a feeling of swelling, discomfort when passing waste, and sometimes even bleeding.

It’s not a pleasant experience, but thankfully, there are treatments that can help.

Do external hemorrhoids cause constant pain?

For some people, yes, they can be pretty bothersome all the time. But for others, they might only cause pain during certain times or when doing specific things.

Imagine you have a small blister on your foot. If you’re just sitting down, it might not hurt much.

But when you put on tight shoes or walk a lot, that blister becomes a real problem. External hemorrhoids can behave similarly.

When you’re just relaxing, the pain might be minimal or even non-existent.

But when you do things like sitting on a hard chair for a long time, going to the bathroom, or doing any activity that puts pressure on that area, it can hurt.

The itching

Another thing is itching. It’s possible for the area around these hemorrhoids to itch quite a bit, even if it’s not always in pain.

Itching can be pretty annoying on its own, and scratching can make things worse.

Over time, the pain can also come and go. There might be days when you hardly notice them, and then other days when they seem to be a big bother.

Some things might make them act up more, like if you eat spicy food, sit for too long, or strain when going to the bathroom.

In some cases, these external hemorrhoids can even bleed a little. This might happen after a trip to the bathroom or if they get scratched or irritated.

It can be a bit alarming to see, but it’s a known symptom of this issue.

Do external hemorrhoids hurt while sitting?

When you sit down, especially on harder surfaces, there’s more pressure on the backdoor area. This pressure can push against the swollen pouches, making them hurt or feel really uncomfortable.

It’s a bit like pressing on a bruise; even a gentle press can make it feel sore.

For some, this pain can be sharp, almost like a pinch. For others, it might be a dull ache. But either way, sitting can definitely make things feel worse.

That’s why people with painful external hemorrhoids might wiggle around in their chairs, trying to find a comfy spot, or they might prefer to stand instead of sit.

And here’s another thing: the longer you sit, the more bothersome it might get. It’s kind of like how if you sit in one position for a long time, your bum or legs might feel numb or achy.

With hemorrhoids, the discomfort might grow the longer you’re sitting.

But it’s not just about pain. Sometimes, the area around the hemorrhoids can itch, especially when sitting. And we all know how annoying itching can be!

How long does external hemorrhoid pain last?

The pain from external hemorrhoids can vary from person to person. For some lucky folks, the pain might only last a few days.

They might wake up one day, feel the discomfort, and then in a few days, it’s all gone, just like how a minor scrape or bruise fades away.

But for others, the pain can stick around for a few weeks. During this time, they might feel discomfort when sitting, going to the bathroom, or doing activities that put pressure on the backdoor area.

Think of it like a stubborn splinter; it irritates for as long as it’s there.

Certain things can make the pain last longer. For example, if someone is often constipated and pushes hard when going to the bathroom, the hemorrhoid might get more irritated and take longer to heal.

Or, if someone has a job where they sit all day, the extra pressure might prolong the pain.

There are also cases where the hemorrhoids seem to come and go. One week, everything feels okay, and then the next week, they’re back to causing trouble.

But here’s some good news: There are things that can help. Warm baths, over-the-counter creams, and avoiding straining when going to the bathroom can all help soothe the pain.

And if someone’s hemorrhoids are really causing a lot of pain or they keep coming back, it’s a good idea to see a doctor. They can give advice or even treatments to help get rid of the pain for good.

How do I know if my external hemorrhoid is severe?

Hemorrhoids, especially the external kind, are a common issue many people face at some point in their lives.

They are swollen veins around the rectum or anal area. Knowing when they’re severe or when to seek medical advice can be crucial for your comfort and health.

First, let’s talk about the usual symptoms of external hemorrhoids. They can be itchy, cause mild discomfort, or result in a sensitive lump near the anal area.

Sometimes, you might notice a bit of blood on your toilet paper after wiping. All these are pretty typical signs of hemorrhoids.

Now, how do you know if your hemorrhoid has become severe? Here are some indications:

1. Persistent Pain: If the pain is consistent and doesn’t seem to ease up after a few days, it’s a sign that your hemorrhoid might be more severe.
2. Increased Swelling: A noticeably larger lump or swelling around the anal area that doesn’t reduce in size might be a cause for concern.
3. Excessive Bleeding: While minor bleeding can be typical, if it’s recurrent, or if you notice a lot of blood in the stool or on the toilet paper, it’s essential to take it seriously.
4. Blood Clots: Sometimes, a hemorrhoid can develop a clot. This can cause sharp, intense pain and might look like a hard, blue-tinged lump. This is known as a thrombosed hemorrhoid.
5. Inability to Clean: If you find it increasingly difficult to clean the area after using the toilet because of pain or swelling, it’s another indicator of severity.
6. Symptoms Don’t Improve with Home Care: If you’ve tried over-the-counter treatments, warm baths, and other home remedies, and there’s no improvement or things seem to be getting worse, it’s time to consult a professional.

What makes external hemorrhoids worse?

External hemorrhoids are those swollen veins that pop up around the rectum’s outer part, often causing discomfort and annoyance.

Certain factors and activities can exacerbate these symptoms or make hemorrhoids worse. Understanding these can help in managing and potentially preventing increased discomfort.

1. Straining During Bowel Movements: Pushing hard or straining when trying to pass stool can aggravate hemorrhoids. This puts extra pressure on the veins in the rectal area, making swelling and pain worse.
2. Chronic Constipation or Diarrhea: Both of these conditions mean more time spent in the bathroom and potential straining, which can irritate hemorrhoids.
3. Diet: A diet low in fiber can lead to harder stools that require more effort to pass, worsening hemorrhoids. On the flip side, overly spicy foods can also irritate the rectal area.
4. Prolonged Sitting: Sitting for extended periods, especially on hard surfaces, can increase pressure on the veins in the rectal area, exacerbating hemorrhoid symptoms.
5. Pregnancy: The increased pressure from the growing uterus can cause or worsen hemorrhoids. Hormonal changes also make the veins more susceptible to swelling.
6. Heavy Lifting: Lifting heavy objects without proper technique can increase abdominal pressure, affecting the rectal veins and potentially worsening hemorrhoids.
7. Being Overweight: Carrying excess weight, especially around the abdominal area, can put extra pressure on the rectal veins.
8. Lack of Physical Activity: Regular movement and exercise help stimulate bowel function, reducing the chances of constipation. A sedentary lifestyle can, therefore, make hemorrhoids worse.
9. Aging: As we age, the tissues that support the veins in the rectum and anus weaken and stretch, increasing the risk of hemorrhoids.

How should I sit with external hemorrhoids?

Sitting with external hemorrhoids can be quite uncomfortable, given their swollen veins around the outer part of the rectum.

However, certain adjustments to your sitting posture and choice of seating can help alleviate the discomfort.

Here’s some guidance on how to sit when dealing with external hemorrhoids:

1. Soft Cushioning: Use a soft cushion or a doughnut-shaped pillow when sitting. These provide gentle support, evenly distribute weight, and alleviate direct pressure on the hemorrhoids. A doughnut cushion, in particular, has a hole in the center that allows the anal area to remain pressure-free.
2. Sit Upright: Maintain good posture by sitting upright. Slouching or sitting on your tailbone can increase pressure on the anal area, exacerbating pain or discomfort.
3. Limit Prolonged Sitting: If possible, avoid sitting for extended periods. Stand up, stretch, and take short walks every half hour or so. This reduces continuous pressure on the hemorrhoids and improves blood circulation.
4. Warm Baths: While not related directly to sitting, taking a warm sitz bath (where only the hips and buttocks are submerged) before sitting can soothe and reduce the inflammation of the hemorrhoids, making sitting more comfortable.
5. Choose Breathable Materials: Wear breathable, soft fabrics like cotton underwear. This reduces moisture buildup and potential irritation around the hemorrhoid area.
6. Adjust Your Weight: Try gently shifting your weight from side to side occasionally if you must sit for prolonged periods. This redistributes the pressure and can provide temporary relief.
7. Stay Hydrated & Eat Fiber: While these aren’t sitting tips per se, staying hydrated and eating a fiber-rich diet softens stools. This, in turn, minimizes straining during bowel movements, reducing flare-ups and making it more comfortable to sit.
8. Ice Packs: Applying a cold pack for short intervals can relieve swelling and pain, making sitting more bearable.

What happens if you don’t treat external hemorrhoids?

External hemorrhoids are swollen veins around the outer part of the rectum.

If you have them, you might be wondering what could happen if you choose not to treat them.

Here’s what you might expect:

1. Self-Resolution: Not all external hemorrhoids require medical treatment. Many cases, especially mild ones, resolve on their own with time, particularly if you make lifestyle changes like adding more fiber to your diet and avoiding straining during bowel movements.
2. Persistent Discomfort: If left untreated, the pain, itching, and discomfort associated with hemorrhoids might persist or even become more frequent. This could affect your daily activities, making sitting, walking, or even resting uncomfortable.
3. Risk of Thrombosis: External hemorrhoids can develop blood clots (thrombosed hemorrhoids), which can be intensely painful. While these often resolve on their own, the pain can be severe enough to require medical intervention.
4. Exacerbation: Without proper care or changes in habits, hemorrhoids might get worse. For instance, chronic constipation and straining can enlarge or exacerbate existing hemorrhoids.
5. Bleeding: Although hemorrhoidal bleeding is usually minor, leaving hemorrhoids untreated might cause occasional bleeding, especially after bowel movements. Over time, recurrent bleeding might lead to anemia.
6. Skin Tags: After an external hemorrhoid heals or if it shrinks, it might leave behind a small piece of skin, known as a skin tag. While these are generally harmless and painless, they can be bothersome to some people, especially in terms of hygiene or appearance.
7. Potential Complications: In rare cases, untreated hemorrhoids might lead to more serious issues like infections. An infected hemorrhoid can become an abscess, which is a painful collection of pus that requires medical attention.
8. Mental and Emotional Impact: Chronic pain or discomfort, coupled with potential embarrassment or stigma surrounding the issue, might lead to feelings of frustration, stress, or even depression.

What are the stages of external hemorrhoids?

External hemorrhoids are swollen veins located around the anus or in the lower rectum. Like many medical conditions, hemorrhoids can be classified into stages or grades based on their severity and symptoms.

Here’s a breakdown of the stages of external hemorrhoids:

1. Grade I:
   • Description: This is the earliest stage of hemorrhoids. At this point, there are small inflammations inside the rectal or anal lining. While these are technically internal hemorrhoids, they can progress to external ones if not managed.
   • Symptoms: Usually asymptomatic, meaning they don’t show any external symptoms. Sometimes, there might be slight discomfort or minor bleeding during bowel movements.
2. Grade II:
   • Description: The hemorrhoids can protrude outside the anus during a bowel movement but return inside on their own afterward.
   • Symptoms: There might be bleeding, discomfort, or itching. Because they return on their own, you might not always be aware of their presence unless you experience these symptoms.
3. Grade III:
   • Description: Often referred to as “prolapsed hemorrhoids,” these extend outside the anus and do not return on their own. They can be manually pushed back in.
   • Symptoms: These hemorrhoids can cause pain, especially if they become irritated from contact with clothing or during bowel movements. There’s also a higher likelihood of bleeding and mucus discharge.
4. Grade IV:
   • Description: These are the most advanced stage of hemorrhoids. They remain outside the anus and cannot be manually pushed back in.
   • Symptoms: They can be quite painful, especially if a blood clot forms (thrombosed hemorrhoid). There’s a high risk of complications like significant bleeding, strangulation (where blood supply is cut off), and infections.

Are external hemorrhoids worse than internal hemorrhoids?

Hemorrhoids, which are swollen blood vessels in or around the anus and rectum, can be a real pain.

There are two main types: external and internal. Each has its own set of symptoms, and whether one is “worse” than the other often depends on the person and the specific situation.

External Hemorrhoids:

• Location: These are found outside the anus, often forming a bump that you can feel.
• Symptoms: Because they are outside the body, they can be more easily irritated. This can lead to itching, pain, and even bleeding, especially when sitting or during bowel movements.
• Complications: Sometimes, a blood clot can form in an external hemorrhoid. This can be very painful.

Internal Hemorrhoids:

• Location: These are inside the rectum, so you can’t feel them as easily.
• Symptoms: Typically, they’re less painful than external ones. However, they might cause painless bleeding during bowel movements. You might see bright red blood on the toilet paper or in the toilet bowl. Sometimes they can stick out (prolapse) during a bowel movement, which can be uncomfortable or painful.
• Complications: If they’re not treated, internal hemorrhoids can get worse. They might prolapse more frequently or even get stuck outside, which can be painful.

So, are external hemorrhoids worse than internal ones? It’s kind of like comparing apples and oranges.

External hemorrhoids might feel more painful and bothersome day-to-day because of their location.

Every time you sit or move in certain ways, you might feel discomfort.

On the other hand, internal hemorrhoids, while sometimes less painful, can lead to concerning symptoms like bleeding.

In the end, the “worse” type often depends on individual experience. Some people might find external hemorrhoids more bothersome because of their noticeable symptoms, while others might be more concerned about the bleeding from internal hemorrhoids.

Should you try to push in an external hemorrhoid?

Firstly, it’s important to know the difference between external and internal hemorrhoids. External hemorrhoids form outside the anus.

They can be painful and itchy. When they get a blood clot, they can become very painful.

Internal hemorrhoids form inside the rectum and sometimes they can stick out, which is called a prolapsed hemorrhoid.

If you’re dealing with an actual external hemorrhoid, trying to push it in won’t really work because it’s not meant to be inside in the first place.

Pushing on it might cause more pain or make things worse.

If you have a prolapsed internal hemorrhoid that’s sticking out, some people find gentle relief by carefully pushing it back inside using a clean finger.

This can help it be less exposed and irritated. But be gentle. If it’s painful or doesn’t go in easily, don’t force it.

But here’s the key thing: if you’re not sure what kind of hemorrhoid you have or if you should do anything about it, it’s best to leave it alone and see a doctor.

They can give you advice tailored to your situation.

Besides, even if you can push a hemorrhoid back in, it doesn’t solve the root problem.

It might pop out again when you go to the bathroom next time. So, while it might offer short-term relief, it’s not a long-term solution.