FAST & FREE 📦 3-DAY SHIPPING!*

Managing External Hemorrhoids: Tips & Relief

Hemorrhoid.com By Hemorrhoid.com | September 4, 2024

Are external hemorrhoids disrupting your daily life? If so, you’re not alone. With millions affected by hemorrhoid disease in the United States, understanding how to manage external hemorrhoids effectively is crucial. Despite the discomfort, it’s important to know that they often improve on their own, and a variety of treatments exist to alleviate symptoms, including external hemorrhoid treatment, external hemorrhoid relief, and external hemorrhoid home remedies.

Let’s explore the range of treatments available — from simple lifestyle changes to medical interventions. While external hemorrhoids can be painful and frustrating, comprehensive strategies are available to address and alleviate symptoms holistically. This content is intended for informational purposes only and does not provide medical advice. Always consult with a healthcare professional for medical advice, diagnosis, or treatment. If you think you have a medical emergency, call your doctor or dial 911 immediately. Hemorrhoid.com Revivol-XR.

Key Takeaways

12

Understanding External Hemorrhoids: Symptoms and Causes

External hemorrhoids can be quite distressing due to the prominent symptoms they present and the various factors that contribute to their onset. Understanding these elements can help us identify effective ways to relieve external hemorrhoid pain.

Common Symptoms

The primary external hemorrhoid symptoms include itching, pain, and swelling in the anal region. Many individuals also notice small lumps near the anus, which can sometimes be accompanied by bleeding. While internal hemorrhoids are generally painless, external ones tend to be more symptomatic due to the sensitive skin surrounding the anus. Around 50% of people over 50 years old experience hemorrhoids, highlighting the pervasive nature of this condition3. Up to 1 in 20 people in the United States are affected by hemorrhoids at some point in their lives4.

Primary Causes

The leading external hemorrhoid causes include increased pressure in the lower rectum, often due to straining during bowel movements or prolonged sitting. These behaviors can cause blood to pool in veins, leading to swelling and the formation of hemorrhoids. Obesity and pregnancy significantly elevate the risk, as extra weight and a growing uterus impose additional strain on rectal veins3. Sedentary lifestyles are also contributing factors, as sitting for extended periods can exacerbate the condition4.

Age is another critical factor, as tissues supporting the veins in the anus and rectum tend to weaken over time, increasing susceptibility to hemorrhoids. In fact, half of the people over the age of 50 are likely to deal with hemorrhoids at some point4. Additionally, hemorrhoids can have a hereditary component, meaning a family history of hemorrhoids can raise an individual’s risk3. It is essential to note that while these causes can lead to the development of hemorrhoids, implementing lifestyle changes and home remedies can often alleviate mild hemorrhoid symptoms within a few days to a week3.

Recognizing the Signs: When to Consult a Doctor

Recognizing when to seek medical advice for external hemorrhoid remedies and complications is crucial. While many cases can be managed at home, certain symptoms require immediate attention from a healthcare professional.

Severe Symptoms Requiring Medical Attention

If you experience significant pain, excessive bleeding, or if home remedies fail to provide relief within a week, it is essential to consult a doctor. Severe symptoms such as substantial blood loss, dizziness, or weakness necessitate prompt medical care. In the U.S., it is estimated that by age 50, about half of the population has experienced one or more classic symptoms of hemorrhoids, but only about 4.4% seek treatment at any time5. External hemorrhoids are particularly uncomfortable, causing chronic pain, difficulty passing stools, itching, irritation, and bleeding5.

Regular Rectal Bleeding

Regular rectal bleeding during bowel movements, even without pain, should be evaluated by a healthcare professional to rule out other severe conditions, such as colorectal cancer. Dr. Dacha advises seeking medical attention if there is any rectal bleeding, persistent pain, stool color changes, or the presence of anal lumps5. Hemorrhoids are very common in both men and women, with about half of all people experiencing them by age 506.

Diagnosis techniques such as visual exams, digital rectal exams, and colonoscopies may be used to identify underlying issues7. Immediate attention can not only address the discomfort but also prevent complications such as anemia due to bleeding or prolapsed hemorrhoids requiring surgical intervention6.

Understanding how to manage external hemorrhoids and acknowledging when to seek professional help is vital for preventing long-term health complications. If you encounter these severe symptoms, consult your healthcare provider to receive appropriate treatments—including potential external hemorrhoid remedies and strategies for external hemorrhoid prevention.

Home Remedies for External Hemorrhoid Relief

When dealing with external hemorrhoids, finding effective home remedies is vital. These methods can offer symptom relief and complement other treatments, providing holistic care. Here are some reliable external hemorrhoid home remedies to consider:

Warm Baths

One widely recommended remedy is taking warm sitz baths. Soaking in a warm bath for about 15 minutes several times a day, particularly after bowel movements, can help relieve external hemorrhoid pain by reducing inflammation and soothing irritated tissues8.

Topical Treatments and Creams

Using an effective external hemorrhoid cream is essential. Over-the-counter options containing hydrocortisone or witch hazel can be applied up to four times a day to relieve pain and itching associated with hemorrhoids9. Hydrocortisone creams should not be used for more than a week without consulting a healthcare provider9. A 2020 study showed that combining medication called micronized purified flavonoid fraction with an ointment containing witch hazel reduced pain, itching, and swelling significantly8.

Cold Compresses

Cold compresses are another excellent method to relieve external hemorrhoid pain. Applying a cold pack or ice wrapped in a cloth to the affected area for several minutes can effectively reduce swelling and numb the pain. This home remedy is particularly useful after experiencing a flare-up or after physical activity9.

In addition to these remedies, ensuring a diet rich in fiber—consuming between 20-35 grams per day—staying well-hydrated, and maintaining proper bathroom habits are critical to managing and preventing hemorrhoids9. Regular exercise like brisk walking for 20-30 minutes daily can also help prevent constipation and, consequently, external hemorrhoids9.

Remember, these recommendations are for informational purposes only and do not substitute professional medical advice.

Topical Treatments: Creams, Ointments, and Pads

Effective external hemorrhoid treatment can be achieved with a variety of over-the-counter options, including creams, ointments, and medicated pads. These products are formulated with a range of active ingredients like phenylephrine HCL, lidocaine, witch hazel, pramoxine hydrochloride, zinc oxide, aloe vera, colloidal oatmeal, and glycerin, each offering different types of relief such as instant pain relief, cooling sensation, and natural relief10. Some over-the-counter products, like Anusol Plus Hemorrhoidal Ointment and Preparation H Soothing Relief Anti Itch Cream with hydrocortisone, are highly recommended by experts11.

Over-the-Counter Options

The array of over-the-counter remedies includes creams, ointments, gels, and pads, each with their specific benefits and limitations. Products like Motherlove Postpartum Rhoid Balm and TUCKS Medicated Cooling Pads provide effective external hemorrhoid remedies, especially recommended for pregnancy and postpartum care11. The price range for these treatments varies widely from under $10 to over $30 per product, reflecting the diversity in formulations and active ingredients10. It’s essential to conduct a patch test before using products with herbal ingredients to avoid allergic reactions.

Proper Application Techniques

To maximize the efficacy of these external hemorrhoid treatments and prevent further irritation, proper application is crucial. Follow the product instructions diligently, as some treatments must be applied more frequently than others10. Consistent use is essential for optimal results, and a sitz bath can complement the use of topical treatments by soothing affected areas11. If symptoms persist or worsen, it’s advisable to seek medical advice to explore advanced treatments such as hemorrhoid banding or surgical options.

To summarize, a comprehensive approach using a combination of over-the-counter external hemorrhoid remedies and proper application techniques can provide significant relief and accelerate the healing process11. This content does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Never ignore professional medical advice in seeking treatment because of something you have read from this site’s content. If you think you may have a medical emergency, immediately call your doctor or dial 911. Hemorrhoid.com supports Revivol-XR.

Form Product Active Ingredients Price Range
Cream Preparation H, Cortizone-10 Hydrocortisone, Lidocaine, Phenylephrine $8 – $35
Ointment Anusol, Anucort-HC Hydrocortisone acetate, Pramoxine $10 – $30
Pad TUCKS, Fleet Witch Hazel, Glycerin $5 – $25

How to Manage External Hemorrhoids with Lifestyle Changes

Managing external hemorrhoids effectively often necessitates significant lifestyle changes. These changes can help in both managing existing conditions and preventing the onset of new hemorrhoids. Let’s explore some key lifestyle adjustments that promote external hemorrhoid prevention and alleviate symptoms.

Dietary Adjustments

Adequate fiber intake is essential for softening stools and minimizing straining during bowel movements. The 2020-2025 Dietary Guidelines for Americans recommend consuming 14 grams of fiber a day for every 1,000 calories consumed12. This can significantly aid in the prevention of constipation, which is a common trigger for hemorrhoids. Fiber can be found in fruits, vegetables, whole grains, and legumes. If you struggle to meet your fiber needs through diet alone, consider fiber supplements with psyllium or methylcellulose as recommended by research13. High-fiber diets have been linked to reduced bleeding and pain in patients with hemorrhoids, making dietary adjustments a powerful external hemorrhoid home remedy13.

Staying Hydrated

Staying hydrated is equally crucial in how to manage external hemorrhoids. The U.S. National Academies of Sciences, Engineering, and Medicine recommend that adults drink 12-16 cups of water (96-128 oz) daily12. Proper hydration helps maintain soft stools and supports regular bowel movements, reducing the likelihood of developing hemorrhoids. Coupled with a high-fiber diet, adequate hydration can be an effective external hemorrhoid home remedy and preventative measure13.

Physical Activity

Physical activity is an important aspect of external hemorrhoid prevention. Regular exercise stimulates bowel movements, helping to prevent constipation and the associated straining that can lead to hemorrhoids. Aim for at least 30 minutes of moderate-intensity exercise most days of the week. Activities such as walking, biking, or swimming can improve overall digestive health and offer relief from hemorrhoid symptoms. Moreover, maintaining a healthy weight is beneficial, as studies show a link between body mass index (BMI) and hemorrhoid prevalence13. Consistently incorporating physical activity into your lifestyle can thus be a key strategy in managing and preventing external hemorrhoids.

This content does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Never ignore professional medical advice in seeking treatment because of something you have read from this site’s content. If you think you may have a medical emergency, immediately call your doctor or dial 911. Hemorrhoid.com Revivol-XR.

Minimally Invasive Procedures for Severe Cases

When it comes to severe cases of external hemorrhoids, minimally invasive procedures may be a suitable option. These interventions can offer effective external hemorrhoid relief and are conducted in an outpatient setting with a short recovery period. Below, we explore three common procedures: rubber band ligation, sclerotherapy, and coagulation techniques.

Rubber Band Ligation

Rubber band ligation is a popular method for treating external hemorrhoids. During this procedure, a small band is placed around the base of the hemorrhoid to cut off its blood supply. This causes the hemorrhoid to shrink and eventually fall off. In a study comparing rubber band ligation to other procedures, it was found to be effective in 750 out of 2200 cases of symptomatic hemorrhoids1415. Additionally, complications such as perineal sepsis are rare but have been reported14.

Sclerotherapy

Sclerotherapy involves injecting a sclerosing agent directly into the hemorrhoid, causing it to shrink and dissolve. ALTA injection sclerosing therapy for advanced internal hemorrhoids has shown promising results in nonexcisional treatment14. Comparative studies have highlighted sclerotherapy as an effective treatment method for hemorrhoids, providing substantial external hemorrhoid relief15. This technique is particularly beneficial for patients who may not opt for more invasive surgical treatments.

Coagulation Techniques

Coagulation techniques, including infrared coagulation and bipolar coagulation, are minimally invasive procedures used to treat external hemorrhoids by reducing their blood supply. A study involving endoscopic rubber band ligation versus bipolar coagulation found both methods to be effective for bleeding internal hemorrhoids15. These techniques offer a good alternative for those seeking how to manage external hemorrhoids without extensive surgery.

For anyone considering these minimally invasive procedures for external hemorrhoid treatment, it’s essential to consult a healthcare provider to evaluate the best suitable method for their condition. Remember, this content does not provide medical advice and is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Never ignore professional medical advice in seeking treatment because of something you have read here. If you think you may have a medical emergency, immediately call your doctor or dial 911. Hemorrhoid.com Revivol-XR.

Understanding Surgical Options for External Hemorrhoids

Surgical intervention is often considered for patients with severe external hemorrhoid symptoms when other external hemorrhoid treatments have failed. Two primary surgical procedures are commonly employed: hemorrhoidectomy and stapled hemorrhoidopexy. Both surgeries aim to provide significant relief from external hemorrhoid symptoms and can typically be performed in either a surgeon’s office or a hospital operating room, with most patients being discharged on the same day of the surgery16.

Hemorrhoidectomy is a surgical procedure in which the hemorrhoid is excised using a scalpel or laser. This method is often recommended for large, protruding hemorrhoids and is highly effective in providing long-term relief17. Recovery from a hemorrhoidectomy typically takes about 2 to 6 weeks17.

Stapled Hemorrhoidopexy, also known as Procedure for Prolapse and Hemorrhoids (PPH), involves the use of a special stapling device to reposition and secure hemorrhoidal tissue back to its normal anatomical position. This technique often results in faster recovery, less post-operative pain, bleeding, and itching compared to traditional hemorrhoidectomy17.

Potential risks associated with external hemorrhoid surgery include bleeding, infection, anesthesia reactions, and damage to the anal sphincter that could lead to fecal incontinence1617. Pre-surgery instructions may involve temporarily halting blood-thinning medications, adhering to fasting protocols, and informing the surgeon about medications, alcohol consumption, and health conditions to mitigate these risks16.

For successful post-surgery recovery, smoking cessation, maintaining proper hygiene, and following post-operative care instructions are crucial16. While most patients recover within a few weeks, lifestyle and dietary adjustments are critical to prevent the recurrence of hemorrhoids16.

Below is a comparison of the two primary surgical options for external hemorrhoid treatment:

Surgical Procedure Key Benefits Recovery Time Risks
Hemorrhoidectomy Effective for large hemorrhoids, long-term relief 2 to 6 weeks Bleeding, infection, fecal incontinence
Stapled Hemorrhoidopexy (PPH) Less post-op pain, faster recovery, reduced complications Faster than traditional hemorrhoidectomy Bleeding, infection, fecal incontinence

Remember, this content does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Never ignore professional medical advice in seeking treatment because of something you have read from this site’s content. If you think you may have a medical emergency, immediately call your doctor or dial 911. Hemorrhoid.com Revivol-XR.

Conclusion

From understanding the symptoms and causes to exploring effective treatments, managing external hemorrhoids requires a holistic approach. Various surveys indicate that hemorrhoids are a common condition, with prevalence rates varying from 4.4% to as high as 37.9% among different studies181920. Factors such as age, dietary habits, and even chronic conditions can influence one’s susceptibility to hemorrhoids.

Our article covered a range of strategies for external hemorrhoid relief, beginning with home remedies and moving through to medical and surgical interventions. For mild cases, home remedies like warm baths, dietary fiber, and topical applications can be quite effective. A meta-analysis has reinforced that fiber intake can reduce complications associated with hemorrhoids18. Minimally invasive options, such as rubber band ligation, have shown long-term success in a majority of patients19, while surgical methods like excisional hemorrhoidectomy offer lower recurrence rates20.

It’s crucial to recognize that this content aims to provide educational information about how to manage external hemorrhoids but is not a substitute for professional medical advice. Consulting healthcare professionals for personalized care, especially when experiencing severe symptoms, is essential. Remember, the mission here is to offer guidance and support, empowering you to take proactive steps toward external hemorrhoid relief and overall well-being. For more detailed insights, visit reputable sources like hemorrhoid.com Revivol-XR, and never hesitate to reach out to medical experts when needed.

FAQ

What are the common symptoms of external hemorrhoids?

The common symptoms of external hemorrhoids include itching, pain, and swelling in the anal region. Other signs can be the presence of lumps near the anus, sometimes accompanied by bleeding.

What causes external hemorrhoids?

External hemorrhoids are primarily caused by pressure in the lower rectum. This can result from straining during bowel movements, prolonged sitting, obesity, and pregnancy. Ageing can also play a role as tissues lose strength over time.

When should I consult a doctor for external hemorrhoids?

You should seek medical attention for severe pain, excessive bleeding, or if home remedies fail to provide relief within a week. Symptoms like significant blood loss, dizziness, or weakness necessitate immediate care. If you experience regular bleeding during bowel movements, even without pain, it is important to consult a healthcare professional to rule out more serious conditions, such as colorectal cancer.

What home remedies can relieve external hemorrhoid pain?

Home remedies that can relieve external hemorrhoid pain include warm sitz baths, cold compresses to reduce swelling, and applying over-the-counter creams containing hydrocortisone or witch hazel. Increasing fiber intake and staying hydrated are also effective methods.

What over-the-counter treatments are effective for external hemorrhoids?

Over-the-counter treatments for external hemorrhoids include creams, ointments, and medicated pads. These products often contain ingredients like witch hazel and hydrocortisone, which help soothe itching and discomfort.

How can lifestyle changes help manage and prevent external hemorrhoids?

Lifestyle changes that can help manage and prevent external hemorrhoids include dietary adjustments to increase fiber intake, staying well-hydrated, and engaging in regular physical activity to promote healthy bowel movements.

What are the minimally invasive procedures available for severe hemorrhoids?

Minimally invasive procedures for severe hemorrhoids include rubber band ligation, sclerotherapy, and coagulation techniques. These methods work by reducing the blood supply to the hemorrhoids, causing them to shrink and eventually detach. These procedures are typically quick, performed on an outpatient basis, and have a short recovery period.

What surgical options are available for external hemorrhoids?

Surgical options for external hemorrhoids include hemorrhoidectomy and stapled hemorrhoidopexy. These are generally reserved for cases where other treatments have failed or for very large hemorrhoids. It’s essential to discuss with a healthcare provider to determine the best course of action and understand the risks and recovery times associated with these procedures.

Source Links

  1. https://www.mayoclinic.org/diseases-conditions/hemorrhoids/diagnosis-treatment/drc-20360280
  2. https://www.ncbi.nlm.nih.gov/books/NBK500009/
  3. https://www.webmd.com/digestive-disorders/understanding-hemorrhoids-basics
  4. https://www.healthline.com/health/external-hemorrhoids
  5. https://www.houstonmethodist.org/blog/articles/2022/apr/when-to-see-a-doctor-for-hemorrhoids/
  6. https://www.hopkinsmedicine.org/health/conditions-and-diseases/hemorrhoids
  7. https://www.nyp.org/digestive/hemorrhoids/treatment
  8. https://www.medicalnewstoday.com/articles/317114
  9. https://www.webmd.com/digestive-disorders/hemorrrhoid-home-care
  10. https://www.health.com/best-hemorrhoid-creams-treatments-7091860
  11. https://www.verywellhealth.com/best-over-the-counter-hemorrhoid-treatments-4172472
  12. https://www.webmd.com/digestive-disorders/understanding-hemorrhoids-treatment-medref
  13. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8416428/
  14. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9876604/
  15. https://emedicine.medscape.com/article/775407-treatment
  16. https://medlineplus.gov/ency/article/002939.htm
  17. https://www.webmd.com/digestive-disorders/surgery-treat-hemorrhoids
  18. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3342598/
  19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755769/
  20. https://www.aafp.org/pubs/afp/issues/2011/0715/p204.html