External Hemorrhoid

HemorrhoidHemorrhoids refer to dilated veins that protrude out of the anal opening. They are a result of constant straining from attempting to open the bowels. Most cases can remain without symptoms for a long time, but in some cases the hemorrhoids can become painful and irritating.

In such situations, treatment is required to get rid of them. Treatment for external hemorrhoids is fairly straightforward, and in this article we shall take a look at this in a bit more detail.

What Are External Hemorrhoids?

External hemorrhoids are a type of hemorrhoids that are clinically evident outside the anal opening. They are rich in nerve supply and therefore can be rather painful. They arise from a special lining of the rectum called the ectoderm.

How Are External Hemorrhoids Formed?

Patients who suffer from constipation find that they have to strain a great deal to open their bowels. In such situations, the increasing pressure within the rectum can place a great deal of stress on the veins lining the lower part of the rectum.

Over time, the veins start to enlarge as the blood starts to accumulate within them with the increasing pressure. The veins become large enough that they are visible outside the anal opening. The nerve fibers are also stretched, and this can cause pain.

Treatment Options

fruitsLifestyle Modifications

Increasing the fiber intake in the diet can help loosen up stools and promote easier bowel motions. This is a highly recommended option, and is often combined with other treatment options. Increasing water consumption can also help better bowel movements and formation of stool, and is a useful adjunct in piles treatment. Following a healthy diet and performing regular exercise such as brisk walking and swimming can help immensely.

Rubber Band Ligation

This is another popular option in the treatment of external hemorrhoids. It involves the placement of a tight rubber band at the base of the hemorrhoid. This cuts off the blood supply, eventually leading to the pile sloughing off. This is an effective treatment but is in no way an external hemorrhoids cure.


This procedure involves the injection of an irritant substance into the base of the piles. This causes a reaction that leads to the blood supply being cut off and the piles falling off. It is a useful but expensive procedure to perform.

SurgerySurgical Removal

This is probably the most definitive treatment that is available in managing external piles. The procedure may be performed under local anesthesia, though in some cases it might be performed under a general anesthesia. The pile is excised using a scalpel blade and is successfully removed. The procedure is called hemorrhoidectomy and is one that is linked to only a handful of risks.

Laser Treatment

Lasers can be a useful external hemorrhoid treatment. The principle is similar to surgery and sclerotherapy, and involves the use of laser to help excise the piles as a whole. The piles eventually slough off and can disappear completely.

Difference from Internal Hemorrhoids Treatment

In internal hemorrhoids, there are a number of additional treatment options that are available. However, the choice of treatment for internal hemorrhoid depends on the stage of hemorrhoids.

Minor cases are treated with conservative medical treatment, while more advanced grades are treated with surgery directly.  The general approaches to treatment do not appear to be that different, but external hemorrhoids are more often treated conservatively while internal hemorrhoids are treated with surgery.


the way forwardThere are a variety of different treatments for external piles that are available. They range from lifestyle changes to specialized treatments such as sclerotherapy and rubber band ligation. Surgical hemorrhoidectomy is the definitive treatment.

Patients must continue to observe the lifestyle and dietary changes to prevent them from recurring in the future.

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