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White external hemorrhoid: Infected Hemorrhoids: Symptoms, Causes & Treatment

Infected Hemorrhoids: Symptoms, Causes & Treatment


A hemorrhoid is a swollen vein in the lower rectum. In most cases, hemorrhoids will go away on their own or with the use of over-the-counter products, but in rare cases, they may become infected.

While some general cases of infection present with white spots, infected hemorrhoids typically appear bright red. However, white spots can still appear around the anus, although they are likely due to another cause.

Table of Contents

  • What Causes Infected Hemorrhoids?
  • What Are the Symptoms of Infected Hemorrhoids?
  • Are White Spots on Hemorrhoids a Sign of Infection?
  • Treatment for Infected Hemorrhoids
  • When to See a Doctor?
  • Key Takeaways

What Causes Infected Hemorrhoids?

Infections of hemorrhoids most often result when there is a restriction of blood flow to the area. This is because healthy blood flow also brings along white blood cells, which are part of the immune system and fight any potential sources of infection. If blood flow to a hemorrhoid is restricted, the supply of white blood cells is also diminished.

Prolapsed internal hemorrhoids are the type of hemorrhoid most likely to become infected because they can experience blood flow issues, which then cuts off the supply of white blood cells. When blood flow is entirely cut off, it is called a strangulated internal hemorrhoid, and infection can very quickly set in.

Even when a prolapsed internal hemorrhoid is gently pushed back into the wall of the rectum, it is still more likely than other types of hemorrhoids to become infected.

Some conditions that can cause reduced blood flow, increasing the risk of infection, include:

  • obesity
  • diabetes
  • atherosclerosis
  • Crohn’s disease
  • blood clots

Specific procedures to treat hemorrhoids, such as surgical removal or rubber band litigation, can also increase the risk of infection.

What Are the Symptoms of Infected Hemorrhoids?

If you have infected hemorrhoids, you will still experience all the symptoms of normal hemorrhoids, such as:

  • swelling around the anus
  • small amounts of blood after passing a bowel movement
  • pain, especially when straining during a bowel movement or sitting
  • itching around and in the anus
  • a lump under the skin around the anus

However, infected hemorrhoids also have some additional symptoms, which can include:

  • pain that worsens, even after hemorrhoid treatment
  • fever
  • redness around the anus, especially near the infection site

When hemorrhoids are infected, the site becomes very red, not white. However, there are other conditions that can cause white spots around the anus. 

Lichen Sclerosus

One potential cause of white spots around the anus is lichen sclerosus. This is an uncommon skin condition that causes a white rash, typically on the genital skin around the anus and vulva, although it can affect any area of the body.

This condition most often affects women before puberty or when they go through menopause, and the symptoms can last for years. For some people, the rash may result in permanent scarring.

Other symptoms of lichen sclerosus include:

  • constipation
  • itchiness
  • pain when urinating

Besides these symptoms, people with lichen sclerosus otherwise have normal health.

Anal Warts

Another potential cause of white spots around the anus is anal warts, which are caused by the human papillomavirus (HPV), the most commonly transmitted sexually transmitted disease (STD).

Like hemorrhoids, anal warts can affect the area in and around the anus, but they may also develop around the genitals.

Anal warts typically appear as small spots or growths at first, but can soon grow very large, sometimes covering the entire anal area.

Anal warts are typically painless and often appear light brown, flesh-colored, or white.

Additional symptoms may include:

  • bleeding
  • itching
  • feeling a lump in the anal area
  • mucus discharge

Perianal Abscess

A perineal abscess is a pus-filled bump located near your anus or rectum. It occurs when one of the anal glands becomes clogged and infected and is often painful. Some other names for a perianal abscess include anorectal abscesses or anal abscesses.

There are some conditions that put you at a higher risk of a perianal abscess, including:

  • diabetes
  • inflammatory bowel disease (IBD)
  • pregnancy
  • diverticulitis
  • sexually transmitted infections (STIs)

In addition to the pus-filled bump and pain, some other symptoms of a perianal abscess include constipation or pain when passing bowel movements, rectal bleeding, and pain in the lower part of the abdomen.

Treatment for a perianal abscess requires your healthcare provider to drain the abscess, which often provides immense pain relief.


While pimples are most common on the face, they can technically appear anywhere on the body, including around the anus. Pimples on the anus can appear as pustules, papules, or nodules, and some may be pus-filled, making them appear white.

If you have a pimple on your anus, it likely is not painful, but passing a bowel movement may irritate it.

Popping a pimple on the anus is not recommended because it can cause an infection. If you have multiple pimples on your anus, it is recommended to speak to a doctor. Additionally, if you have a fever along with pus coming out of the pimple, it is important to seek medical advice.

Many acne treatments intended for the face or back are also effective for pimples on the anus. However, checking with a doctor before using them on the anus is essential to ensure the product is safe for the sensitive area.

Treatment for Infected Hemorrhoids

If your hemorrhoid becomes infected, it is vital to seek medical treatment; otherwise, there might be complications.

In most cases, an infected hemorrhoid is diagnosed by looking for visual signs of infection, such as redness around the hemorrhoid. Doctors can also detect infection using blood tests, such as a white blood cell count.

Once an infected hemorrhoid is diagnosed, an antibiotic, such as doxycycline, is often prescribed to treat it.

If the hemorrhoid has become peritonitis, which is a more severe infection, antibiotics used include imipenem and cefepime. What antibiotic a doctor chooses to prescribe will depend on your infection severity and if you have any allergies to certain medications.

In severe cases of infected hemorrhoids, surgery may be needed to remove the infected tissue around the hemorrhoid or within the abdomen. This procedure is called debridement.

In addition to these medical interventions for infected hemorrhoids, there are also at-home remedies that can help relieve your symptoms, such as:

  • oral pain relievers (e. g., ibuprofen or acetaminophen)
  • ice packs or cold compresses
  • pads containing a numbing agent
  • consuming more high-fiber foods

When to See a Doctor?

If you suspect that a hemorrhoid has become infected, it is important to see a doctor. This is because infected hemorrhoids can lead to peritonitis, a severe and potentially life-threatening complication where the abdominal wall and internal organs become infected.

With DrHouse, you can meet with an online doctor in just 15 minutes to discuss your symptoms and receive an antibiotic prescription to treat your infection.

If your doctor would like to perform a physical exam to check for infected hemorrhoids, you can schedule an in-person same-day appointment through the DrHouse app so that you can still experience the benefits of quick medical care.

Get Hemorrhoids Treatment Online

Key Takeaways

A hemorrhoid is a swollen vein located in the lower rectum. Depending on if the hemorrhoid is internal or external, it may bleed or be painful, but in most cases, it will go away on its own. However, hemorrhoids may sometimes become infected, which requires antibiotic treatment.

Infected hemorrhoids most often occur when there is a reduction in blood flow, which also reduces the number of white blood cells, and this is most common in prolapsed internal hemorrhoids. Infected hemorrhoids typically appear red, not white, and potential causes of white spots around the anus include lichen sclerosus, anal warts, perianal abscess, or a pimple.

An online doctor can help discuss your symptoms and make a diagnosis. If you have an infected hemorrhoid, an antibiotic can be prescribed to help you feel better.


  • Anal Warts | ASCRS . (2022). https://fascrs.org/patients/diseases-and-conditions/a-z/anal-warts 
  • Fan, Z., & Zhang, Y. (2017). Treatment of Prolapsing Hemorrhoids in HIV-Infected Patients with Tissue-Selecting Technique. Gastroenterology Research And Practice, 2017, 1-5. doi: https://www.doi.org/10.1155/2017/1970985 
  • Albuquerque, A. (2016). Rubber band ligation of hemorrhoids: A guide for complications. World Journal Of Gastrointestinal Surgery, 8(9), 614. doi: https://www.doi.org/10.4240/wjgs.v8.i9.614 
  • Fergus, K., Lee, A., Baradaran, N., Cohen, A., Stohr, B., & Erickson, B. et al. (2020). Pathophysiology, Clinical Manifestations, and Treatment of Lichen Sclerosus: A Systematic Review. Urology, 135, 11-19. doi: https://www.doi.org/10.1016/j.urology.2019.09.034 
  • Krapf, J., Mitchell, L., Holton, M., & Goldstein, A. (2020). <p>Vulvar Lichen Sclerosus: Current Perspectives</p>. International Journal Of Women’s Health, Volume 12, 11-20. doi: https://www.doi.org/10.2147/ijwh.s191200 
  • Amato, A., Bottini, C., De Nardi, P., Giamundo, P., Lauretta, A., Realis Luc, A., & Piloni, V. (2020). Evaluation and management of perianal abscess and anal fistula: SICCR position statement. Techniques In Coloproctology, 24(2), 127-143. doi: https://www.doi.org/10.1007/s10151-019-02144-1 

DrHouse articles are written by MDs, NPs, nutritionists and other healthcare professionals. The contents of the DrHouse site are for informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. If you are experiencing high fever (>103F/39.4C), shortness of breath, difficulty breathing, chest pain, heart palpitations, abnormal bruising, abnormal bleeding, extreme fatigue, dizziness, new weakness or paralysis, difficulty with speech, confusion, extreme pain in any body part, or inability to remain hydrated or keep down fluids or feel you may have any other life-threatening condition, please go to the emergency department or call 911 immediately.

What Do Hemorrhoids Look Like: Types and More

Hemorrhoids can occur on the inside or outside of the rectum. They may also protrude from the rectum and retract when the swelling goes down. Treatment can depend on the severity.

Hemorrhoids, also called piles, happen when clusters of veins in your rectum or anus get swollen (or dilated). When these veins swell, blood pools inside and causes the veins to expand outward into the membranes around your rectal and anal tissue.

This can become uncomfortable or painful.

There are four types of hemorrhoids:

  • internal
  • external
  • prolapsed
  • thrombosed

Most hemorrhoids aren’t a serious medical condition. In fact, you may not even notice them. Less than 5 percent of people who get hemorrhoids have symptoms, and even fewer need treatment.

Hemorrhoids are common. About 1 in 20 Americans are affected by them, according to the National Institutes of Health.

Still, you should see a healthcare professional right away if your hemorrhoids are causing you pain or disrupting your normal activities and bowel movements.

You should also talk with your doctor if they haven’t gone away after a week of treatment at home, or if you’re experiencing bleeding from your rectum.

Hemorrhoids aren’t always visible. But when they expand, they can look like red or blue bumps or lumps.

Here are descriptions of the appearance of the four main types of hemorrhoids:

  • Internal. These can’t always be seen because they’re too deep in your anus to be visible. They are protrusions of the wall of your anal canal or rectum. Less-serious internal hemorrhoids are bumps inside, and more serious ones can form a long protrusion.
  • Prolapsed. When an internal hemorrhoid swells and elongates to the point where it protrudes out of your anus. Less serious prolapsed hemorrhoids come out of the anus during straining but spontaneously retract when you relax, whereas more serious prolapsed hemorrhoids remain protruding from the anus.
  • External. Appear as one or more bumps on and around the anus. You or a doctor can see these from the outside.
  • Thrombosed. These are external or internal hemorrhoids in which the blood that’s pooled inside has clotted, which can be painful in external hemorrhoids.

You might have just one hemorrhoid or more than one at a time.

Pictures of the different types of hemorrhoids

Share on PinterestInternal hemorrhoids are found in the rectum. They’re usually not serious and tend to go away on their own. BruceBlaus/WikimediaShare on PinterestProlapsed hemorrhoids occur when an internal hemorrhoid swells and sticks out of the anus. External hemorrhoids occur on the outside of the body, on or around the anus. WikipedianProlific/WikimediaShare on PinterestThrombosed hemorrhoids are those that contain a blood clot within the hemorrhoid tissue. BruceBlaus/Wikimedia

Internal hemorrhoids are found inside your rectum. They’re normally not serious and tend to go away on their own.

Sometimes, internal hemorrhoids can swell and stick out of your anus. This is known as a prolapsed hemorrhoid.

There aren’t any nerves that detect pain in your rectum, so you may not always notice internal hemorrhoids. But they can cause symptoms if they grow larger, including:

  • pain or discomfort
  • itching
  • burning
  • noticeable lumps or swelling near your anus

Feces traveling through your rectum can also irritate an internal hemorrhoid. This can cause bleeding that you may notice on your toilet tissue.

See your doctor if an internal hemorrhoid causes you a lot of pain or discomfort, or if you experience bleeding from your rectum. Find out more about treatments below.

If you’re having a lot of pain during bowel movements, this may be due to an abscess or fissure in the anus or rectum rather than a hemorrhoid.

A prolapsed hemorrhoid occurs when internal hemorrhoids swell and stick out of your anus. A doctor may assign a grade to a prolapsed hemorrhoid based on how far it protrudes:

  • Grade I: Not prolapsed at all.
  • Grade II: Prolapsed, but will retract by themselves. These may only prolapse when you put pressure on your anal or rectal area, like by straining when you have a bowel movement, and then return to their normal position afterward.
  • Grade III: Prolapsed, and you have to push it back in yourself. These may need to be treated so that they don’t become too painful or infected.
  • Grade IV: Prolapsed, and you can’t push it back in without a lot of pain. These will usually need to be treated to prevent pain, discomfort, or further complications.

Prolapsed hemorrhoids look like swollen red lumps or bumps coming out of your anus. You may be able to see them if you use a mirror to examine this area. Prolapsed hemorrhoids may have no other symptom than the protrusion, or they may cause pain or discomfort, itchiness, or burning.

In some cases, you may need surgical treatment to remove or correct a prolapsed hemorrhoid so that they don’t cause you any pain or complications.

External hemorrhoids occur on or around your anus. They’re not always visible but sometimes form lumps on the anal surface.

External hemorrhoids aren’t usually a serious medical issue. But see a healthcare professional if they cause pain or discomfort that affects your daily life.

The symptoms of external hemorrhoids are essentially the same as those of internal ones. But since they’re located on the outside of your rectal area, you may feel more pain or discomfort when you sit down, do physical activities, or have a bowel movement.

They’re also easier to see when they swell, and the bluish color of the dilated veins is visible beneath the anal skin surface.

See your doctor if an external hemorrhoid causes you pain or discomfort.

A thrombosed hemorrhoid contains a blood clot (thrombosis) within the hemorrhoid tissue. They may appear as lumps or swelling around your anus.

Thrombosed hemorrhoids are essentially a complication of a hemorrhoid, in which a blood clot forms.

Blood clots can happen in both internal and external hemorrhoids, and the symptoms may include:

  • intense pain and itchiness
  • swelling and redness
  • bluish color around area of hemorrhoid

See your doctor as soon as possible if you notice increasing pain, itchiness, or inflammation around your rectal and anal area. Thrombosed hemorrhoids need to be treated quickly to prevent complications from a lack of blood supply to your anal or rectal tissue.

Anything that puts pressure or strain on your anus or rectum can cause the veins to dilate. Some common causes and risk factors include:

  • having excess weight
  • frequently straining during bowel movements
  • having diarrhea or constipation
  • not having regular bowel movements
  • sitting for a long time
  • being pregnant or giving birth
  • not getting enough fiber in your diet
  • using too many laxatives
  • getting older, as tissues lose strength and elasticity as you age

Internal hemorrhoids can become prolapsed hemorrhoids if you continue to do any of the things that may have caused your hemorrhoid in the first place.

External hemorrhoids are more likely to become thrombosed, although no specific risk factor is known to cause this.

See a healthcare professional if you start to notice pain and discomfort around your anus, especially when you sit or have a bowel movement.

Seek emergency medical attention if your symptoms worsen suddenly, especially if they’re interfering with your daily activities. Here are symptoms to watch out for:

  • feeling extremely itchy around your anus
  • burning around your anus
  • noticeable lumps or swelling near your anus
  • bluish discoloration of your skin near areas of swelling

Your doctor may perform one or more tests to examine the anal or rectal area for hemorrhoids:

  • Looking at the anus or rectum. A doctor will likely be able to diagnose an external or prolapsed internal hemorrhoid through a visual examination.
  • Doing a digital rectal exam. The doctor will insert a finger covered with a lubricated glove into the anus or rectum to feel for signs of hemorrhoids with the fingers.
  • Using an imaging scope. This will help them look at the inside of your rectum to examine for internal hemorrhoids. They’ll usually insert a thin tube with the light on the end into your rectum. Tools used for this diagnosis may include an anoscope or sigmoidoscope.

Hemorrhoids have the same or similar symptoms to some other conditions. For that reason, see a healthcare professional if your symptoms continue for longer than a week.

Some conditions also cause rectal bleeding like hemorrhoids sometimes do. These include:

  • colorectal cancer
  • ulcers
  • gastrointestinal infections
  • inflammatory bowel disease (IBD), like ulcerative colitis and Crohn’s disease

But blood from your digestive tract often appears black in your stool unless the bleeding occurs near your rectum and anus. If you’re seeing bright red blood on the toilet paper after you wipe, it’s most likely due to a hemorrhoid or anal fissure.

Anal fissures and anorectal abscesses are the most likely cause of sharp pain while you have a bowel movement, but you might mistake them for a hemorrhoid.

Anal warts are a type of genital wart and can look and feel like a bump on the anus. It’s possible for them to itch and bleed, just like external hemorrhoids.

Because many conditions can be mistaken for hemorrhoids, it’s important to see a healthcare professional for a diagnosis.

Complications of hemorrhoids are rare. If they do happen, they may include:

  • Strangulation. Arteries feeding fresh blood to the hemorrhoid can become blocked, preventing blood supply from reaching the hemorrhoid. This can cause extremely intense and unbearable pain.
  • Anemia. If hemorrhoids bleed too much, this can cause fatigue, shortness of breath, headaches, and dizziness due to loss of blood.
  • Prolapse. Prolapsed hemorrhoids can cause pain or discomfort when you sit or pass a bowel movement.
  • Blood clots. Thrombosis is more likely to be a complication of an external hemorrhoid. Blood clots can cause pain and itching that can become severe.
  • Infection. Bacteria can get into hemorrhoids that are bleeding and infect the tissue. Untreated infections can sometimes cause serious complications, like tissue death, abscesses, and fever.

Hemorrhoids can be uncomfortable or even painful, but most of the time, you won’t experience any noticeable symptoms, and complications are very rare.

Internal or external hemorrhoids that don’t prolapse or thrombose are more likely to heal without causing any symptoms or complications. Prolapsed and thrombosed hemorrhoids are much more likely to cause discomfort or increase your risk of complications.

Seek emergency medical attention if your hemorrhoids cause pain and discomfort or if you notice any symptoms like bleeding or prolapse. Hemorrhoids that are treated quickly have a better chance of healing without causing any further complications.

External hemorrhoids – causes and treatments


1. Introduction 2. Why external hemorrhoids occur 3. How to detect hemorrhoids 4. How to cure external hemorrhoids

External hemorrhoids is a disease in which the venous plexuses located under the skin of the anus and in the perianal region undergo changes, as a result of which hemorrhoids form and increase in volume. Due to problems with the blood supply to the pelvic organs and increased pressure on the intestine, the blood that has entered the venous plexuses cannot circulate normally and lingers in them. Hemorrhoids are dangerous for their complications, under certain circumstances, an exacerbation may occur, in which there is thrombosis of the nodes, their inflammation, the occurrence of rectal bleeding. The external form of the disease differs from internal hemorrhoids in that the pain syndrome is usually more pronounced. Early diagnosis of external hemorrhoids will allow timely start of its treatment, thereby avoiding aggravation of the condition and dangerous consequences.

Why external hemorrhoids occur

Risk factors for internal and external hemorrhoids are common. The reasons for the development of this pathology include the following:

  • Disorders of the gastrointestinal tract that cause constipation, diarrhea
  • Overweight
  • Lack of physical activity provokes congestion in the pelvic area, and also improves intestinal motility
  • Excessive physical activity, e. g. heavy lifting
  • Pregnancy and natural childbirth.

How to detect hemorrhoids

Symptoms of external hemorrhoids become apparent when the disease is already at a fairly advanced stage. Typically, patients experience symptoms such as: anal itching, a feeling of incomplete emptying of the intestine during bowel movements, traces of blood on underwear and toilet paper, discomfort in the anus.

Enlarged hemorrhoids can be injured by dense feces, sometimes they are damaged during hygiene procedures and when wearing tight underwear. You can detect hemorrhoids at the time of exacerbation – they are easy to feel, in addition, they are visible to the naked eye, the nodes look like voluminous bumps, dense to the touch, often red or bluish in color.

The presence of large knots causes physical discomfort – it can be painful to sit and walk for a long time. In addition, multiple nodes interfere with normal defecation and complicate the hygiene of the perianal area.

How to cure external hemorrhoids

If you notice any of the above symptoms, you should contact a qualified specialist as soon as possible. Diagnosis and treatment of external hemorrhoids is handled by a coloproctologist. At the appointment, the doctor will interview the patient in detail, make his anamnesis. The doctor’s field of interest includes information about the patient’s complaints, the frequency of symptoms and concomitant diseases. To make a complete picture of the proctologist will allow the examination of the patient. It includes visual and digital examination of the perianal region and anus. The doctor will assess how edematous, hyperthermic and altered tissues are, examine the condition, size and density of hemorrhoids. To differentiate external hemorrhoids from other forms of hemorrhoids, such as combined, when they suffer not only externally, but also internal plexuses, other diagnostic measures are also necessary. For this purpose, an instrument called an anoscope or rectoscope is used.

Based on the results of the examination, the doctor will decide which treatment tactics will be preferable in a particular case.

Therapy of external hemorrhoids relies on conservative, minimally invasive and surgical methods of exposure. Under conservative understand the use of drugs of the external and systemic type, as well as work on lifestyle changes. Usually, doctors prescribe phlebotropic, anti-inflammatory, painkillers, antibacterial drugs. External agents can be represented by rectal suppositories, creams and gels.

In order to prevent the occurrence of an exacerbation, the patient needs to reconsider his usual diet and daily routine. If the problem of hypodynamia is obvious, then it is recommended to connect walks on a regular basis. But from a heavy load, such as lifting weights, crossfit and squats with a barbell, it is better to refuse. The daily menu should include foods with fiber in the composition, as well as clean water in sufficient quantities.

Minimally invasive operations on hemorrhoids are indicated for patients in whom drug therapy does not give the expected effect. The choice of the method remains with the doctor, usually, when it comes to combined hemorrhoids, the internal elements are stopped in a minimally invasive way, which makes it possible to alleviate the patient’s condition in general.

If the measures taken do not help, the situation does not improve, and the external hemorrhoids regularly become inflamed, then this is a prerequisite for a radical surgical solution to the problem. For thrombosed nodes, thrombectomy is performed, and for complete removal, hemorrhoidectomy is performed. Thrombectomy involves the removal of a blood clot that interferes with the normal circulation of blood in the venous plexus. To do this, the node is opened, the thrombus is removed and the tissues are sutured.

External nodes are removed as follows: excess tissue is excised, the vessel that provided nutrition to the pathological node is crossed. In addition to the usual surgical scalpel, electrocoagulators and a laser instrument are successfully used in proctological operations – this reduces trauma and prevents bleeding.

If you need a consultation with a qualified coloproctologist, then you can contact our multidisciplinary medical center. Experienced professionals and state-of-the-art equipment are at your service. Call +7 (4842) 20-70-20!


Of course not! Hemorrhoids are not a tumor, as many people think, it is associated with deformation of the vessels of the lower rectum.

The danger of untimely treatment for hemorrhoids lies in the risk of bleeding. But discomfort and bruising also occur with rectal cancer.

As soon as there is discomfort in the anus, you should immediately contact a proctologist for examination.

External hemorrhoids differ from internal ones in that they are actually visible from the outside. With internal hemorrhoids, the disease can be diagnosed only after a doctor’s examination.

Most often, complications of hemorrhoids are manifested in the form of hemorrhoidal bleeding and thrombosis of the node. All this is accompanied by intense pain and causing significant discomfort. Frequent heavy bleeding leads to anemia, which may necessitate a blood transfusion procedure.

Only a doctor can make a correct diagnosis! And the symptoms of hemorrhoids are easily confused with the symptoms of anal fissure or oncology! Traditional medicine can aggravate the problem and lead to its progression.

The right decision would be to see a doctor for a diagnosis and treatment. There is a huge number of ointments, suppositories, gels, creams, the treatment of which will be much more effective and safer.

Most often, hemorrhoids manifest themselves as bleeding and hemorrhoids, popularly called “bumps”. The chronic form is painless.

Even the presence of neoplasms is not always associated with hemorrhoids. Only a specialized specialist can diagnose the pathology and its stage.

External hemorrhoids: causes, symptoms, treatment

A disease such as hemorrhoids is quite common. It affects up to 25% of the population worldwide. In practical proctology, it is customary to separate internal and external hemorrhoids. With external hemorrhoids, external hemorrhoids become inflamed. Stagnation of blood in the cavernous bodies leads to the formation of “bumps” and blood clots. Cones can be of different sizes. Usually they are immediately detected during an external examination of the anus. This is the main difference between external hemorrhoids and internal – in the latter case, inflammation of the nodes occurs inside the intestine, and outwardly the pathology can be almost invisible.

According to statistics, external hemorrhoids in men are diagnosed much more often than in women. In about 80% of cases, the diagnosis of “external hemorrhoids” is made precisely to the representatives of the stronger sex.

Causes of external hemorrhoids

External hemorrhoids occur due to a violation of the outflow of blood from the veins of the external hemorrhoidal plexus. Varicose veins with external hemorrhoids occur for various reasons:

  • frequent constipation and diarrhoea;
  • sedentary lifestyle;
  • severe pregnancy;
  • excessive exercise;
  • weight lifting;
  • abuse of spicy food;
  • alcoholism.

Often, external hemorrhoids are also accompanied by varicose veins of the lower extremities.

Symptoms of external hemorrhoids

Inflammation of the external nodes with hemorrhoids quickly makes itself felt. Symptoms appear already in the early stages. These include:

  • pain, itching, burning in the perineum and anus, which are aggravated by sitting;
  • painful sensations during defecation;
  • swollen bumps in the anus;
  • traces of blood on toilet paper or linen;
  • sensation of a foreign body.

Diagnosis and treatment

To diagnose external hemorrhoids, they turn to a proctologist who conducts an external examination of the anus, and also uses such examination methods as anoscopy, sigmoidoscopy and sonography (ultrasound of the rectum).

Thanks to their rich practical experience, specialists of the Center for Proctology at the Naedine Clinic know how to treat external hemorrhoids.

There are 5 proctologists in the Clinic, two of them are women. Each patient can choose at his own request which doctor to be examined. We care about the internal and external comfort of all patients, therefore we provide the freedom to choose a treating specialist.

Representatives of both sexes come to us to treat delicate problems. In this regard, we try to take into account factors such as constraint, moral, ethical and religious beliefs that our clients may hold.

In the Clinic “Nadedine” they diagnose and treat external hemorrhoids in women and men. In practical proctology, both conservative and surgical methods of treating external hemorrhoids are successfully used. Conservative methods include drug therapy – various ointments, suppositories with anti-inflammatory action, as well as anticoagulants and thrombolytics.