External hemorrhoids are classified as thrombosed, meaning that they are filled with blood. They may as a blue or purple lump around the anus and can be quite uncomfortable or even painful if they become irritated. Typically, thrombosed external hemorrhoids when a blood clot forms in one of the veins around the anus. This clot causes the vein to become swollen and painful. Symptoms can include bleeding during bowel movements, itching, and discomfort when sitting.
The most common cause of external hemorrhoids is straining during bowel movements. This can occur due to chronic constipation or diarrhea, pregnancy, obesity, or sitting for extended periods of time. Other factors can contribute to the development of external hemorrhoids, including being overweight, a high-fat diet, or doing heavy lifting.
To diagnose external hemorrhoids, a doctor will usually perform a physical examination of the anus and rectum. They may also use a rectal exam or an anoscope to examine the area more closely. If the hemorrhoid is thrombosed, the doctor may be able to see a small blood clot in the lump.
The good news is that external hemorrhoids can usually be treated at home. A warm bath can help ease symptoms and reduce swelling. Over-the-counter hemorrhoid creams or ointments can help decrease pain and itching. Pain relievers, such as acetaminophen, aspirin, or ibuprofen, may also provide relief.
If home treatments do not work, there are several procedures that can be done to remove external hemorrhoids. Rubber band ligation involves using a rubber band to cut off the blood flow to the hemorrhoid, causing it to shrink and fall off. Sclerotherapy involves injecting a solution into the hemorrhoid, causing it to become scar tissue. Hemorrhoidectomy, or surgery to remove the hemorrhoid, may be necessary in severe cases.
Prevention is key when it comes to external hemorrhoids. Eating a high-fiber diet, staying hydrated, and getting regular exercise can help keep bowel movements regular and prevent constipation. Taking breaks from sitting for extended periods of time and avoiding heavy lifting can also reduce the likelihood of developing hemorrhoids.
In conclusion, external hemorrhoids are a common condition that can cause pain and discomfort. Fortunately, they can usually be treated at home with over-the-counter remedies or medical procedures if needed. Prevention is key to avoiding painful hemorrhoids in the first place. By maintaining a healthy diet and lifestyle, you can help reduce your risk of developing external hemorrhoids. If you experience any symptoms of hemorrhoids, it is important to contact your doctor for advice and treatment.