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What are prolapsed hemorrhoids? What causes them?

Internal hemorrhoids can “prolapse.”

If they prolapse, they become swollen and protrude outside your rectum. They can be quite uncomfortable when this happens and are more likely to be prone to bleeding. In many cases they will go back inside the rectum by themselves (a so-called grade 2 hemorrhoid) or you may be able to gently push them back yourself (a grade 3 hemorrhoid).

Often, they only protrude when you go for a poo, going back immediately afterward. So you may not be aware that your hemorrhoid has prolapsed until you notice other symptoms.

The most common symptoms of prolapsed piles include:  Feeling a bump on your anus when you wipe your bottom. This can be painful and tender or not at all, which adds to the frustration of trying to identify prolapsed internal hemorrhoids.
Bleeding is another give away sign. This would mostly be seen in the toilet after you’ve had a bowel movement (poo) or on your toilet paper when you wipe your bottom. It’s not that unusual to have small blood spots on your underwear between bowel movements as well. The blood is typically bright red and watery, in contrast to dark, tarry blood that would be associated with intestinal bleeding.

Prolapsed piles can become very itchy, arguably more than other types of hemorrhoids.

Larger prolapsed hemorrhoids can trigger a general feeling of discomfort. This comes from feeling that you always need to go for a poo. Because there is a lump around your rectum, it can create a feeling of pressure like the feeling you get when you need a bowel movement, which can be very disconcerting.

Pain caused by a prolapsed hemorrhoid can prevent you from comfortably sitting down and can make going to the toilet quite painful.

What causes prolapsed hemorrhoids?

There are several causes of prolapsed internal hemorrhoids due mainly to increases in pressure on the veins around the rectum. If they go untreated, you don’t make lifestyle changes to relieve the symptoms, you have them for a prolonged time or your hemorrhoid comes under undue pressure – then you increase the risk of your hemorrhoids’ becoming prolapsed.

Prolapsed internal hemorroids are not a rare occurrence, they can shrink by themselves but, if they don’t, there are remedies that can help manage them.

How do I treat a prolapsed hemorrhoid?

There are a number of topical treatments available in the form of creams and ointments – read our guide here – these will help manage the symptoms and give some relief.

Other self-care strategies such as ice packs and regular Sitz baths can help shrink a prolapsed hemorrhoid.

If you need something more permanent then there are a few interventional procedures to consider. These range from surgical to non-surgical. Read our treatments guide here

eXroid electrotherapy treatment is a non-invasive non-surgical treatment that can eradicate your internal prolapsed piles. It’s safe, effective and for most people usually painless / minimal or no discomfort.

For a copy of our clinical evaluation report contact us

A discreet call to one of our advisors will get you on the first steps to saying goodbye to your piles. Appointments are usually sorted within two weeks. All treatments are carried out by fully qualified doctors. Contact us

Speak to one of our experienced advisors. All enquiries are handled with complete discretion.