What Are Hemorrhoids?

External Hemorrhoids

The presence of external hemorrhoids is usually an indication of too much pressure on the internal hemorrhoid system. When there is too much pressure internally, that pressure is transmitted through a network of veins to the external skin just around the outside of the anus, causing the external skin to stretch and bulge out forming external hemorrhoids. This is similar in concept to squeezing a balloon on one side so that it bulges out on the other side.

The important thing to know about external hemorrhoids is that they generally do not cause any symptoms whatsoever! The pain, bleeding, itching, and difficulty with hygiene are generally due to the internal hemorrhoids, as explained above. An exception to this is when a blood clot forms inside an external hemorrhoid, called a thrombosed external hemorrhoid. This condition is often felt as a firm lump that appears suddenly around the anus which usually causes significant pain and can sometimes bleed.

The good news is that a thrombosed external hemorrhoid will typically resolve on its own, usually feeling much better after about 10 days. Taking frequent baths in plain, very warm water can provide relief for this condition.