prolapsed hemorrhoid diagram imageThis page was last updated on Monday 21st of May 2018

Of all the types of hemorrhoids including internal and external piles, a prolapsed hemorrhoid is the most painful. This is because it protrudes or bulges from the anus, thus, making it more susceptible to friction from underwear, from the surrounding skin, and when wiping after bowel movement. Keep in mind that a prolapsed hemorrhoid can either be an internal or external hemorrhoid that bulged out of the anal sphincter.

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 Observable Symptoms

With a prolapsed hemorrhoid, the hemorrhoid can actually be seen and felt as a tender lump on the edge of the anus with moist, pink and cauliflower-like pads of skin. The pile, in fact, looks pinker than the surrounding skin, thus, giving the afflicted individual one of the first signs of the health issue. (By the way, hemorrhoids are also called piles)

It can either be a painless lump felt when wiping the anus after bowel movement it is, unfortunately, often a source of itchy and/or painful sensations. The pain is attributed to the abundance of pain-sensing nerves in the anus so much so that even small movements can trigger the sensations of pain.

A prolapsed hemorrhoid can also crack and bleed from friction. When it does, right red blood can be observed on the toilet paper after wiping followed by pain.

But it can get worse. When blood clots form within a prolapsed hemorrhoid, the condition is known as thrombosis – a painful pile characterized by purplish or bluish coloration on the outside of the anus.

 Effective Treatments

The good news: A prolapsed hemorrhoid can be gently pushed back into the anus, thus, effectively making it an external hemorrhoid. Often, it can recede into the anus even without manual manipulation but many afflicted individuals choose the first route to end their suffering, so to speak.

But in the case of a thrombosed hemorrhoid, it is best to seek immediate and appropriate medical attention. Although the health condition is not life-threatening on its own, the severity, duration and frequency of pain can significantly affect quality of life on a daily basis. Most afflicted individuals are forced to skip work for complete bed rest, not to mention to be in close proximity to the nearest bathroom without exposing themselves to censure for their bowel issues.

The most effective treatments for a prolapsed hemorrhoid include combinations of medications and lifestyle remedies. Keep in mind, too, that medications are useless if and when lifestyle remedies are not adopted religiously since the latter also act as prevention measures. Surgery like rubber band ligation is the last resort, as is usually the case with all types of hemorrhoids.


Over-the-counter hemorrhoid pain relief medications are available, said medications of which come in topical (i.e., creams), oral (i.e., tablets) and suppository forms. These products should be used as directed by the doctor since side effects like skin rashes and skin thinning coupled with inflammation are possible, thus, worsening the symptoms.

Lifestyle measures

To help the body heal itself, the following lifestyle measures are recommended:

  •  Soak regularly in a sitz bath.
  •  Keep the anal area clean by washing it and then pat-drying it; don’t rub.
  •  Use moist towels or wet toilet paper when cleaning the anal area after every bowel movement.
  •  Apply ice packs to the area.
  •  Drink more water and eat fiber-rich food products.

Soon enough, the prolapsed hemorrhoid will resolve on its own!