Prolapsed Hemorrhoids
If hemorrhoids were ranked by drama level, prolapsed hemorrhoids would take the crown. Unlike internal hemorrhoids that stay hidden or external hemorrhoids that sit outside, prolapsed hemorrhoids start inside but then decide they want to see the world—by pushing out of the anus. Fun, right?
The good news? They’re treatable. Whether they go back in on their own, need a little nudge, or require medical intervention, you have options. This guide will break down what prolapsed hemorrhoids are, why they happen, and how to deal with them without losing your mind (or your dignity in the bathroom).
What Are Prolapsed Hemorrhoids?
A prolapsed hemorrhoid is an internal hemorrhoid that has fallen or pushed out of the anus due to increased pressure. While internal hemorrhoids are usually painless because they’re inside the rectum where there are fewer nerves, once they prolapse (stick out), they can cause discomfort, irritation, and sometimes severe pain.
Stages of Prolapsed Hemorrhoids
Not all prolapsed hemorrhoids are created equal. They come in four stages, ranging from “mild inconvenience” to “you need to see a doctor.”
Grade 1: The hemorrhoid stays inside the rectum and does not prolapse.
Grade 2: The hemorrhoid prolapses (comes out) but goes back in on its own.
Grade 3: The hemorrhoid prolapses and needs to be manually pushed back in.
Grade 4: The hemorrhoid stays outside and cannot be pushed back in—this requires medical attention.
What Causes Prolapsed Hemorrhoids?
Prolapsed hemorrhoids develop when internal hemorrhoids are repeatedly strained or irritated. The most common triggers include:
Chronic straining (due to constipation or diarrhea)
Sitting on the toilet too long (your rectal veins don’t appreciate that extra scroll time)
Heavy lifting (lifting with your back instead of your legs = bad for your rectum)
Pregnancy (pressure from the baby + hormonal changes = hemorrhoid chaos)
Obesity (extra weight = extra pressure on rectal veins)
Aging (we love getting older, but our rectal tissues? Not so much.)
Symptoms of Prolapsed Hemorrhoids
Prolapsed hemorrhoids make themselves known. If you’re wondering whether you have one, here’s what to look for:
A bulging lump near the anus (soft and possibly painful to the touch)
Bleeding during or after a bowel movement
Itching, irritation, or discomfort
Mucus discharge (which can make things feel damp and irritated)
Pain and swelling (especially if the hemorrhoid gets trapped outside and swells further)
Can a Prolapsed Hemorrhoid Go Back in?
Yes! Sometimes they go back in on their own, but if yours is stubborn, you might need to help it out. Here’s how:
How to Push a Prolapsed Hemorrhoid Back In
If your hemorrhoid is Grade 3, meaning it prolapses but doesn’t go back in on its own, you can try:
Wash your hands thoroughly (because hygiene matters!).
Apply a lubricant like petroleum jelly to reduce friction.
Gently push the hemorrhoid back inside the anus using a slow, steady motion.
Lie down for 15-30 minutes to prevent it from prolapsing again.
Avoid straining or heavy lifting afterward.
⚠️ If your hemorrhoid is too painful to push back in, don’t force it. It may be thrombosed or too swollen, and you should see a doctor.
Home Remedies for Prolapsed Hemorrhoids
If your hemorrhoid isn’t too severe, you can manage symptoms at home with these remedies:
1. Sitz Baths
Soaking the rectal area in warm water for 15-20 minutes, 3-4 times a day can help relieve irritation and swelling. Adding Epsom salt may enhance the soothing effect.
2. Cold Compresses
Applying an ice pack wrapped in a cloth for 10-15 minutes can help reduce swelling and numb discomfort.
3. Over-the-Counter Treatments
Several creams, ointments, and wipes can provide relief. Look for:
Lidocaine (for numbing pain)
Hydrocortisone (reduces inflammation)
Witch hazel wipes (soothes irritation)
4. Fiber and Hydration
To prevent further prolapse and reduce strain, eat more fiber-rich foods and drink plenty of water. Fiber-rich foods include:
Whole grains (brown rice, oats, whole wheat bread)
Fruits and vegetables (apples, pears, spinach, carrots)
Legumes (beans, lentils, chickpeas)
5. Avoid Prolonged Sitting
Take breaks if you have a desk job.
Don’t sit too long on the toilet (5 minutes max).
Consider a donut pillow to reduce pressure on the rectal veins.
When to See a Doctor
If your prolapsed hemorrhoid won’t go back in, is too painful, or keeps coming back, it may require medical treatment. Seek medical attention if:
The hemorrhoid is severely swollen and stuck outside.
You have significant bleeding.
You experience intense pain or discomfort.
Home treatments aren’t helping after a week.
Medical Treatments for Prolapsed Hemorrhoids
If home remedies don’t work, doctors offer several effective treatments:
1. Rubber Band Ligation
A small rubber band is placed around the base of the hemorrhoid to cut off blood supply. The hemorrhoid shrinks and falls off within a few days.
2. Sclerotherapy
A chemical injection is used to shrink the hemorrhoid.
3. Infrared Coagulation (IRC)
A heat-based treatment that cuts off blood supply and shrinks the hemorrhoid.
4. Hemorrhoidectomy
Surgical removal of severe or persistent prolapsed hemorrhoids. Effective but comes with a longer recovery period.
5. Stapled Hemorrhoidopexy
A procedure that staples the hemorrhoid back into place, preventing further prolapse.
How to Prevent Prolapsed Hemorrhoids
If you never want to deal with this again, follow these tips:
Eat more fiber to keep stools soft and easy to pass.
Drink plenty of water to prevent constipation.
Exercise regularly to improve circulation.
Don’t strain on the toilet.
Limit toilet time—no endless scrolling!
Use proper lifting techniques to avoid excess pressure on rectal veins.
Final Thoughts
Prolapsed hemorrhoids may seem terrifying, but they’re treatable and manageable. Whether yours goes back in on its own, needs a little help, or requires medical treatment, you have options.
If symptoms persist, don’t hesitate to seek medical advice. And remember: fiber is your best friend, straining is your worst enemy, and your phone does NOT belong in the bathroom!
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