External hemorrhoids occur as bulges or lumps around the anus. Because of the sensitive nerve fibers in this area, these abnormal vessels are often painful, especially when sitting. They also may bleed and itch. Should blood pool in an external hemorrhoid, a blood clot referred to as a thrombosed hemorrhoid may develop and cause severe pain. The less common of the two forms, external hemorrhoids are often incorrectly self-diagnosed because many people mistake internal hemorrhoids—or the skin tags they can produce—for external hemorrhoids.

External hemorrhoids treatment varies depending on each case. Infrequent flare ups may just require an over-the-counter solution to symptom relief. However, more frequent flare ups with increased pain and symptoms can be treated with hemorrhoid removal procedures done right in your physician’s office or with hemorrhoid surgery if necessary. Surgery is needed only in the most severe cases and is not usually necessary. It is important to note that often patients complaining of “external” issues are actually bothered by the “internal component” of their hemorrhoids. It is for this reason that approximately 90% of patients with “external” complaints are actually helped by rubber band ligation of their “internal” hemorrhoids.

You should always consult with a qualified physician to confirm which type of hemorrhoid you have. They can help you determine the best treatment for your particular case. Find a physician in your area or request a consultation online.