What is a Protruding Hemorrhoid?

Protruding hemorrhoids are swollen anal veins or hemorrhoids that protrude from the anal opening. The type of protrusion that you have will depend upon the type of hemorrhoid condition that is present. Let’s take a look at the different types of hemorrhoid conditions and how they relate to hemorrhoids that protrude.

Internal Hemorrhoids

Internal hemorrhoids develop on the inside lining of the anal canal when the anal veins become swollen and irritated. If internal hemorrhoids are allowed to get worse they can turn into what is called a prolapsed hemorrhoid. Prolapsed hemorrhoids are internal hemorrhoids that have become very swollen to the point where they become loose and slide down the anal canal and then protrude from the anal opening.


Prolapsed hemorrhoids are hemorrhoids that are classified in different grades. For example, grade 1 hemorrhoids are simply a mild internal hemorrhoid condition that has not become prolapsed and can usually be treated within a matter of days with some simple home treatments.

Grade 2 prolapsed hemorrhoids are hemorrhoids that protrude, but that will contract back into the anal opening following a bowel movement.

Grade 3 prolapsed hemorrhoids are hemorrhoids that protrude, but must be placed back into the anal canal with your fingertip following a bowel movement.

Grade 4 prolapsed hemorrhoids are hemorrhoids that protrude and remain on the outside of the anal opening and cannot be placed back inside following a bowel movement.

External Hemorrhoids

External hemorrhoids develop on the exterior of the anal opening when the anal veins become swollen and form a lump near the anal opening. Depending upon the position where the external hemorrhoids are located they can resemble the appearance of a hemorrhoidal protrusion.

If external hemorrhoids have become thrombosed they will appear to protrude around the anal opening and may be bluish in color. Thrombosed hemorrhoids are hemorrhoids that contain a blood clot on the inside of the hemorrhoid and often require medical attention.

Prolapsed internal hemorrhoids that protrude can also become thrombosed and will look similar to external hemorrhoids as bluish lumps protruding from the anal opening.

Treatment for Protruding Hemorrhoids

Protruding hemorrhoids often require a fixative or surgical procedure to reverse the condition and provide relief from the pain and discomfort associated with the protrusion.

A fixative procedure is performed in an outpatient clinic or doctor’s office and involves placing a rubber band at the base of the hemorrhoid to cut off the blood flow to the hemorrhoid which causes it to fall off.

In extreme cases of protrusion, a hemorrhoidectomy can be performed which removes the hemorrhoids altogether and generally requires a hospital stay followed by a period for recovery. Hemorrhoid surgery is used as a last resort for providing relief from the condition due to the side effects the surgery can cause and the pain associated with the recovery period.

If you have developed a hemorrhoid that is protruding, it is a good idea to seek the advice of your physician to determine proper treatment for the condition. A protruding hemorrhoid can be treated and there are steps that you take to prevent the condition from returning in the future.





Return to top of Protruding Hemorrhoid

Return to Hemorrhoid Symptoms

Return to Safe Hemorrhoid Treatment Home Page