The exterior hemorrhoids are the veins not far beneath the skin by the anus. They do not cause pain, swelling, and bleeding like internal hemorrhoids, but when irritated, they protrude outside the rectal end and may bring pain, itching, and bleeding.
Existing hemorrhoids can result in:
External hemorrhoids may develop due to:
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Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.
Conservative treatments such as warm sitz baths, topical medications, increased fiber intake, and proper hydration help most external hemorrhoids resolve within 1–2 weeks. Prolonged or severe cases may require further evaluation.
Mild external hemorrhoids often heal naturally as inflammation subsides. However, most patients find faster relief through home remedies such as sitz baths, over-the-counter creams, and dietary modifications.
To reduce swelling quickly, take several warm sitz baths daily, apply over-the-counter hemorrhoid ointments or witch hazel pads, increase fiber and fluid intake, and avoid straining during bowel movements. In-office treatments like rubber band ligation or sclerotherapy can also provide rapid relief.
External hemorrhoids appear as tender, bluish-purple lumps or bumps around the anal opening. They may feel firm or painful, especially when a blood clot (thrombosis) is present.
You can view clinical images on reputable medical websites such as the Mayo Clinic or WebMD, or request educational photos from your healthcare provider during your appointment.
The ICD-10 code for thrombosed external hemorrhoids is I84.0. This code is used by healthcare professionals for accurate diagnosis documentation and insurance billing.
Internal hemorrhoids develop inside the rectum and are usually painless but may cause bleeding. External hemorrhoids form under the skin around the anus and can cause pain, itching, and swelling, particularly when thrombosed.
Yes. Gastroenterologists at GastroDoxs in Houston specialize in diagnosing and treating all types of hemorrhoids, offering both non-surgical and minimally invasive office-based procedures.
Yes. Non-surgical options include rubber band ligation, sclerotherapy, infrared coagulation, dietary modifications, fiber supplements, and topical therapies—offering effective relief for most patients.
GastroDoxs provides board-certified expertise, personalized care, convenient local access, and a strong commitment to privacy and comfort. Our goal is to deliver rapid, effective relief and lasting results for every patient.
