Fallen hemorrhoids: symptoms, causes and treatment.


A prolapsed hemorrhoid is an inflamed vein located inside the rectum, the last part of the colon, that bulges outward. They are different from external hemorrhoids, which are swollen veins on the outer skin of the anus.

A prolapsed hemorrhoid is generally not painful, but it can cause discomfort, bleeding, and itching that make it difficult to sit, use the bathroom, and carry on your daily life comfortably.

In many cases, prolapsed hemorrhoids can heal on their own or with home treatment. Medical or surgical treatment may also be necessary.

Here is a more detailed description of the symptoms, risk factors, diagnosis and treatment of prolapsed hemorrhoids.

Get Medical Information / Cindy Chang


The most common symptoms of hemorrhoid prolapse include:

  • Package :   You may feel a lump in your anus when it dries after a bowel movement. This is an inflamed vein that can be painful to the touch, permanently painful, or painless.
  • Bleeding : You may notice blood in the toilet, on the toilet paper when you have a bowel movement, or even on your underwear. Blood is usually bright red and very watery. Blood that comes from the stomach or intestinal bleeding is usually dark, black, or tarry.
  • Itching :   The skin around the anus can be very itchy when hemorrhoids fall off.
  • Upset :   A large prolapsed hemorrhoid can cause a general feeling of discomfort or a feeling of incomplete bowel movement or the feeling that you still need a bowel movement after a bowel movement. When a bowel movement or anything else touches your hemorrhoids, it can cause pain. The pressure from sitting can also irritate you.

Pain is unusual with prolapsed hemorrhoids.


Fallen hemorrhoids can become very swollen, making it difficult to have a bowel movement. Although light bleeding is common, in some cases it can suddenly bleed profusely, causing severe and even life-threatening blood loss.

Drooping hemorrhoids are more likely to bleed, thrombus (thrombus), or pinch (pinch to cut off the blood supply) than non-prolapsed hemorrhoids.

See your doctor right away if you have severe pain or heavy bleeding from the rectum, especially if you have abdominal discomfort, diarrhea, or fever.

Causes and risk factors

The main cause of the formation of hemorrhoids in the anus or rectum is still a matter of debate. One theory is that this is due to the destruction of the supporting tissues in the anal canal.

If hemorrhoids are left untreated, last a long time, or are put under great physical pressure, they can fall out and protrude from the anus or rectum.

There are several risk factors for hemorrhoid prolapse, including:

  • Advanced age
  • Constipation
  • Dehydration
  • Diarrhea
  • High fat / low fiber diet
  • Lack of physical activity
  • Obesity
  • Overuse of medications for diarrhea.
  • Pregnancy (especially after delivery)

Sometimes putting something in the anus, such as during sexual activity or for medical treatment, can also cause pressure, leading to prolapsed hemorrhoids.


A hemorrhoid is considered a prolapse when it protrudes (protrudes) out of the rectum. Your healthcare professional can identify them during a physical exam.

Internal hemorrhoids are classified according to how much they bulge:

  • Grade I : These internal hemorrhoids are visible but do not protrude into the anal canal. Bleeding can occur.
  • Grade II : prolapse (bulging) of the anal canal during bowel movements, but returns inward on its own.
  • Grade III : This is a prolapse during bowel movements or other forms of stress that must be introduced.
  • IV degree :   They fell out of the anal canal and cannot be reinserted. Grade IV hemorrhoids can suffocate if the blood supply is blocked by pressure from the anal muscles.

Watch out

Most prolapsed hemorrhoids shrink and heal on their own, but you may need home remedies, medications, or surgery if your hemorrhoids do not improve.

Self service

The following self-care strategies can help reduce prolapsed hemorrhoids or prevent them from getting worse.

  • Place ice packs . Applying ice to the area can reduce swelling.
  • Take a sitz bath . Taking a warm bath for 10-15 minutes can ease discomfort.
  • Avoid straining during bowel movements . Keep stools soft by eating high fiber foods and drinking lots of water.
  • Stay active . Walking regularly can improve blood flow and prevent constipation.
  • Limit or avoid drinking alcohol and caffeine . They can cause dehydration and dry stools, making hemorrhoids worse.


If your hemorrhoids haven't healed or come back, you can use a variety of medical treatments, including:

  • Over-the-counter topical ointments
  • Over-the-counter stool softeners
  • Prescription stool softeners


Certain procedures can reduce, eliminate, or reduce blood flow to prolapsed hemorrhoids, which cannot be treated with more conservative methods.

The most common procedure to treat prolapsed hemorrhoids is to bandage yourself with an elastic band that blocks blood flow to the vein by wrapping it tightly. This leads to a reduction in hemorrhoids.

Other options include:

  • Sclerotherapy : injection of a material that causes the vein to shrink.
  • Coagulation – Using infrared light to cut off the blood supply to a vein, causing it to contract.

Surgery is a more invasive way to tie or remove a prolapsed hemorrhoid. Surgery may be required if your prolapsed hemorrhoid cannot be treated with other methods.


The most common symptoms of prolapsed hemorrhoids include lumps in the anus, discomfort, itching, and bleeding. These symptoms are not painful, but they can interfere with daily activities, such as sitting and using the bathroom.

A diet high in fat and low in fiber, dehydration, lack of exercise, diarrhea, constipation, excessive use of antidiarrheal drugs, old age and pregnancy can cause hemorrhoids to fall. Although treatment can vary depending on the severity of your internal hemorrhoids, it can include self-help strategies, medications, procedures, or surgery.

Get the word of drug information

Hemorrhoids are very common and hemorrhoid prolapse is also not uncommon. They usually get better on their own, but they can persist and require medical or surgical treatment. Healthy habits can primarily help prevent hemorrhoids from developing, and often adopting healthy habits can permanently reduce them.

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