Prolapsed Internal Hemorrhoids: Symptoms, Causes and Treatment

Diagnosed with prolapsed hemorrhoids?

But, what are they? What causes them?

Prolapsed hemorrhoids are very common, but they are usually treatable. Incorporating dietary changes and healthy lifestyle habits can help prevent prolapsed piles from developing. SMILES helps you to explore more about prolapsed internal hemorrhoids below.

What is Prolapsed internal hemorrhoids?

Internal hemorrhoids develop inside the rectum. The hemorrhoids that pushes the rectum down and bulges out from the anus is called a prolapsed internal hemorrhoid.

Prolapsed hemorrhoids can be quite uncomfortable and are more likely to be prone to bleeding. In many cases, they will go back inside the rectum by themselves (grade 2 hemorrhoid) or you may be able to push them back yourself (grade 3 hemorrhoid).

Often, these hemorrhoids only protrude when you go for a poo, going back immediately afterwards. So, you may be not aware that your hemorrhoids are prolapsed until you notice the other symptoms.

What are the symptoms of prolapsed hemorrhoids?

The most common symptoms of prolapsed piles include:

  • lump: You may feel a bump on your anus when you wipe your bottom after a bowel movement. This is the swollen vein which can be painful and tender to touch or not at all.
  • Bleeding: You may notice blood in the toilet after you had a bowel movement or on your toilet paper when you wipe your bottom. It’s usual to have small blood spots on your underwear between bowel movements as well.The blood is typically bright red and watery which in contrast to the dark, black or tarries blood that would be associated with intestinal bleeding.
  • Pain and Discomfort: Because of lump around your anus, prolapsed hemorrhoids can trigger a feeling of discomfort or the feeling of need to go for a poo. And the pain caused by the prolapse of internal hemorrhoids prevents you from comfortably sitting down which makes your bowel movements quite painful.
  • Itching: With prolapsed piles, the skin around the anus can be very itchy, arguably more than the other types of hemorrhoids.

What causes prolapsed hemorrhoids?

There are several causes of prolapsed piles mainly due to the increase of pressure on the veins around the rectum.  If they left untreated or you have them for a prolonged time and your hemorrhoids are under pressure then you increase the risk of your hemorrhoids becoming prolapsed.

Other risk factors of prolapsed hemorrhoids include:

  • ● High fat and low fiber diet
  • ● Dehydration
  • ● Lack of physical exercise
  • ● Diarrhoea
  • ● Constipation
  • ● Pregnancy and Obesity

How is a prolapsed hemorrhoid treated?

Most prolapsed hemorrhoids spontaneously shrink or reduce. But, there are several things you can do to manage prolapsed internal hemorrhoids if it does not heal on its own.


Here are some self-care strategies to relieve the symptoms of internal hemorrhoids

  • ● Use ice packs and sitz baths that help prolapsed hemorrhoids shrink.
  • ● Avoid straining during bowel movements
  • ● Eat fiber-rich foods such as fruits, vegetables, and whole grains.
  • ● Drink plenty of water
  • ● Stay active by doing regular exercise.
  • ● Try over the counter medications, topical ointments, and stool softeners.

Interventional procedures

If the above Self-care methods did not work for you and if the hemorrhoid is so painful,

Here is a list of few other treatment options suggested by Dr.Parameshwara, one of the best hemorrhoid treatment doctors.

  • Rubber band ligation: This is a procedure in which cut off the blood flow to hemorrhoids by wrapping it with a rubber band at its base. This treatment procedure results in the shrinking of internal hemorrhoids.
  • Sclerotherapy: Sclerotherapy is a medical procedure that involves an injection of a solution directly into the veins to shrink. This method of treatment is effective for grade 1 and grade 2 hemorrhoids.
  • Coagulation: Coagulation therapy is also a medical procedure used to treat small and medium-sized hemorrhoids. This treatment method involves the use of infrared red light to cut off the blood supply to the vein, causing it to dissolve.
  • Surgery: Surgery is a more invasive way to remove a prolapsed hemorrhoid, and that may be necessary if your prolapsed piles can’t be treated with the other treatment options.

Want to heal your piles quickly and gently? Consult Dr Parameshwara, the best piles surgeon in Bangalore at SMILES for the most invasive method of piles treatment.