External Hemroids

As mentioned before, hemroids (also called piles) are enlarged and/or inflamed veins in the anorectal area. This enlargement has many causative factors, however all causes act by one or more of two mechanisms; 1) Increased pressure inside the veins or, 2) Weakness of the venous walls. According to thier position, hemroids may be internal or external.

External hemroids are one of the main 2 types of hemroids and are caused by swelling and inflammation of the external hemorrhoidal veins.  They appear externally as a fleshy mass around the anus.

Symptoms of external hemroids include rectal pain with passing stools and anal discomfort which may be present all the time. Rectal bleeding is uncommon in external hemroids unless they rupture by trauma by hard stools. Also, one of the symptoms of external hemroids is feeling of a painful, tender, hard mass around the anus.

Diagnosis of external hemroids is very easy and is confirmed by inspection of the anal area, however, exclusion of more serious causes of anal bleeding as colorectal cancer may be necessary in individuals over the age of 50 years or  in those having a family history of colorectal cancer.