External Hemorrhoids: Causes, Relief, and What You Need to Know

When you feel a tender lump near your anus, it’s often an external hemorrhoid, a swollen vein outside the anal canal that can ache, itch, or bleed during bowel movements. Also known as perianal hemorrhoids, they’re one of the most common reasons people avoid seeing a doctor—even when the pain is bad. Unlike internal hemorrhoids, which stay inside and often don’t hurt, external ones sit right where you sit, making daily life uncomfortable.

These lumps don’t just appear out of nowhere. They’re usually caused by too much pressure on the veins around your anus—think heavy lifting, long periods of sitting, chronic constipation, or straining during bowel movements. Pregnancy is another big trigger. If you’ve noticed bleeding on toilet paper after wiping, or a purple or blue lump that feels like a bruise, you’re likely dealing with an external hemorrhoid. Thrombosed ones, where a blood clot forms inside, can be especially painful and may need quick treatment.

Most people try over-the-counter creams, wipes, or sitz baths first. But not all products work the same. Some contain numbing agents that give short-term relief but don’t fix the root issue. Others, like those with witch hazel or hydrocortisone, help reduce swelling and itching. What actually helps long-term? Lifestyle changes—eating more fiber, drinking water, avoiding prolonged sitting, and not holding in bowel movements. Many people don’t realize that even small habits, like how you wipe or whether you use a footstool while pooping, can make a difference.

It’s also easy to confuse external hemorrhoids with other issues—like anal fissures, skin tags, or even early signs of more serious conditions. That’s why knowing the difference matters. If a lump doesn’t go away after a week of home care, or if bleeding gets worse, it’s time to get it checked. You don’t need to suffer in silence. There are effective, low-risk treatments available, from simple office procedures to minimally invasive options that don’t require hospital stays.

The posts below cover real stories and practical advice from people who’ve been there. You’ll find guides on what creams actually work, how to prevent flare-ups, what to avoid when you’re in pain, and how to talk to your doctor without feeling embarrassed. Whether you’re dealing with mild discomfort or a sudden, painful flare-up, there’s something here that can help you take control—no guesswork needed.