How to Treat External Piles Safely? Home Care, Medicines & When Surgery Is Needed?
Waking up with a painful lump near your anus can be alarming. If you are frantically searching for how to get rid of external hemorrhoids or comparing your symptoms to piles pictures, you are not alone. External piles disease is the most frequent reason patients seek urgent help at Thrissur Piles Clinic. Unlike silent internal issues, an external hemorrhoid is highly sensitive, often itchy, and impossible to ignore—especially if it becomes a thrombosed hemorrhoid (blood clot).
The good news? Not every case requires surgery. In this expert guide, Dr. Raviram S., a top-rated Proctologist in Thrissur, simplifies the confusion. We break down exactly what piles look like, the safest home remedies for piles to shrink the lump, effective medicines, and the specific signs that indicate you need an external piles operation. Whether you need quick relief or a permanent laser treatment solution, this guide covers it all.
External Piles Disease – What It Really Is & Why It Happens?
What are external hemorrhoids? These are swollen blood vessels located under the skin around the anus. Because this skin is full of pain-sensing nerves, external piles can hurt—a lot.
What do piles look like? If you look at external hemorrhoids pictures real medical cases, they often resemble a soft, skin-colored bulge. However, if a blood clot forms (thrombosis), it turns into a hard, blue, or purple lump. This is called a thrombosed hemorrhoid and is extremely painful.
Causes of External Piles You Should Not Ignore:
To understand how to get hemorrhoids, you must look at your daily habits. It’s mostly about pressure.
1. Straining on the Toilet
Can pooping too much cause hemorrhoids? Yes. Straining to pass hard stool or spending too much time on the toilet (reading/scrolling) causes blood to pool in the anal veins.
2. Heavy Lifting
Gym-goers often develop large external hemorrhoids from holding their breath while lifting weights.
3. Pregnancy
Female hemorrhoids pictures often show flare-ups during pregnancy due to the weight of the baby pressing on the pelvic veins.
4. Chronic Issues
Long-term diarrhea or constipation irritates the skin, leading to external piles disease.
Common Symptoms of External Piles Disease:
How do you know if you have it? Look for these signs?
- The Lump: A palpable hemorrhoid by anus. It may feel like a small grape.
- Pain: Sharp pain when sitting, walking, or wiping.
- Itching: A condition called pruritus ani, where the hemorrhoid women or men experience intense itching.
- Bleeding: You might see blood in stool photos or on the toilet paper if the skin over the pile cracks.
Will an external hemorrhoid go away? Small, non-thrombosed piles often shrink on their own within a few days. However, a large external hemorrhoid or a thrombosed one usually requires treatment to disappear completely.
How to Treat External Piles at Home Safely?
If your pain is manageable, Dr. Raviram S. Piles Specialist in Thrissur recommends starting with these home remedies for piles.
- The Sitz Bath (Golden Rule): This is the most effective home treatment on piles. Sit in a tub of warm water (not hot) for 15 minutes, 3 times a day.
- Why it works: It relaxes the anal sphincter muscle and improves blood flow, helping the hemorrhoid go down.
- Ice Packs: Apply a cold compress or ice pack (wrapped in a cloth) to the anus for 10 minutes. This reduces swelling and numbs the pain of a thrombosed hemorrhoid.
- Don’t Force It Back In: Can you push hemorrhoids back in? If it is a true external hemorrhoid, no. External piles are covered in skin and belong on the outside. Trying to push piles back in can cause more trauma. If it is a prolapsed internal hemorrhoid, it might slide back, but force should never be used.
- Hygiene Adjustments: Can you get hemorrhoids from wiping too hard? Yes. Stop using dry toilet paper. Use a water spray (bidet), a peri bottle for hemorrhoids, or wet wipes free of alcohol/perfume.
Medicines for External Piles – What Doctors Recommend?
What is the best medicine for hemorrhoids? While no pill will magically dissolve the skin tag, these can manage symptoms:
- Ointments: Over-the-counter creams containing hydrocortisone or lidocaine provide temporary relief from itching and burning.
- Stool Softeners: Medicines like laxatives help keep stool soft so you don’t strain, allowing the area to heal.
- Painkillers: Does Tylenol help with hemorrhoids? Yes, oral pain relievers can dull the throbbing pain.
Note: Creams are not a cure. If you are using hemorrhoid medicine for more than 7 days with no relief, you need a specialist.
When Is Surgery Needed for External Piles?
Home remedies have limits. You should consult the Best External Piles Surgeon in Thrissur Dr. Raviram S. if:
- Thrombosis Occurs: A blood clot forms, turning the pile blue/black and causing excruciating pain (can’t sit).
- Bleeding Won’t Stop: Pictures of blood in the stool are alarming. Chronic bleeding leads to anemia.
- Hygiene Issues: The skin tags make it impossible to clean properly (hemorrhoids can’t wipe clean).
- No Improvement: You’ve tried the bleeding hemorrhoids diet and creams for 2 weeks with no change.
External Piles Operation – Types of Surgical Treatments:
At Thrissur Piles Clinic, we prioritize minimally invasive options.
This is the preferred method for many patients.
- How it works: A focused laser beam shrinks the swollen tissue and seals blood vessels.
- Benefits: It is a painless external piles treatment in Thrissur. No cuts, no stitches, and you can go home the same day.
2. Thrombectomy (For Clots):
If you have a painful thrombosed hemorrhoid, the doctor can make a tiny cut to drain the blood clot. This provides instant relief.
For very large or severe stage 4 piles, removing the excess tissue surgically is the only permanent fix.
Recovery After External Piles Surgery:
Patients often fear the recovery more than the disease. With modern Laser External Piles Surgery in Thrissur, recovery is fast.
- Day 1: Minimal pain.
- Day 2-3: Return to light activities.
- Long-term: Keep using stool softeners and eating fiber to prevent recurrence.
Can hemorrhoids come back? Yes, if you return to bad toilet habits. Surgery removes the current pile, but straining can create new ones.
When to Consult a Doctor for External Piles Disease?
Do not rely on Google images to diagnose yourself. Conditions like anal fissures, fistulas, and even abscesses can look like piles.
Visit Dr. Raviram S. if:
- You see maroon or black blood (could be deeper in the colon).
- You feel a hard lump that appeared overnight.
- You are experiencing dizziness from blood loss.
Dr. Raviram S. Advice – Safest Way to Treat External Piles:
Treating external piles disease is not just about removing a painful lump; it is about addressing the root causes like chronic straining and constipation,” explains Dr. Raviram S. While home remedies for external hemorrhoids, like sitz baths and fiber-rich diets, offer temporary relief, they rarely provide a permanent cure for a large external hemorrhoid. If you are experiencing rectal bleeding or a thrombosed hemorrhoid, early intervention is the only path to a painless treatment.
Stop suffering in silence and avoid the risks of wiping too hard or using ineffective OTC creams. Get the Best External Piles Treatment in Thrissur at our specialized Proctology Thrissur Piles Clinic. Whether you need medical management or advanced Laser External Piles Surgery, we provide the safest, same-day recovery solutions.
Ready to get rid of the pain permanently?
- 📞Call/WhatsApp: 9961001199
- 📍 Visit: 1st Floor, Room no.2, Zabs Fort, Collectorate Road, Civil Lines Rd, West Fort, Asvary Nagar, Sreenagar Colony, Thrissur, Kerala 680004
Book your consultation today for a permanent, painless cure!