What to Do About Painful External Hemorrhoids
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External hemorrhoids sit under the sensitive skin around the anus, which is why they can hurt so much, especially if a clot forms. The good news is that most settle within a couple of weeks with the right care. Here is what to do.
Why External Hemorrhoids Hurt
When blood pools and clots in an external hemorrhoid (a thrombosed hemorrhoid), it can become firm, swollen, and intensely painful. Even without a clot, the area is rich in nerves and easily irritated.
How to Relieve the Pain
- Cold compress: numbs pain and reduces swelling.
- Warm sitz baths: soothe the area several times a day.
- Topical treatments and witch hazel: calm irritation.
- OTC pain reliever: for short-term relief.
- Soft stools: fiber and water to avoid straining.
Never try to pop or cut a hemorrhoid, which risks infection and worse pain.
When to See a Doctor
If pain is severe, a clot is large, or symptoms do not improve, a provider can offer in-office treatment for fast relief.
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This article is for general information and is not medical advice. Always consult a healthcare professional about your symptoms.