Why Did My External Hemorrhoid Swell After Internal Hemorrhoid Treatment? - Surgery

Share to:

Hello, doctor?


Hello doctor, I would like to ask, I just had an internal hemorrhoid banded, and when I got home, I noticed that an external hemorrhoid has enlarged.
Why is that? It usually doesn't get that big, did the banding of the internal hemorrhoid cause the external one to enlarge? I'm really worried, please respond, thank you.

Cheche, 30~39 year old female. Ask Date: 2020/04/27

Dr. Ke Fangxu reply Surgery


After hemorrhoid ligation, it is possible for external hemorrhoids to swell due to the impact of the wound; this is not considered particularly abnormal, so there is no need to worry.
If there is no pain, it is fine, and taking warm sitz baths can help improve the situation.
However, if there is pain or discomfort, it is advisable to consult a physician for examination and treatment.

Reply Date: 2020/04/27

More Info


After undergoing treatment for internal hemorrhoids, it is not uncommon for patients to experience swelling or increased size of external hemorrhoids. This phenomenon can be attributed to several factors related to the procedure and the body's response to it.

Firstly, during the treatment of internal hemorrhoids, particularly if a rubber band ligation was performed, there is a significant amount of manipulation and pressure applied to the rectal area. This can lead to increased blood flow to the surrounding tissues, including the external hemorrhoids. The increased blood flow can cause the external hemorrhoids to swell temporarily as the body responds to the trauma of the procedure.

Secondly, the healing process itself can contribute to the swelling of external hemorrhoids. After any surgical or minimally invasive procedure, the body initiates an inflammatory response as part of the healing process. This inflammation can lead to swelling in the area, including the external hemorrhoids. The body sends more blood and immune cells to the site of injury, which can result in temporary enlargement of the external hemorrhoids.

Additionally, if there was any straining during bowel movements post-procedure, this could exacerbate the condition of external hemorrhoids. Straining can increase the pressure in the anal region, leading to further swelling and discomfort. It is essential to maintain soft stools and avoid straining during bowel movements to minimize the risk of aggravating hemorrhoids.

Moreover, if there was any pre-existing condition or if the external hemorrhoids were already present but not noticeable, the treatment of internal hemorrhoids could have made them more prominent. The focus on the internal hemorrhoids may have drawn attention to the external ones, making them seem larger than before.

In terms of management, it is crucial to follow post-procedure care instructions provided by your healthcare provider. This may include recommendations for dietary changes to ensure soft stools, such as increasing fiber intake and staying hydrated. Over-the-counter medications, such as topical creams or ointments specifically designed for hemorrhoids, can also help alleviate discomfort and reduce swelling.

If the swelling persists or worsens, or if you experience severe pain, bleeding, or any other concerning symptoms, it is essential to contact your healthcare provider for further evaluation. They may need to assess whether there are any complications or if additional treatment is necessary.

In conclusion, the swelling of external hemorrhoids after the treatment of internal hemorrhoids can be a normal response due to inflammation, increased blood flow, and the body's healing process. Monitoring your symptoms and following appropriate care guidelines will be crucial in managing your recovery effectively. If you have any ongoing concerns, do not hesitate to reach out to your healthcare provider for personalized advice and support.

Similar Q&A

Understanding Post-Surgery Symptoms: Internal vs. External Hemorrhoids

Doctor, after I have a bowel movement, I notice a hemorrhoid bulging around my anus, which subsides in about five minutes. Could this swelling be due to external hemorrhoids being compressed during the bowel movement, or is it actually internal hemorrhoids? I had a ligation for i...


Dr. Ke Fangxu reply Surgery
The swelling of hemorrhoids is caused by prolonged bowel movements and poor blood circulation. If a rubber band ligation was performed only on one site, it is possible that other areas may be prolapsing, or the internal hemorrhoid may be too large, resulting in suboptimal treatme...

[Read More] Understanding Post-Surgery Symptoms: Internal vs. External Hemorrhoids


Is It Normal to Develop External Hemorrhoids After Internal Ligation?

Hello Doctor, I am four days post-banding for internal hemorrhoids at the postal hospital, and it seems that a new hemorrhoid has developed at the anal area. It looks somewhat like a smaller chicken heart, and it is very swollen and painful, making it impossible to push back insi...


Dr. Ke Fangxu reply Surgery
This is likely due to swelling of the external hemorrhoid caused by the incision being more lateral after the vasectomy. Regular warm sitz baths along with the application of ointment should help reduce the swelling gradually. If there are symptoms of redness, swelling, heat, or ...

[Read More] Is It Normal to Develop External Hemorrhoids After Internal Ligation?


Understanding External Hemorrhoids: Symptoms, Treatment, and Recovery Time

Hello Doctor: A couple of days ago, I suddenly felt pain in my buttocks and discovered a lump. After going to the hospital for an examination, the doctor said it was an external hemorrhoid that had swollen. I asked the doctor if surgery was necessary, and he said that hemorrhoids...


Dr. Yu Mingchang reply Surgery
Hello^^ An external swelling is caused by vascular embolism and may take about a month to resolve, with a possibility of recurrence in the future. It is recommended to consider surgical intervention for a better solution. Thank you!!

[Read More] Understanding External Hemorrhoids: Symptoms, Treatment, and Recovery Time


Understanding Hemorrhoid Prolapse: Causes, Treatments, and Recovery

Hello Dr. Ke, I visited the clinic two weeks ago for hemorrhoids. I actually only had two small external ones, and I had never experienced any bleeding or pain. I informed the doctor during the visit that I had no discomfort, but he still recommended ligation for the internal hem...


Dr. Ke Fangxu reply Surgery
Typically, there is not much bleeding after a vasectomy. Based on your description, it seems more like a prolapsed hemorrhoid causing the issue. Indeed, a swollen prolapsed hemorrhoid will gradually resolve, and during this time, there may be some bleeding. As long as the bleedin...

[Read More] Understanding Hemorrhoid Prolapse: Causes, Treatments, and Recovery


Related FAQ