Let's learn about prolapsed hemorrhoids in simple terms.

Sometimes you may feel very uncomfortable when you go to the toilet. Especially if something comes out of the anus during defecation, or if you feel a lump in your hand, you need to investigate it a little. This may make you a little embarrassed and a little hesitant to talk about it. But this is a condition that affects many people, so there is nothing to worry about. Let's talk about this in detail.

What is a prolapsed hemorrhoid?

Simply put, this is when a swollen blood vessel inside your rectum (we call these hemorrhoids) bulges out of your anus. Before it bulges out, that is, when it is inside your anus (we call these internal hemorrhoids), you may not even feel it. However, when there is too much pressure on the lower part of your anus, that is, the last part of your large intestine (the rectum) , these internal hemorrhoids swell even more and eventually bulge out of your anus.

Think of it like a balloon that gets too much air in and pops out. That's what happens here. It's when it pops out that you start to feel some symptoms, like bleeding, itching, or pain. You can often feel the hemorrhoid with your finger. If you look at your anus with a mirror, you'll see a soft lump around the anus.

Prolapsed hemorrhoids are usually not serious problems. However, they can be uncomfortable. Home remedies and over-the-counter medications can help reduce symptoms. Sometimes you can gently push the hemorrhoid back into the anus. However, sometimes surgery is needed to completely remove the hemorrhoid.

What are the symptoms of hemorrhoids that pop out?

The biggest sign of this is a soft lump that feels like it's around your anus . You can see it and feel it. It may be the same color as your skin or a pinkish-red color.

In addition, there may be symptoms such as:

• An itchy feeling around the anus.
• A persistent feeling of needing to defecate, or a feeling of still having stool after wiping.
• Bleeding from the anus (sometimes you can see drops of blood on the toilet paper or in the commode) or mucus (a white, mucus-like liquid) leaking out.
• Pain and discomfort , especially when you are sitting, may be more noticeable.

How do you see a protruding hemorrhoid?

This looks like a small, fleshy lump protruding from your anus.It can vary in size from person to person. It is usually soft to the touch. Sometimes, it may ooze a mucus-like fluid.

Why do hemorrhoids pop out like this?

A prolapsed hemorrhoid occurs when a swollen blood vessel inside your rectum bulges out of your anus. The main cause of this is constant pressure on your lower rectum . For example, if you strain hard when you have a bowel movement, or if you put pressure on your lower abdomen during activities such as lifting heavy objects, this condition can occur.

In fact, any hemorrhoid inside the anus can prolapse in this way. The following habits and health conditions increase your risk of developing internal hemorrhoids . These are the internal hemorrhoids that can prolapse later:

• Frequent constipation .
• Straining when defecating.
• Sitting on the toilet for a long time (some people read newspapers, use their phones, these are not good).
• Pregnancy - The weight of the baby puts pressure on the lower abdomen.
• Obesity - It means being overweight.
• Frequent diarrhea .

What complications can this cause?

These are usually not serious conditions. However, a prolapsed hemorrhoid can cause some complications. Here are some of them:

• Strangulation: This is when the blood supply to the hemorrhoid is cut off and the hemorrhoid begins to die. This can be very painful.
• Thrombosed Hemorrhoid: When a blood clot forms inside a prolapsed hemorrhoid, it can suddenly become very swollen, dark purple, and cause severe pain.
• Bleeding: When you continue to bleed, over time, your body's blood supply can decrease, leading to a condition called anemia .
• Difficulty defecating.

Because of the potential for complications like these, it's wise to tell a doctor if you think you have a prolapsed hemorrhoid. Don't panic, but don't ignore it either.

How do doctors diagnose this accurately?

Most of the time, a doctor can identify a prolapsed hemorrhoid just by looking at it. In addition, they will ask you questions about your symptoms and bowel habits. Sometimes, if they want to learn more about the cause of your hemorrhoids, they may also do one or more of the following tests:

• Rectal Exam: The doctor inserts a gloved finger into the rectum and examines it. This is a bit uncomfortable, but it is important for an accurate diagnosis.
• Anoscopy: A small, camera-equipped tube (anoscope) is inserted into the anus to view the inside of the anus. This allows a clear view of the inside of the anus.
• Rigid Sigmoidoscopy: A slightly longer tube is used to examine the lower part of the large intestine.

Is there a way to classify hemorrhoids that pop out?

Yes, doctors classify hemorrhoids according to how far they have protruded. They use a grading scale like this:

• Grade 1: The hemorrhoid does not protrude, but the blood vessels inside the rectum are swollen and may be visible during examination.
• Grade 2: The hemorrhoid pops out when you strain (for example, when you have a bowel movement). However, it automatically goes back in. Think of it like when you go to the toilet and it goes back in.
• Grade 3: The hemorrhoid pops out when you push it, but it doesn't go back in on its own. You have to gently push it back in with your finger .
• Grade 4: The hemorrhoid is always outside . It cannot be pushed in. This can be a serious condition and may require immediate medical attention.

How do you treat hemorrhoids that pop out?

Most of the time, prolapsed hemorrhoids can be treated with home care and a little attention to your bowel habits. However, this depends on the extent of the prolapsed hemorrhoid (the stage mentioned earlier) and the severity of your symptoms.

Here are some treatments you can try at home and those you can buy at the pharmacy:

• Sitz Baths: This involves sitting in a basin of warm water for 10-15 minutes, two or three times a day. It's okay to add a little salt to this. This will reduce pain, itching, and swelling.
• Eating plenty of fiber-rich foods can help keep your stool soft and pass easily. Greens, vegetables, fruits (especially bananas, papaya), and whole grains (such as oats, barley) are good for this.
• Drinking plenty of water (at least 8-10 glasses a day) will help prevent constipation.
• Applying ointments or creams containing ingredients such as hydrocortisone, witch hazel, or lidocaine . These can be purchased over the counter at a pharmacy. These can help reduce itching and pain.
• Stool softeners or laxatives can be used to reduce pain during bowel movements. However, it is best to seek medical advice before continuing to use these.

While you are undergoing this treatment, you should also think about what your bad habits are. For example, do you spend too much time on the toilet? (Things like looking at your phone, reading the newspaper). Do you need to eat more fiber-rich foods and drink more water? All of these will help a lot in healing hemorrhoids.

If home remedies don't help, your doctor may recommend medical procedures to treat your hemorrhoids. However, this is rare (less than 10%). Your doctor may suggest things like:

• Rubber Band Ligation: A small rubber band is placed around the base of the hemorrhoid to stop the bleeding. The hemorrhoid shrinks and falls off in a few days. This is usually a painless procedure.
• Sclerotherapy: A special chemical is injected into the hemorrhoid. This causes the hemorrhoid to shrink.
• Transanal Hemorrhoidal Dearterialization (THD): This is a slightly more complicated procedure that involves identifying and tying off the blood vessels that supply blood to the hemorrhoids.
• Hemorrhoidectomy: This is a surgical procedure that completely removes the hemorrhoid. This is done in very severe cases (Grade 3, Grade 4) or for those who have not responded to other treatments.

Will hemorrhoids that pop out heal on their own? How long will it take?

Yes, sometimes. Home care and changes in your habits can help a prolapsed hemorrhoid heal. Think about it, if you drink plenty of water, eat a high-fiber diet, and don't spend too much time on the toilet, you might find relief in just a few days.

However, sometimes, no matter how much you treat it at home, the hemorrhoids may continue to protrude. In that case, a doctor may have to perform some medical procedure or surgery to treat the hemorrhoids.

How long it takes to heal depends on how severe the hemorrhoid is. Moderate cases can heal in a few days , especially if you treat them at home. More severe cases, even with medical treatment, can take several weeks to heal. Surgery can take a while to heal.

If I have protruding hemorrhoids, what should I expect?

A hemorrhoid that pops out can be a really painful and uncomfortable thing. Nobody likes to talk about it, right? Even a doctor might feel a little embarrassed to talk about it. However, hemorrhoids are very common , and you are not the only one who has experienced this condition. So don't feel bad about it.

The good news is that hemorrhoids that pop out can be treated, often with home remedies. However, this doesn't mean you shouldn't talk to your doctor about it. You should. Because hemorrhoids can come back. That's why it's important to talk to your doctor about ways to prevent them from happening in the future. If you have persistent hemorrhoids, or if they're interfering with your daily life, your doctor may recommend other medical treatments or surgery to help you.

How can I prevent hemorrhoids from popping out?

Any hemorrhoid that is inside the rectum has the potential to prolapse. Therefore, it's best to reduce the risk of developing hemorrhoids in the first place . Here are some things you can do to help:

• Avoid constipation . Constipation is one of the main causes of hemorrhoids.
• Make sure you eat enough fiber-rich foods , or take fiber supplements if necessary. You need at least 25-30 grams of fiber per day.
• Don't push hard when you defecate. Wait until it comes out on its own. If necessary, keep a small bench under your legs, so that it is easier to defecate.
• Go to the toilet as soon as you feel the urge to defecate . Don't hold back. Holding back will make the stool even drier and harder.
• Don't hold your breath while lifting heavy objects . Breathe properly.
• If possible, exercise or move your body every day . Things like walking, running, and swimming are good. This also improves bowel function.
• Don't stay in the toilet too long. Don't stay more than 5-10 minutes.

When should I see a doctor?

If you have a protruding hemorrhoid, especially if it is painful, bleeding, or does not improve with home treatment after a few days, you should definitely see a doctor . Even if it is not a big problem and will go away on its own, it is a good idea to inform your doctor about it. Because sometimes what we think are hemorrhoids can be other medical conditions. For example, rectal cancer can show symptoms similar to hemorrhoids in the early stages. Therefore, it is important to know exactly what it is.

Prolapsed hemorrhoids are a real "pain in the butt" - literally! They can cause you discomfort, itching, and unpleasant symptoms like pain. Talking about these hemorrhoids with a doctor, friends, and family can be just as difficult. But remember, you are not alone.

Most hemorrhoids that pop out can be treated at home with home remedies, such as using ointments and taking laxatives. However, if these don't help, or if your hemorrhoids continue to grow, see a doctor. Your doctor can tell you about other options that may help you.

So, what are the things we need to remember from all of this? (Take-Home Message)

Okay, here are a few things to keep in mind from what we've talked about:

• A prolapsed hemorrhoid is a hemorrhoid that protrudes from the anus. This is something that happens to many people, so don't be embarrassed or afraid .
• This can be caused by things like frequent constipation, straining during bowel movements, spending too much time on the toilet, pregnancy, and obesity.
• The main symptoms are itching, pain, bleeding, and a lump-like sensation near the anus.
• Simple treatments that can be done at home (washing with hot water, eating a high-fiber diet, applying cosmetics) often provide relief.
• However, if the symptoms are severe, if there is bleeding, if the pain is too much, or if you suspect that this is hemorrhoids, definitely see a doctor. They will tell you exactly what to do.
• The best way to prevent hemorrhoids is to avoid constipation, drink plenty of water, eat a high-fiber diet, and practice proper toilet habits.

So, I hope this information is useful to you. Remember, taking care of your health is the most important thing!

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