Prolapsed hemorrhoids develop from the same underlying causes as other hemorrhoids - increased pressure in the rectal veins. Over time, this pressure weakens the supportive tissue that holds internal hemorrhoids in place, allowing them to slip downward.
Common triggers include:
Once a hemorrhoid starts to prolapse, it may initially retract on its own but can worsen over time if the strain continues.
The main symptom of a prolapsed hemorrhoid is a soft lump that can be felt or seen coming out of the anus. Symptoms may include:
In more advanced cases, the prolapsed tissue may stay outside the anus and require manual pushing to go back in.
A proctologist can confirm whether a protruding lump is a prolapsed hemorrhoid or another condition, such as a rectal polyp or prolapse of the rectal wall. The type of treatment depends on the severity and frequency of symptoms.
Most treatments are quick, low-risk, and can provide long-term relief.
If you notice a bulge or tissue coming from your anus - especially one that doesn’t go away - it’s time to see a proctologist. Prolapsed hemorrhoids can become irritated or even trapped, which is painful and requires medical care. The sooner you’re evaluated, the easier and more comfortable your treatment will be.