What Is a Prolapsed Internal Hemorrhoid?

December 17, 2025

What Causes a Prolapsed Internal Hemorrhoid?

Prolapsed internal hemorrhoids occur when the veins inside the rectum become enlarged and the supporting tissue weakens. Repeated straining or pressure causes the swollen hemorrhoid to extend beyond its normal position.

Contributing factors include:

  • Chronic constipation or diarrhea

  • Straining during bowel movements

  • Pregnancy and childbirth

  • Aging, which weakens connective tissue

  • Prolonged sitting or heavy lifting

Sometimes, an internal hemorrhoid may only protrude temporarily during bowel movements and then retract. Over time, however, it can remain prolapsed and cause persistent irritation.

Common Symptoms

A prolapsed internal hemorrhoid often feels like a soft, moist lump or tissue coming from the anus. You might notice:

  • A bulge or protrusion, especially after bowel movements

  • Mucus discharge or a sensation of dampness

  • Itching, irritation, or mild pain from exposed tissue

  • Bright red bleeding during bowel movements

  • Difficulty cleaning the area after using the bathroom

While pain is usually mild, the hemorrhoid can become more painful if it swells, becomes trapped, or develops a blood clot.

Diagnosis & Treatment Options

A proctologist can confirm a prolapsed internal hemorrhoid through a simple examination. Treatment depends on how severe the prolapse is and how often it occurs.

  • Home management - Increasing fiber intake, drinking plenty of water, and avoiding straining can help reduce swelling and prevent recurrence.

  • In-office procedures - Rubber band ligation, sclerotherapy, or infrared coagulation are effective for most prolapsed internal hemorrhoids.

  • Surgery - In severe or chronic cases, surgical options such as hemorrhoidectomy or stapled hemorrhoidopexy may be recommended to remove or reposition the tissue.

Prompt treatment can relieve symptoms and prevent complications such as irritation or infection.

When to See a Proctologist

If you notice tissue bulging from your anus, especially if it doesn’t go back in on its own, it’s time to see a proctologist. While prolapsed internal hemorrhoids are common, other conditions can look similar. A quick evaluation ensures an accurate diagnosis and helps you get back to comfort and confidence.