External hemroids

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Hemroidal external is generally painless and occurs after passage of stool. An achiness or feeling of fullness after defecation may also be present. Pain is unusual unless thrombosis involving external tissue is present, and then the pain can be excruciating. The patient may even have trouble walking or sitting. Pain due to an anal fissure occurs during and after bowel movements, whereas pain associated with a thrombosed external Hemroid is constant.

External hemroids are usually visible as fleshy lumps around the anus. Prolapsed hemroids (internal hemroids that protrude out the anus) are often mistaken for external hemroids. Otherwise, any swelling or protruding mass at or near the anus are considered to be external hemroids. External hemroids occur when the veins of the anal opening swell from too much strain.