Now accepting Telehealth appointments. Schedule a virtual visit.

What Is Hemorrhoidal Prolapse and How Is It Treated?

What Is Hemorrhoidal Prolapse and How Is It Treated?

The pain. The itching. The burning. If you have hemorrhoids, you’re probably familiar with all of those symptoms. And you have a lot of company — about one of every 20 Americans has hemorrhoids, with prevalence increasing as you get older.

As a leading medical provider in San Clemente, California, Elvira Klause, MD, treats hemorrhoids, helping patients feel more comfortable and avoid more serious complications. Hemorrhoidal prolapse is a relatively common complication associated with internal hemorrhoids — and one you should know about if you’re plagued by hemorrhoid symptoms.

Why hemorrhoids happen

Hemorrhoids are swollen veins in or near your rectum. Several factors can increase the likelihood that you’ll develop hemorrhoids, including:

Women are more likely to have hemorrhoids, and they’re also more common among people over age 50.

Internal vs. external hemorrhoids

Hemorrhoids can be either internal or external depending on where they form. Hemorrhoids located inside your rectum are internal, while those that form near the outside of your anus are external hemorrhoids.

External hemorrhoids typically feel like bumps or lumps near your anus, and they’re more likely to cause pain, itching, and burning. They’re also more likely to bleed when you have a bowel movement.

Internal hemorrhoids can bleed a bit if you’re constipated or pass a hard stool. But frequently, they cause no symptoms unless they prolapse, or push outward. 

Prolapsed hemorrhoids vs. external hemorrhoids

The main difference between a prolapsed internal hemorrhoid and an external hemorrhoid is simple: External hemorrhoids form on the outside of your anus, while a prolapsed hemorrhoid forms internally and extends outside the anus.

Internal hemorrhoids usually prolapse because of increased pressure on the rectum due to any of the risk factors listed above. When pressure increases, the vessels that comprise your hemorrhoids tend to swell and drop, pushing out of the anal sphincter.


If a prolapsed hemorrhoid swells, it can wind up blocking your anus and obstructing your bowel, preventing you from having bowel movements. Some prolapsed hemorrhoids bleed heavily, increasing the risk of life-threatening blood loss.

Prolapsed hemorrhoids are also more likely to form dangerous clots (thrombosis) or become strangulated, resulting in circulation problems that can lead to tissue death. For these reasons, it’s very important to seek medical care for hemorrhoids — even if they’re not prolapsed.

Find relief for symptomatic hemorrhoids

Dr. Klause offers several solutions for symptomatic hemorrhoids that don’t respond to over-the-counter ointments and other conservative options. These include:

These methods block circulation to the hemorrhoids, and they eventually die. In more severe cases, Dr. Klause suggests hemorrhoidectomy, a surgical procedure that removes hemorrhoid tissue.

If you have hemorrhoids, scheduling an evaluation with Dr. Klause is the best way to find relief from pain and other symptoms — and to prevent more serious problems from happening. To schedule your evaluation, call 949-393-2595 or book an appointment online today.

You Might Also Enjoy...

What to Expect Before, During, and After Your Lumpectomy

Surgery is one of the most effective breast cancer treatments, but undergoing surgery doesn’t always mean losing your entire breast. Lumpectomy removes the cancer and a smaller amount of tissue, and it could be right for you. Here's how it works.

4 Surprising Advantages of Robotic Surgery

Fewer risks? Check. Less pain? Check. Faster recovery? Check. Robotic surgery is a flexible technology that offers a surprising number of advantages over traditional surgical procedures. Learn more about its benefits here.

How Do I Know What Type of Hernia I Have?

A hernia is an abdominal injury in which an internal organ or tissue presses through the muscles in your torso. You may notice the telltale hernia lump and wonder what you should do. Learn the types of hernias and treatment options here.

What Treatment Can Get Rid of My Hemorrhoids for Good?

Hemorrhoids are painful, itchy, and embarrassing. The good news is that treatment can effectively eliminate your hemorrhoids. Learn about different treatments for hemorrhoids and how to lower your risk of developing them in the future.

Understanding How Robotic Surgery Works

Robotic surgery combines high-tech robotics and your surgeon’s expertise. It’s generally safe and minimally invasive, but if you’re scheduled for robotic surgery, you may have questions. Learn how it works and what to expect.

The Differences Between Hernias in Men Versus Women

Hernias are usually considered a men’s health issue, but women can get them too. Find out which types of hernias are most common in men versus women, and learn to recognize the signs so you can get the care you need.