A prolapsed hemorrhoid occurs when swollen veins from inside the rectum push outward through the anus. These can appear as soft lumps or bulges around the anal opening. While not severely painful, they can cause discomfort, itching, and irritation, particularly during or after bowel movements. This protrusion happens when connective tissues supporting the hemorrhoidal cushions weaken, often due to increased pressure in the rectal area.
Is it Always Safe to Attempt Reduction?
Manually reducing a prolapsed hemorrhoid can be safe when the hemorrhoid is small, easily reducible, and does not cause significant pain or bleeding. However, warning signs indicate immediate medical attention is necessary and manual reduction should not be attempted. If you experience severe pain, excessive bleeding, or notice dark or clotted blood, seek professional medical help.
Other signs include a hemorrhoid that is hard, discolored, or cannot be pushed back inside. Fever or signs of infection, such as redness, warmth, or pus, also warrant prompt medical evaluation. These symptoms could indicate complications like a thrombosed hemorrhoid, where a blood clot forms, or strangulation, where the blood supply is cut off. Both are painful and require professional treatment to prevent tissue death.
Step-by-Step Guide to Manual Reduction
Before attempting manual reduction, hygiene is important. Wash your hands with soap and warm water, and consider wearing disposable gloves. Find a comfortable position; squatting or lying on your side with knees drawn towards your chest can provide better access and relaxation.
Next, apply lubricant to the prolapsed hemorrhoid and the anal opening. Petroleum jelly is a common choice, or you can use witch hazel pads, which offer a soothing effect. Gently push the hemorrhoid back inside the anus using slow, steady pressure with a finger. Guide the tissue inward without forcing it.
You might feel resistance, but the process should not be painful. If any sharp pain occurs, stop and consult a healthcare professional. Once the hemorrhoid is reinserted, remain in a relaxed position for a few minutes to help it stay in place. This minimizes irritation and helps the tissue settle back into place.
Managing and Preventing Future Prolapse
After successfully reducing a prolapsed hemorrhoid, gentle hygiene is important for comfort and healing. Use soft, moist toilet paper or a bidet after bowel movements, and avoid harsh scrubbing. Warm sitz baths, soaking the anal area in warm water for 10 to 20 minutes several times a day, can help reduce swelling, soothe discomfort, and promote blood flow for healing.
To prevent future prolapse, dietary and lifestyle modifications are effective. Increase your daily fiber intake to 25-38 grams by consuming more fruits, vegetables, and whole grains to soften stool and reduce straining. Drink at least six to eight glasses of water daily; this helps fiber work effectively and keeps stools soft. Avoid prolonged sitting on the toilet and respond promptly to the urge to defecate to lessen pressure on rectal veins. Regular physical activity also aids healthy bowel function and reduces hemorrhoid risk.