Hemorrhoid Treatment External Hemorrhoids

Äußere Hämorrhoiden können unangenehme Beschwerden wie Juckreiz, Schmerzen und Schwellungen verursachen. Die Behandlung reicht von Hausmitteln und Salben bis hin zu Sitzbädern und speziellen Übungen. Während einige äußere Hämorrhoiden von selbst abheilen, benötigen andere medizinische Interventionen, insbesondere wenn sie stark anschwellen oder sich entzünden. In diesem Artikel erläutern wir die effektivsten Behandlungsmöglichkeiten, die Heilungsdauer und wann eine operative Entfernung notwendig ist.
Dr. med. univ. Lukas Heschl

Autor

Dr. med. univ. Lukas Heschl

Inhaltsverzeichnis

How to effectively treat external hemorrhoids?

The treatment of external hemorrhoids aims to relieve discomfort and promote healing.

Which ointments work best for external hemorrhoids?

Ointments are a proven method for relieving symptoms.

Can external hemorrhoids go away on their own?

Smaller external hemorrhoids can shrink over time, especially if triggering factors such as constipation or prolonged sitting are avoided.

Are sitz baths an effective treatment for external hemorrhoids?

Yes, sitz baths with anti-inflammatory additives like chamomile or oak bark can relieve itching and pain.

When should external hemorrhoids be surgically removed?

A surgical procedure is necessary when hemorrhoids cause severe pain.

Which home remedies help with external hemorrhoids?

Home remedies can relieve symptoms and support healing.

How long does the healing of external hemorrhoids take?

The healing time depends on the severity of the symptoms.

Are there specific exercises to relieve external hemorrhoids?

Yes, targeted pelvic floor exercises can reduce pressure in the anal area and thus alleviate the discomfort.

Are external hemorrhoids dangerous?

External hemorrhoids are usually harmless but can cause uncomfortable symptoms.

Can external hemorrhoids be pushed back by oneself?

No, external hemorrhoids should not be pushed back.

How to effectively treat external hemorrhoids?

The treatment of external hemorrhoids aims to relieve symptoms and promote healing. This can be done through various methods: 

Treatment method

Effect

Ointments with lidocaine or witch hazel

Pain and itch relief

Sitz baths with chamomile or oak bark

Anti-inflammatory, soothing

Cold compresses or cooling pads

Decongestant, pain-relieving

Fiber-rich diet

Prevents strong straining during bowel movements

CANNEFF® SUP suppositories

CANNEFF® SUP suppositories are an innovative aid to relieve itching

Used in combination, these measures can quickly relieve hemorrhoid symptoms.

Hemorrhoid treatment External hemorrhoids Lidocaine

Which ointments work best against external hemorrhoids?

Ointments are a proven method to relieve hemorrhoid symptoms. They contain various active ingredients that are used as needed.

Active ingredient

Effect

Lidocaine

Local anesthesia for pain relief

Witch hazel

Anti-inflammatory, itch-relieving

Cortisone (only short-term)

Anti-swelling, anti-inflammatory

Horse chestnut extract

Vascular strengthening

While over-the-counter ointments mostly contain herbal active ingredients, some corticosteroid-containing preparations require a prescription.

Can external hemorrhoids disappear on their own?

Smaller external hemorrhoids can regress over time, especially if triggering factors such as constipation or prolonged sitting are avoided. A healthy diet and gentle care of the anal area can support this process. Read more here about targeted measures for the prevention of hemorrhoids

Are sitz baths an effective treatment for external hemorrhoids?

Yes, sitz baths with anti-inflammatory additives like chamomile or oak bark can relieve itching and pain. They should be lukewarm and not last longer than 15 minutes.

Hemorrhoid Treatment External Hemorrhoids Surgery

When should external hemorrhoids be surgically removed?

Surgical intervention is necessary when:

  • the hemorrhoids cause severe pain,

  • blood clots (anal vein thromboses) have formed,

  • no improvement occurs through conservative measures.

Common procedures include excisional hemorrhoidectomy or minimally invasive methods such as laser treatment. Read more about the different procedures for hemorrhoid surgery here.

Which home remedies help with external hemorrhoids?

Home remedies can relieve symptoms and support healing.

Home remedies

Effect

Aloe Vera Gel

Cooling, soothing

Coconut oil

Antibacterial, anti-inflammatory

Witch hazel tincture

Stops bleeding, reduces swelling

Oak bark extract

Strengthens the vessels, reduces itching

These home remedies can be applied to the affected area or used in sitz baths. Herbal ingredients can also provide gentle and effective support for hemorrhoid complaints – learn more in our blog article Hemorrhoid Treatment: Herbal Options.

How long does it take for external hemorrhoids to heal?

The healing time depends on the severity of the symptoms.

Hemorrhoid grade

Healing duration

Mild swelling

1–2 weeks

Moderate hemorrhoids

2–4 weeks

Thromboses or inflammations

Several weeks to months

Consistent treatment of hemorrhoids can significantly accelerate the healing process.

Hemorrhoid Treatment External Hemorrhoids Pelvic Floor

Are there special exercises to relieve external hemorrhoids?

Yes, targeted pelvic floor exercises can reduce pressure in the anal area and thus relieve symptoms.

Exercise

Effect

Kegel exercises

Strengthening of the pelvic floor

Gentle yoga

Improvement of blood circulation

Walks

Promotion of bowel movement

Regular exercise helps support the healing process. Special exercises for hemorrhoids can promote blood circulation in the pelvic area and reduce the risk of hemorrhoids. Learn which exercises are especially effective in the blog post Exercises to Prevent Hemorrhoids.

Are external hemorrhoids dangerous?

External hemorrhoids are usually harmless but can cause unpleasant symptoms. In rare cases, complications such as anal vein thrombosis or infections may occur. Early treatment prevents such risks.

An early doctor visit for hemorrhoids is therefore crucial to quickly start the appropriate treatment. The doctor can determine the stage of the condition and recommend individually tailored therapy measures – from anti-inflammatory ointments and suppositories like CANNEFF® SUP, up to a surgical procedure, the hemorrhoid surgery

At the same time, the examination allows the cause of hemorrhoids to be explored. Besides the acute treatment of hemorrhoids, prevention also plays an important role: By identifying risk factors such as a low-fiber diet, lack of exercise, or excessive straining during bowel movements, targeted measures can be taken for the prevention of hemorrhoids

In our detailed blog article, you will learn which foods are especially recommended, which dietary habits promote hemorrhoids, and how you can specifically adjust your diet to prevent discomfort: Preventing hemorrhoids: The role of nutrition.

Can external hemorrhoids be pushed back by yourself?

No, external hemorrhoids should not be pushed back. They are located outside the anal canal and cannot be manually repositioned. Instead, gentle treatment with ointments, sitz baths, and anti-inflammatory measures should be applied. External hemorrhoids can be effectively treated with home remedies, ointments, and sitz baths. In severe cases, a medical procedure may be necessary. Early treatment of hemorrhoids helps relieve discomfort and prevent complications. CANNEFF® SUP suppositories offer herbal support for pain relief and regeneration with the unique active ingredient combination of CBD and hyaluronic acid.

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Dr. med. univ. Lukas Heschl

Dr. med. univ. Lukas Heschl

Specialist in General Medicine

Dr. med. univ. Lukas Heschl is a general practitioner. After completing his medical studies in 2013, Dr. med. univ. Lukas Heschl has been working as a practicing general practitioner since 2017, dedicated to the well-being of his patients. In 2019, he became a partner in the rural medical practice in Oed, Lower Austria. As the first point of contact for all medical concerns, Dr. med. univ. Lukas Heschl relies on innovative treatment methods, such as CANNEFF medical products against inflammation and to improve mucous membrane regeneration in the intimate area.