Find Relief from External Hemorrhoids

Fast, Effective Treatment Designed to Reduce Pain and Restore Comfort

Woman Holding Her Butt – Milwaukee, OR – The Oregon Hemorrhoid Clinic

External Thrombotic Hemorrhoids

An external thrombosed hemorrhoid is a common condition that can cause sudden, intense discomfort. It typically appears as a firm, swollen lump just outside the anal opening and may have a dark bluish or purplish color. The size can vary—from small and pea-sized to larger, more noticeable swelling.


This occurs when a small vein ruptures and a blood clot forms beneath the skin. The pressure from this clot on nearby nerve endings is what leads to the sharp pain many patients experience.



External thrombosed hemorrhoids are often associated with underlying internal hemorrhoids, which can increase pressure within the rectal area and contribute to their development.

Treatment focuses on relieving pressure caused by the clot, reducing pain, and helping prevent long-term issues such as excess skin or skin tag formation. With the right care, symptoms can be managed effectively and relief can come quickly.

Causes of External Hemorrhoids Include:

Blue line icon of a person squatting by a box or package with a starburst symbol on the left

Heavy lifting

Simple line drawing of a person holding a phone to their ear, as if making a call

Spasms of coughing or sneezing

Person using a toilet, shown in a simple blue line icon.

Straining at stool

Line icon of a hand holding a water bottle inside a circular outline

Taking an active laxative

Line-art icon of a person crouching beside a box or bag, suggesting packing or searching.

Heavy lifting

Simple line drawing of a person holding a hand to their ear, as if listening or thinking

Spasms of coughing or sneezing

Person sitting at a desk working on a computer, shown as a simple blue outline icon.

Straining at stool

Blue outline icon of a hand holding a medicine bottle on a white background

Taking an active laxative

Simple blue line drawing of a person standing and leaning forward on a white background

Pregnancy