How do I get Rid of External Piles?

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  • Written By: Christina Edwards
  • Edited By: W. Everett
  • Last Modified Date: 10 November 2019
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External piles are more commonly known as external hemorrhoids. External piles occur when the veins on the anus become swollen and inflamed. This can be very painful and itchy. Sometimes these piles will go away without treatment, but other times sufferers may need to resort to cures for external piles. Over-the-counter medications can be helpful, but severe cases may need to be treated by a doctor.

There are several different topical hemorrhoid ointments and creams available on the market today. Many of these contain hydrocortisone to relieve the itching. These can be applied directly to external piles to relieve the symptoms and possibly shrink the piles. Witch hazel applied to external hemorrhoids can also provide relief.

Severe or large external piles that do not respond to home external pile treatments may need to be treated by a physician. Rubber band ligation, or banding, is a popular method to get rid of piles. During this procedure, elastic bands are wrapped around the base of the piles. This causes the tissue to die and eventually fall off.

Schlerotherpy is another common treatment for external piles. During this treatment, a chemical is injected into the hemorrhoid tissue. This chemical blocks the flow of blood to the piles, and the veins eventually collapse. Like banding, this treatment causes the piles to eventually fall off.


Larger external piles may need to be surgically removed. During this procedure, the piles are cut away from the body, and the cuts are then sutured closed. Pain and bleeding are often associated with this type of surgery, and infection is not uncommon.

Laser surgery is another option for patients suffering from piles. This is a less invasive option, and it usually results in less pain and bleeding. The risk of infection is also reduced.

After external piles are gone, there are a few things that a person can do to prevent them. Keeping the area clean is one of the best ways of to prevent piles. The anus should be washed everyday with water and a mild soap. If there are piles present, however, soap should be avoided since it can make the irritation worse. After a shower or bath, the area should then be patted dry with a soft towel.

Preventing constipation can also help prevent the formation of piles. To help feces pass out of the body easier, many doctors recommend increasing fiber intake. Fiber can be found naturally in raw fruits and vegetables, and bran. Drinking a lot of water can also help prevent constipation.


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