What does it mean if hemorrhoids have several small flesh-colored bumps?

Jun 13, 2024 Source: Cainiu Health
Disease description:

I have hemorrhoids, and recently after bowel movements, several small lumps always appear around my anus. What does it mean when hemorrhoids develop several small lumps?

Doctor's answer (1)
Dr. Li Jingxiang
The appearance of small fleshy lumps in hemorrhoids is usually related to the type and severity of the condition. These small lumps may represent protruding parts of hemorrhoids and commonly occur in the following situations: 1. **External hemorrhoids**: These develop below the dentate line of the anal canal and mainly present as small lumps around the anus, often accompanied by symptoms such as pain and itching. 2. **Internal hemorrhoids**: Located above the dentate line, internal hemorrhoids may prolapse from the anus when they progress to a certain stage, forming small lumps. The size and number of these lumps vary depending on the degree of prolapse. 3. **Mixed hemorrhoids**: A combination of internal and external hemorrhoids, mixed hemorrhoids can also lead to the formation of such lumps. In addition to the above causes, the development of these small lumps may also be associated with poor bowel habits, chronic constipation, increased intra-abdominal pressure, and other factors. To prevent and treat hemorrhoids and their associated lumps, patients should maintain healthy lifestyle habits—such as avoiding prolonged sitting, eating a balanced diet, and keeping the anal area clean. If in doubt, it is advisable to seek timely medical consultation.