Hemorrhoids Photos and Pictures

This photo is the classical appearance of prolapsed internal hemroids – the hemroid grape appearance you hear a lot about:

The classical grape view of prolapsed internal hemroids / hemorrhoids.

The next photo was purchased and shows an internal hemroid – center – and a substantial external hemroid – just underneath, with the other bulges also being other external hemroids. The fold of skin toward the bottom may be a skin tag. Small skin tags can be left behind, when an external hemroid heals – the blood vessels resumes normal size, but the skin is stretched too far, and so a little dangly bit of skin is left (a type of skin tag).

Photo of an internal and an external hemroid

The above is a very nasty case of hemroids, and would be surgically treated by a hemorrhoidectomy.

The 2 photos below show the same prolapsed internal hemorrhoidspiles, haemorrhoids, hemroids – in it’s natural looking state, while the second one shows what the internal hemorrhoid looks like when the tissue has been pulled back from it (this internal hemroid is shrinking, as it was taken while using Venapro). The bulges around the internal hemorrhoid are external hemroids.

prolapsed internal hemorrhoid, pile, hemroid, haemorrhoid Same hemorrhoid/pile as the one on the left, but with the external hemorrhoids pulled away from it.

Below is a picture of Grade 4 bleeding hemorrhoids, I suspect both internal prolapsed and external hemorrhoids are present in the photo. Photo of bleeding hemorrhoids courtesy of copyright holder ?p?st???? Staµat??d??.

Bleeding external hemorrhoids that are diagnosed as Grade 4 - reuiring surgery for removal

Not sure what is going on in the picture, or where the bleeding is coming from, but I suspect the bleeding is coming from inside.


The next two photos of bleeding external hemorrhoids were graciously donated to this web site. The bleeding hemroids photo picture on the left was taken several days earlier than the one on the right, and appears to show the external bleeding hemroid becoming more damaged, perhaps even an abscess (bacterial infection) on the hemroid just starting to form.

external bleeding hemroidsThe same external hemorids several days later.

The next photo, graciously donated, shows the classical appearance of an external hemorrhoid, in this case, it is a thrombosed external hemorrhoid. Non-thrombosed external hemroids look just the same for the most part, but a more normal color. This one I’m told followed a three day period of constipation and presented with massive pain (undoubtedly the pain was caused by the thrombosis).

The flap of skin over it appears to be an anal skin tag, and is often the result of the old stretching procedure some doctors and surgeons practiced for anal fissures that wouldn’t heal. Such skin tags can also be formed when an external hemorrhoid goes away, as the stretched skin caused by the hemorrhoid is unable to resume normal shape. In this case the anal skin tag was thought to be caused by excessively large stools earlier in life.

The thrombosed hemorrhoid actually looks like a black pearl in many respects, but even though it was thrombosed and causing severe pain, the surgeon considered it too small and sent this lovely lady home with the directions to take an anti-inflammatory, and to take a wash cloth soaked in warm water and salt and place it on the hemorrhoid for a period of 5 minutes twice per day. How would I treat it, although it is an external hemroid and therefore easily dealt with, the blood clot within it makes it difficult as I don’t know how any over the counter product would interact with it. My suggestion therefore would be to wait for the blood clot to clear or be surgically removed, before trying to treat the hemroid.

External thrombosed hemorrhoid, skin tag on the right.

This next hemorrhoids picture again appears to be of external hemorrhoid, and another thank you to the owner for providing it. Being an external hemroid, I would likely use either Heal Heorrhoids or Neo Healar for it, as they are the cheaper alternatives.

Photo of an external hemorrhoid / hemroid

This next photo picture of hemorrhoids below, well, I can’t make up my mind. It appears to be of external hemorrhoids, one of which appears to have a very tiny blood clot (dark spot in the larger hemorrhoid) – thrombosed hemorrhoid. Prior to the blood clot, the hemroid may have been the same size as the smaller one. What’s confusing about this picture of hemroids, is that the larger hemroid is still a reasonably normal color overall. A thrombosed hemroid, in it’s worst state, will normally appear darkish and bluish. The donor of this photo described the pain as agonizing and was off to see a doctor for it. The other noteworthy point of confusion for me is it’s shape and it’s precise location. If it is poking through, then it is an internal hemorrhoid prolapsed out and with a small thrombosis in it.

Thrombosed hemorrhoid

Below appears to be a couple of photos of a hemorrhoid with a harmless skin flap right next to it. Graciously donated, so a big thank you.

External hemorrhoid and a harmless skin flapThe second picture of the external hemorrhoid and skin flap

For the external hemroid in the photo above, I would suggest that for cost effectiveness you could use either:

Below is a picture of a tiny little external hemroid, following pregnancy and childbirth.  In spite of it’s apparent size, at times it may have been extremely painful and troublesome and even much bigger if straining was going on.

This external hemroid could easily be mistaken as a skin tag (a little bit of loose skin) in this picture. This photo of an external hemroid was graciously donated – thank you.

This picture of an external hemroid following pregnancy and childbirth.

For this external hemroid I wouldn’t try and treat if I were you until after the baby has been weaned off the mothers breast milk, at that point, if the hemroid remains, I would then suggest you could use either:

The following three photos of external hemorrhoids were also donated, so another big thank you.

These pictures show how external hemorrhoids can appear different according to how much straining is going on.

The first picture of the external hemorrhoids is when the anus is relaxed, no straining.  The second picture when it is slightly strained and the third hemorrhoids photo shows what the external hemorrhoids look like when there is much straining going on.  You can see from these pictures quite dramatically how straining can aggravate and cause hemroids.

You can tell they appear to be external hemorrhoids, because the hole has nothing poking through and hiding it.

This picture of external hemorrhoids shows that they don't always show themselves - no straining How external hemorrhoids may appear with little straining External hemorrhoids that appear with much straining

Personally, although the two photos on the right show what external hemroids can typically look like, the photo on the left shows that the veins are still able to return to their normal state – so it would be more correct to say the two photos pictures of external hemroids on the right, are of veins that have not fully developed into external hemroids, but they are certainly on their way to doing so. That’s my suggestion anyway.

If your condition does not appear to be like those above, it may be that you have internal hemroids – a condition you cannot see normally, unless you use medical apparatus and someone else – doctor – to assist you.

If you have a condition around your anus that doesn’t look like any of these photo pictures, then chances are you are suffering from a different condition to hemroids.  The most likely one being genital warts.

Another point to consider about using the appearance to diagnose your own condition, is that you can tell from reading the above that there is so much uncertainty about figuring things out that way. Hemroids can come in so many different shapes, forms, colors, that proper diagnose really should be left to the professionals.

If you suffer from hemroids, then pain and symptom relief can be obtained very quickly, using Venapro. Taken orally, it is clean and hygenic – you don’t have to touch the anal area at all. Venapro works to heal the hemorrhoidal area, shrinking hemroids, and eliminating the discomforting hemroid associated symptoms of pain, itching, bleeding, swelling, burning, and all those other agonizing nasties. Importantly, Venapro works to prevent constipation, a leading cause of hemorids. To see the photographic results of a fellow hemroid sufferer, who used Venapro for her massive stage 4 prolapsed hemroid and on her extremely advanced external hemroids, check out our Venapro page. You wil be astounded to SEE how well Venapro does, and in such a short period of time.

Skin tags of the anal region, anus.

This photo picture of skin tags was graciously donated by Mark, presumably his alias name.

Mark suffers from Crohns Disease, a disease known for causing skin tags around the anus.

The main obvious difference between skin tags and hemroids is that the skin tags are flattish in appearance and appear more on the rim of the anus, than actually poking through.  Another type of skin tag you can get is the common skin tag, and that is a small thing, like a pin head held to the skin by a thin and short stalk.

View the original article here

Many readers send me their photographs in order that I may try to help them understand their condition.  I try to answer all emails and comments as quickly as possble, and will ask if I may use your photograph, completely anonymously, in order that it may help fellow sufferers.



  1. Thank you for commenting. I have just read up on this particular form of treatment as I was not aware of it before. It does seem that it is widely used for many ailments in various forms, haemorrhoids being one of them. I am not a medical practitioner but there does not appear to be any side affects associated with this remedy. It is entirely up to you whether to take this or not. If it does work for you, please report back, I like to find out what works for people


  2. m.shanavas says:

    I have little pea size near my anus area no pain no bleeding no itching but I am afraid.yester say I was took consult one ayurveda doctor he give one lahyam and one oil they will fine or not

  3. Hi Scott,

    Please fill out the contact form http://relieffromhaemorrhoids.net/contact-me/


  4. Need to send a pic I have and pea size thing just outside my anus not sore or painful skin colour smith to touch

  5. Hi Simon what is you email please

  6. Hi Tonya.

    That is pretty classic of a hemorrhoid, although I’m not sure what medication you are taking is going to help? It is difficult to say. There are many factors then can cause hemorrhoids and the remedies/treatments are not universally effective. Try an anti-inflammatory to educe the swelling and check out your diet. Stress can also be a major factor, Christmas has a massive affect on the rise of this condition. Try the Home Remedies http://www.relieffromhaemorrhoids.net/category/home-remedies-for-hemorrhoids/ and something may help. If you are worried, see a medical professional sooner rather than later. It reads like you have external haemorrhoids and these can be really painful. Usual advice is to keep the fuid intake up to keep the stools soft so you don’t strain and anti-inflammatories as I mentioned before, and a sitz bath might give you some much needed relief too.


  7. Tonya Duncan says:

    I notice this marble sized hard purple bump down there it’s pretty sore. I can like clench my bottom using butt muscles the bump goes in did down to do to bathroom it will come out, is it serious or can I just use meds I have pics also thank you

  8. Hiya Tia,

    If you are getting them a few times a year, then there may well be a certain pattern that is causing them. I would ask if you have a particularly stressful time at certain points of the year which then makes them appear? If this is the case then you can do certain things to help reduce the pressure in your bowel area such as drinking more water and eating extra fibre to keep the stool loose. I would also spend less time on the toilet when having a movement as this creates extra pressure too.

    Please let me know if this is the case if you can and I will look into your particular circumstances a bit deeper for you.


  9. Hi,I get haemorrhoids few times a year I try hard not to do anything to aggravate them it’s back to day one after 12months pain is excruciating how do I stop it from getting worse it usually last 5days how do I recover quicker

  10. Hi Jamie, yes you can still send to my email. Apologies for the delay in responding – Simon

  11. Hi Simon can I still reach you at your email to send a photo of my condition

  12. Neosporin is a wound treatment but unless you see a medical professional, this will not help you really. Keep the area clean and seek professional advice as it would seem that you condition is worsening – Simon

  13. Mine look like the external bleeding hemorrhoid. Though recently the wound opened bigger after a bowl movement and now its bleeding more. Ive developed a cough with some phlem im afraid the constant coughing will make it worse. I would like to heal the bleeding wound and would use neosporen though im not sure if i can use it in that area safely or if it will even work.

  14. Hi Chris. I would strongly recommend that you seek medical advice.

    If you are under stress or anything that will increase you blood pressure, you will suffer. Also diet is key, try drinking more water with each meal to keeps stools soft.

    Have you tried the sitz bath and pushed the hemorrhoid back in? Please read some more information on the home remedies and the possible causes. If you can eliminate some of the causes it should reduce the swelling. Also, look up on anti-inflammatory creams etc as that may help too.

    As each case has multiple factors that can be attributed to their development it would be naive of me to suggest one remedy or path to take.

    Sorry about your situation and I hope you find some relief soon.


  15. chris scott says:

    Hi I have had hemorroid internal but never did anything about it, well now over time it has moved to the outside and has become swollen, bleeding and painful. My wife said it looks black in color and has white tissue around it. Please tell me what should I do. Continue home remedy or go to .er? I have no insurance so that is hard for me. Thanks so much!

  16. Hi Wendy.
    It is difficult to say. There are many factors then can cause hemorrhoids and the remedies/treatments are not universally effective. Try an anti-inflammatory to educe the swelling and check out your diet. Stress can also be a major factor, Christmas has a massive affect on the rise of this condition. Try the Home Remedies http://www.relieffromhaemorrhoids.net/category/home-remedies-for-hemorrhoids/ and something may help. If you are worried, see a medical professional sooner rather than later. It reads like you have external haemorrhoids and these can be really painful. Usual advice is to keep the fuid intak up to keep the stools soft so you don’t strain and anti-inflammatories as I mentioned before, and a sitz bath might give you some much needed relief too.


  17. Haemhroid 4 days . Size grape! One half dark blue. No reason to of got it and started to use cream but no change in size. Uncomfortable but not painful or bleeding. Will it eventually go?

  18. Hi Michael.

    It is a sad state of affairs when working treatments, such as sclerotherapy, are with-held due to funding, when the treatment will halt the need in those for further treatment, which of course will cost more. I, myself, had sclerotherapy, and have never had the need for further treatments. Thankfully, I am in the UK so the NHS here is/was pretty good. I cannot say for sure now, as this was nearly 20 years ago.

  19. I’m a retired surgeon. ointments, salves, banding are all bs…the roids return. I haven’t done a hemmorhoidectomy since 1991. It’s a bloody procedure and every week for 6 weeks I have to do a PAINFUL rectal exm to pevent narrowing of the anus. I inject a sclerosing agent+marcaine above the dentate line 1/8th the circumference at a time. The roids are then gone forever. The veins from the guts that fed them are scared down forever.. Now for the bad part: no dr. will do this because they don’t get paid enough for it. therefor surg is recommended. FP’s don’t do it because they have been relegated to gate-keepers and testers. I personally had banding for bleeding. a year later I bleed just as bad.

  20. Hi John, apologies for the delay. I received your email and have responded, though I do require a little more information, as is contained within the email.


  21. Hey simon I sent you an email earlier get to me when ever possible quite worried… thank you

  22. Hi Michaela. I have sent a reply. You are not alone in your suffering, it it much more widespread than you can imagine, so try not to panic.


  23. Michaela says:

    Hello Simon, I send email and praying for advise. It is really very scary 🙁

  24. Hiya Zola Bunny.

    I received you email and have sent a response. Try not to worry.


  25. Zola Bunny says:

    Simon, i sent a photo to you. I have no idea if it’s a skin tag, or a hemroid, but i’d really like somewhat of an idea before i ask my doctor. I’m very worried…

  26. Hiya,

    Did the doctor say how long this would take? If, by the end of the week, nothing has changed, go back to the doctor and ask to be referred to a proctologist to have a proper examination. I do not know how bad your hemorrhoids are, as I haven’t seen them, but as I am not a professional, I can only give you this advice. I, personally, would go and see the doctor before the end of the week so that I wouldn’t be worrying over the weekend. You shouldn’t feel that this is too soon as the discomfort can be unbearable, I know, and the added worry could add pressure which will aggravate the situation even more.

    Feel free to email me if you want to, I would like to know how you get on

    I wish you all the best – Simon

  27. Hi Simon, I am suffering from an external haemorrhoid. Its starts with and itch for a couple of days and 3 days ago BOOM I felt a lump on the right side of my anus close to the opening. I went to the doctor and was prescribed DAFLON 500MG TABLETS (1 tablet 3 time per day) and Proctolog Rectal Cream (Apply 4 times per day). I have been taking Sitz Bath 3 times a day for 30mins each, after that I will put a small ice pack on it. Today I bought EPSOM SALT and add it to the tub for my Sitz Bath. I also started taking DUPHALAC (Stool Softener). I don’t think the medication is working for me. There are times I feel pulsing aches down there, its hard to sneeze, cough and even fart because they cause the muscles to contract. How long should I wait before making my way down to the doctor again??? How long must I wait till its gone for good??? And please I need tips!!! I apologise, its jus that this is my first experience. I hope You will reply. Thanks.

  28. Hi Amy, I checked your email and sent a reply.

    Regards, Simon

  29. hi…. interesting website… i sent you an email of a pic i would love for you to check out and get back to me on…. alittle worried about it

  30. Hi
    I read it, thanks a lot.

  31. Hi Sahar,

    I have responded to your query.

    Regards Simon

  32. Hi Tya.

    I have reviewed the photo and sent a reply.

    I hope it helps


  33. Hi
    Is there any difference between prolapse hemorrohide and rectom prolapse or they are the same?
    Plz email your answer.

  34. Tya Lee says:

    Dear Simon,
    I just sent an email with the picture on it. I have haemarrhoid for 7 days now.. And its still buldging… Will it shrink??? Thanks

  35. Hi Babak,

    It could be a skin tag Skin Tag with Hemorrhoid from the description of cotyledone. These are perfectly normal and can be a result of a number of things and can be removed with simple surgery if needed. Some more on this can be found here http://www.relieffromhaemorrhoids.net/?p=532.

    Hope this helps 🙂


  36. hello . i saw a little outgrowth (like cotyledone)on my girlfriend anus .she told me: i have never been constipated and in a anal sex.what could be its reason or is it normal?
    thanks alot

  37. Hi muayad_tt.

    Really sorry that you are having some problems, and I know first hand about the pain and having added frustration must make it unbearable.

    I can’t comment on the level of healthcare that Dubai provides, unfortunately, but I would strongly suggest that if you could see another medical professional, then do so. It is important that you know about the options available to you, the reasons for this particular surgery, the pro’s and con’s of the surgery, and to have trust in the doctor. You may have very painful external hemorrhoids rather than stage 4 thrombosed hemorrhoids, but whatever they are, a procedure will be needed in most cases.

    To alleviate the pain and swelling, anti-inflammatory creams can be used, but the relief can be very minimal. There are some home remedies too, but I fear that you may be of a too far advanced stage for any immediate effect.

    The only real suggestion I can make is try to see another doctor for a second opinion, one that will give you the support and reassurance you require.

    I wish you all the best and I apologise that I can’t offer more specific advice.


  38. Would I get reply by today?

  39. I’ve got thrombosed external hemorrhoid stage 4, I saw a doctor who suggest a laser surgery, but that doctor really took away my trust when he didn’t gave me any advice or medicine, he just look at it to 10 seconds without any kind of device or that medical telescope to check if any internal thrombosed hemorrhoid, and told me directly u have stage 4 thrombosed external hemorrhoid and u need a laser surgery, without even advice me what should I do or prepare or explain for me any cautions I must take or any kind of food I have to avoid and charge me 100 bucks for that total 90 second. Even when I asked him for a medical report I had to wait almost 30 mnts to get piece of paper written on it that I went to his clinic and that he found thrombosed external hemorrhoid on me and I’ve been adviced for the treatment that I needed, now am stuck in the pain and am afraid that my condition will develop worst and in the same time am afraid that if I go to another doctor will have similar situation, I’ve always heard that Dubai’s health care is the worst unless u go to the 5 stars clinics but now am sure about it but not sure about those 5 stars clinic which could cost a furtune which I think I better to go to another country to do that surgery and have a little good time after all and still will cost me less.

    Any advice plz?

  40. Maxima Livers says:

    Skin tags (Acrochordons) are small growths of skin that are usually narrow at the base, with a brown, pink, clear, or flesh colored appearance. They range in size from very tiny, to the size of an eraser tip on the end of a pencil. Skin tags can grow almost anywhere there is skin, but are generally found on the neck, back, underarms, groin, and eyelids.^

    Newest post straight from our new web page

  41. Hi Kevin.

    Burst hemorrhoids is not usual, but that is not to say this doesn’t happen. Of course if it burst, it would then clot and subside as no more blood would be flowing to the damaged tissue. If you are having no adverse affects to the treatment that you are administering, I would continue, especially if this continues to shrink. 75% is great in ten days.

    I always recommend seeing a medical practitioner as they can check you out properly if you are unsure, and this of course will ease your mind thus relieving any added pressure which won’t help. Keep checking and if you notice anything strange starting to appear, go and seek help.

    I’m happy for your new-found relief 🙂


  42. That is excellent news DiWi. I’m glad that something is working for you 🙂


  43. Hello,

    A few weeks back I felt a bulge on outside of anus. I have experienced mild hemmorrhoids in the past. A few days went by and it grew to the size of a grape overnight. I did exprience some constipation that week and while on vacation did a lot of bike riding. I assume this aggravated my condition. I did sits baths which did help. After a week, the lump burst and bleed heavily at first then subsided. Lump has now decreased in size by 75%. Pain has also subsided. It was dark blue on surface before it burst but it now looks like it is trying to heal. It’s been three weeks since it blew up and ten days since it burst. Should I continue with home remedies or consult doctor. I want to be sure it’s just a hemorrhoid and not something else.



  44. You don’t need to take medicine by mouth, they only put it on the hemorrhoids, I know that you can be allergic to some medicine but until now, I am doing good, just some minor swelling because ofthe new skin

  45. Hi DiWi,
    Good to know that you found a solution. Herbal remedies are becoming more and more popular, but if you are to take anything natural, please be aware that some ingredients can have an adverse effect, so caution is advised.

    Please read this post first:


  46. I had hemorrhoids for years, tried everything I could to cure them but it didn’t work, the doctor wanted a surgery but that is extremely painful so I went to Vancouver and get treated in a Chinese clinic with natural hens, first I didn’t believing it but after 7 days my hemorrhoids fell off, I had three external and two internal, they are gone.
    It costs ome money but it is worth it, I am still in Vancouver and get treatment, you have to come in ones a day for 5 minutes, those doctors really care for you, they don’t cut just put medicine on and the hemorrhoids shrinking and fall off.
    Next week I can go back to the US, no hemorrhoids anymore, I am here now for 9 days.
    Please people don’t do surgery it is very bad and they will come back, those doctors here have experience for 5 generations and two clinics in Canada, Toronto and Vancouver.

  47. Hi Rebecca,

    If you are looking for Home Remedies, then take a look at these two posts. There are home remedies and the reasons why they are supposed to work. No guarantees as everyone is different, and if it gets worse, best to see a doctor. I know how painful they can be.



    Wishing you a speedy solution


  48. rebecca jones says:

    i just got a hemeroid and it is excruciating pain, itching and just iiiiick. what is the best home remedy for this…its hard and about the size of a large marble

  49. Email me a picture simon@relieffromhaemorrhoids.net and I will email you a response, but I would seek a professional opinion.

  50. How do I get you a picture and will you tell me what you think as well?

Speak Your Mind


Optimization WordPress Plugins & Solutions by W3 EDGE