As a medical professional with a focus on gastroenterology, I am often asked about various conditions that affect the gastrointestinal tract, including hemorrhoids. Hemorrhoids are swollen veins in the lower rectum and anus, and they can be quite a nuisance when they become problematic. The question of whether hemorrhoids can be permanent is an important one, as it relates to the chronic nature of the condition and the potential for ongoing discomfort and symptoms.

Hemorrhoids are categorized into internal and external types. Internal hemorrhoids are located inside the rectum and typically do not cause discomfort unless they prolapse, or protrude, outside the anus. External hemorrhoids are under the skin around the anus and can be felt as lumps or swelling. The term "prolapsed hemorrhoid" refers to a hemorrhoid that has prolapsed, or pushed out, from its normal location. This can happen due to increased pressure in the area, such as during a bowel movement or due to straining.

When a hemorrhoid prolapses, it can sometimes return to its normal position on its own or with gentle manual reduction. However, in some cases, the hemorrhoid may not recede and can become a persistent issue, effectively becoming a "permanent" hemorrhoid. This persistent state can lead to various symptoms, including pain, itching, and bleeding, as mentioned in the provided reference material. Additionally, the constant presence of the hemorrhoid outside the anus can lead to the formation of excess skin, known as skin tags, which can further complicate the condition.

It's important to note that while a prolapsed hemorrhoid may seem permanent due to its persistent presence, treatment options are available. These can range from lifestyle changes, such as increasing fiber intake and avoiding straining during bowel movements, to medical interventions, including rubber band ligation, sclerotherapy, or surgical removal. The choice of treatment often depends on the severity of the hemorrhoid, the patient's overall health, and the presence of other complicating factors.

In summary, while hemorrhoids can become a chronic and seemingly permanent issue due to prolapse, they are not without treatment options. It is crucial for individuals experiencing persistent hemorrhoid symptoms to consult with a healthcare provider to discuss the best course of action for their specific situation.

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This is known as a prolapsed, or protruding, hemorrhoid. Sometimes these swollen veins remain prolapsed temporarily; in other cases, they become permanent. If the hemorrhoid remains outside the anus, it can cause pain, itching, bleeding and the formation of excess skin (skin tags). ... They also may bleed and itch.read more >>