Can tensing the muscle that opens/closes the anus irritate external piles?

I have had an external pile for about a year, it never hurts, just feels like a tender lump on my anus. I’ve always had a weird habit of contracting the muscle of my anus when I’m nervous or sometimes when I just sit – Its the muscle which also holds off your pee. I’m wondering if prolonged tension of this can put pressure on the pile and stop it from going, as my stool is always soft and I can’t think of any other reason why its still there!
I’m a 22 year old male by the way, I think I caused the problem from a bad diet!

Ok, a couple of points need to be clarified.

The term ‘external pile’ is often misused to mean a skin tag at the anus. These form following healing of an anal fissure (a tear in the anal lining). Healing causes excessive tissue growth beyond that surrounding it, hence it forms a skin tag, otherwise known as an ‘external pile’ or ‘sentinel pile.’ It sounds like you are a prime candidate to have this, since clenching of the anus compresses small blood vessels, thus reducing blood supply to the anal lining, resulting in anal fissure formation followed by healing and skin tag formation. Anal fissures often itch and may cause slight bleeding, seen on the toilet tissue. Passing stool may sometimes hurt too.

External pile is often also used to describe a ‘prolapsed haemorrhoid.’ These are veins that start off inside the anus and over months or years, they can start to prolapse out. They may initially only appear on passing stool and then return into the anus (and not be noticed). But eventually, they may constantly remain outside the anus. They may bleed (into the toilet or onto the toilet paper) and sometimes a clot can collect inside them (thrombosed pile) causing them to swell and be a real ‘pain in the arse.’ No joke.

Both anal fissure and haemorrhoids are easily treated. I suggest you see a colorectal surgeon who can diagnose and treat you. Often earlier treatment is better and may avoid potential surgery.

Is Piles or Hemorrhoids a Disease Cures and Treatments

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Hemorrhoids can be both a physical manifestation of eating foods with too little fiber and an emotional manifestation of being in a constant state of tension. You may be in an environment, either at home or at work, where you feel unappreciated, unloved, criticized, or constantly under siege, embattled, fighting for your very existence.

It would be natural for anyone to ‘tighten up’ under these conditions, become self-protective, tense. Do you feel near-constant tension in your shoulders or some other area in your body? Do you feel under constant stress? If so, you may be coping by “holding it all in”.

The third possible cause is old injuries. Many Naturopathic doctors have been using acupressure for several years to resolve injuries that occurred many years ago. One of my friend find that each time he resolve an old injury his body compensates by becoming more healthy. He stand straighter, He is more flexible, his motions are more fluid, the tension (from the constant low level pain) leaves his face. He become more like the human being he has the potential to become. Life is, all around, better.

So, here is the advice for people who are suffering from piles：

#1. Replace 1 or 2 non-fibrous foods every day with a high fiber food. This time of year, there is all sorts of delicious, inexpensive, even free fresh produce available. So substitute 1 or 2 servings of fresh produce every day for those starchy or protein foods you have been consuming. That should start the process.

#2. Own the fact that, probably since an early age, your major coping mechanism has been to ‘hold it in’. There is nothing wrong with that, it got you through whatever craziness was happening in your life, at the time. It is just not serving you well, now. Begin your journey to learn a new way of coping. It won’t happen tomorrow, it will take time. By the same token, it will not happen at all if you don’t start today, or tomorrow.

#3. Either learn acupressure so you can self administer it. ( recommendation) or find an acupuncturist or acupressure practitioner who will work with you to ‘let out’ the tension you have been holding in your muscles.

One more thing, you might want to ask yourself who you associate with who is a major ‘pain in the a$$’, and find a way to get away from that person(s) or situation.

If you choose the self-treatment route, there are two excellent books I can wholeheartedly recommend (by the same author(s)) and an acupressure tool you can use to treat the places your hands cannot reach.

The books are:

1, “Trigger Point Self-Care Manual, For Pain-Free Movement” by Donna Finando.

2. “Trigger Point Therapy for Myofascial Pain” also by Donna Finando and Steven Finando. They are readily available; Amazon.com might be your best bet, or Borders or Barnes and Noble.

The acupressure tool is from Fenix Rehab Systems.