Thrombosed external hemorrhoid


Thrombosed external hemorrhoid

thrombosed external hemorrhoid
Thrombosed external hemorrhoid

Thrombosed external hemorrhoid are hematoma from venous rupture and clotting caused by excessive squeezing during defecation. Although it may occur on internal hemorrhoids, it
usually occurs on external hemorrhoids. Strictly speaking, it is a hematoma rather than a thrombus. The thrombus refers to blood clots within the blood vessels, but thrombosed hemorrhoids are not formed within the blood vessels.

thrombosed external hemorrhoid

External hemorrhoids are generally asymptomatic unless inflamed or thrombosed. Patients will commonly give a history of “flares” of their hemorrhoids every few months associated with either constipation or episodes of diarrhea where there is frequent straining and wiping. The most common symptoms of “external hemorrhoids” are actually due to external skin tags which may be due to the residual stretched-out skin found after resolution of a swollen or thrombosed external hemorrhoid. Symptoms from these skin tags are usually discomfort, itchiness, and a sensation of inability to get clean after a bowel movement because of the folds and crevices formed by the redundant skin that trap fecal material. 

When thrombosed, external hemorrhoids present with acute onset of pain associated with a noticeable tender lump. These occur most commonly in the setting of excessive straining (with constipation and diarrhea), prolonged sitting, travel, and child birth. The pain is usually described as a constant throbbing aching pain that is acutely exacerbated with further bowel movements. As patients are afraid to wipe after bowel movements, there can also be associated burning pain due to the persistent fecal contamination of the perineum. Patients are often unable to sit down and appear very uncomfortable in the office. Bleeding may be associated with a thrombosed external hemorrhoid and usually occurs around 48 h or more after the acute presentation and is usually associated with a relief of the pain as the thrombosis decompresses. The blood is typically darker with associated clots. On office examination, a tender bluish lump at the anal verge distal to the dentate line will be seen. 

Thrombosed external hemorrhoid healing time

Thrombosed hemorrhoids occur more frequently in patients who have constipation and who sit too long in the toilet. They usually show high anal pressure, which is frequently accompanied with anal fissure.

thrombosed external hemorrhoid

The symptom is a painful palpable lump around the anus. The size of the lump varies, and in severe cases, incarceration involving the entire circumference of the anus has been
noted. The smaller size of lump, the more easily pain subsides. Pain itself should be differentiated from perianal abscess and anal fissure.

Some people have seen remission in fewer than a month where walnut went to grape to a bean and then went away, to a degree that some people require that their bum is like new. Some people suffered three months, four months, six months but had seen the resolution of some sort, skin tag or not. Some people claim that a large thrombosed external hemorrhoids simply never goes away. It may lose some bulk, but it stays with you until you are warm food, and it increases to as large as its original size upon sitting, standing or straining. Some people seem to state that they’ve had it for years as is, and they do not even give it any thought.

Thrombosed external hemorrhoid home remedy

You will get all kinds of good if you take thrombosed external hemorrhoid treatment. Doctor’s will suggest you home remedies at the beginning of nursing. I am going to give some significantly useful thrombosed external hemorrhoid treatment at home which is told by many hemorrhoids specialist.

thrombosed external hemorrhoid

  1. Try to take least 10 glasses of water every day. This will ease you at a time of your bowel movement. The stool will become soften if you intake such quantity of water.
  2. Always clean anus area to avoid further hassle. Thrombosed external hemorrhoids are quite painful that is why clean with the soft hand (means with careful inspection). Use wet tissue paper to clean the area and try to clean the area with the soft cloth, mild soap, and warm water.
  3. Use ointment which is recommended by your doctor. Application of cream will soothe your inflamed skin. This will give you aid from the irritation or itchiness.
  4. Cut half Aloe Vera leaf and then take the gel out and apply it to the swollen area. You can also eat the Aloe Vera gel. This will make your stool soft, and it will pass through quickly.
  5. When you have irritation or hurt to the higher rate, try to use an ice pack on the rectal area. This will give you temporary comfort.
  6. Take out one small tub or you can use standard bath tub. Fill the tub with several inches of warm water. Then sit in it for about 15 to 20 minutes. Don’t use hot water as this will increase the irritation. Sitz bath soothes the hemorrhoids. After each bowel movement gives you some sitz bath, this will heal your thrombosed external hemorrhoids to the larger extent. If you are facing a difficult situation, try to take the sitz bath every day.Find out more about  Sitz bath for hemorrhoidsthrombosed external hemorrhoid
  7. Try to eat full of fiber items.
  8. Try to intake two glasses of prune juice daily. You will surely feel lite after drinking prune juice.
  9. Daily exercise will help with bowel movement function.
  10. Use Suppository for hemorrhoids


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