Thrombosed hemorrhoid home treatment
Hemorrhoids are associated with a disorder of the digestive system and whose location, the anal region, is often a taboo subject. The result of the dilation of small veins located in the lower rectum, what is classically called hemorrhoids, external or internal, is generally not painful and is treated locally. In more severe forms where this treatment is not sufficient, surgery may be considered.
What is hemorrhoidal thrombosis?
Hemorrhoidal thrombosis is an acute manifestation of the hemorrhoidal disease. This is a clot in hemorrhoid. It is most often manifested by the very sharp pain of sudden onset, at the same time as a more or less hard swelling is formed in the anus. More rarely, there is no pain and only rapid appearance of size.
Hemorrhoidal thrombosis is the most common cause of proctology emergencies (nearly 30% while abscesses account for only 14%). Almost 9% of the hemorrhoidal pathology presents itself in the form of thrombosis. This accident is seen at any age but especially in the 3rd and 4th decade; it manifests itself equally in both sexes. Thrombosis should not be confused with other causes of acute pain such as abscess, fissure, or other anal lumps: scabs, benign or malignant tumors.
Many triggers have been implicated in the occurrence of thrombosis: alcohol, spices, stress, violent sports, travel, intestinal transit disorders, exaggerated efforts to push for bowel movements and most importantly in women, the episodes of the genital life: rules, pregnancies (in the 3rd trimester 8% of the women make a thrombosis) and especially delivery (20% of the mothers give a hemorrhoidal thrombosis).
Hemorrhoidal thrombosis is painful and troublesome, but is in no way dangerous: no risk of severe hemorrhage, migration of blood clot or other infection; it is a benign pathology.
How is the diagnosis made?
When one looks at the margin of the anus, one finds a bluish or slightly translucent swelling (by the edema) revealing bluish clots. This swelling can be localized to a part of the anus or on the contrary to be practically circular, sometimes improperly called “hemorrhoidal strangulation.”
External thrombosis occurs when thrombosis sits under the skin of the anal margin or prolapsed internal thrombosis when it comes to internal hemorrhoids that have come out of the anal canal. More rarely, internal hemorrhoidal thrombosis is not increasing and remains inside the anal canal, discovered only during the examination (anal and rectal touch and anoscopy).
The exact mechanism of formation of thrombosis is not known. Some believe that this is the rupture of a vessel creating a hematoma, others that an intravascular clot occurs as a result of biological changes associated with a phenomenon of stasis and trauma.
The natural course of thrombosis is towards resorption of edema in 3 or 4 days, with the disappearance of edema the pain decreases; the clot is much slower to disappear (2 to 6 weeks). It can then persist a skin fold called “marisk.” The clot never migrates and therefore can not cause pulmonary embolism. Sometimes the skin covering the thrombosis blackens and ulcerates, which causes bleeding and the evacuation of small clots: this is sphaceleal thrombosis.
How can one treat hemorrhoidal thrombosis?
This is a function of the physical discomfort it causes and its anatomical shape. Sometimes the thrombosis is small or not painful; we can very well do nothing and let the resorption is accomplished naturally.
If the thrombosis is essential with a lot of edema, then medical treatment must be used: it generally involves taking analgesics, nonsteroidal anti-inflammatory drugs (except in pregnant women) and possibly high dose phlebotonics. Locally hot or cold sitz baths can reduce pain. Suppositories and creams that may contain corticosteroids, local anesthetics, antispasmodics, lubricants.
When the thrombosis is external, single and there is no edema, we will be able to incise it to evacuate the clot or better yet with local anesthesia perform an excision of the skin that covers the thrombosis which allows removing all the clots.
In some particularly essential cases with necrotic circular thrombosis, emergency surgery can be offered. This is a complete hemorrhoidectomy of the Milligan and Morgan type, which cures both thrombosis and hemorrhoids.
There is no preventive treatment for hemorrhoidal thrombosis. The triggering factor should always be avoided when identified and regularized intestinal transit. Some suggest using lubricant suppositories to avoid pushing.
In patients with frequent and debilitating thrombosis, only scheduled surgery will solve the problem.
Hemorrhoidal thrombosis: our best tips to heal quickly
Hemorrhoidal thromboses are blood clots in the hemorrhoidal veins. They are due to rather weak blood circulation in this zone causing stagnation of the blood. The intense pain is due to the blood clot that blocks the hemorrhoidal veins. But there is no need to worry; there are several tips given to treat and relieve hemorrhoidal thromboses :
Use Aloe Vera
Aloe Vera is a plant with many healing properties. It has anti-inflammatory and soothing properties. It also reduces the irritation caused by hemorrhoids. This plant can cure both internal and external hemorrhoids. As for the use, it is first necessary to extract the juice and then use it either as a massage gel or as a suppository. Aloe Vera juice is used as a gel to massage external thrombosis circularly. The action is to be done once or twice a day for the thrombosis to disappear after a few days. As for the suppository, it is first necessary to freeze the Aleo Vera juice for 3 hours and then introduce it. For this second use, the pains and congestions disappear instantly.
See more: How to use aloe vera to cure hemorrhoids
Do not forget the ice cubes
The application of ice is the most recommended treatment in any case of pain and inflammation, including hemorrhoidal thrombosis. Ice soothes pain instantly. But it is not only that, but it also helps reduce swelling and improves the blood vessels to tighten and shrink. You have to take an ice pack or a cloth with a piece of ice wrapped in it and put it directly on the sore area. It must be left on this area for 10 minutes. This action is repeated several times a day until the pain caused by hemorrhoids disappear.
Make sitz baths with warm water
The sitz bath is one of the treatments for hemorrhoidal thrombosis. It helps reduce inflammation and pain while providing cleanliness to the anal area. The temperature of the sitz bath should be optimal otherwise it can aggravate inflammation (especially if the temperature is too high). We must, therefore, favor warm water for the sitz bath and also, it provides a feeling of freshness and an instant relief effect. It is necessary to repeat this action 2 to 3 times a day to be effective.
See more: 4 sitz bath for hemorrhoids ideas
To eat cayenne pepper
By consuming cayenne pepper, blood circulation in the arteries and veins improves. Its consumption can also significantly reduce the inflammation of the veins while relieving congestion. Cayenne pepper is, therefore, a very effective remedy for treating hemorrhoidal thrombosis. It should be noted that cayenne pepper is to be incorporated orally.
This is one of the most common treatments; this one helps shrink the size of hemorrhoid and provides temporary pain relief.
Witch hazel is a plant commonly used in herbal medicine, mainly to relieve hemorrhoids and hemorrhoidal thromboses. To use it, dip a dozen grams of the plant (leaves, young twigs, and pieces of bark) in a quarter of a liter in cold water, then bring to a boil for about half an hour. Once the concoction is ready, you must let it cool down and then apply it to the affected skin, either directly with the fingers, or using a cotton pad or a compress. It has astringent, anti-inflammatory and hemostatic effects, which will help you to relieve thromboses quickly.
Here, we mainly talk about preventive treatment.
Indeed, the causes of hemorrhoidal thromboses are mainly overweight and constipation.
Proper nutrition is, therefore, an excellent method to treat the causes of hemorrhoidal thromboses. An excellent tip to follow is to add fiber to your diet and increase the number of fluids you consume. Eat lots of fruits, vegetables and whole foods to stock up on fiber and drink lots of water and juice (ideally at least two liters of water a day, not to mention fresh juice).
This will reduce the tension present when going to do your needs. This type of dietary change will also decrease the likelihood of recurrence of hemorrhoids. If these tips do not bear fruit, it should then add the daily intake of products that soften the stool, in other words, laxatives, but do not overdo it.
Adopt good habits every day to avoid surgery
To avoid going to the doctor for hemorrhoidal thrombosis comes first and foremost by adopting a defensive attitude of their appearance.
So first remember to follow the basic nutrition rules already mentioned, namely lots of fiber, lots of water, little fat, little spice, moderation of coffee consumption and alcohol.
It is then necessary to develop certain habits in the long term which will reduce the appearance of hemorrhoids and consequently, thromboses. You have to do sports, avoid standing for a very long time, avoid irritating your anal area (either with toilet paper too rough or with a lot of chemicals), minimize the time you spend in the bathroom but also adopt a good position when you go there.
It would also be very beneficial to take herbal teas that help intestinal transit.
Now, if thromboses appear, remember that many home treatments are not recommended for the cure. For example, avoid protecting hemorrhoid with an elastic band or making it burst. Indeed, a hemorrhoidal thrombosis is not a small acne pimple that you will have fun to burst (something you are advised against doing for your pimples) because by adopting this attitude, you can increase the risks bleeding and infection, the consequences of which can be very serious. If you have any doubts about the approach to take, you are strongly advised to consult your doctor.
The best option to treat this type of hemorrhoids is to change your lifestyle and your eating habits, to avoid the reappearance of hemorrhoids.