Causes And Treatments Of Thrombosed Hemorrhoid

A thrombosed hemorrhoid is a hemorrhoid that has become so large that blood as pooled in it causing a blood clot. It will turn blue-purple in color and is extremely painful. Thrombosed hemorrhoids are associated generally with external hemorrhoids. Most treatments involve surgically cutting the thrombosed hemorrhoid so that the clot can be drained and the pain will recede.

There are many types of behavior that can be followed to alleviate the pain associated with thrombosed hemorrhoids. A few suggestions include making sure you are hydrated and avoiding dehydration, not straining during bowel movements, using stool softeners and laxatives for constipation, hemorrhoid cream, warm baths, eat foods like fruits and vegetables that are high in fiber, get regular exercise, empty your bowels the minute you feel the need, and avoid aggressive use of toilet paper.

The above treatments can help provide relief for the pain and itching due to the thrombosed hemorrhoid but they do not actually cure the hemorrhoid. You will need to have some sort of medical treatment to make the hemorrhoid go away.

These treatments include burning the hemorrhoid with infrared light, starving the hemorrhoid using rubber band ligation, using chemicals to shrink the hemorrhoid, called sclerotherapy, and actually surgically removing the hemorrhoid.

The best treatment for a thrombosed hemorrhoid is to have the entire area removed using a full hemorroidectomy. Many times doctors will simply cut the hemorrhoid and squeeze the clot out but this does not always cure the hemorrhoid and it can come back. It is best to have the entire effected area removed. These procedures are painful but removing the vessels and area will be worth it once you have healed.

There are a few steps you will need to take to heal properly after having the thrombosed hemorrhoid removed. You may feel some discomfort until the area heals and you may notice some bleeding in your stool for a month or two after the procedure. To decrease the possibility of infection you should use an antibiotic cream for a few weeks after the surgery. Many times warm baths are suggested to ease the discomfort.

Many times if you experience acute pain you will need to have the blood clot excised from your hemorrhoids. However some emergency rooms do not like to perform this surgery and will use some of the following reasons why they can't do the fairly simple surgery, this includes allergy to the local anesthetic used, known coagulopathy, systemic illness that would increase the risk of the procedure, perianal infection, portal hypertension, inflammatory bowel disease, or anorectal fissure.

It has been proven the excision has the lowest rate of recurrence for thrombosed hemorrhoids but many times this type of hemorrhoid can be misdiagnosed as mentioned above. The surgical procedure provides the most immediate relief. This type of surgery can be considered an emergency or be conducted as an office visit. It is important to make sure your diagnosis is correct, as there are other illnesses that may have similar problems but are treated much differently.

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