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 very painful. Thrombosed hemorrhoids are related normally with external hemorrhoids. Most treatments involve surgically cutting the thrombosed hemorrhoid so the clot can be drained and the pain will recede.
There're many kinds of behavior that can be followed to alleviate the pain associated with thrombosed hemorrhoids. A few suggestions include ensuring you are hydrated & avoiding dehydration, not straining during bowel movements, using stool softeners & laxatives for constipation, hemorrhoid cream, warm baths, eat foods like fruits and vegetables that are high in fiber, get regular work out, empty your bowels the minute you feel the need, or 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'll require to have some type of medical treatment to make the hemorrhoid go away.
These treatments include burning the hemorrhoid with IR light, starving the hemorrhoid using rubber band ligation, using chemical substances 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 hemorrhoidectomy. Often doctors will just cut the hemorrhoid and squeeze the clot out but this doesn't always cure the hemorrhoid and it can come back. It is greatest to have the full effected area removed. These procedures are painful but removing the vessels and area will be worth it once you have healed.
There are some steps you'll require to take to heal properly after having the thrombosed hemorrhoid removed. You might feel some discomfort until the area heals and you might 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. Sometimes warm baths are recommended to ease the discomfort.
Often if you experience acute pain you'll need to have the blood clot excised from your hemorrhoids. However some emergency rooms do not like to perform this surgery and will use many of the following reasons why they can not do the fairly simple surgery, this includes allergy to the local anesthetic used, known coagulopathy, systemic illness that would raise the risk of the procedure, perianal infection, portal hypertension, inflammatory bowel problems, 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 surgery offers the most immediate relief. This kind of surgery can be considered an emergency or be conducted as an office visit. It is crucial to make certain your diagnosis is correct, as there are other illnesses that may have similar problems but are treated much differently.
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