A thrombosed hemorrhoid is a hemorrhoid that has become so big that blood as pooled in it causing a blood clot. It'll 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 are many kinds of behavior that can be followed to alleviate the pain related with thrombosed hemorrhoids. Some 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, and avoid aggressive use of toilet paper.
The above treatments can help provide relief for the pain and itching because of the thrombosed hemorrhoid but they don't 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 chemicals to shrink the hemorrhoid, called sclerotherapy, and actually surgically removing the hemorrhoid.
The best treatment for a thrombosed hemorrhoid is to have the whole area removed using a full hemorrhoidectomy. Sometimes 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 whole effected area removed. These procedures are painful but removing the vessels and area will be worth it once you've healed.
There're 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 may notice some bleeding in your stool for a month or two after the procedure. To decrease the possibility of infection you must use an antibiotic cream for some weeks after the surgery. Sometimes warm baths are recommended to ease the discomfort.
Often if you experience acute pain you will need to have the blood clot excised from your hemorrhoids. However many emergency rooms don't 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 disease, or anorectal fissure.
It has been proven the excision has the lowest rate of recurrence for thrombosed hemorrhoids but often this kind 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 sure your diagnosis is correct, as there are other diseases that might have similar problems but are treated much differently.
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