A thrombosed hemorrhoid is a hemorrhoid that has become so big 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 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're several types of behavior that can be followed to alleviate the pain related with thrombosed hemorrhoids. A few suggestions include ensuring you are hydrated & 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, or avoid aggressive use of toilet paper.
The above procedures can help provide relief for the pain and itching because of the thrombosed hemorrhoid but they do not actually cure the hemorrhoid. You'll require 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 chemical substances to shrink the hemorrhoid, named 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. Often doctors will just 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 full effected area removed. These treatments are painful but removing the vessels and area will be worth it once you've healed.
There are some steps you'll need to take to heal properly after having the thrombosed hemorrhoid removed. You may feel some discomfort until the area heals and you might notice some bleeding in your stool for a month or two after the process. To decrease the possibility of infection you must use an antibiotic cream for a few weeks after the surgery. Sometimes warm baths are suggested to ease the discomfort.
Many times if you experience acute pain you'll require to have the blood clot excised from your hemorrhoids. However many 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 increase the risk of the procedure, perianal infection, portal hypertension, inflammatory bowel problems, or anorectal fissure.
It is proven the excision has the lowest rate of recurrence for thrombosed hemorrhoids but often this type of hemorrhoid can be misdiagnosed as mentioned above. The surgery offers 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 certain your diagnosis is right, as there are other diseases that may have similar problems but are treated much differently.
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