What Is A Thrombosed Hemorrhoid?

A thrombosed hemorrhoid occurs when a blood clot forms inside the hemorrhoid tissue cutting off the blood Man Strainingsupply.  They can occur with internal or external hemorrhoids.

However, when an internal hemorrhoid becomes thrombosed, it is because the hemorrhoid has prolapsed outside of the anus and has become strangulated and the blood supply to the hemorrhoid has been cut off or greatly reduced.

A thrombosed external hemorrhoid will appear as a lump that is blue or purplish in color and extremely painful.

The hemorrhoid area will be very sensitive.  The pain can be so intense that it interferes with simple daily activities such as sitting, walking or using the bathroom.

Thrombosed hemorrhoids can occur as a result of constipation, sitting for long periods of time, pregnancy, heavy lifting, straining from having a bowel movement or in some cases for no apparent reason at all.

Although they are very painful they do not typically cause a major health risk and the pain will usually begin to decrease within a few days but the swelling can take weeks to fully recede.


Thrombosed Hemorrhoid Treatment


If internal hemorrhoids have reached a point where they have prolapsed, become strangulated and developed a thrombosis, it is time to seek medical attention to have the problem treated.

Popular medical procedures for prolapsed internal hemorrhoids include rubber band ligation and sclerotherapy.

However, once your doctor reviews your particular situation he or she will determine the best treatment option for you.

Although very painful, most cases of thrombosed external hemorrhoids can be treated at home.

Some popular home hemorrhoid remedies include:


Warm Baths


This thrombosed external hemorrhoid home remedy is very effective at soothing pain and alleviating swelling.

The warm water from the bath helps to increase the blood flow in the hemorrhoid area helping the clot to gradually dissipate.

It can also help to relieve minor itching and irritation.


Over The Counter Pain Relievers


Pain relievers such as Tylenol and Motrin can provide relief and help minimize some of the pain.

Increasing Fiber and Water Intake


Fiber will help to bulk up your stool and the water helps to move it through your digestive system faster, making it easier to have a bowel movement and decreasing the chance of constipation occurring.

Using a Stool Softener


A stool softener can make stool easier to pass, causing less pain when dealing with an external thrombosed hemorrhoid.

Keeping The Area Clean


It is important to keep the area clean to prevent further irritation to the hemorrhoid.

After each bowel movement, wipe the area with a moist cloth and gently pat dry with a clean cotton cloth or allow to air dry.



Applying an icepack to the thrombosed hemorrhoid will provide cooling relief and help to reduce the swelling with continued use.

Donut Pillow


This is an inflatable pillow with a hole in the middle designed for hemorrhoids.

It helps to keep your weight evenly distributed without placing pressure on your rear end.

If you have a thrombosed hemorrhoid burst, taking warm sitz baths and following with an ice pack can help clean and soothe the hemorrhoid, stop the bleeding and reduce the swelling.

If you are experiencing excessive bleeding or extreme pain form the hemorrhoid bursting, contact your doctor immediately.

In most cases the pain from an external thrombosed hemorrhoid will begin to subside within a few days. However, the swelling can take several weeks to completely disappear.

If you have not noticed a significant reduction in pain after a few days of home treatment or if the swelling is extremely bad, you should contact your doctor immediately.

More than likely, the doctor will perform a simple in office thrombosed hemorrhoid surgery procedure to drain the hemorrhoid. This will provide significant pain reduction almost immediately.

Once you are sent home you will be instructed to take warm sitz baths several times daily and he or she may prescribe a cream containing a local anesthetic to provide pain relief.

Your wound should begin to heal within about a week but the swelling could take a couple of weeks to go down.

Whether treating your condition at home or having it drained in a doctor’s office, it will still take some time for it to dissolve and disappear completely.

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