Thrombosed Hemorrhoid Treatment
An external thrombosed hemorrhoid looks like a bluish – purple lump hence all the bunch of grape jokes! They can vary in size and can be extremely painful.
The blood flow through the tissue of the hemorrhoid has become damaged therefore causing the blood to clot within a very confined space. The pressure increases until the bleeding stops, but you are then left with an excruciatingly painful lump full of clotted blood.
There are two ways of dealing with an external thrombosed hemorrhoid
- Visit you doctor or A&E department where they will examine you and then give you the option of doing nothing or treating. If you have consulted the doctor within the first 72 hours of the onset it is like the doctor will suggest to drain it. If you choose to have the clot removed you will be asked to sign a consent form for the procedure
- You will be positioned either in stirrups or face down on the operating trolley and you will be covered appropriately to maintain your dignity
- They will treat by injecting local anaesthetic around the thrombosed clot and then making a small incision (cut) allowing the entire clot to be released.
- This give you immediate pain relief as the pressure is now gone. The wound will be either packed with ribbon gauze, and gauze padding or dressed with an absorbent dressing. You will need to ensure you wash your bottom after you have had a bowel motion to make sure the area is clean and dry to optimise healing conditions.
Complications of external thrombosed hemorrhoid
- can involve bleeding
- infection
- pain
Post operative care for external thrombosed hemorrhoid
- will involve the removal of the packing gauze after 48 hours if has not already fallen out.
- You may experience minor discomfort as the wound heals, but it can be relieved with something like regular paracetamol/ ibuprofen.
- Diet should include plenty of fibre rich food
- Possibly a stool softener
- Drink plenty of fluids
The second option for ttreatment of external thrombosed hemorrhoid
Is to do nothing and just take regular pain relief. The pain will continue for probably about 7 days as the body begins to reabsorbs the clot, the whole process can take up to 4 weeks depending on the size of it. If you are still in pain after this time you will need to return to your doctor for further advice and treatment.
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