Thrombosed Hemorrhoid

Having thrombosed hemorrhoids can be painful.

Having thrombosed hemorrhoids can be painful.

Thrombosed hemorrhoids are normally external hemorrhoids that have no blood flow due to a blood clot in the vein. Thrombosed hemorrhoids are ruled out to be dangerous, yet they can be quite painful. In most cases, the embolism is ultimately reabsorbed by the body and the symptoms fix themselves.

Thrombosed hemorrhoids might provide as a single stack or a circle of stacks. Thrombosed hemorrhoids are classified as Grade IV hemorrhoids.

Symptoms of Thrombosed Hemorrhoid

As most hemorrhoids are painless, a possible marker that a pile has actually thrombosed is the experience of sharp pain and swelling in the area of the rectum. Sometimes, there might be some bleeding.

Topical pile medications do not typically lead to relief from the pain of a thrombosed hemorrhoid as the pain is the result of pressure and swelling within the tissue. The pain will be at its worst for the first 24 to 48 hours. After that time, the blood clot will be gradually reabsorbed and the pain will reduce.

Causes of Thrombosed Hemorrhoids

The causes of thrombosed hemorrhoids are not always identifiable. Some possible triggering events consist of:

  • Prolonged sitting
  • Giving birth
  • Straining on the toilet to pass difficult stool
  • Physical effort

Treatment for Thrombosed Hemorrhoids

The majority of thrombosed hemorrhoids will solve on their own, although it might take 2 to 3 weeks for it to be totally gone. Self-care measures for a thrombosed pile consist of taking sitz baths, working to keep the stool soft, and avoiding straining during bowel movements.

There are some topical preparations that your doctor can prescibe that can be practical. Surgery is an alternative for cases where there is a great deal of bleeding and the pain is rather severe. If surgery is performed, the entire blood clot will be removed.

Likewise referred to as:

  • Acute hemorrhoidal disease
  • Anal hematoma
  • Hemorrhoidal thrombosis
  • Perianal hematoma
  • Perianal apoplexy

Remarkably, some researchers would like to rename thrombosed hemorrhoids as “perianal apoplexy” as the tissue included might not necessarily be that of a pile.


Last modified: April 29, 2018

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