Thrombosed hemorrhoids

What is a thrombosed hemorrhoid?

The swollen veins in the rectal column or the anus are called hemorrhoids. When the strain or pressure increases by various day-to-day activities, a blood clot is formed restricting the blood flow resulting in a thrombosed hemorrhoid. A thrombosed hemorrhoid is not dangerous but can be very painful if the blood clot is not reabsorbed.

Thrombosed external hemorrhoid is a small lump that is caused by painful swelling in your anal tissues (the small veins in your anus skin are swollen and they form a bump which produces the pain, discomfort)

A Thrombosed internal hemorrhoid is when a blood clot is formed inside the rectal column tissues. You will not notice any discomfort or pain. Sometimes, the blood clot will burst and lead to prolapsed bleeding hemorrhoids.

Symptoms of the thrombosed hemorrhoid

The primary and easily identifiable symptom is the pain in your anus skin. When you walk, stand, or sit, there will be intense pain in and around your anus area.

Common symptoms are,

  1. Itching in the anus area
  2. Irritation while sitting or when wiping after the bowel movement
  3. Lumps or bumps as a result of swelling in the anus area
  4. In case of fever, it results in an infection called the abscess

When to consult a doctor

If your hemorrhoids are lasting more than 3 days, and the bleeding doesn’t stop even after all of your home remedies, please contact us at <> to book an appointment.

When your discomfort is high and you cannot bear your irritation in the anus skin, reach out to the doctor quickly.

  • If a hemorrhoid clot doesn’t gradually be reabsorbed by your body on its own and cause excessive discomfort that hinders the routine activities.
  • Increased blood in your bowel movements
  • Excess pain in your anus skin with fever
  • The bulge of the lump becomes too big, inflamed and red
  • If the blood clot bursts and results in prolapsed hemorrhoid

What causes thrombosed hemorrhoid

Usually, hemorrhoids occur because of high pressure in your veins. An ordinary external & internal Hemorrhoid is a result of pressure in the veins causing them to swell.

When the swollen hemorrhoid tissue encounters more pressure, it leads to a blood clot, arresting blood flow to the veins. So, pressure is the ultimate cause of hemorrhoids.

  1. Diarrhea
  2. Irregular bowel movements
  3. Straining during bowel movements especially during the days of constipation
  4. Pregnancy(force from baby pressing on your veins or from pushing during delivery)
  5. Prolonged sitting - driving the car for long hours, sedentary working style, long plane trips

Sometimes there is no specific reason for the blood clot formation

Can thrombosed hemorrhoids burst?

Yes, a thrombosed hemorrhoid can burst. If the blood clot inside a rectal tissue, the chances of bursting are high. Although you won't feel any pain from the hemorrhoid inside, you can see the blood clots while wiping after a bowel movement.

Sometimes the blood also passes as a watery stool. It is bright red and very lose consistency.

What are the risks of thrombosed hemorrhoids?

Thrombosed hemorrhoids are usually aren’t risky but in very rare cases they can lead to developing the worst infection.

The discomfort in the anus skin can be treated with over-the-counter drugs like topical creams or pills to reduce the itchiness and irritation. If your OTC medication is not working, you should seek a doctor's advice immediately. The blood clot is reabsorbed by your body in 2 days if the clot doesn’t experience any additional pressure.

If you get a fever during the condition, the clot also develops an infection leading to a perianal abscess- a boil-like lump that may be red and feel warm. This lump must be drained quickly from your body in less than 72 hours, so please contact the proctocan patient care line.

How to diagnose a thrombosed Hemorrhoid?

Seek doctors at proctocan if your bleeding is not stopping in 72 hours. The over-the-counter drugs will stop the irritation or the inflammation in the anus skin if the degree of hemorrhoid is very low. Anything else must be examined by your physician. (bleeding can also be a sign of colon cancer).

The following are the ways to diagnose the thrombosed hemorrhoid

  1. You can self-diagnose them using a wet or dry tissue by wiping gently on your anus after your bowel movement. If you feel any lumps, bumps, or tiny balls, then you have thrombosed hemorrhoid
  2. Digital Examination: Your physician inserts a lubricated gloved finger into your rectum to feel any lumps or external growths
  3. Using a colonoscope, anoscope, proctoscope, or sigmoidoscope, the physician will have a thorough visual inspection of the digestive tract, anus, rectum, and the lower portions of the colon. The instrument consists of a long tube with a camera at one end to allow your physician to view the polyps or external growths.

The need of using colonoscopy or an anoscope is to find if you have any other additional digestive tract problems or traces of risk factors of colorectal cancer.

How to treat a thrombosed hemorrhoid?

The external thrombectomy is the main treatment procedure where a small cut is made inside the clot and allowing it to drain. The procedure is carried with local anesthesia to avoid you from feeling any pain. This treatment is suitable only if your hemorrhoid is 72 hours old. The recurrence rate is high for these treatment methods.

The level of treatment is based on the degree of hemorrhoid. Cure to the hemorrhoids might vary from choosing one from below or a combination of below options.

  1. Home remedies using food, bathe topical applications.
  2. Over-the-counter medications: Your doctor will prescribe you drugs, pills, ointments, or topical creams that contain witch hazel, or hydrocortisone, and lidocaine.
  3. Minimally Invasive procedures
    • Rubber band ligation:
    • Sclerotherapy
    • Coagulation
  4. Surgical treatments