Thrombosed External Hemorrhoid Treatment Options For Relief

thrombosed external hemorrhoid treatments A thrombosed hemorrhoid is simply a blood clot and is more common in cases of external hemorrhoids. With an external hemorrhoid there is a network of vessels at the anal opening, under the skin. A blot clot can sometimes form within one of these vessels, resulting in swellings. A thrombosed external hemorrhoid can be seen and felt as a hard lump in the anus and occasionally it can cause pain, to one degree or another.

Thrombosed Hemorrhoid Symptoms

Symptoms can vary a lot from person to person. A thrombosed external hemorrhoid can form to the size of a pea or significantly larger and the degree of discomfort and pain varies from moderate to sharp and rather excruciating. Itching is a common occurance and in rare cases, bleeding. The pooling of blood tends to cause the lump to become almost black or dark purple in color. If you are experiencing a thrombosed external hemorrhoid, then you will likely encounter pain when sitting, standing and during bowel movements.

Thrombosed External Hemorrhoid Treatment Options

Depending on your symptoms, thrombosed external hemorrhoid treatment options can be either surgical or nonsurgical. Although a surgical intervention may be difficult to contemplate, it is considered a minor procedure. If the lump becomes too large or too painful, surgery may be required. This is of course a last resort, once more conservative nonsurgical options have been used to treat the thrombosed hemorrhoid.

Nonsurgical home treatments will help bring relief and an improvement in symptoms over time. In most cases surgery will not be needed, but hemorrhoid thrombosis can be unpredictable, so be prepared to accept the possibility that an emergency care intervention may be required at some stage, if home treatments fail, and the size and degree of pain that the thrombosis causes becomes too difficult to bear.

Surgery For External Thrombosed Hemorrhoid

If conservative home treatments fail to manage symptoms well enough and the pain becomes severe, then the blood clot can be drained (excision of the thrombosis) under local anesthetic. A small cut is made, allowing the clot to be squeezed out. Unfortunately there is no garantee that a blood clot won’t simply reform at some point in time after the surgery, and this is indeed what frequently happens.

A longer surgical procedure known as a hemorrhoidectomy completely removes the blood vessels and blood clot in the hemorrhoid area. Again, this is performed under local anesthesia, with the resulting wound requiring stitches, in some cases.

It’s best to get a proper evaluation as early as possible from a specialist for a hemorrhoid thrombosis. Your condition should be evaluated as quickly as possible in case you require surgery for the thrombosed external hemorrhoid.

Home Treatments For Hemorrhoid Thrombosis

  • Stool softeners / avoiding constipation: Softening the stool is essential to prevent constipation and strain during defecation. Excessive strain is a likely cause of hemorrhoids and thrombosis, stools softeners are used to prevent the possibility of further damage being done.
  • Increased dietary fiber: An adequate amount of dietary fiber improves stool quality. A good diet to help a hemorrhoid condition will contain natural fibrous foods.
  • Increased fluid intake: Ensuring good levels of bodily hydration is another important step to prevent constipation.
  • Warm baths/ sitz baths: Taken 3 or 4 times day, a sitz bath is a highly effective soother of symptoms. It also helps cleanse and maintain good hygiene.


You may be more at risk of developing hemorrhoid thrombosis during times of chronic constipation or diarrhea. Also, women giving birth (particularly with traumatic deliveries) are reportedly more at risk.

There is no definitive answer available to explain exactly why a thrombosed external hemorrhoid develops. Other possible causes given for a thrombosis are much the same as non-thrombosed hemorrhoid causes, including exterting too much strain when passing stools, perpetual dehydration and improper dietary habits.


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