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External hemorrhoids
The difference between mixed hemorrhoids and external hemorrhoids
Both mixed hemorrhoids and external hemorrhoids fall within the clinical scope of hemorrhoids. However, mixed hemorrhoids generally include external hemorrhoids, whereas external hemorrhoids consist simply of local skin tags or connective tissue-based external hemorrhoids near the anal region. In addition to the local external hemorrhoids, mixed hemorrhoids also have local mucosal protrusions around the dentate line inside the anal canal, which connect with the external hemorrhoids to form mixed hemorrhoids. Both mixed and external hemorrhoids are very common. Treatment options include conservative medication or surgical removal. The primary surgical method for mixed hemorrhoids is excision and ligation, while for external hemorrhoids, the primary method is excision. Post-surgery, it is necessary to disinfect and change dressings on the local wounds to promote further growth and healing.
How to treat thrombosed external hemorrhoids
The treatment of thrombosed external hemorrhoids generally includes conservative medication or surgical treatment. Thrombosed external hemorrhoids are a clinical type of external hemorrhoids. They usually present in the acute phase with significant local pain and thrombus encapsulation within the hemorrhoid. Due to congestion and edema in the hemorrhoid, excessive pressure builds up inside, causing severe pain for the patient. Conservative medication treatment primarily involves sitz baths with hemorrhoidal wash solutions and hot compresses to promote thrombus absorption, as well as applying hemorrhoidal creams, or orally taking anti-swelling, pain-relieving, and thrombus-absorbing medications. If these methods repeatedly fail, surgery can be opted to strip and remove the local thrombus.
Thrombosed external hemorrhoid characteristics
Thrombosed external hemorrhoids are a clinical type of external hemorrhoids. The main characteristics of the hemorrhoid nucleus in thrombosed external hemorrhoids are that the hemorrhoid nucleus is stuck at the anus and cannot retract, accompanied by swelling and enlargement. As the hemorrhoid nucleus contains thrombosis, its color is mostly purplish red or dark red, and patients will experience severe local pain and a sensation of distension. Thrombosed external hemorrhoids generally belong to the acute phase of external hemorrhoids, often occurring when the stool is dry or the intestinal heat is severe. For the treatment of thrombosed external hemorrhoids, one can choose Chinese herbal solution for hot compresses to promote the absorption of the thrombus, or directly perform a surgical excision. (This answer is for reference only. For medication, please consult a professional physician and do not medicate blindly.)
Can thrombotic external hemorrhoids be ruptured?
If a patient experiences an acute episode of thrombosed external hemorrhoids, the local pressure on the external hemorrhoids is generally high, and there are thromboses wrapped in the hemorrhoid nucleus. However, it is not advisable for patients to burst it on their own, as under unhygienic conditions, doing so could easily lead to local infection of the hemorrhoids, further exacerbating the condition. The treatment of thrombosed external hemorrhoids requires the professional management of a proctologist. Generally speaking, for mild symptoms, local use of Chinese herbal wash solutions or hemorrhoid creams can be chosen to press on the area, which helps promote the absorption of local thromboses. Alternatively, a professional proctologist can use specialized techniques to crush and press the local thromboses. If the thromboses are large or the local symptoms are severe, causing significant pain and severely affecting normal life, surgical excision might also be considered.
What is inside a thrombotic external hemorrhoid?
Thrombotic external hemorrhoids are a common clinical presentation of external hemorrhoids. During an episode, blood clots generally form within the hemorrhoidal nucleus, which means that thrombotic external hemorrhoids mainly consist of blood clot particles. Because the blood clots are wrapped inside the hemorrhoidal nucleus, the pressure inside the nucleus increases, leading to congestion and edema. Patients experience significant pain and a feeling of fullness. Severe symptoms may also affect the patient's ability to sit or walk normally. Therefore, it is crucial to treat thrombotic external hemorrhoids early in their development. For early-stage mild thrombotic external hemorrhoids, local treatments such as hot compresses with hemorrhoidal medication or manual pressure can be employed to promote the absorption of the blood clots. Oral medications that reduce swelling, relieve pain, and stop bleeding can also be used for symptomatic relief. If thrombotic external hemorrhoids recur frequently or if conservative medication fails, surgical excision and stripping of the thrombotic external hemorrhoids can also be considered.
Can thrombotic external hemorrhoids go away?
Thrombotic external hemorrhoids mainly refer to the formation of blood clots within the external hemorrhoids located around the anus. During the acute phase of thrombotic external hemorrhoids, there is generally severe pain and a feeling of distension in the anal region. If not treated with medication, thrombotic external hemorrhoids are difficult to resolve on their own. Options include applying hemorrhoid cream or using traditional Chinese medicine solutions for fumigation and hot compresses to promote the absorption and dissipation of the blood clots in the external hemorrhoids. If conservative medication does not yield good results, surgery can be considered to strip and remove the blood clots from the external hemorrhoids. Failure to use medications can potentially lead to a worsening of the thrombotic external hemorrhoids, or an increase in blood clots leading to necrosis and delaying treatment of the disease.
How long does surgery for thrombotic external hemorrhoids take?
Thrombotic external hemorrhoid surgery primarily involves the excision of thrombotic external hemorrhoids. If it's simply an excision of external hemorrhoids, the surgery generally takes about half an hour. The recovery time post-surgery requires two to three weeks, mainly depending on the severity of the patient's condition and individual tissue healing rates, which can vary. After the excision surgery for thrombotic external hemorrhoids, a local wound is left, necessitating daily disinfection and dressing changes. When necessary, hemorrhoid ointment or muscle-generating Yuhong ointment may also be applied to promote healing and treatment.
The difference between rectal prolapse and external hemorrhoids.
Rectal prolapse is the protrusion of the rectal mucosa, which manifests as an eversion of the mucosa presenting as pink-colored, cylindrical protrusions. These can usually be manually repositioned back into the anus, appearing smooth once repositioned. In contrast, external hemorrhoids are mostly caused by varicosities and are the same color as the skin. They cannot be completely repositioned manually, which distinguishes them from rectal prolapse.
How to eliminate the flesh balls of external hemorrhoids
External hemorrhoids primarily manifest as local skin tags or connective tissue protrusions, which may also be due to transient congestion and edema caused by acute episodes. If the hemorrhoids are skin tag-type or connective tissue-type and do not present any clinical symptoms or affect the patient's normal life, excessive treatment is generally not required. It is only necessary to maintain good dietary and defecation habits to prevent the condition from worsening. If the external hemorrhoids involve congestion, edema, or pain caused by thrombosis, complete removal can only be achieved through surgical excision. Merely using topical medications, applying heat, or using hemorrhoid creams can only reduce the size of the masses or alleviate symptoms, but cannot completely remove the masses.
How to reduce swelling of thrombosed external hemorrhoids
During the acute flare of thrombotic external hemorrhoids, the primary issue is the filling of the hemorrhoidal nucleus with blood clots, leading to congestion and swelling of the hemorrhoids. Due to edema or excessive pressure inside the hemorrhoidal nucleus, the patient may experience local discomfort or even severe pain. Therefore, the treatment of thrombotic external hemorrhoids first needs to reduce swelling. The methods mainly include local hot compresses, along with the oral administration of medicines that cool the blood, reduce swelling, and relieve pain. However, in some cases of thrombotic external hemorrhoids, where the blood clots are large or cannot be absorbed on their own after repeated attacks, surgery to excise the clots may be necessary to achieve the purpose of reducing swelling. During the acute flare of thrombotic external hemorrhoids, it is recommended that the patient seek medical attention as soon as possible to avoid complications such as repeated attacks or local blood supply disturbances, which could lead to necrosis of the external hemorrhoids.