Symptoms of thrombosed external hemorrhoids

Written by Yang Dong

Colorectal Surgery Department

Updated on September 18, 2024

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Thrombotic external hemorrhoids are a type of external hemorrhoids. They are caused by the rupture of blood vessels in external hemorrhoids, leading to blood spillage, which in turn causes pain and inflammation. The symptoms manifest as a sudden hard lump near the anus. If visible, subcutaneous purple bruises can be seen, and pressing on it causes pain. Generally, surgical treatment is required.

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Written by Yu Xu Chao

Colorectal Surgery

1min 9sec

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Does the surgical removal of external hemorrhoids hurt?

Surgical removal of external hemorrhoids generally does not cause significant pain because anesthesia is required for the procedure. There are options for anesthesia, including local infiltration anesthesia, spinal anesthesia, or general anesthesia via intravenous injection, ensuring the patient does not experience notable pain during the surgery. However, post-surgery sensitivity is higher because the external hemorrhoids are innervated by perineal nerves. Therefore, it is crucial to use pain relief medication appropriately when changing dressings to alleviate discomfort. Additionally, it is essential to prevent infection, inflammation, or swelling of the wound to reduce postoperative pain. Patients should also manage their bowel movements to avoid dry, hard stools; smooth bowel movements can somewhat relieve postoperative pain. If the pain is particularly severe, the use of diclofenac sodium suppositories for anal insertion can help reduce inflammation and pain. (Please follow medical advice regarding medication use.)

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Written by Deng Heng

Colorectal Surgery

36sec

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How long does it take to recover after external hemorrhoidectomy?

External hemorrhoids are mainly classified into inflammatory external hemorrhoids, thrombotic external hemorrhoids, connective tissue external hemorrhoids, and varicose vein external hemorrhoids. Regardless of the type, the primary treatment method is surgical removal. After the hemorrhoids are excised, the perianal area generally does not bleed when passing stools for the first two to three days, and the patient can usually go home in about 7 days. For complete recovery to the pre-condition state, it is estimated to take between 20 days to a month.

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Written by Yang Dong

Colorectal Surgery Department

28sec

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Symptoms of thrombosed external hemorrhoids

Thrombotic external hemorrhoids are a type of external hemorrhoids. They are caused by the rupture of blood vessels in external hemorrhoids, leading to blood spillage, which in turn causes pain and inflammation. The symptoms manifest as a sudden hard lump near the anus. If visible, subcutaneous purple bruises can be seen, and pressing on it causes pain. Generally, surgical treatment is required.

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Written by Deng Heng

Colorectal Surgery

51sec

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Clinical Characteristics of External Hemorrhoids

External hemorrhoids refer to hemorrhoids located below the dentate line, which are classified into four main types, each with distinct clinical manifestations. Connective tissue external hemorrhoids and varicose vein-type external hemorrhoids primarily present with a mild sensation of a foreign body in the anus. Inflammatory external hemorrhoids are characterized by redness, swelling, protrusion, burning, or itching of the anal skin or skin tags. Thrombosed external hemorrhoids often occur after intense exercise or straining during bowel movements, suddenly presenting as a round or oval lump under the skin at the edge of the anus. This lump contains a venous thrombus and is accompanied by anal pain.

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Written by Chen Tian Jing

Colorectal Surgery

1min 5sec

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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.