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A thrombosed hemorrhoid is simply a hemorrhoid that has developed a blood clot.   They are not dangerous, but look frightening and are painful.    Sometimes they can bleed as well.   The good news is that most thrombosed hemorrhoids will resolve themselves in about a week.  If the pain becomes unbearable you should see a doctor.   Also, any time you have anal bleeding you should also see a doctor to make sure what you have is indeed hemorrhoids and not something more dangerous like colorectal cancer.  Most of the time the bleeding will be caused by hemorrhoids, but it is always good to be safe.

Thrombosed hemorrhoid treatment.

There are several steps that you can take at home to treat a thrombosed hemorrhoid.   If you are in a lot of pain, one of the first things you should do is take Tylenol.  You want to avoid NSAIDS such as ibuprofen, because they can make the bleeding worse.   Next, you will want to use a cold pack on the affected area.   If the area is hard to reach with ice, then you may want to get a product called Hemmor-ice, which is basically an insertable ice pack.  The ice will really help to alleviate the pain.

Another thing that you may find helpful is using a hemorrhoid cream or suppository.  The suppositories work particularly well for thrombosed hemorrhoids, because they make elimination much easier which is very important when you have a lot of pain.  Finally, taking warm baths (no bubbles) can really help to soothe the painful area.

There are also surgical options available if the pain is unbearable.  If you go to the doctor or emergency room, they can often cut out the clot and give you nearly instant pain relief.

Thromobosed hemorrhoids can be very painful, but these steps should help.

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This is a hemorrhoid that has developed a blood clot.  It most commonly occurs in prolapsed external hemorrhoids, but can you can also get just a plain external or internal thrombosed hemorrhoid.  They can also look very frightening – turning purple or blue and sometimes bleeding.  The good news is that although they can be quite painful they are not particularly dangerous.   Sometimes these can be treated at home, but sometimes you need to see the doctor to get the clot or the hemorrhoid itself removed.

Thrombosed hemorrhoid treatment.

One of the things that you want to assess when you are treating thrombosed hemorrhoids is how much they hurt.    Most will resolve themselves in a week or so with some palliative care, but if they hurt a lot you may want to make a trip to the emergency room where the doctor will most likely make a small incision to remove the clot and also the pain.

If you choose to treat the hemorrhoid thrombosis at home there are several steps to become more comfortable, and that really work.   You will want to Ice, Soak, Soften,  and Medicate.

Ice.  There are basically two different ways to apply ice.  You can apply an ice pack to your backside or you can get a small insertable device called hemorr-ice.   They work the same way, the cold reduces both swelling and pain.  The big advantage of the hemorr-ice device is that it fits very well in the anal area, giving more direct relief.   However,  if you have external thrombosed hemorrhoids ice packs may very well be enough.

Soak.  Soaking in a warm bath for 15 to 20 minutes several times a day (or as often as you are able) will not only keep the area clean, but will speed the healing process and provide pain relief.

Soften.  It is an unfortunate fact that most hemorrhoids are caused by and can be prevented by diet.   Eating a high fiber diet will soften the stool and make it easier for the hemorrhoid to heal, as well as make it less painful to use the toilet.   Unfortunately, changing eating habits usually doesn’t work fast enough to help with a thrombosed hemorrhoid – although it will help to prevent it from returning.  Thankfully, there are some good over the counter stool softeners that work very well and will allow you to get soft stools fast and reduce the irratation caused during bowel movements.

Medicate.  There are two different ways that you can medicate your hemorrhoid.  The first one is topically.  There are many choices when it comes to topical pain relief for hemorrhoids.   Preparation H is a good choice, especially in suppository form, but there are also some natural oil products on the market which provide relief as well.   The other way to medicate is by taking a pain pill.  With hemorrhoids you will want to avoid NSAIDS such as ibuprofen and aspirin as they can make the bleeding worse.  Tylenol is a good option and generally very effective at treating hemorrhoid pain.

Of course if you are bleeding from the rectum it should be taken seriously.  While the majority of the time rectal bleeding is linked to hemorrhoids, sometimes it can indicate other conditions like cancer and should always be checked out.

Having a thrombosed hemorrhoid hurts, but it is not the end of the world.  Try the above treatments.   They are effective.

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