Thrombosed hemorrhoids are swollen hemorrhoids that have turned blue, purple, or black. They rarely bleed or cause pain on their own, but when they become large enough, they can cause severe discomfort and even blood loss. Let's explore more: https://www.southlakegeneralsurgery.com/thrombosed-hemorrhoids-southlake-general-surgery/

1. T H RO M B O S E D
H E M O RRH O I D S
– S O U T H L A K E
G E N E R A L S U R G E R Y
BY: Dr. VALERIA SIMONE MD

2. O V E RV I E W
Thrombosed hemorrhoids are
swollen hemorrhoids that have turned
blue, purple, or black. They rarely bleed or
cause pain on their own, but when they
become large enough, they can cause
severe discomfort and even blood loss.
Your doctor may have referred you to a
hematologist if you have thrombosed
hemorrhoids because they indicate that
you may have an underlying blood clotting
disorder such as hemophilia or von
Willebrand disease. Thrombosed
hemorrhoids are commonly found in
people who are over 40 and those who
have been on long-term blood transfusions.

3. D I F F E R E N C E B E T W E E N A T H R O M B O S E D
H E M O R R H O I D A N D A N O R M A L H E M O R R H O I D
Hemorrhoids can be classified into two groups:
• Internal hemorrhoids can be seen within the rectum of the body.
• External hemorrhoids– Hemorrhoids that are external to the anus might be
discovered on the exterior of the anus.

4. S Y M P T O M S O F T H R O M B O S E D H E M O R R H O I D S
Thrombosed hemorrhoids can be excruciating. Walking, sitting, or going to the
bathroom might be excruciating if you have a problem with one of these conditions.
Additional hemorrhoid symptoms include the following:
• bleeding stools
• swelling or a lump in the anus area
• Itchiness around the anus
• bleeding stools
It is possible that you have an area of infection known as an abscess if you also have a
fever and are experiencing pain and swelling.

5. W H AT C A U S E S H E M O R R H O I D S T O B E C O M E
T H R O M B O S E D ?
Hemorrhoids can be caused by a build-up of pressure on the rectum’s veins. This
pressure is caused by:
• constipation
• Inconsistent bowel movements
• straining while passing stools
• diarrhea
• being sedentary for extended periods of time, such as while traveling by automobile,
train, or airplane for an extended amount of time
• during pregnancy, due to the pressure of the baby on your veins, or throughout the
labor process
Blood clots in hemorrhoids are a mystery to medical professionals who have studied the
condition.

6. R I S K S F A C T O R S O F T H R O M B O S E D
H E M O R R H O I D S
It’s not uncommon to get hemorrhoids. Approximately three-quarters of the population
will experience one during their lifespan.
An individual may get hemorrhoid if:
• there is prolonged constipation due to less amount of fiber in the diet or because of
any medical ailment
• frequently spend extensive time sedentary
• pregnant
• old age can deteriorate the tissues that maintain hemorrhoids in place, hemorrhoids
are more prevalent in the elderly

7. D I A G N O S I S O F T H R O M B O S E D H E M O R R H O I D S
Consult your physician if you experience any discomfort or itching in the area around the
anus, or if you experience any bleeding during a bowel movement. It’s imperative that you
consult a doctor if you notice bleeding in your gastrointestinal tract (GI) because it could be
an indication of gastrointestinal cancer.
The symptoms you’re experiencing, and your medical history will be discussed at your
appointment. To check for lumps or growths, they may insert a gloved, lubricated finger into
your rectum. This method is referred to as a digital rectal exam.
A colonoscopy may be necessary if you have indications of or are at risk for colon cancer.
• Sigmoidoscopy: An endoscope with a camera on one end is inserted into your colon to
allow the physician to look at the lower portion of your digestive tract. Precancerous
polyps and other abnormalities in your colon might be seen through the scope by the
doctor.
• Colonoscopy: An endoscope is used by the doctor to examine the whole length of your
digestive tract.

8. W H A T A R E T H E O P T I O N S F O R T H E T R E A T M E N T
O F T H R O M B O S E D H E M O R R H O I D S ?
If you have a blocked blood vessel, an external thrombectomy is the most common
treatment. This operation involves making a small cut, then draining the blood. You will
be given a local anesthetic to alleviate any discomfort.
If you have hemorrhoid, have this surgery done as soon as possible after it arises. The
clots can reappear, but the treatment is effective. Even after surgery, you may still have
discomfort.

9. S TA N D A R D H E M O R R H O I D S T R E AT M E N T
You may be able to alleviate the pain caused by hemorrhoids by taking a few easy
precautions at home:
• Apply a non-prescription lotion or ointment for hemorrhoids, like Preparation H.
Additionally, you can use a witch hazel wipe, for example, Tucks.
• Use over-the-counter analgesics such as acetaminophen (Tylenol) and ibuprofen
(Advil, Motrin IB)
• At least twice or three times a day, spend ten to fifteen minutes at a time sitting in a
warm bath. You may try taking a sitz bath, which is just a little plastic tub filled with a
few inches of warm water and designed to hold only your buttocks. After you have
finished bathing, pat the area dry rather than rubbing it.
• Apply ice or a cold compress to the affected region as needed.

10. H E M O R R H O I D R E M O V A L S U R G E R Y
Hemorrhoid removal surgery is a common procedure that helps remove or reduce
painful or swollen veins in your anus and rectum. Hemorrhoid surgery is most often
performed on an outpatient basis, which means you can go home the same day. Your
doctor may recommend an anesthetic for the procedure, which will help you feel less
discomfort. The surgery will be performed through a small incision in the area between
your anus and your rectum.
Hemorrhoids are surgically treatable in less than ten percent of those who suffer from
them. If your hemorrhoid is large or if your doctor examined you have both external
and internal hemorrhoids, you may need surgery to remove it.
To remove hemorrhoids, various surgical procedures are used, which include:

11. H E M O R R H O I D E C T O M Y
Hemorrhoids, as well as the clot and blood
vessels, are extracted during this surgical
treatment. It is possible that a spinal block
will be used to numb the surgical site or
that you will be put to sleep under general
anesthesia. The internal thrombectomy is
a more intrusive operation that also takes
longer to conduct than its external
counterpart; however, the hemorrhoid is
less likely to return once it has been
removed. Because it is associated with a
significantly higher level of discomfort, it is
typically reserved for patients whose
hemorrhoids are severe. Pain, infection,
and inability to empty your bladder are all
possible side effects of this operation.

12. R U B B E R B A N D
L I G AT I O N
The hemorrhoid is treated by the
placement of a thin elastic band around its
base by the doctor. Hemorrhoids should
become less noticeable after a few weeks
have passed.

13. S T A P L E D
H E M O R R H O I D O P E X Y
Under general anesthesia, this surgery is
also performed while you are unconscious.
Hemorrhoids are reattached to the body
using a stapling device by the surgeon.

14. H O W L O N G D O E S I T TA K E T O F U L LY
R E C O V E R ?
The discomfort associated with thrombosed hemorrhoids should become better within
seven to ten days without the need for surgery. Hemorrhoids that are normal in severity
should be better within a week. It is possible that it will be a couple of weeks before the
lump entirely disappears.
An individual can immediately resume most of the activities. Do not engage in heavy
activity while you are recuperating.
Hemorrhoids can reappear. Hemorrhoidectomy minimizes the probability of recurrence.

15. C O M P L I C AT I O N S O F T H R O M B O S E D
H E M O R R H O I D S
Hemorrhoids that have thrombosed are not typically associated with any consequences.
However, they can be quite uncomfortable, and there is a possibility that they will
bleed.
What steps may be taken to prevent hemorrhoids?
• Let’s explore more: Thrombosed Hemorrhoids – Southlake General Surgery

16. A P P O I N T M E N T
For more information on Thrombosed Hemorrhoids, Hemorrhoids, Treatment and
Surgery. You can contact our healthcare expert today at +1 (817) 748-0200. You can
also make an online appointment with us.
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17. T H A N K YO U !
SOUTHLAKE GENERAL SURGERY
1545 E. Southlake Blvd, Suite 270 Southlake, TX 76092
EMAIL: info@southlakegeneralsurgery.com
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