What is a thrombosed hemorrhoid?
A hemorrhoid is a mass of swollen anal tissue. A thrombosed hemorrhoid is an external hemorrhoid that contains a blood clot. They are not considered dangerous, yet they can be quite painful.
What is the treatment?
In the clinic, the provider numbs the area with a local pain medicine. Then, the clot and some of the surrounding tissue is removed.
Your incision is typically left open. You may have drainage for 1-2 weeks. This will decrease over time. The color will change from red to red-yellow in the days after your procedure. Use gauze pads to tuck between buttocks or a sanitary napkin in your underwear until the drainage stops. Because the anal area is not sterile, sterile pads are not needed.
Keep the anal area clean to aid healing. After each bowel movement, gently wipe or spray with a “squirt-bottle” or a handheld shower.
Take a sitz bath at least three times a day for 3-4 days. Sit in your bathtub with at least 3-5 inches of warm water for at least 10-20 minutes. Or, you may use a sitz bath unit that fits over your toilet. Sitz baths aid healing and decrease pain and rectal spasms. There is no need to add any products, such as salts, to this bath.
Do not use rectal creams, ointments, or suppositories unless instructed by the doctor.
No abdominal exercise or heavy lifting for 48 hours. You may return to work if the pain is managed.
Avoid constipation by increasing the fiber in your diet and drinking more liquids (6-8 glasses or more a day). You should also take a fiber supplement daily. When you feel the urge to have a bowel movement, go.
Extra Strength Tylenol® will usually control pain. Follow the package directions.
Your doctor may order narcotic pain pills if the pain is not controlled by Extra Strength Tylenol®.
After the first 3 days, Tylenol® or ibuprofen should relieve any pain that you may have.
Do not take aspirin or NSAIDs, since this can increase bleeding.
When to Call
Large amounts of bright red blood from the rectal area that will not stop with firm pressure to the area for 10 minutes.
Temperature greater than 100.4ºF for two readings four hours apart.
Excess swelling in the rectal area.
Who to Call
Digestive Health Center: (608) 242-2800
After hours, weekends or holidays this number will be answered by the paging operator. Ask for the doctor on call or ask for Dr. ____________________________.
Leave your name and phone number with area code. The doctor will call you back.
The toll-free number is (855) 342-9900.