What is thrombosed hemorhoid?
The most common form of hemorhoidal disease is hemorhoids. It’s caused by abnormal distension of hemorhoidal veins below the mucosa and anus of the lower rectum. While hemorhoids is often used to describe hemorhoidal diseases, hemorhoids are normal clusters made up of smooth muscle, highly vascular structures and elastic connective tissues that make up the anal cushions. They protect the anal and prevent incontinence from rising abdominal pressure, such as during coughing or sneezing.
These anal cushions can become swollen and protrude into the anal canal. This is known as hemorhoids, or piles. A hemorhoid thrombosis is a condition in which a blood clot builds up inside a hemorhoidal vein. This can block blood flow and cause painful swelling of the anal tissues. Although they are not dangerous, thrombosed hemorhoids can cause severe pain and even ulceration.
Two types of hemorhoids exist: internal hemorhoids that develop in the lower part of the rectum, just above the dentate, and external hemorhoids that develop at the edge of the anal channel, just below the dentate. Although most thrombosed hemorhoids are caused by external factors, it is possible to have internal hemorhoids.
How does a thrombosed hemorhoid look?
An acutely thrombosed hemorhoids are characterized by a painful, dark-bluish lump near the anal canal. Sometimes, increased pressure in the hemorhoid can cause necrosis or ulceration of the skin, leading to rectal bleeding. However, thrombosed hemorhoids may be less common and not visible from the outside unless protruding from the anal channel.
What are the signs?
A thrombosed hemorhoid is usually a small lump at the outside of your anus. It will appear darkened and bluish due to the blood clot.
An external hemorhoid with thrombosis will look different from other hemorhoids. External hemorhoids that are not thrombosed look more like a rubbery lump, without the blue color.
The following symptoms are indicative of thrombosed hemorhoids:3
- Pain while sitting, walking, or when you have a bowel movement
- Bleeding during bowel movements
- You are aching for the anus
- Anus swelling or lumps
For the first 24 to 48 hour, pain will be most severe. The blood clot will slowly be absorbed after that. The pain will begin to disappear once this happens.
If you are experiencing pain after taking over-the-counter hemorhoid medication, it is possible that your body has thrombosed hemorhoid. The pain is not located on the skin. It is caused by pressure and swelling in the tissue.
A healthcare provider should be consulted if you have a fever and thrombosed hemorhoid. A hemorhoid infection may occur, which could lead to a perianal engorgement. This is the painful pouch of pus that forms around your anus.
You should look for a lump-like appearance that is reddish and feels warm. If you suspect that there is a perianal abscess, consult a healthcare provider. It should be removed as soon as possible.
Untreated perianal abscess may lead to an anal fistula. This refers to an abnormal connection between skin and anus. To correct a fistula, it may be necessary to have surgery.
Rectal bleeding should not be ignored or interpreted as hemorhoids. This could indicate a more serious condition, such as anal cancer or colorectal carcinoma. Rectal bleeding should be reported to your healthcare provider.
What causes thrombosed hemorhoids?
Hemorrhoids occur when blood vessels in your anal canal become swollen. Hemorrhoids usually do not cause pain. They can become painful if they become thrombosed.
Hemorrhoid occurs when there is an increase in pressure on your rectum’s veins. Two possible triggers are:2
- Pregnancy from the pressure of the baby
- Childbirth, starting with pushing during delivery
- Physical exertion, particularly repeated heavy lifting
- Long-term sitting
- Constipation can cause straining while using the toilet
- Diarrhea or loose stool
- Obesity or having a large amount of body fat
- Intercourse anal
- To not use the toilet frequently
It is possible for a hemorhoid to thrombose once it has formed. Healthcare providers aren’t sure why certain people get blood clots in hemorhoids while others don’t.
How can it be diagnosed?
About one-third of the approximately 10 million Americans with hemorhoids seek treatment.
It’s something that most people don’t want to talk about so they suffer silently. Many hemorhoids patients only seek medical attention when they are tired of managing them,” states Sarah B. Umar M.D., a gastroenterologist at Mayo Clinic’s Arizona campus, who specializes in anorectal disorders.
She states that hemorhoids are a common cause of anorectal pain. However, it is important that other causes are considered. Evidence suggests that hemorhoids can be caused by other conditions.
In a prospective study, published in Diseases of the Colon & Rectum in 2010, a review looked at the diagnostic accuracy of doctors regarding seven common anorectal conditions: prolapsed intra hemorhoid (thrombosed), thrombosed, thrombosed, abscess and fissure, condyloma acuminata, full-thickness rectal Prolapse. Even though hemorhoidal diseases were difficult to diagnose, doctors were less likely than others to identify them.
Home remedies to ease discomfort
Hemorrhoids can be relieved with home remedies.
- Hemorrhoid cream: An over-the-counter cream for hemorhoid can be used to relieve symptoms.
- Pain relief: You can take over-the-counter painkillers to relieve your pain.
- Take a soak in warm water and pat dry the area.
- Ice treatment: A cold compress or icepack may be applied to the affected area to reduce pain and inflammation.
- Witch hazel: This can reduce the itching and pain in the area.
- Use wet wipes instead of toilet paper to reduce friction and irritation.
- Aloe Vera: Aloe versa is well-known for its anti-inflammatory properties. Pure aloe vera can be applied to the affected area to reduce inflammation.
- To treat hemorhoids at home, the National Institute of Diabetes and Digestive and Kidney Diseases recommends using stool softeners or fiber supplements. This allows you to move a stool more easily, which decreases irritation.
- Loose cotton clothing: It is best to avoid tight clothes made from artificial fabrics. Loose cotton clothing is a good choice to reduce irritation and dry the skin.
What are the complications?
These are possible complications of thrombosed hemorhoid excision
- Bleeding is the most common problem with this procedure. It can usually be controlled with direct pressure. If hemostasis cannot be achieved with direct pressure, you can use either silver nitrate cauterization, or a figure-8 stitch with an absorbable staple.
- Infection – Although the infection rate is unknown, it is thought to be less than 5%. Prophylactic antibiotics are not recommended routinely.
- Perianal skin tag: This is a benign condition that can occur after the incised region has healed.
- Stricture – This is a rare complication that can be avoided by working with the external anal sphincter muscles
- Incontinence – This is a rare complication that can be avoided by working with the external anal sphincter muscles
- Pain – This is an avoidable but common complication and can be prevented with any combination parenteral or local anesthesia with or without procedural sedation
How can hemorhoids be prevented?
Keep your stool soft to prevent hemorhoids. This will allow them to pass more easily. These tips will help you prevent hemorhoids.
- Eat high-fiber foods. Consume more fruits, vegetables, and whole grains. This will soften your stool and increase its bulk. It can also help to avoid straining, which can lead to hemorhoids. To avoid gas problems, slowly increase fiber intake.
- Get plenty of fluids. To keep your stool soft, drink six to eight glasses of water or other liquids (not liquor) every day.
- Consider fiber supplements. Fiber supplements are a good option. Most people don’t consume the recommended daily intake of fiber (20-30 grams per day). Research has shown that taking over-the-counter supplements like psyllium (Metamucil), or methylcellulose, can improve hemorhoids symptoms and reduce bleeding. Fiber supplements should be taken with at least eight glasses of water each day. Supplements can worsen or cause constipation.
Do not strain. When you are trying to pass a stool, straining and holding your breathe can cause more pressure in the lower rectum.
- You should go as soon as you feel the need. You could have difficulty passing your stool if you wait for a bowel movement to occur.
- Exercise. Keep moving to prevent constipation. You can lose weight and prevent hemorhoids by exercising.
- Avoid sitting for long periods. Avoid sitting too long, especially on the toilet. This can increase pressure on the anus.
What are the prospects for thrombosed hemorhoids?
Most likely, thrombosed hemorhoids will improve within a few days and then disappear on their own. There are many treatment options available to relieve the pain and get you back to living your life. It is very painful but not serious. The condition can be treated with standard treatment in a few days or two. There is no need for any further treatment or evaluation. If the hemorhoid is extremely large, the doctor might perform local anesthesia to remove the clot. There is no cure for hemorhoids forever. However, there are many treatments that can be used to manage them.