Hemorrhoids Treatment

Hemorrhoids may either be internal or external depending on where they’re located. Internal hemorrhoids are swollen vascular tissues inside the rectal canal. External hemorrhoids are swollen vascular tissues under the skin of the anal opening. When internal hemorrhoids slip down the anal opening, they are called prolapsed hemorrhoids and should not be confused with an external hemorrhoid. When external hemorrhoids are torn open and drip blood, they are called thrombosed hemorrhoids.

Given the distinction between internal and external hemorrhoids, it’s understandable that thrombosed hemorrhoids are exclusive to the external kind. Now, how does thrombosis occur in external hemorrhoids? By definition, thrombosis refers to the formation of a clot from inflammation in the walls of vessels, and a thrombus is a formed clot that remains at the site where it originally formed. So when we strain during bowel movement because the stool is hard, it scrapes the anal skin and tears the vessels under the skin. When these torn vessels bleed, thrombosis occurs and leaves a blood clot under the skin.

Thrombosed hemorrhoids are painful and tender because they stretch the anal skin and irritate the nerve endings. However, they normally won’t bleed unless the skin over the thrombus is scraped away by the same strained bowel movement that caused it in the first place. The blood will then leak out and bleeding will occur.

Treatment of thrombosed hemorrhoids can go one of two ways. If the thrombosis is shrinking and the pain alleviating, it’s best to let it heal by itself. The thrombosis will eventually work itself out in a few weeks as it is reabsorbed by the body. Otherwise, in the case debilitating pain in the first 72 hours when it hurts to move and even sleep, then it’s best to remove the clot within that time frame. But after 72 hours when the pain’s alleviating and the thrombosis improving, it’s best to leave it alone.

Excising or removing painful thrombosed hemorrhoids requires a simple procedure called a hemorrhoidectomy. Local anesthetic is used to numb the area for the procedure. The clot, hemorrhoidal blood vessels beneath, and the skin over the clot are cut out. The area is then gauzed or sutured. The acute pain from thrombosed hemorrhoids is almost immediately alleviated after surgery. And this procedure radically lessens the rate of reoccurrence of the clot.

Thrombosed hemorrhoids occur in relation to external hemorrhoids. When these vessels under the skin around the anal opening are traumatized from straining due to constipation or other causes, thrombosis occurs. The clot formed is painful and tender. When the skin around the clot is further scraped, it will bleed out. Normally, thrombosed hemorrhoids symptoms will alleviate and the clot will heal itself after a few weeks so it’s better to leave it alone. Surgically removing the thrombosed hemorrhoids within 72 hours from onset is an option when symptoms are severe. Hemorrhoidectomy is a simple procedure and is mostly on an out-patient basis.

Tags: remedy, thrombosed hemorrhoids, Treatment, Thrombosed Hemorrhiods, Hemorrhoids