Thrombosed Hemorrhoids – A Basic Outline + 4 Treatment Options

At first glance it may appear surprising how problems like constipation, hard stools, strained bowel movements and sedentary lifestyles can lead to the initially innocuous seeming Thrombosed hemorrhoids which later can turn chronic and severe. These types of hemorrhoids can result in heavy bleeding hemorrhoids and tremendous pain.

Here you are going to discover the facts about thrombosed hemorrhoids and treatments that are used to deal with them.

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What are Thrombosed Hemorrhoids?

Hemorrhoids are also referred to as piles and they may be internal or external. In Layman’s terms, thrombosed hemorrhoids are simply external hemorrhoids which lie outside the anal opening. Hemorrhoids which develop inside the anal canal are called internal hemorrhoids. They lie beneath the lining of the anus or the rectum inside the anal canal, or the lower rectum.

External or thrombosed hemorrhoids are multitudes of veins which lie underneath the skin at the opening of the anus and thus are outside the anus canal. When the external hemorrhoid develops a blood clot, the area around the opening of the anus canal gets inflamed and a painful lump can form.

The majority of the symptoms associated with hemorrhoids are caused by these external piles. There may be burning, itching or bleeding symptoms and quite often they are very painful. Blood on your toilet tissues or in your stools may be indicative of hemorrhoids. These types of symptoms should immediately be addressed as they show that the hemorrhoids have really become engorged with blood.

Sometimes, piles can cause heavy bleeding leading to severe blood loss. So, hemorrhoids should be treated at the first sign and not left to chance. Pain in your bowel movements is also a symptom of thrombosed hemorrhoids. If you can feel tender lumps near the anus or have problems in sitting down, chances then there is a chance that you have developed hemorrhoids.

How do You Know if Hemorrhoids are Thrombosed

External hemorrhoids develop slowly and gradually and the elderly most often get afflicted with this ailment.  However, by no means is it restricted to the elderly. 

Amongst the elderly, this complaint is often related to complications of the colon and the GI tract. However, factors like continuous sitting without getting up, previous complications during childbirth in the past, and changes in the bowel movements are not to be ruled out in the development of hemorrhoids. Hemorrhoids can greatly diminish your quality of life due to the discomfort and pain caused by it and if left untreated for too long, it can turn debilitating for the sufferer.

Many a time, external hemorrhoids take care of themselves with the body reabsorbing and shrinking the tissue. But, if external means are to be sought, then taking care of hemorrhoids in the holistic way by means of proper diet and exercise and natural remedies is are options that should be closely considered.

In cases, where even this fails, surgery known as hemorrhoidectomy might be the only choice left and this involves the removal of the clot and the thrombosed tissue. This is usually a fairly simple procedure and you should be able to return to his your normal activities within a few days.

Thrombosed hemorrhoids are common occurrences especially among more senior members of society, but by meeting it head on you can diminish its impact on your life greatly.

Thrombosed Hemorrhoids – 4 Surgical Treatment Options for Thrombosed Piles

Thrombosed hemorrhoids are the worst type of formations one can experience.    These types of formations are actually externally located piles that are tremendously painful when you evacuate your bowels, walk, stand, or sit. 

The formations are large, inflamed, and tender, primarily because they have filled up with blood and the blood has transformed into a clot.  When the clot forms in a hemorrhoid formation, the hemorrhoid becomes very hard and practically unbearable.

Symptoms of Thrombosed Hemorrhoids

If you have thrombosed hemorrhoids, the symptoms will be quite apparent.  These formations will cause you considerable discomfort no matter what position you are in or what activity you are engaged in; the formations are large and the swelling is usually considerable. 

You will note a large mass or lump that protrudes from the rectal area, and you may have more than one thrombosed hemorrhoid formation at a time.  The pain you feel when you have thrombosed hemorrhoids includes burning pain, severe itchiness, and sharp stabbing pains or constant throbbing.  You may also note significant bleeding from a thrombosed formation or from other accompanying external hemorrhoids that are not thrombosed.  You may have considerable difficulty keeping the anorectal area properly cleaned after bowel movements because the area is sore or tender.

Thrombosed Hemorrhoid Treatment  - Your Alternatives

If you are seeking hemorrhoid relief for thrombosed formations, there are a number of different treatment alternatives you can avail yourself of; you can talk to your doctor about any of the solutions mentioned here:

Sclerotherapy

Definition: Sclerotherapy is a common treatment for spider veins or varicose veins.  It is also an ideal treatment for moderate to severe hemorrhoidal formations that have failed to disappear when treated with more conservative measures like Sitz baths, hemorrhoidal creams, and suppositories.  This treatment involves the use of a special chemical that is intentionally injected in thrombosed hemorrhoid formations; the chemical causes the vein to collapse and scar, thereby forcing any blood flow into the formation to be routed to other veins.   When the vein has collapsed it is absorbed by bodily tissues and will ultimately disappear.

Potential Risks:  If the formation is positioned nearby a nerve band that is particularly sensitive, it is possible that during or after this treatment that you might experience an intense burning sensation.  In addition, some people prove allergic to the specific chemical used during this procedure.  This type of treatment may not prove ideal for a patient who fears needles or injections.

Rubber Band Ligation

Definition:  This method for hemorrhoid relief and for dealing with thrombosed hemorrhoids proves most ideal for formations that are medium-sized.  A physician will use a ligator to attach a band around the thrombosed formations.  This, in turn, ceases the flow of blood to the hemorrhoid and causes it to eventually disappear.  This surgical procedure is identified as one of the simplest, least invasive, and safest surgical methods for treating thrombosed hemorrhoids.

Potential Risks:  If the piles are positioned nearby a band of nerves that are particularly sensitive, you can experience pain following this procedure; you can speak with your physician about appropriate pain management options.

Cryotherapy

Definition: This treatment option involves the act of freezing the hemorrhoidal formation so that it atrophies and disappears.  A doctor will take a tool identified as a cryoprobe and use it in conjunction with liquid nitrogen or Nitrous Oxide, both of which cause the cyroprobe’s tip to achieve freezing temperatures.  The tip of the cyroprobe is then placed on the hemorrhoids, which in turn, also freezes.  The frozen hemorrhoidal formation is allowed to naturally thaw.  A doctor will offer a local anesthetic before this kind of treatment method is offered.

Potential Risks:  Post operative risks include a very high risk of infection following cyrotherapy.  In addition, post operative pain can prove moderate to extreme.  In some cases, patients experience discharge from the rectal area following this procedure.  The area treated can become sore or blistered following cyrotherapy as well.

Hemorrhoidopexy / PPH Hemorrhoidectomy

Definition: The Hemorrhoidopexy, sometimes identified as Stapled Hemorrhoidectomy, is a treatment method used for dealing with hemorrhoidal formations that have prolapsed or protruded outside of the anal opening.  The formation is stapled back into position and allowed to heal.

Potential Risks:  This procedure is generally safe, however, if it is performed improperly, damage can occur to the interior wall inside the anal cavity.  The rectum may also be over stretched during the procedure leading to temporary control issues.  On occasion, continual pain has been experienced by some individuals following the surgical procedure as well.