Thrombosed External Hemorrhoids

What are thrombosed external hemorrhoids?

Thrombosed external hemorrhoids (TEH) are firm, tender lumps that appear near the anal opening.

How do you get thrombosed external hemorrhoids?

The most common cause of external hemorrhoids is repeated muscle straining during bowel movements. This is because straining gets in the way of your body’s blood flow. When the blood can’t flow properly, blood vessels enlarge and the blood begins to pool in this highly sensitive area. These pools then swell up and turn into quite painful lumps that we call external hemorrhoids.

What do thrombosed external hemorrhoids feel like?

Symptoms may include:

    • A lump near your anus, which may be painful or sensitive
    • Pain or discomfort
    • Swelling around anus
    • Itching or irritation in your anal area
    • Bleeding during bowel movements

Why does it hurt so much?

The skin outside of the anus is attached firmly to the tissues underneath—it is an area full of nerves. When a blood clot or “thrombosis” develops, the pressure inside the hemorrhoid goes up rapidly in the affected area causing constant, often severe pain. Sometimes the pressure is so great that the overlying skin ruptures and clotted blood leaks out.

Is it life threatening?

No, but a thrombosed external hemorrhoid can be VERY PAINFUL!

Should I pop a thrombosed external hemorrhoid?

NO! Popping it like it’s a pimple is not recommended. It can injure delicate surrounding tissue and lead to serious infection.

How are hemorrhoids treated? Do I have to get them removed?

External hemorrhoids cannot be treated with infrared coagulation (IRC) or rubber band ligation. They must be removed if they are symptomatic.

How are external hemorrhoids removed?

Removal is typically done at a doctor’s office. A small, simple incision is made over the thrombosed hemorrhoid, and the clot and hemorrhoid are removed in one piece. You will feel instant relief from pain and can expect to be sore afterward. You can return to regular daily activities quickly, but activities requiring heavy exertion, like working out or lifting will need to be avoided for a few days.

Are there any natural or home remedies for hemorrhoids?

Dr. Perryman recommends seeking medical attention right away. If you are not able to see a colon and rectal specialist immediately, you might try some of these tips at home to reduce inflammation and provide temporary pain relief.

    • Sit in a tub of warm water for 15 minutes at a time.
    • Wrap a cold pack with a towel. Carefully sit on it for 20 minutes at a time to reduce hemorrhoidal inflammation.
    • Don’t strain or sit on the toilet for too long. This puts more pressure on the area and can increase pain.

Will they go away on their own?

External hemorrhoids may heal on their own but we highly recommend seeking treatment to remove as soon as you can to avoid a potentially very painful experience. By removing the thrombosed external hemorrhoids within the first three days of initial onset of symptoms, you can prevent a significant amount of prolonged discomfort.

If you have any of the hemorrhoid symptoms discussed above, and are interested in being evaluated and discussing treatment options with Dr. Lisa Perryman, please contact our office at (303) 840-8822 or request an appointment on our website. We will also counsel you on preventing recurrence of hemorrhoids.