A member asked:

Is it usually safe to let a perianal haematoma run its (painful) course without surgical intervention ? topical anticoagulant ??

A doctor has provided 1 answer
Dr. Richard Zimon answered

Specializes in Internal Medicine

Yes: this clotted hemorrhoid (that's what it sounds like) or perianal hematoma will slowly resolve. Suggest you try Sitz Baths with hot water (not "burning" but as hot as you can tolerate it) may help the pain and "speed" the resolution of the clot (resorption)! Hope this helps and BTW topical anticoagulants are useless in this condition! Hope this helps Dr Z

Answered 9/4/2016

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