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Doctor insights on: Thrombosed External Hemorrhoid

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I have a thrombosed external hemorrhoid and I am afraid to pass stool. What should I do?

I have a thrombosed external hemorrhoid and I am afraid to pass stool. What should I do?

Ice pack, soak: Try soaking in warm water and alternating with ice pack. Take a stool softener such as colace or milk of magnesia (magnesium hydroxide). Consider seeing a surgeon, who can remove the hemorrhoid. Don't hold your stool, which will only make it harder and more likely to hurt when you do pass it. ...Read more

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Dr. Eric Kaplan
1,166 doctors shared insights

Hemorrhoids (Definition)

The veins in the rectum can swell and become puffy when a person has frequent pressure on them from pushing out a bm. This is constipation. The swollen veins can burn, itch, or sometimes become severely painful (from a clot building up inside). Veins in the rectum are called hemorrhoidal veins and the sick, stretched out vein ...Read more


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Are there any pulmonary concerns i should have while waiting for a thrombosed external hemorrhoid to go away? thromboembolism? It has began to shrink.

Are there any pulmonary concerns i should have while waiting for a thrombosed external hemorrhoid to go away? thromboembolism? It has began to shrink.

No: Unless you have a clotting disorder there is no reason you should be concerned for thromboembolism to the lungs after a thrombosed hemorrhoid. ...Read more

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Would oral prednisone help a thrombosed external hemorrhoid thats failed tx w/ hc suppositories & cream? What's best for pain control?

Would oral prednisone help a thrombosed external hemorrhoid thats failed tx w/  hc suppositories & cream?  What's best for pain control?

Hemrrhoid: Oral Prednisone has not been well documented in the literature in the treatment of hemrrhoids. Keeping on a strict schedule of nsaids for their anti-inflammatory effect, barring no contra-indications in your personal history, would be beneficial to you. I would recomment starting with Ibuprofen (motrin) 600mg 3 times a day for 30 days. The anti-inflammatory effects take a full week before benefit. ...Read more

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Thrombosed external hemorrhoid burst and released clot, during bowel movement, followed by light bleeding. How should i care for it?

Thrombosed external hemorrhoid burst and released clot, during bowel movement, followed by light bleeding. How should i care for it?

Petroleum jelly: keep stools soft with fruits/dark green vegetables, prunes and prune juice and similar. less white flour products,. use petroleum jelly or antibiotic ointment to keep it soothed and help healing/passage of stool . ir red or pus or inflamed or starts bleeding a lot see proctologist or g.i. dr. take naproxyn or ibuprofen and acetaminophen for pain , can take acetaminophen with others . as directed. ...Read more

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How to treat a thrombosed external hemorrhoids?

How to treat a thrombosed external hemorrhoids?

Surgically if painfu: If your thrombosed external hemorrhoid is painful, you should see a surgeon about having it "lanced" for instant relief. This can usually be done in the office or er under local anesthesia and should totally resolve the issue for that hemorrhoid. However, there are usually several hemorrhoids (commonly 3 columns) so a recurrence in a different hemorrhoid is not uncommon. ...Read more

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What surgical procedures exist for thrombosed external hemorrhoids? what other treatment will hasten recovery?

What surgical procedures exist for thrombosed external hemorrhoids?  what other treatment will hasten recovery?

Excision or drainage: The only surgical procedure for thrombosed external hemorrhoid is to open the skin and drain it usually under local anesthesia in an office setting or to excise the entire hemorrhoid and clot and this also can be done under local. Banding and similar procedures are done for INTERNAL hemorrhoids. Important to know thrombosis will resolve without procedure with hot sitz bath and time. ...Read more

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I have painless external thrombosed hemorrhoid. How can I treat it at home?

Avoid constipation: Constipation and pushing hard to have a bowel movement can cause hemorrhoids. Avoid constipation by increasing fiber in your diet or adding a fiber supplement. A stool softener can also help. Once you stop pushing hard the hemorrhoid sometimes shrinks. Make sure a physician like a colorectal surgeon or gastroenterologist looks at it to make sure it is not cancer or warts (not likely to be cancer). ...Read more