“Thrombotic hemorrhoid?”
I have a large thrombotic hemorrhoid that appeared overnight yesterday. Never had this before. It's gotten larger in the last 24 hours and I am experiencing moderate pain. It's about the size of marble. What are my options. I'm concerned.
Male | 67 years old
Complaint duration: 3 days
Medications: Ativan and Levothyroxine
Conditions: None
2 Answers
Your family doctor might be able to open and drain it, but I would call first. Urgent care would be my other recommendation. If you can wait until tomorrow and sit on a heating pad overnight you should get there when they open.
Most thrombosed hemorrhoids have resolution of pain in about 5 days. You are already halfway there. On occasion a thrombosed hemorrhoid should be removed for one of several reasons: the thrombosis erodes the overlying skin and the hemorrhoid painlessly bleeds (oozes) generally a dark red non-clotting blood for days. Because of the mess removal speeds up the healing process; after the pain is gone, the lump may take weeks to disappear and is can be annoying. Removal helps that problem; Finally, a thrombosed hemorrhoid might require removal in the acute period because of paid.
Topical creams really do not help thought it gives you something to do. Warm soaks can help the pain and decrease swelling.
Lancing the hemorrhoid and squeezing out the clot is NOT recommended (though very often performed in the ER and by PCPs). The damaged vein remains and recurrence is common. Excision is the preferred method is removal is warranted.
Topical creams really do not help thought it gives you something to do. Warm soaks can help the pain and decrease swelling.
Lancing the hemorrhoid and squeezing out the clot is NOT recommended (though very often performed in the ER and by PCPs). The damaged vein remains and recurrence is common. Excision is the preferred method is removal is warranted.
