Recovery Time and Pain After Outpatient Thrombosed Hemorrhoid Removal - Surgery

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Thrombus excision in the outpatient clinic?


Dear Doctor: How long does it typically take to recover after an outpatient thrombosed hemorrhoid excision? Will there still be pain after the procedure? Additionally, is there a possibility of recurrence at the excised site?

M, 30~39 year old female. Ask Date: 2016/06/22

Dr. Ke Fangxu reply Surgery


Outpatient thrombectomy generally results in wound healing within about 2-3 days, and pain tends to diminish relatively quickly.
However, there remains a possibility of recurrence in the future.
If the thrombosed hemorrhoidal tissue is also excised, the situation becomes more complex.
Are you asking about moles on the skin? Sometimes, moles can also develop thrombosis due to ruptured blood vessels.

Reply Date: 2016/06/22

More Info


After an outpatient thrombosed hemorrhoid removal, the recovery time can vary from person to person, but generally, most patients can expect to return to their normal activities within a week. The initial discomfort and pain after the procedure are common, and while some patients may experience significant relief from the pain caused by the thrombosed hemorrhoid, others may still feel some discomfort in the surgical area for a few days to a week post-operation. Pain management is crucial during this period, and your healthcare provider may recommend over-the-counter pain relievers or prescribe medications to help manage any discomfort.

In terms of pain, it is important to note that while the acute pain associated with the thrombosed hemorrhoid should subside after the removal, some patients may experience lingering soreness or sensitivity in the area for a short time. This is typically due to the healing process and should gradually improve. If the pain persists or worsens, it is essential to consult your physician, as this could indicate complications such as infection or improper healing.

Regarding the possibility of recurrence, it is important to understand that while the specific thrombosed hemorrhoid that was removed will not return, the underlying condition of hemorrhoids can still exist. This means that if the factors contributing to the development of hemorrhoids—such as chronic constipation, straining during bowel movements, or prolonged sitting—are not addressed, there is a chance that new hemorrhoids could develop in the future. To minimize the risk of recurrence, it is advisable to adopt lifestyle changes such as increasing dietary fiber intake, staying hydrated, and avoiding prolonged sitting. Regular exercise can also help improve bowel function and reduce the risk of constipation.

In summary, after outpatient thrombosed hemorrhoid removal, you can expect a recovery period of about a week, with some pain and discomfort likely to persist for a few days. While the specific thrombosed hemorrhoid will not return, maintaining a healthy lifestyle is crucial to prevent the development of new hemorrhoids. If you have any concerns about your recovery or experience unusual symptoms, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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