Thrombosed External Hemorrhoids: Recovery and Treatment - Surgery

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Thrombosed external hemorrhoid


Hello, doctor.
A few days ago, I underwent an outpatient procedure for a thrombosed external hemorrhoid.
The hemorrhoid has not disappeared; it is still slightly protruding but smaller than before.
However, there are small granulation tissues on the surface of the hemorrhoid.
Will the external hemorrhoid disappear? How long will it take to resolve? Will the granulation tissue also disappear? The clinic that performed the surgery has prescribed an ointment.

Jian, 20~29 year old female. Ask Date: 2017/11/18

Dr. Ke Fangxu reply Surgery


Answer: The thrombosed external hemorrhoid is only the removal of the thrombus; the original external hemorrhoid will still have a small granulation tissue, which is likely due to swelling of the wound.
After applying the ointment, it should gradually shrink and disappear.

Reply Date: 2017/11/18

More Info


Thrombosed external hemorrhoids can be a painful and uncomfortable condition, often requiring surgical intervention for relief. After undergoing a procedure to remove a thrombosed external hemorrhoid, it is common for patients to have concerns about the healing process and the appearance of the hemorrhoid post-surgery.

Firstly, it's important to understand that after surgery, the external hemorrhoid may not completely disappear immediately. The swelling and the presence of a small lump can persist for some time as the body heals. Typically, the recovery period for external hemorrhoid surgery can range from a few days to a couple of weeks, depending on the individual’s healing response and the extent of the procedure performed.

The small growth of tissue, often referred to as a "skin tag" or "granulation tissue," can develop at the site of the surgery. This is a normal part of the healing process. Granulation tissue is composed of new connective tissue and tiny blood vessels that form on the surface of a wound during the healing process. While these skin tags can be bothersome, they are generally harmless and may diminish over time. However, they may not completely disappear on their own, and some patients choose to have them removed later if they are bothersome.

Regarding the use of topical medications, the ointment prescribed by your doctor can help manage symptoms such as pain and inflammation. It may also promote healing and reduce the risk of infection. Following the post-operative care instructions provided by your healthcare provider is crucial for optimal recovery. This includes maintaining good hygiene, avoiding straining during bowel movements, and possibly using stool softeners to minimize discomfort.

In terms of the timeline for recovery, most patients notice significant improvement within a week or two. However, complete healing, including the resolution of any residual swelling or skin tags, may take longer. If the lump persists beyond a few weeks or if you experience increased pain, bleeding, or signs of infection (such as fever or pus), it is essential to follow up with your healthcare provider for further evaluation.

In summary, while thrombosed external hemorrhoids can be distressing, the surgical intervention typically leads to improvement over time. The presence of a small lump or skin tag post-surgery is common and may resolve on its own, but if it remains a concern, discussing further treatment options with your doctor is advisable. Always prioritize communication with your healthcare provider regarding any changes in your symptoms or concerns during your recovery process.

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