When Will Bleeding Stop After Thrombosed External Hemorrhoid Surgery? - Surgery

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After a thrombectomy, when can I expect the bleeding to stop, and what medications can I apply to help reduce the bleeding?


Hello, on Saturday morning at the clinic, I was diagnosed with a thrombosed external hemorrhoid.
The doctor treated it at that time, and since the hemorrhoid was not large and the bleeding was manageable, the doctor advised me to monitor it at home.
However, that same day, I experienced some bleeding in the evening, and on Sunday, the bleeding decreased but there was still slight bleeding (I have been using gauze and taking warm sitz baths).
Is this bleeding normal? Should I continue to use gauze on the wound? The doctor did not prescribe any ointment; do you have any recommendations for ointments that can promote wound healing? Thank you.

Hank, 40~49 year old female. Ask Date: 2017/12/31

Dr. Ke Fangxu reply Surgery


Thrombotic external hemorrhoids are typically treated in an outpatient setting with thrombectomy.
After the procedure, it is common to experience some bleeding for one or two days, which usually does not require excessive concern.
If the wound stops bleeding, there is no need to continue using gauze.
Over-the-counter hemorrhoid ointments can be used, and the commonly used medications in hospitals include Hemorrhoid Ointment and Pingzhi Long.

Reply Date: 2017/12/31

More Info


After undergoing surgery for a thrombosed external hemorrhoid, it is not uncommon to experience some bleeding, especially in the initial days following the procedure. The bleeding you are observing, particularly if it has decreased over time, can be considered a normal part of the healing process. However, it is essential to monitor the situation closely.

Typically, after surgery for a thrombosed external hemorrhoid, patients may experience some bleeding for a few days. This bleeding is usually light and should gradually diminish. The fact that you noticed a reduction in bleeding from Saturday to Sunday is a positive sign, indicating that your body is beginning to heal. It is important to keep the area clean and dry, and using gauze can help absorb any minor bleeding while also protecting the wound.

Regarding the use of gauze, it is advisable to continue using it, especially if you are still experiencing some bleeding. Change the gauze as needed, particularly if it becomes saturated. This will help prevent infection and keep the area clean. If the bleeding persists or worsens, or if you notice any signs of infection (such as increased pain, swelling, or discharge), you should contact your healthcare provider immediately.

As for topical treatments, while your doctor did not prescribe any ointments, there are over-the-counter options that can aid in the healing process. Look for products that contain ingredients like witch hazel or aloe vera, which can soothe the area and promote healing. Additionally, a barrier ointment such as petroleum jelly can help protect the skin and keep it moist, which may facilitate healing. However, it is crucial to consult with your healthcare provider before applying any new products to ensure they are appropriate for your specific situation.

In terms of post-operative care, here are some general recommendations to promote healing and minimize discomfort:
1. Warm Sitz Baths: Taking warm sitz baths several times a day can help soothe the area, reduce discomfort, and promote healing. This practice can also help with blood circulation in the region.

2. Dietary Adjustments: To prevent constipation and straining during bowel movements, increase your fiber intake through fruits, vegetables, and whole grains. Staying well-hydrated is also crucial.

3. Pain Management: If you experience discomfort, over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. Always follow the dosage instructions on the label.

4. Avoid Straining: It is essential to avoid straining during bowel movements, as this can exacerbate bleeding and discomfort. If necessary, consider using a stool softener to ease the process.

5. Follow-Up Care: Attend any scheduled follow-up appointments with your healthcare provider to ensure proper healing and address any concerns.

In summary, some bleeding after thrombosed external hemorrhoid surgery is normal, especially in the first few days. Continue to monitor the situation, maintain proper hygiene, and use gauze as needed. If you have any concerns or if the bleeding does not improve, do not hesitate to reach out to your healthcare provider for further evaluation and guidance.

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