Managing External Hemorrhoids: Recovery Tips and Insights

Q: Managing External Hemorrhoids: Recovery Tips and Insights

Answer： Since a personal examination has not been conducted, it is not possible to assess whether the external hemorrhoid will continue to shrink. <br>However, if there is currently no bleeding or pain, it is advisable to maintain the current lifestyle.

Thrombotic external hemorrhoids

Hello Doctor, about two months ago I developed a thrombosed external hemorrhoid.
At that time, I went to a clinic for an examination, where they performed a digital rectal exam and an anoscopy, but did not prescribe any anti-inflammatory medications.
After the examination, my external hemorrhoid worsened, becoming larger and harder than before.
However, I did not seek surgical intervention to remove the thrombus; instead, I have been taking warm sitz baths at least twice daily and occasionally applying hemorrhoid cream.
I have also been actively improving my bowel habits, and since then, I have been having regular daily bowel movements.
I have been careful to avoid prolonged sitting and have been doing aerobic exercise three to four times a week for 25 minutes.

Now, my condition has improved significantly; there is no pain, and there is no congestion during sitz baths.
However, there is still a small red area above the anus, and I experience slight discomfort when sitting.
I would like to ask if my current condition will resolve by continuing with warm sitz baths and maintaining good bowel habits, considering that I read online that the absorption of a thrombus in an external hemorrhoid can take 1 to 3 months.
Should I continue with my current lifestyle? Thank you.

Ivan, 20~29 year old female. Ask Date: 2020/02/12

Dr. Ke Fangxu reply Surgery

Answer: Since a personal examination has not been conducted, it is not possible to assess whether the external hemorrhoid will continue to shrink.
However, if there is currently no bleeding or pain, it is advisable to maintain the current lifestyle.

Reply Date: 2020/02/12

More Info

Managing external hemorrhoids, particularly after experiencing a thrombosed hemorrhoid, can be a challenging yet manageable condition. Your proactive approach to treatment, including regular sitz baths, maintaining a healthy bowel regimen, and engaging in aerobic exercise, is commendable and can significantly aid in recovery.

Firstly, it’s important to understand that external hemorrhoids can become thrombosed when a blood clot forms within them, leading to swelling, pain, and discomfort. The fact that you have experienced a reduction in pain and discomfort is a positive sign that your condition is improving. The redness and slight discomfort you still feel may be residual effects of the thrombosis, which can take time to fully resolve.

Recovery Tips:
1. Continue Sitz Baths: Regular sitz baths can help soothe the area, reduce inflammation, and promote blood flow, which aids in healing. Aim for at least two to three sitz baths daily, especially after bowel movements.

2. Maintain Good Bowel Habits: A high-fiber diet, adequate hydration, and regular bowel movements are crucial. This helps prevent straining during bowel movements, which can exacerbate hemorrhoid symptoms. Consider incorporating fruits, vegetables, whole grains, and plenty of fluids into your diet.

3. Avoid Prolonged Sitting: While you mentioned being mindful of not sitting for long periods, it’s essential to continue this practice. If your job requires prolonged sitting, consider using a cushion or taking breaks to stand and move around.

4. Topical Treatments: Over-the-counter hemorrhoid creams or ointments can provide temporary relief from discomfort and itching. However, be cautious with prolonged use, as some products can cause skin irritation.

5. Monitor Symptoms: Keep an eye on any changes in your symptoms. If you notice increased pain, bleeding, or any new symptoms, it’s important to consult a healthcare professional.

6. Exercise Regularly: Your commitment to aerobic exercise is beneficial. Regular physical activity can improve circulation and help prevent constipation, which is vital for hemorrhoid management.

Healing Timeline:
As for the timeline for the absorption of a thrombosed hemorrhoid, it can indeed take anywhere from a few weeks to several months for the blood clot to dissolve completely. The discomfort you feel when sitting may gradually decrease as the area heals. It’s not uncommon for some residual symptoms to linger even after the main issues have resolved.

When to Seek Medical Attention:
If your symptoms do not improve or worsen over the next few weeks, it may be wise to consult a healthcare provider. They can assess whether further treatment is necessary, such as prescription medications or, in some cases, surgical intervention if the hemorrhoids do not resolve on their own.

Conclusion:
In summary, maintaining your current regimen of sitz baths, good bowel habits, and regular exercise is likely to support your recovery from external hemorrhoids. While it’s normal to experience some residual discomfort, staying vigilant about your symptoms and seeking medical advice when necessary will ensure that you manage your condition effectively. Remember, patience is key, as healing can take time, but with consistent care, you should see continued improvement.

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