Recovery Time for Thrombosed External Hemorrhoids: What to Expect

The recovery time for thrombosed external hemorrhoids?

Hello Dr.
Ke,
I previously experienced significant pain in my anal area, and after seeking medical attention, I was diagnosed with an external hemorrhoid with thrombosis.
The doctor prescribed medication for topical application and a suppository.
I recall your previous response mentioning that external hemorrhoids with thrombosis typically heal within 1 to 3 weeks.
Today marks nearly three weeks for me, but the lesion is still present.
Although the pain has subsided and the lesion seems to have reduced in size, I would like to ask if this healing speed is normal.
Should I return for a follow-up appointment, or is it sufficient to continue applying the medication?
Additionally, I would like to inquire about the diagnostic difficulty of external hemorrhoids with thrombosis.
If diagnosed with this condition, is it generally accurate, or should other potential issues be considered?
Thank you!

Guān Tíng, 40~49 year old female. Ask Date: 2020/03/09

Dr. Ke Fangxu reply Surgery

Larger blood clots require a longer time to be absorbed.
If it has been more than three weeks and you have not fully recovered, it is advisable to consult a physician to avoid delaying your condition or the possibility of misdiagnosis.
After all, email consultations cannot replace an in-person examination, so do not take this lightly.

Reply Date: 2020/03/09

More Info

When it comes to the recovery process for thrombosed external hemorrhoids, it's important to understand that individual healing times can vary significantly based on several factors, including the severity of the thrombosis, the individual's overall health, and adherence to treatment recommendations.

Typically, thrombosed external hemorrhoids can take anywhere from 1 to 3 weeks to heal. In your case, since you are nearing the three-week mark and have noticed a reduction in pain and size of the thrombosed area, this is a positive sign. However, the fact that the thrombosis is still present may indicate that complete resolution is still in progress. It's not uncommon for the external hemorrhoid to remain palpable for a while even after the pain has subsided. The body gradually reabsorbs the clot, which can take additional time.

If you are still experiencing discomfort or if the thrombosed area has not changed significantly after three weeks, it may be wise to schedule a follow-up appointment with your healthcare provider. They can assess the area to ensure that there are no complications, such as infection or the development of additional hemorrhoids. In some cases, if the thrombosis is particularly large or if there are ongoing symptoms, a surgical intervention may be considered, although this is typically reserved for more severe cases.

Regarding the diagnostic aspect of thrombosed external hemorrhoids, the diagnosis is generally straightforward for experienced healthcare providers. The characteristic symptoms, such as localized pain, swelling, and the presence of a hard lump near the anal opening, usually lead to a clear diagnosis. However, it is essential to rule out other conditions that may present similarly, such as anal fissures or abscesses. A thorough examination, often including a visual inspection and possibly a digital rectal exam, can help confirm the diagnosis and ensure that no other underlying issues are present.

In summary, while your recovery seems to be on track, it is essential to monitor the situation closely. If you have any concerns about the healing process or if symptoms persist, do not hesitate to reach out to your healthcare provider for further evaluation. They can provide personalized advice based on your specific condition and help ensure that your recovery proceeds smoothly.

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