and Caring for Thrombosed External Hemorrhoids: A Patient's Guide - Surgery

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Thrombosed external hemorrhoid


Hello, Doctor.
A few days ago, I noticed some pain in my anus.
Yesterday, I went to see a doctor, who diagnosed me with an external thrombosed hemorrhoid and administered a local anesthetic for treatment.
I’m curious if I can take warm baths to care for the wound? They prescribed anti-inflammatory medication and ointment, and after applying the ointment, I place a cotton pad on my anus to prevent infection.
Is this the correct approach? Also, it's been one day since the procedure, and I am not experiencing heavy bleeding; the cotton pad only has a slight tinge of blood.
Can I resume normal activities? Lastly, I’m puzzled as to why they want to send the sample for testing after diagnosing a thrombosed hemorrhoid.
I’m feeling quite anxious about it.

Dan, 30~39 year old female. Ask Date: 2020/07/09

Dr. Chen Jiaming reply Surgery


You can take a warm water bath to maintain cleanliness and reduce pain.
You can use cotton pads or gauze to absorb blood, but the largest source of bacteria in the anal area comes from the anus itself, so using cotton pads to prevent infection may be challenging.
Generally, simple activities should not have an impact, but it depends on the type and intensity of your exercise; if it does not cause pain, it should be fine.
Basically, if you have submitted samples for testing, you will still be asked to return for a follow-up appointment to review the results and check the wound, so there is no need to overthink it in advance.

Reply Date: 2020/07/09

More Info


Hello! It sounds like you’re dealing with a challenging situation regarding your thrombosed external hemorrhoids. Let’s break down your concerns and provide some guidance on how to care for your condition.


Understanding Thrombosed External Hemorrhoids
Thrombosed external hemorrhoids occur when a blood clot forms in the external hemorrhoidal tissue, leading to swelling, pain, and discomfort. This condition can be quite painful, especially during bowel movements or when sitting. The treatment often involves pain management and, in some cases, surgical intervention to remove the clot.


Post-Treatment Care
1. Warm Water Baths: Soaking in warm water (sitz baths) can be very beneficial after treatment for thrombosed hemorrhoids. It helps to soothe the area, reduce pain, and promote healing. You can do this several times a day, especially after bowel movements. Just ensure that the water is not too hot, as this can cause further irritation.

2. Medication and Ointments: It’s good that you are following your doctor’s instructions regarding the anti-inflammatory medication and ointments. Applying the ointment as directed can help reduce inflammation and pain. Placing a clean cotton pad after applying the ointment is a good practice to absorb any excess and protect the area from infection.

3. Bleeding: It’s normal to see a small amount of blood on the cotton pad after treatment. As long as the bleeding is minimal and not increasing, this is typically a sign that your body is healing. However, if you notice significant bleeding or if the bleeding persists, you should contact your healthcare provider.

4. Physical Activity: While it’s important to stay active, you should avoid strenuous activities or heavy lifting for a few days after the procedure. Gentle walking is usually fine, but listen to your body and avoid any movements that cause pain or discomfort.


Why Testing is Important
Regarding the need for further testing or examination, it’s not uncommon for doctors to want to send tissue samples for analysis, even if they suspect a thrombosed hemorrhoid. This is done to rule out other conditions, such as anal fissures or even more serious issues. It’s a precautionary measure to ensure that the diagnosis is accurate and that there are no underlying problems that need to be addressed.


Conclusion
In summary, you can safely take warm baths, continue using your medications as prescribed, and monitor your bleeding. It’s also wise to follow up on any tests your doctor recommends, as they are in your best interest for ensuring a complete and accurate diagnosis. If you have any concerns or if your symptoms worsen, don’t hesitate to reach out to your healthcare provider for further advice. Healing takes time, and it’s important to be gentle with yourself during this process. Take care!

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