Thrombosed External Hemorrhoids: Symptoms and Treatment Guidance - Surgery

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Thrombosed external hemorrhoids are a common condition that can cause significant discomfort and pain. They occur when a blood clot forms in the external hemorrhoid, leading to swelling and a noticeable lump near the anal opening. The symptoms typically include severe pain, swelling, and sometimes bleeding. In your case, it seems that you experienced the classic symptoms of a thrombosed external hemorrhoid, which initially resolved but then reappeared after treatment.

When you first noticed the thrombosed hemorrhoid, the pain was likely due to the clot and the inflammation surrounding it. The fact that it seemed to resolve overnight is not uncommon, as the body can sometimes reabsorb the clot, leading to a reduction in symptoms. However, the reappearance of the hemorrhoid after your sitz bath and the fact that it is not painful could indicate that the clot is still present, but the inflammation has decreased.

Regarding your question about whether this is a normal phenomenon, it is important to understand that thrombosed external hemorrhoids can fluctuate in size and symptoms. They may become less painful and less swollen over time, but they can also remain protruded if the clot does not resolve completely. It is not unusual for the hemorrhoid to remain outside the anal canal, especially if it has not been manually reduced or if the clot is still present.

As for the use of the suppository, it is generally recommended to apply the medication as directed by your physician. If the external hemorrhoid is protruding and not painful, you may not need to push it back in before using the suppository. However, if the instructions specify that the suppository should be inserted into the rectum, you may need to gently push the hemorrhoid back in if possible, but only if it does not cause pain. If you are unsure, it is best to consult with your healthcare provider for specific instructions tailored to your situation.

In terms of treatment, sitz baths are a common recommendation for managing symptoms associated with hemorrhoids. They can help soothe the area and promote blood flow, which may aid in healing. Additionally, over-the-counter topical treatments can provide relief from discomfort. If the hemorrhoid remains symptomatic or if you notice any changes such as increased bleeding or pain, it is important to follow up with your healthcare provider.

In summary, while the reappearance of your thrombosed external hemorrhoid after treatment is not uncommon, it is essential to monitor your symptoms. If you have any concerns about the condition or the treatment plan, do not hesitate to reach out to your healthcare provider for further guidance. They can provide personalized advice based on your specific situation and help ensure that you receive appropriate care.