How long does it take for a thrombosed external hemorrhoid to heal?
Hello Doctor, I would like to ask about my external hemorrhoid.
It is currently skin-colored, but it tends to swell again if I stand for long periods or walk a lot.
When I visited the clinic, the doctor mentioned that I don't need to keep taking medication, but I feel like it hasn't healed yet.
I initially consulted a traditional Chinese medicine practitioner and later switched to a Western doctor, and I have been taking medication for almost two months.
The current issue is that the thrombosed external hemorrhoid is skin-colored but keeps swelling and then subsiding.
I do sit in warm water baths daily, stay hydrated, have no constipation, and avoid spicy foods.
I would like to know how long it might take to heal because I really want it to get better.
Thank you, Doctor.
Qiu Xiansheng, 20~29 year old female. Ask Date: 2023/10/20
Dr. Xu Kaixi reply Surgery
Based on your description, you already have good dietary and lifestyle habits, and you are using medication.
Theoretically, this should make it less likely for hemorrhoids to become inflamed or swollen.
However, if you have thrombosed hemorrhoids with persistent symptoms that have not improved, it is recommended to visit a surgical outpatient clinic to evaluate whether surgical removal is necessary.
Reply Date: 2023/10/20
More Info
Recovering from thrombosed external hemorrhoids can vary significantly from person to person, depending on several factors including the severity of the condition, individual health status, and adherence to treatment recommendations. Generally, thrombosed external hemorrhoids can take anywhere from a few days to several weeks to heal completely.
When a thrombosed external hemorrhoid occurs, it is essentially a painful swelling that results from a blood clot forming in the external hemorrhoidal vein. This can lead to significant discomfort, especially when sitting, standing, or moving. The initial phase of recovery often involves managing pain and inflammation, which can be achieved through various methods such as warm sitz baths, topical treatments, and over-the-counter pain relief medications.
In your case, since you have been experiencing recurring swelling and discomfort despite following a regimen that includes warm sitz baths and dietary adjustments, it is essential to consider a few key points:
1. Duration of Symptoms: While some individuals may notice improvement within a week or two, others may experience prolonged symptoms. The fact that your hemorrhoid is currently skin-colored suggests that the acute phase may be resolving, but the tendency to swell again indicates that there may still be underlying inflammation or irritation.
2. Lifestyle Modifications: Continuing to maintain a high-fiber diet, staying hydrated, and avoiding straining during bowel movements are crucial. Since you mentioned that you are not experiencing constipation and are avoiding spicy foods, you are on the right track. However, consider incorporating more fiber-rich foods such as fruits, vegetables, and whole grains to further support bowel health.
3. Medical Evaluation: If the symptoms persist or worsen, it may be beneficial to consult with a healthcare provider for a thorough evaluation. They may recommend additional treatments, such as prescription medications or, in some cases, surgical options if the hemorrhoids do not respond to conservative management.
4. Potential Complications: In some instances, thrombosed hemorrhoids can lead to complications such as infection or chronic discomfort. If you notice any signs of infection (such as increased redness, swelling, or discharge), or if the pain becomes unbearable, seek medical attention promptly.
5. Healing Process: The healing process can be influenced by individual factors such as age, overall health, and the presence of other medical conditions. For some, the discomfort may resolve within a few days, while others may take weeks to fully recover.
In conclusion, while it is common for thrombosed external hemorrhoids to take some time to heal, persistent symptoms warrant further investigation. Regular follow-ups with your healthcare provider can help ensure that you are on the right path to recovery and can provide you with additional strategies to manage your symptoms effectively. If you continue to experience issues, do not hesitate to seek further medical advice, as they can provide tailored recommendations based on your specific situation.
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