Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?

Is the presence of folds in the skin after thrombus resolution indicative of hemorrhoids?

Hello, doctor! After the typhoon, I noticed a small lump the size of a soybean.
Upon examination, the diagnosis was mixed hemorrhoids and thrombosed external hemorrhoids.
A minimally invasive procedure was suggested, but I chose to do warm sitz baths instead.
Currently, the thrombosis has resolved, and it looks like a deflated balloon with wrinkles.
Are these wrinkles hemorrhoids? Thank you for your response! Or are they just normal skin folds? I am currently feeling anxious and fearful about the external hemorrhoids.

Lieren, 40~49 year old female. Ask Date: 2023/12/26

Dr. Ke Fangxu reply Surgery

We recommend that you schedule a follow-up consultation.
Thank you.

Reply Date: 2023/12/26

More Info

Wrinkled skin around the anal area, particularly after experiencing thrombosis related to hemorrhoids, can indeed be a source of concern and confusion. In your case, it seems that you have been diagnosed with mixed hemorrhoids and an external thrombosed hemorrhoid, which can lead to various symptoms, including pain, swelling, and changes in skin texture.

When a thrombosed hemorrhoid occurs, it is essentially a clot that forms in the blood vessels of the hemorrhoid, causing it to swell and become painful. After the thrombosis resolves, the skin may appear wrinkled or folded, similar to a deflated balloon. This wrinkling is typically due to the loss of volume in the affected area as the swelling decreases. It is important to note that this wrinkling is not a sign of new hemorrhoids but rather a result of the healing process following the resolution of the thrombosis.

The skin around the anal area is sensitive and can change in appearance due to various factors, including inflammation, healing, and even the effects of moisture from sitz baths. While it is common for the skin to appear wrinkled after the resolution of a thrombosed hemorrhoid, it is essential to monitor for any additional symptoms that may indicate complications, such as increased pain, bleeding, or signs of infection.

In terms of your fear regarding external hemorrhoids, it is crucial to understand that while they can be uncomfortable and may require treatment, they are generally manageable. The wrinkling of the skin itself is not indicative of a serious condition but rather a part of the healing process. If you are experiencing significant anxiety about your symptoms, it may be beneficial to discuss these feelings with your healthcare provider. They can provide reassurance, further explain the healing process, and discuss any additional treatment options if necessary.

In conclusion, the wrinkled skin you are observing is likely a normal part of the healing process following the resolution of your thrombosed hemorrhoid. It is not a sign of new hemorrhoids or a serious condition. However, if you have any concerns or if your symptoms change, do not hesitate to reach out to your healthcare provider for further evaluation and guidance. Regular follow-ups and open communication with your doctor can help alleviate your fears and ensure that you are on the right path to recovery.

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