Acute Thrombosed External Hemorrhoids: Treatment and Care - Surgery

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Acute thrombosed external hemorrhoids can be quite uncomfortable and distressing, but understanding their treatment and care can help alleviate symptoms and promote healing. Here’s a comprehensive overview addressing your questions and providing additional insights into managing this condition.


1. Over-the-Counter Treatments
For acute thrombosed external hemorrhoids, over-the-counter (OTC) treatments can be beneficial. Many pharmacies offer topical medications specifically designed for hemorrhoid relief. These typically contain ingredients such as hydrocortisone, witch hazel, or lidocaine, which can help reduce inflammation, relieve itching, and numb the area to alleviate pain.

However, it’s essential to choose the right product. Since you mentioned that the specific medication prescribed by your doctor (益痔康) is not available, look for other reputable brands that contain similar active ingredients. Products labeled as hemorrhoid creams or ointments are generally suitable. Always read the instructions and consult with a pharmacist if you have any doubts about which product to choose.


2. Causes of Acute Thrombosed External Hemorrhoids
Acute thrombosed external hemorrhoids occur when blood pools in the external hemorrhoidal veins, leading to clot formation. Several factors can contribute to this condition:
- Straining during bowel movements: This is often due to constipation or diarrhea, which increases pressure on the veins in the rectal area.

- Prolonged sitting: Sitting for extended periods, especially on the toilet, can exacerbate pressure in the anal region.

- Heavy lifting: Activities that involve lifting heavy objects can increase abdominal pressure and contribute to hemorrhoid formation.

- Pregnancy: The increased pressure from the growing uterus can lead to the development of hemorrhoids.

To prevent future occurrences, consider the following:
- Maintain a high-fiber diet: This helps to soften stools and reduce straining during bowel movements.

- Stay hydrated: Drinking plenty of water can aid digestion and prevent constipation.

- Exercise regularly: Physical activity promotes healthy bowel function and reduces the risk of hemorrhoids.

- Avoid prolonged sitting: Take breaks to stand and move around if you have a sedentary job.


3. Signs of Healing
To determine if your acute thrombosed external hemorrhoids are healing, monitor the following signs:
- Reduction in swelling: Over time, the size of the hemorrhoid should decrease.

- Decreased pain: As the clot resolves, you should experience less discomfort.

- Improved bowel movements: If you notice less straining and more regular bowel habits, this can indicate improvement.

If symptoms persist or worsen, or if you experience significant bleeding, it’s crucial to seek medical attention. A healthcare professional can provide further evaluation and treatment options, which may include procedures to remove the thrombosed hemorrhoid if necessary.


Conclusion
Managing acute thrombosed external hemorrhoids involves a combination of OTC treatments, lifestyle modifications, and monitoring for signs of healing. While it’s understandable to want to avoid a doctor’s visit, if your symptoms do not improve with OTC medications or if you have concerns about your condition, it’s advisable to consult a healthcare provider for further guidance. They can offer personalized recommendations and ensure that you receive the appropriate care for your situation.