Will Acute Vascular Rupture Hemorrhoids Heal on Their Own?

Will hemorrhoids caused by acute vascular rupture heal on their own?

Hello, Director Ke.
Last week I had a persistent cough, and as a result, I developed a lump near my anus that protrudes when I go to the bathroom.
I'm not sure if it's related to the cough.
On Monday, I visited a female traditional Chinese medicine clinic recommended by a friend, and she said it was caused by an acute vascular rupture.
She mentioned that it could be tied off in about 20 minutes, but it wouldn't be covered by health insurance and would cost NT$15,000.
Therefore, I haven't sought treatment yet.
Will it heal on its own? If left untreated, will it worsen? If I go to a general hospital for treatment, will I need to be hospitalized? I'm feeling quite anxious due to my daily responsibilities of picking up my child and my financial situation.
Thank you for your guidance.

A-Yun, 40~49 year old female. Ask Date: 2010/06/10

Dr. Ke Fangxu reply Surgery

Hello, Ah Yun.
Based on your description, it seems that the persistent cough has increased pressure in the anal area, leading to a small thrombosed hemorrhoid.
The diagnosis from the traditional Chinese medicine clinic is not incorrect.
For this type of small thrombosed hemorrhoid, we do not recommend ligation treatment because the area is innervated by superficial nerves, and ligation can result in painful sequelae.
Additionally, there is a waiting period for the hemorrhoid to necrose and fall off.

What we commonly do is administer a small amount of local anesthesia in the outpatient setting, make a small incision of about 0.5 cm, and remove the blood clot.
This procedure takes about five minutes and does not require hospitalization.
Post-surgery, there is only mild stinging, and the wound heals within a day.
You can then use topical ointments for quicker recovery.
The great news is that this procedure is covered by health insurance, and you only need to pay the registration fee and a portion of the outpatient costs.

I recommend that you visit the colorectal surgery outpatient clinic for this treatment.
If you prefer not to undergo surgical treatment, using topical ointments can also eliminate the issue, but it will take longer, approximately one to two weeks for recovery.

Reply Date: 2010/06/10

More Info

Acute vascular rupture leading to hemorrhoids can indeed be a concerning issue, and it’s understandable that you are feeling anxious about your condition and the potential treatment options. Let’s break down your questions and provide some clarity on the situation.

Firstly, it’s important to understand what you are experiencing. Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be caused by a variety of factors, including straining during bowel movements, prolonged sitting, and increased pressure in the lower rectum. In your case, the acute vascular rupture you mentioned could be a result of increased pressure from coughing, which may have exacerbated an existing condition or led to the formation of a new hemorrhoid.

Regarding your question about whether acute vascular rupture hemorrhoids will heal on their own, the answer can vary. In many cases, mild hemorrhoids can resolve without treatment, especially if lifestyle changes are made to alleviate symptoms. These changes may include increasing fiber intake, staying hydrated, and avoiding prolonged sitting. However, if the hemorrhoids are causing significant pain, bleeding, or discomfort, they may not heal on their own and could require medical intervention.

As for the treatment options you mentioned, the procedure your friend’s doctor suggested—tying off the hemorrhoid (also known as rubber band ligation)—is a common and effective treatment for symptomatic hemorrhoids. While it may seem costly, it is often a one-time procedure that can provide significant relief. If left untreated, there is a risk that the hemorrhoids could worsen, leading to more severe symptoms such as increased pain, bleeding, or even complications like thrombosis (a blood clot forming in the hemorrhoid).

If you are concerned about the cost and the need for hospitalization, it’s worth noting that many hospitals offer payment plans or financial assistance programs. Additionally, visiting a general practitioner or a gastroenterologist may provide you with more affordable options for treatment. They can evaluate your condition and recommend the best course of action, which may not necessarily require hospitalization.

In summary, while some hemorrhoids may heal on their own, if you are experiencing significant symptoms, it is advisable to seek treatment. Delaying treatment could lead to worsening symptoms and complications. It’s important to weigh your options carefully and consider consulting with a healthcare professional who can provide guidance tailored to your specific situation. Remember, taking care of your health is paramount, and there are often resources available to help manage the financial burden of medical care.

Similar Q&A

Can Hemorrhoids Heal on Their Own? Understanding Self-Recovery

I apologize for the inconvenience, but I would like to ask the doctor about my condition. Two years ago, I accidentally developed hemorrhoids. Initially, I consulted a doctor who prescribed medication and suppositories. After that, I focused on maintaining regular bowel movements...

Dr. Ke Fangxu reply Surgery
Hemorrhoids only require medical attention when there is severe pain and bleeding. Based on your current condition, there is no need for special treatment as long as the symptoms do not recur. Hemorrhoids are normal tissues in the body that help maintain the closure of gas and fl...

Can Untreated Internal Hemorrhoids Heal on Their Own?

The internal hemorrhoids that protrude after bowel movements return to the anal canal within half an hour. Currently, there is no bleeding, but there are occasional small streaks of blood when wiping. Given the current condition, is it possible to avoid hemorrhoid ligation treatm...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: If hemorrhoids are bleeding severely or have other complications, surgical intervention is necessary. Whether through surgery, ligation, or other methods, hemorrhoids may recur. Best regards, Dr. Chi-Feng Chen, Taoyuan General Hospital, Department of Health.

Managing Acute Thrombosed External Hemorrhoids: What to Do After Rupture

Doctor, you mentioned that I visited a proctologist yesterday who diagnosed me with acute thrombosed external hemorrhoids that had slightly ruptured. He said I just needed to apply medication and be mindful of my routine. However, this morning while applying the medication, I not...

Dr. Xu Kaixi reply Surgery
Thrombosed external hemorrhoids are classified as venous bleeding. In theory, applying pressure for a few minutes should stop the bleeding on its own. If the bleeding does not stop, it is recommended to seek medical attention at a hospital for evaluation.

Understanding Acute External Hemorrhoids: Symptoms, Treatment, and Concerns

1. Can acute external hemorrhoids heal on their own with sitz baths? How long does it typically take to heal? Is sitting in a bath for about 10 minutes twice a day sufficient? Will there be any scarring after it heals? 2. Additionally, I previously had a soft, non-painful growth...

Dr. Ke Fangxu reply Surgery
Hello, regarding your concerns: 1 & 2. Small acute thrombosed hemorrhoids typically resolve on their own within one to two weeks if left untreated. In addition to warm sitz baths, over-the-counter hemorrhoid creams can also be helpful. It is generally recommended to take war...