Thrombosed external hemorrhoid, Surgery FAQ

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Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery

What are the issues after outpatient surgery for thrombosed external hemorrhoids? Hello, doctor. I would like to ask: Yesterday, I visited a colorectal specialist at a certain hospital, and the doctor diagnosed me with a thrombosed external hemorrhoid, suggesting that it could be...


Dr. Zhang Shuhao Reply:
1. If a thrombosed external hemorrhoid is only incised to evacuate the clot, the hemorrhoidal tissue will still become inflamed and swollen. Gauze can be used to apply pressure to prevent further bleeding, but it does not help reduce swelling. Whether standing or sitting has litt...

[Read More] Post-Operative Concerns After Thrombosed External Hemorrhoid Surgery


Two Painful White Bumps Near the Anus: What You Need to Know

Two small white bumps have appeared outside the anus? About two months ago, a bump appeared that I initially thought was a pimple. However, it hasn't gone away after all this time, and it hurts when water touches it while showering. Occasionally, it also itches (though infre...


Dr. Ke Fangxu Reply:
What issues require a physician's personal examination for diagnosis? It is impossible to make a definitive diagnosis based solely on a written description, and online consultations cannot replace actual medical evaluations. Based on your description, it is possible that you...

[Read More] Two Painful White Bumps Near the Anus: What You Need to Know


Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal

Thrombosed Hemorrhoid Excision Surgery Hello, doctor. I had a surgical excision of a thrombosed external hemorrhoid on June 21. About five days post-operation, my bowel movements started to become less painful, and I felt that the wound was gradually improving. However, by the ei...


Dr. Zhang Shuhao Reply:
If a new protrusion appears on the opposite side of the wound, it may be a new thrombosed external hemorrhoid. Here are some recommendations: 1. Monitor symptoms: Continue to observe any changes in pain and the new protrusion, paying attention to any further swelling, discolorati...

[Read More] Understanding Post-Surgical Pain After Thrombosed Hemangioma Removal


Understanding and Managing Thrombosed External Hemorrhoids After Surgery

Thrombosed external hemorrhoid Two weeks ago, I went to the hospital to treat an internal hemorrhoid (which was very painful this time). As a result, a week later, I noticed a fleshy lump outside the anus, skin-colored and about the size of a peanut, which is swollen and extremel...


Dr. Ke Fangxu Reply:
If the ligation of internal hemorrhoids is performed too superficially, it can lead to complications such as pain and swelling due to the proximity of the wound to external hemorrhoids. Currently, the best approach is to take warm sitz baths and wait for the wound to heal. If the...

[Read More] Understanding and Managing Thrombosed External Hemorrhoids After Surgery


Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?

Thrombotic external hemorrhoid On March 1st, I visited a clinic due to anal pain, and the doctor diagnosed me with thrombosed external hemorrhoids. An outpatient procedure was performed to evacuate the thrombus, and I was prescribed a topical ointment. However, on March 3rd, I st...


Dr. Zhang Shuhao Reply:
After squeezing, if swelling occurs again, it may be due to the swelling of the hemorrhoids themselves, not necessarily caused by a thrombosis. It is advisable to take warm sitz baths, along with the use of ointments and anti-inflammatory pain relievers, which can help alleviate ...

[Read More] Understanding and Managing Thrombosed External Hemorrhoids: What to Do Next?


Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?

Is the external anal mass an anal fistula or a thrombosed external hemorrhoid? 1. Symptoms: For about 2-3 weeks, there has been a hard lump outside the anus with no redness or swelling. Pressing on it causes a sharp pain, but if left alone, there is no discomfort. It has been obs...


Dr. Chen Jiaming Reply:
After all, you have already received treatment in a colorectal surgery outpatient clinic, and both diagnosis and treatment should be based on the recommendations of a specialist. Relying on images found online for diagnostic purposes can lead to inaccuracies; a physical examinati...

[Read More] Understanding External Anal Masses: Thrombosed Hemorrhoids or Fistula?


Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids

Thrombosed external hemorrhoid Dear Doctor, after a thrombosed external hemorrhoid is absorbed, it leaves behind a fold or excess skin. Is this still considered a hemorrhoid? Should we assess the size after absorption? How can we differentiate between excess skin and a hemorrhoid...


Dr. Ke Fangxu Reply:
The residual tissue left after the absorption of a thrombosed external hemorrhoid can be referred to as either a skin tag or an external hemorrhoid; structurally, they are both composed of skin-covered connective tissue, differing only in size. If asymptomatic, they typically do ...

[Read More] Understanding Thrombosed External Hemorrhoids: Identifying Skin Tags vs. Hemorrhoids


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 invasiv...


Dr. Ke Fangxu Reply:
We recommend that you schedule a follow-up consultation. Thank you.

[Read More] Is My Wrinkled Skin a Sign of Hemorrhoids After Thrombosis?


Understanding Painful Anal Bumps: Causes and Treatment Options

Perianal mass Hello, doctor. About five days ago, coinciding with my menstrual period, I noticed a round lump on the outer right side of my anus, approximately the size of a five-dollar coin. It is painful when I move, and the pain seems to be gradually increasing. I recall havin...


Dr. Zhang Shuhao Reply:
A sudden painful lump that is related to the menstrual cycle is most likely a thrombosed external hemorrhoid, though it could also be a sebaceous gland inflammation or an anal abscess in rare cases. It is recommended to take warm sitz baths, increase fluid intake to prevent const...

[Read More] Understanding Painful Anal Bumps: Causes and Treatment Options


Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment

Suspected thrombosed external hemorrhoid? Hello Doctor, about one or two weeks ago, I noticed some blood when wiping after a bowel movement, which was not mixed with stool or in the toilet. Yesterday, while showering, I felt a soft protrusion located right at the center of the an...


Dr. Zhang Shuhao Reply:
Based on your description, it does sound like a thrombosed hemorrhoid, commonly referred to as an exacerbation of hemorrhoids, which occurs due to the formation of a blood clot from subcutaneous bleeding. When located near the outer side of the anus, the swelling and pain can be ...

[Read More] Understanding External Hemorrhoids: Symptoms, Diagnosis, and Treatment


How Long Does It Take to Recover from Thrombosed External Hemorrhoids?

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...


Dr. Xu Kaixi Reply:
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 hav...

[Read More] How Long Does It Take to Recover from Thrombosed External Hemorrhoids?


Understanding Rectal Bumps: Causes and Concerns for Your Health

I felt a raised lump near the anal area? Hello Doctor: Today, while applying medication for hemorrhoids, I felt a thin, elastic protrusion near the anal opening, close to the surrounding tissue. It feels like a cord and has a texture similar to a blood vessel; it doesn't hur...


Dr. Zhang Shuhao Reply:
1. A simple protrusion of flesh without pain, redness, swelling, or discharge from a wound is most commonly a skin tag, which does not require special treatment. 2. It is less likely to be an anal fistula, as anal fistulas typically form after an anal gland causes an abscess. 3. ...

[Read More] Understanding Rectal Bumps: Causes and Concerns for Your Health


Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Guidance

Thrombosed external hemorrhoid On May 28, I developed a thrombosed external hemorrhoid, which was visibly protruding from the anal opening and was very painful. The next day, when I got up, it had subsided and I felt no discomfort. On June 1, I went to a large hospital for an exa...


Dr. Zhang Shuhao Reply:
External hemorrhoids are located outside the anal dentate line, so after the thrombus is absorbed and the swelling decreases, it is possible to still feel it. As long as there are no symptoms, no special treatment is necessary. If it cannot be pushed back in, there is no need to ...

[Read More] Understanding Thrombosed External Hemorrhoids: Symptoms and Treatment Guidance


Understanding Thrombosed External Hemorrhoids: What to Expect

Hemorrhoid issues Doctor, will a thrombosed external hemorrhoid definitely go away? I've had my thrombosed external hemorrhoid for a month and a half. Although it is not painful and is about the size of a peanut, it hasn't gotten any bigger, but it also hasn't shru...


Dr. Ke Fangxu Reply:
If there is no reduction in size at all, it is advisable to consult a physician to determine whether it is indeed a thrombosed external hemorrhoid. If there is no discomfort, it may not require attention; otherwise, you can consider asking the physician to perform a thrombectomy.

[Read More] Understanding Thrombosed External Hemorrhoids: What to Expect


Understanding External Hemorrhoids: Symptoms, Duration, and Treatment Options

Hemorrhoid issues Hello, doctor. Can you help me determine if this external hemorrhoid is a thrombosed external hemorrhoid? It has been a month, and is there a possibility that it could shrink? I didn't have external hemorrhoids before; this started about a month ago after e...


Dr. Ke Fangxu Reply:
Based on the photo, it appears to be a small thrombosed external hemorrhoid, which is showing signs of gradual absorption. If there is not much discomfort, you can wait for it to shrink on its own. However, if it becomes very uncomfortable, you may consider consulting a physician...

[Read More] Understanding External Hemorrhoids: Symptoms, Duration, and Treatment Options


Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns

Thrombosed external hemorrhoid Hello, doctor. Thank you for your quick response. Today, I couldn't help but rush to the hospital thinking I could squeeze out the blood clot from my external hemorrhoid, as I was very worried it wouldn't go back in and would get stuck. Ho...


Dr. Ke Fangxu Reply:
Small thrombosed external hemorrhoids typically get absorbed and do not remain protruding. If the acute phase has passed, it is not suitable for thrombectomy, as some of the thrombus has likely already been absorbed. Therefore, surgical removal may not be necessary.

[Read More] Understanding Thrombosed External Hemorrhoids: Treatment Options and Concerns


Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options

Thrombosed external hemorrhoid Hello, doctor. A week ago, I had diarrhea, and suddenly a lump the size of a peanut appeared at the anal area. It doesn't look red or swollen. It was painful for two to three days, but now I don't feel much discomfort, just a sensation of ...


Dr. Ke Fangxu Reply:
Thrombotic external hemorrhoids typically take 2 to 4 weeks to completely resolve. If there is no pain or discomfort, observation is sufficient. Applying hemorrhoid ointment can help alleviate uncomfortable symptoms, and taking warm sitz baths can also be beneficial.

[Read More] Understanding External Hemorrhoids: Symptoms, Concerns, and Treatment Options


Understanding Thrombosed External Hemorrhoids: Treatment Options Explained

Thrombosed external hemorrhoid Hello, doctor. I would like to ask about your previous responses, which mostly mentioned that thrombosed external hemorrhoids can be treated with topical medications and warm sitz baths, and that they will resolve on their own. However, I have also ...


Dr. Ke Fangxu Reply:
Small thrombosed external hemorrhoids can be managed conservatively and may resolve on their own. However, larger thrombosed hemorrhoids may require surgical excision to prevent potential damage to the anal sphincter. The decision on whether to excise or manage conservatively sho...

[Read More] Understanding Thrombosed External Hemorrhoids: Treatment Options Explained


Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults

Feeling of fullness in the anus? Hello doctor, the academic exam is approaching, so I've been staying up late recently. I have a habit of using my phone while having a bowel movement. A few days ago, I suddenly started feeling a fullness in my anus and the urge to defecate, ...


Dr. Zhang Shuhao Reply:
Staying up late and spending excessive time in the bathroom can exacerbate hemorrhoid symptoms and should be avoided. It is advisable to take warm sitz baths, increase fluid intake, and consume more dietary fiber, while also changing the habit of prolonged bathroom use. If concer...

[Read More] Understanding Rectal Discomfort: Symptoms and Concerns for Young Adults


Understanding Hemorrhoids: When to Seek Surgical Intervention

Hemorrhoid issues Hello Dr. Chang: I have had hemorrhoids since childhood due to constipation, but I only feel discomfort during times of staying up late or when I have a lot of heat in my body. It usually resolves itself within a day or two. Occasionally, I experience bleeding d...


Dr. Zhang Shuhao Reply:
General thrombosed hemorrhoids can easily rupture due to friction, leading to bleeding. In such cases, warm sitz baths, along with topical ointments and oral anti-inflammatory pain relievers, can provide relief. It is important to maintain good lifestyle habits to prevent recurre...

[Read More] Understanding Hemorrhoids: When to Seek Surgical Intervention


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