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What are the Different Types of Thrombosed External Hemorrhoid Treatment?

By Solomon Branch
Updated May 17, 2024
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The different types of thrombosed external hemorrhoid treatment are varied and depend on the severity of the hemorrhoids. If they are milder, treatment at home using creams, baths and rest would be used. If they are more severe, a surgical or cauterization procedure would be performed. Most thrombosed external hemorrhoids fall into the severe range and require surgery of some kind.

Hemorrhoids occur when the veins of the rectum are engorged from lack of circulation of blood in the area. If they are only inside the rectum, they are called internal hemorrhoids. If they occur outside the rectum, and are visible in the anus or surrounding area, they are called external hemorrhoids. A thrombosed external hemorrhoid is an external hemorrhoid that has a blood clot. Besides being unsightly, they can also be quite painful and itchy and can bleed if irritated.

If a hemorrhoid is severe, as in the case of a thrombosed external hemorrhoid, it is almost always painful. Home remedies such as using an anti-hemorrhoid cream, sitting in a warm bath or using an herbal remedy can often take weeks to offer any relief. In most cases, surgery is preferred in the case of a thrombosed external hemorrhoid, because the pain is often unbearable and makes sitting almost impossible. Many people can’t wait weeks for recovery, because of the pain and discomfort.

There are typically three types of procedures used for thrombosed external hemorrhoid treatment: laser, infrared photocoagulation and hemorrhoidectomy. Laser treatment and infrared treatment are very similar. Both treat the hemorrhoid by blasting the area with heat so that scar tissue is formed, and the blood supply is cut off to the hemorrhoid so that it eventually dies off. An advantage of this type of treatment is that it stops any other veins from bulging out because of the scar tissue. In hemorrhoidectomy, the hemorrhoid is surgically removed using a scalpel, laser or other cautery device. This is typically the preferred method for thrombosed external hemorrhoid treatment.

After the hemorrhoids are removed, preventative measures are recommended to avoid a recurrence. A diet that is high in fiber is most important, because this keeps the bowels clean and prevents the stagnation that leads to hemorrhoids. Drinking lots of water; eating lots of fruits, vegetables and other foods high in fiber; and adding a high fiber supplement is the usual prescription.

In addition, not sitting for too long as well as not straining during bowel movement is also recommended. Exercising, maintaining good hygiene and strengthening the muscles of the buttocks can also help prevent hemorrhoids from returning. Prevention is preferable, considering the other alternatives for thrombosed external hemorrhoid treatment.

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