Thrombosed hemorrhoids are a common problem but still remain a poorly studied issue. Hemorrhoidal clots are blood-filled lumps which appear suddenly in the entry of the anus and develop as a result of swelling of the external hemorrhoidal venous system. These lumps (they look like a bluish-purplish discoloration) are very hard and the first days they are accompanied by severe pain. Very often, they are caused by hard feces or diarrhea. Sitting for more than 5 minutes on the toilet and squat exercises are very important aggravating factors. Also, some other important risk factors for thrombosed hemorrhoids include a recent bout of constipation and traumatic vaginal delivery.
Thrombosed hemorrhoids contain blood which is spilled from a disrupted vein. After 3 or 4 days, the blood clot is absorbed and symptoms become milder.
Rest and loose stools are recommended. Sitting on the toilet for more than 5 minutes is forbidden. If the patient observes blood or feels severe pain, the clot should be evacuated by the surgeon, with a simple procedure in our clinic, which is called “surgical excision” and in most cases it precipitates resolution.