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General Practice 2023

Thrombosis hemorrhoidária: what é, symptoms, causes and treatment

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Thrombosis hemorrhoidária: what é, symptoms, causes and treatment
Thrombosis hemorrhoidária: what é, symptoms, causes and treatment

Hemorrhoidal thrombosis occurs mainly when you have an internal or external hemorrhoid that ruptures or gets compressed by the anus, causing blood to accumulate in the anus forming a clot, which causes swelling and intense pain in the anal region.

Generally, hemorrhoidal thrombosis is more frequent in people who have constipation or during pregnancy, but it can also arise due to other situations that increase abdominal pressure, such as exaggerated efforts at the gym, for example.

The treatment of hemorrhoidal thrombosis is performed according to its cause and severity, and surgery or medication may be indicated according to the proctologist's guidance.


Main symptoms

The symptoms of hemorrhoidal thrombosis are similar to those of hemorrhoids, and can be noticed:

  • Intense pain in the anal region;
  • Bleeding, especially when evacuating or straining;
  • Swelling or lump at the site.

However, in these cases it is possible to verify that the nodulation has turned purple or black, indicating thrombosis, and the person should consult a proctologist as soon as possible.

The diagnosis of hemorrhoidal thrombosis is made by observing the symptoms by the proctologist, evaluating the characteristics of external hemorrhoids and signs of thrombosis.

Possible causes

Hemorrhoidal thrombosis occurs as a consequence of an external hemorrhoid, which can arise due to constipation, straining to evacuate, poor anal hygiene or pregnancy, for example, which are also risk factors for developing thrombosis.

How the treatment is done

Treatment for hemorrhoidal thrombosis should be performed according to the recommendation of the proctologist and the use of pain medication, anesthetic ointments, in addition to sitz baths and dietary changes, such as increased fiber intake, is usually recommended., for example, to maintain regular bowel habits.

Next, we indicate the main forms of treatment:

1. Taking medicine or applying ointments

To treat hemorrhoidal thrombosis the doctor may recommend:

  • Analgesics, such as Paracetamol, or anti-inflammatory drugs, such as Ibuprofen, to relieve pain;
  • Ointments for hemorrhoids, such as Proctyl, for example, which help in relieving local pain and reducing other symptoms;
  • Laxatives, such as Almeida Prado 46 or Lactopurga, which help to soften stools, facilitating their exit;
  • Fiber supplements, which help with stool formation and reduce the risk of bleeding.

In addition, the doctor may recommend the use of medications such as diosmin associated with hesperidin, such as Diosmin, Perivasc or Daflon, which help improve blood flow in the veins of the anal region, and reduce symptoms such as itching and bleeding in hemorrhoids.

2. Placing a rubber band on the hemorrhoid

In some cases, it may be recommended to place an elastic band on the hemorrhoid, which is widely used in the case of external hemorrhoidal thrombosis to reduce blood circulation and cause the hemorrhoid to fall off in 7 to 10 days.

3. Fluid injection into hemorrhoid

The application of a sclerosing fluid injection is performed by the doctor and causes the hemorrhoid to become hard and die, falling off after about 7 days. This treatment can be used to treat internal or external hemorrhoidal thrombosis.

4. Surgery to remove hemorrhoids

In more severe cases, in which there is thrombosis with necrosis,.surgery for hemorrhoidal thrombosis may be recommended, and consists of removing the hemorrhoid with a scalpel, and the patient needs to be hospitalized.

Natural treatment option

The natural treatment for hemorrhoidal thrombosis can be done with witch hazel, cypress or lavender sitz bath, for example, however it does not help to treat thrombosis once and for all, being just a good way to relieve pain. Thus, whenever there is a suspicion of thrombosis in hemorrhoids, it is very important to go to the doctor to assess the need for treatment with other options. See how to make this sitz bath for hemorrhoids.

To complete the treatment, it is also important to adopt some precautions such as drinking about 2 liters of water a day and doing regular physical exercise, to improve bowel function and reduce pressure on the hemorrhoid.

See other hemorrhoid home remedies that help complement the treatment.

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