If individuals are experiencing infrequent bowel movements, meaning they are not passing stools as often as normally they do, and are straining to evacuate stools, they will need medical help. If this is chosen to be neglected, it can lead to the formation of hemorrhoids.
Every person has small pouches containing blood vessels and nerve tissues lining the anal canal that cushions the outward movement of fecal matter through it. When these blood vessels become over strained, they can swell up and bulge out, which is referred to as hemorrhoids.
Hemorrhoids can develop in the blood vessels situated on the outer anal area as well. Hence, hemorrhoids can be categorized into two types – a) internal hemorrhoids, and b) external hemorrhoids.
In the case of internal hemorrhoids, they can protrude and prolapse out of the anal canal during passage of stools. In the initial stages, the protruding hemorrhoids retreat back into the anal passage spontaneously after some time. At times, it may have to be pushed back using manual skills. However, at a later stage, it may become difficult to push the hemorrhoid back and it will stay prolapsed permanently. Such hemorrhoids can bleed and become thrombosed easily.
Likewise, external hemorrhoids too can develop thrombosis. Thrombosed hemorrhoids are a great source of pain, with pain being felt while walking, sitting, and while passing stools.
Treating Thrombosed Hemorrhoids
Once the slightest indication of thrombosis in hemorrhoids is noticed, attempts should be made to try and make the clots disappear with some help. Having hot baths, taking therapeutic sitz baths, applying medicated ointments and creams is recommended. Professionals, though, suggest removal of thrombosed hemorrhoids to experience relief. It is also suggested that surgery be performed as early as possible, to be more precise, within three days of noticing symptoms of thrombosed hemorrhoids. Delaying surgery will decrease the amount of relief got from the surgery itself.
Thus, as soon as pain is felt, the individual should make a doctor’s appointment to get a proper diagnosis. If procedure is recommended, then it should be scheduled. Taking ibuprofen at a dose of 200 mg before the procedure is done will aid in reducing any discomfort that may be experienced.
In cases where the thrombosis is in its initial stages, a tiny incision over the clot may be made by the physician to squeeze the clot out. Usually, though, this is not considered as a permanent solution, for clots almost always recur.
A full hemorrhoidectomy, which removes the clot, blood vessels along with hemorrhoid tissues is the preferred route of treatment for getting rid of thrombosed hemorrhoids. Sutures may have to be used to close the wound, and the procedure will last longer than the earlier method, but this provides more successful results.
Total removal of thrombosed hemorrhoids will usually bring about some amount of pain and discomfort once the anesthetic effect wears off. Pain medicines will have to be used for pain relief during the initial days after surgery. There may be bleeding noted with passage of stools. If the dressing over the wound gets soiled, it should be changed. In case the stitches come apart after moving bowels, a visit to the doctor to rectify this is a must.
It is important to keep the stools soft after having the surgery to keep the discomfort as minimum as possible. The individual should drink plenty of water and consume wholesome foods, fruits and vegetables. Sitting in a sitz bath for 15-20 minutes will also provide relief.