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Thrombosed Prolapsed Hemorrhoids - Treatments and Causes
Definition and Cause:
Thrombosed hemorrhoids are mainly internal hemorrhoids that have prolapsed - come out of - our bottoms, the muscles clamp down hard to seal the area off - which is what they are suppose to do - thereby sometimes reducing the blood flow out of the hemorrhoid. When this blood flow out becomes restricted, you may end up with a very painful thrombosed hemorrhoid - a hemorrhoid that lets the blood in, but cant get the blood out as fast. So it swells with blood, the blood develops a clot within it, and the haemorrhoid becomes bluish in color.
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Surgical Treatment:
Based on research from the French national research centre - Centre National de la Recherche Scientifique - thrombosed hemorrhoids are best treated by surgery. A simple inject, slice and squeeze:
Inject the adrenaline anesthetic into the hemorrhoid, which both deadens the area to pain and coagulates the blood in the hemorrhoid - this stings at first. Slice the offending hemorrhoid open and squeeze the coagulated blood out. If the hemorrhoid was particularly large as the result of the thrombosis, it can take several minutes for all the contents to be squeezed out, but at this point, you shouldn't feel a thing. In fact, when you walk out the door, you will be pain free and should have no further pain from a thrombosed hemorrhoid - this is one very simple surgery that results in substantial pain reduction immediately.
The recurrence of a thrombosed hemorrhoid is quite low once it has been dealt with by the knife.
Non-surgical Treatment:
If the thrombosed hemorrhoid is not too bad, the doctor may suggest you use the old tried and true method of sitting in a warm sitz bath, essentially a nice warm bath with a bit of salt / epsom salts or similar thrown in to sterilise and prevent hemorrhoid infection, as well as calm the affliction. The warm water helps the area to relax and for the blood vessels to open more, thereby allowing the blood to flow back out. If it works, your hemorrhoid pain should lessen markedly, if not completely.
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The down side of this home remedy, is that the thrombosed hemorrhoid may return. The sitz bath may be seen as a cure, in that the hemorrhoid has the blood let back out of it and the symptoms abate. Regrettably, the sitz bath may not be a long acting cure for some; once the hemorrhoid comes back out, there is a risk of it becoming thrombosed again.
Personal Experience and Other Information:
Due to the high pain often generated by a thrombosed hemorrhoid, anything short of immediate relief is not likely to be something you'll be prepared to wait round for. From my perspective, as someone who has suffered with a thrombosed hemorrhoid, the inject, slice and squeeze technique is best. Mine was conducted in the local hospital as an emergency out patient. Never had a recurrence, never want to. No other hemorrhoid pain compares to it.
Finally, discuss the hemorrhoid information you find here with your health care professional, to make sure the information is suitable in your situation.
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