Thrombosed Hemorrhoids, Where Are They Popping Out From?

Man suffering from external hemorrhoids, anal pain on gray background

Hemorrhoids are the swollen veins in the anus and rectum that may cause you discomfort, mainly when there is a hard bowel movement. In some cases, this could lead to blood clot formation inside the hemorrhoidal tissue, which becomes known as a thrombosed hemorrhoid. This can be seen as a tender lump to touch near the anus. If it gets worse, it may burst and become painful.

What is a thrombosed hemorrhoid? 

A thrombosed hemorrhoid is the same as a ‘prolapsed’ or ‘external’ hemorrhoid, where blood vessels have been increased in size due to increased pressure from within the anal canal. Thrombosed hemorrhoids are thrombosed-filled piles. They thrombose because of all the blood being forced through them, and they thrombose because of their location, which reduces their ability to stay intact – they begin to fall apart. The thrombus inside a thrombosed hemorrhoid is usually blue or dark red because it’s made from the original blood from the hemorrhaged vessel, not fresh oxygenated blood from a heart attack, which is bright red. 

What are thrombosed hemorrhoid symptoms?

Thrombosed hemorrhoids can either be uncomfortably painful or painless. Hemorrhoidal thrombosis is when hemorrhoids form in the anal canal and becomes inflamed. External thrombosed hemorrhoids are thrombus-filled piles that have become thrombosed outside the anal canal. Internal thrombosed hemorrhoids are thrombus-filled piles that have prolapsed into the anal canal.

There is a list of symptoms that will help you to determine if you have this condition:

-Presence of lumps or bumps near the anus: These may look like regular thrombus, which happens when blood clots form inside the veins and come out as hard tissue growth. However, thrombus results from a lack of oxygen and nutrients in the cells due to obstructed blood flow, which does not last for too long. In contrast, a thrombosis happens when a clot forms on top of an abnormal collection of cells. This thrombosed hemorrhoid is thus likely to persist for a longer time.

– Pain in the pelvic area or rectum: The thrombus presses on the nerves located near the anus, which are responsible for carrying pain signals from this part of your body. This pressure can also stretch the lining of these veins, resulting in swelling and discomfort.

– Swelling around the anus: If there are too many thrombi inside your rectal veins, they can swell up with mucus or pus if irritated easily. In addition, they tend to slip out through an opening at times when you strain hard while passing a stool. They could even get stuck outside.

Should I go to the ER for a thrombosed hemorrhoid?

If your thrombosed hemorrhoid is causing severe pain or bleeding, or it’s thrombosed in the anal canal, you should go to the emergency room.

You can try thrombosed hemorrhoid home treatments for thrombosed external piles if they’re thrombus-free and thrombus-free because your primary concern is pain relief. 

What are thrombosed hemorrhoid treatments?

If you have a thrombosed hemorrhoid that has formed externally in the anus, then several things can be done at home before going to the hospital. Apply moist heat for 20 minutes on your thrombosed hemorrhoid (at 5-minute intervals) two times per day.

Ask your doctor about HemWell, an FDA-approved, pain-free treatment that’s permanent. If your provider doesn’t offer HemWell, we can assist you in finding one that does. Please visit our website to learn more about this life-changing treatment. Learn more about hemorrhoids.