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A condition in which a small blood clot forms within a swollen vein of the anus is called “Thrombosed Hemorrhoid”. Such an external hemorrhoid can cause a lot of pain to the patient. Such a pain can be relieved greatly by excision.

This process is usually done in the office of a physician. Anoscopy or thorough inspection is required to diagnose such a disease. Treatment for such a hemorrhoid is based on the symptoms and could vary from injection sclerotherapy to surgery in worst cases. External hemorrhoids are formed outside the anus and do usually result in a blood clot which does not occur in an internal hemorrhoid.

Most of the external hemorrhoids become thrombosed and thus result in severe pain and purplish swellings. In few cases, it also forms ulcers and causes a bit of bleeding. This makes the cleansing of the anal area pretty difficult.

Symptoms of a thrombosed hemorrhoid

• There is an extremely hurting lump just outside the anus. It may possibly feel like a tiny, very tender stone close to the anus.
• You may notice red blood on the toilet paper or on the stool every time you have your bowel movement.
• You might experience a constant pain and it becomes worse at the time of passing stool.

Thrombosed hemorrhoids only have an effect on the undersized veins close to the skin shell (exterior veins). Unlike the blood clots in the veins, these clots do not pass through to the lungs or another part of the body and do not cause severe problems. In case if the pain is not too severe and there is minimal swelling as well, the doctors would treat you with hot sitz baths and bulk up the stool.

On the other hand, if there is a lot of pain and swelling, then it becomes necessary for the doctors to remove the blood clot. This procedure, however, must not be attempted at home. This has to be done at a doctor’s clinic or in the emergency department of the hospital.

At the time of removing the clot, the hemorrhoid is numbed up with anesthetic, just as we experience at the dentist’s clinic when a cavity has to be filled. More or less everyone experiences immense relief with their pain once the clot is removed and might need only Tylenol or Motrin for a couple of days.

Most of the aching hemorrhoids, thrombosed, ulcerated or not, are observed on checking the anus and rectum. Anoscopy is important in assessing trouble-free or bleeding hemorrhoids. Rectal bleeding should be attributed to hemorrhoids only after severe conditions are excluded (eg, by sigmoidoscopy or colonoscopy).