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Thrombosed Hemorrhoids 101: A Guide to Thrombosed Hemorrhoids Relief

Posted on 07 December 2017

Although most people refrain from talking about hemorrhoids, they are very common in adults.

There are four different types of hemorrhoids:

  1. internal hemorrhoids
  2. external hemorrhoids
  3. thrombosed hemorrhoids
  4. prolapsed hemorrhoids

Thrombosed hemorrhoids are external hemorrhoids that can be extremely painful, especially in acute cases (1).

When you know the signs and symptoms of thrombosed hemorrhoids, you will find it easier to treat them before the pain gets severe.

What Is a Thrombosed Hemorrhoid?

A thrombosed hemorrhoid is caused by a clot in one or more of the small veins of the anal skin. It results in a painful swelling of the anal tissues.

They can be caused by common habits that bring on hemorrhoids or they can come on spontaneously.

Here is a guide with comprehensive reviews of the best hemorrhoid products that get you fast relief.

How to Tell if a Hemorrhoid Is Thrombosed

Thrombosed hemorrhoids can be characterized by the symptoms of acute pain and swelling in the anal area.

Thrombosed hemorrhoids can also affect your daily activities, such as walking, sitting, and having a bowel movement.

Other indications include hemorrhoid itching and burning around the anus, bleeding during a bowel movement, and a swollen lump around the anus.

Thrombosed hemorrhoids don’t usually get relief from topical medications. 

What Causes Thrombosed Hemorrhoids?

Thrombosed hemorrhoids are caused by an increase in pressure to the veins in your anus.

The causes of this pressure and swelling can be childbirth, constipation, diarrhea, irregular bowel movements, physical exertion, straining during a bowel movement, or prolonged sitting (2).

It is not clear why some people develop a thrombosis in their hemorrhoid. Be sure to take a look at this post for a full guide on the causes of hemorrhoids.

Is a Thrombosed Hemorrhoid Dangerous?

thrombosed hemorrhoids photoAlthough they can be extremely painful, thrombosed hemorrhoids are not dangerous.

Without surgical treatment, the blood clot often absorbs into the body and the symptoms resolve.

Thrombosed hemorrhoids can bleed, but don’t usually cause complications.

Surgery is recommended within 48-72 hours of onset (3).

Will a Thrombosed Hemorrhoid Heal Itself?

Thrombosed hemorrhoids can resolve on their own.

If you are experiencing slight relief from symptoms and are noticing improvement, then surgery is not recommended (4)

Without treatment, pain from thrombosed hemorrhoids can last for seven to ten days.

Because of the discomfort and pain associated with thrombosed hemorrhoids, most people seek medical treatment to speed up the process of recovery.

Leaving a thrombosed hemorrhoid to heal itself can require two to three weeks until the hemorrhoid is completely gone.

Be sure to use a hemorrhoid cream, hemorrhoid wipe, or both, and pair it with a hemorrhoid supplement.

How Long for Thrombosed Hemorrhoid to Heal?

Healing time depends on the individual and the course of treatment.

Thrombosed hemorrhoids that are treated with an external hemorrhoidectomy are best treated within three days.

The surgery removes the blood clot completely.

Your hemorrhoid pain may last for a day or two and recovery depends on the person and the measures you take to allow yourself to heal.

When left untreated, thrombosed hemorrhoids can last for two to three weeks or longer.

With at-home treatment, most thrombosed hemorrhoids are resolved in one to two weeks. Laser hemorrhoid surgery is an option for thrombosed hemrrhoids. Speak with your hemorrhoid doctor to see if laser hemorrhoid surgery is right for you.

How to Shrink a Thrombosed External Hemorrhoid

The quickest, most common way to treat a thrombosed external hemorrhoid is through a surgical procedure known as an external hemorrhoidectomy.

This procedure surgically removes the blood clot and resolves your painful hemorrhoid.

Surgical removal of your thrombosed hemorrhoid can effectively treat hemorrhoids that are extremely painful or cause excessive bleeding.

thromboses hemorrhoids

Will Preparation H Help Thrombosed Hemorrhoids?

Because the pain and bleeding associated with thrombosed hemorrhoids comes from the pressure of the blood clot, topical medications that successfully treat external hemorrhoids are often not effective.

Since the symptoms of thrombosed hemorrhoids are caused by a blood clot, Preparation H isn’t generally successfully in treating this type of hemorrhoid.

If you want to see a list of our top hemorrhoid products by category, see below:

Hemorrhoid Supplement Reviews

Best Hemorrhoid Pillows

Best Hemorrhoid Cream

Best Hemorrhoid Products

Best Hemorrhoid Wipes

What to Do If a Thrombosed Hemorrhoid Bursts

Thrombosed hemorrhoids can burst naturally, but it is important to be sure you are not deliberately forcing your hemorrhoid to bleed.

If you have signs of a thrombosed hemorrhoid that has burst, be sure to avoid being on your feet.

Try to limit movement until the bleeding stops because you may continue to bleed without rest.

Another important way to handle a thrombosed hemorrhoid that has burst is to be sure you have effectively cleaned your anal area after every bowel movement.

Call your doctor to seek medical treatment for a burst thrombosed hemorrhoid. Soak the area frequently.

You can also alternate with cold compresses to promote clotting of the burst and relieve pain.

If you have signs of infection after your hemorrhoid has burst, contact a medical professional immediately. Hemorrhoid pain can be excruciating with a burst hemorrhoid.

We have a great hemorrhoid burst guide you should take a look at if you're hemorrhoid busts on you.

How to Treat Thrombosed Hemorrhoids at Home

There are many options for home treatment of thrombosed external hemorrhoids.

Changing your diet can help improve your wellbeing, reduce your risk of thrombosed hemorrhoids, and alleviate some of the symptoms of these hemorrhoids.

Because eating unhealthy foods often leads to constipation, changing your diet can help thrombosed hemorrhoids.

You can also change your daily habits by avoiding behaviors that can increase your risk level of thrombosed hemorrhoids.

Try not to sit or stand for prolonged periods of time. Exercising regularly can improve blood circulation and help your digestive system.

Other at-home treatments for thrombosed hemorrhoids include witch hazel, like Tucks Medicated Pads or Preparation H Wipes.

This popular astringent can help shrink the lump. A paste of Epsom salt and baking soda can reduce inflammation.

Applying a hemorrhoid ice pack can also help shrink thrombosed hemorrhoids. For information on the best hemorrhoid products check out the post.

We also have a great guide on coconut oil for hemorrhoids.

While thrombosed hemorrhoids can be painful, they are not generally dangerous.

Talk to your hemorrhoid doctor as soon as you see any signs of a thrombosed hemorrhoid.

The most effective treatment is a procedure to remove the clot. For cases of severe bleeding or pain, contact your doctor immediately to find the best treatment option.

How to Pop a Thrombosed Hemorrhoid

Although some thrombosed hemorrhoids pop on their own, you should never pop a thrombosed hemorrhoid.

You should never burst a hemorrhoid yourself because it can cause complications and leads to longer, more painful recovery.

Most thrombosed hemorrhoids will shrink on their own over time.

How to Treat an External Thrombosed Hemorrhoid


External hemorrhoids come with a great deal of pain and discomfort. To make matters worse, some external hemorrhoids can become thrombosed. A thrombosed external hemorrhoid is an external hemorrhoid that has developed a blood clot.

Thrombosed external hemorrhoids are characterized by their symptoms and their look. They appear as a hard lump that is blue or purple in color. The color is a result of the blood clot.

Thrombosed external hemorrhoids can form as a single pile or a circle of piles. They are classified as grade IV hemorrhoids.

The cause of thrombosed hemorrhoids is not well known. Some doctors feel that events trigger the development of thrombosed external hemorrhoids. These include:

  • Physical exertion
  • Childbirth
  • Prolonged sitting
  • Straining during bowel movements

The main course of treatment for a thrombosed hemorrhoid is an external thrombectomy.

The surgical procedure involves placing a small cut in the clot and drains it.

This is most effective when performed within three days.

Turmeric for Thrombosed Hemorrhoids

Although most thrombosed hemorrhoids are treated by a medical provider, some people choose to take a natural approach.

Turmeric is an anti-inflammatory spice that has antibacterial properties and can help heal hemorrhoids when used topically.

Since most thrombosed hemorrhoids are treated with surgical procedures, this option has been known to be effective after your procedure. 

Turmeric can reduce pain after hemorrhoid treatment when you add it to your diet.

If you are pregnant with hemorrhoids, talk to a health or medical professional before taking tumeric or any other hemorrhoid supplement or medication.

Heating Pad for Thrombosed Hemorrhoids

Thrombosed hemorrhoids can be very painful.

Applying heating pads to a thrombosed hemorrhoid is an effective option for hemorrhoid pain.

The warmth of the heating pad will keep the blood flowing.

This helps to resolve the clot. Heating pads also help shrink the hemorrhoid and relieve pain.

Aspirin for Thrombosed Hemorrhoids

Aspirin can be used to reduce the pain associated with thrombosed hemorrhoids. In addition, the blood-thinning properties of aspirin can help with thrombosed hemorrhoids.

Since there are many medications that interact with aspiring, talk to your doctor before you use aspirin as a treatment.

Aspirin is effective in blood clot dissipation. Talk to your doctor about the possibility of using aspirin to treat your thrombosed hemorrhoids.

If you have undergone an external hemorrhoidectomy, avoid aspirin because it may cause additional bleeding or complications.

Laser hemorrhoid surgery is an alternative option to a standard hemorrhoidectomy.

Thrombosed Hemorrhoid Bleeding

Bleeding with external hemorrhoids is normal. In the case of thrombosed hemorrhoids, a thrombosis may erode through the skin and begin to drain. This produces bleeding.

In severe cases, a thrombosed hemorrhoid may burst. When a thrombosed hemorrhoid bursts, it will secrete blood. Bleeding may also be noticeable during a bowel movement.

It can be seen in the toilet, in your stool, or on the toilet paper when you wipe yourself.

Although the presence of blood is concerning to most patients, thrombosed hemorrhoid bleeding is not generally a cause of great concern.

Bleeding Thrombosed External Hemorrhoid Treatment

Many thrombosed external hemorrhoids can experience bleeding.

A resolving thrombosed hemorrhoid can erode through the skin and cause bleeding.

Be sure to keep the area clean and dry.

For patients who undergo a surgical procedure, watch bleeding to be sure it doesn’t begin to show signs of a bigger problem.

One of the best ways to treat bleeding thrombosed hemorrhoids is to eat foods high in fiber. The fiber creates softer stool which can pass easier during bowel movements.

Over-the-counter creams and ointments can also help with bleeding, we have a post that details the best hemorrhoid creams and ointments, so take a look if you're going to purchase one.

How Long Does Thrombosed Hemorrhoid Pain Last?

Pain associated with thrombosed hemorrhoids generally last two to three days, being the most severe during the 48-72-hour time frame. 

Your hemorrhoid pain will gradually decrease as the thrombosed hemorrhoid dissolves.

The thrombosed hemorrhoid can take as long as two to three weeks to resolve.

For those who have undergone a surgical procedure, pain will generally last for one to three days then will resolve.

If you experience continued pain or pain that becomes worse, contact your doctor immediately.

Is a Thrombosed Hemorrhoid Dangerous?

Thrombosed hemorrhoids are not generally dangerous, but they can be very painful.

Typically, hemorrhoid pain is dealt with through managing the symptoms.

Using the best hemorrhoid products will help you manage hemorrhoid pain.

Thrombosed Hemorrhoid Surgery

The most common and effective surgical option for thrombosed hemorrhoids is the external hemorrhoidectomy. This is performed in a hospital under general anesthesia.

During the surgery, an incision is make around the hemorrhoid. The swollen vein inside the hemorrhoid is tied off to prevent further bleeding. The hemorrhoid is then removed, and the patient is stitched up.

Patients usually go home on the same day to begin the recovery period. Recovery from a hemorrhoidectomy will vary from patient to patient.

Most patients notice a significant difference in how they feel within two weeks. For some patients, it may take as long as six weeks.

Thrombosed Internal Hemorrhoid Surgery

There are three surgery options for thrombosed internal hemorrhoids. The first is an enucleation.

This minor surgery is performed right at your doctor’s office.

A small incision is made after a dose of Lidocaine has been injected into the hemorrhoid.

The clot is removed, and the main cause of the pain is eliminated. A stapled hemorrhoidectomy is a stapled approach.

The approach tightens the stretched supporting tissue to prevent prolapse.

Finally, rubber band ligation is performed at a medical office.

The doctor places special rubber bands around the base of the vein to cut circulation to the hemorrhoid. 

Thrombosed Hemorrhoid Treatment Overview

As with all hemorrhoids, treatment depends on the individual patient. Some patients respond better to certain treatments than others. And size and severity of the hemorrhoid have a lot to do with the best treatment method.

Topical hemorrhoid medications that are available over-the-counter are generally used for external hemorrhoids and effective in treating their symptoms. With thrombosed hemorrhoids, these treatment options may not be effective.

This is because thrombosed hemorrhoids are a result of pressure and swelling within the tissue from the lack of blood flow.

For most thrombosed hemorrhoids, pain is at its worst in the first 24-48 hours. Because of this, many patients undergo a hemorrhoidectomy for immediate relief from the thrombosed hemorrhoid.

After the first 48 hours, thrombosed hemorrhoids tend to slowly reabsorb into the body. This results in a significant reduction of pain. Over-the-counter pain medications are often used to treat these hemorrhoids.

Self-care treatment methods include sitz baths, stool softeners, and avoiding straining during bowel movements.

There are some topical medications prescribed by a doctor that have been proven effective in the treatment of thrombosed hemorrhoids.

Surgery for thrombosed hemorrhoids is generally a hemorrhoidectomy.

Thrombosed Hemorrhoid Natural Treatment

Natural treatment for thrombosed hemorrhoids consists mostly of prevention.

By being proactive with hemorrhoid treatment, you can avoid the development of thrombosed hemorrhoids.

Some natural treatments include sitz baths (Better Bath Better Body is a good bath soak product for hemorrhoids), witch hazel, apple cider vinegar, and even coconut oil for hemorrhoids.

These have been known to reduce inflammation, pain, itching, and bleeding.

The anti-inflammatory benefits of aloe vera have also been known to reduce the severity of hemorrhoids.

Epsom salt soaks have also been noted to help reduce the effects of hemorrhoids.

Hemorrhoid supplements can also be a great way to reduce the symptoms of hemorrhoids.

Our hemorrhoid supplement reviews guide will help you decide if a hemorrhoid supplement is right for you.

Coconut Oil for a Thrombosed Hemorrhoid?

Coconut oil can be used to treat the swelling, discomfort, and inflammation associated with external hemorrhoids. Because it has analgesic properties, coconut oil can help kill the pain associated with thrombosed hemorrhoids.

It’s strong anti-inflammatory properties can also help reduce swelling and inflammation. Coconut oil also has antibacterial properties that help speed up the healing process.

The best coconut oil for hemorrhoids is organic, virgin coconut oil. This is the least processed variety you can find, so it is the best quality to use for medicinal purposes.

To treat hemorrhoids, there are many options of how you can use coconut oil.

  1. It can be incorporated into your diet to prevent hemorrhoids.
  2. When mixed with witch hazel, it can be applied to the hemorrhoid several times a day.
  3. It can be shaped into a small cylinder and used as a suppository.
  4. Mixing coconut oil with turmeric is a powerful combination that can be applied directly to your hemorrhoids.
  5. It can be added to a warm bath to help soothe and shrink your hemorrhoids.

While coconut oil is a natural treatment that is effective, there are some side effects.

Because coconut oil can upset the digestive tract and cause diarrhea, it should not be used if your hemorrhoids are caused by diarrhea.

This may further aggravate your hemorrhoids, making them worse.

Thrombosed External Hemorrhoid Surgery Recovery Time

After a hemorrhoidectomy for a thrombosed external hemorrhoid, you can expect to avoid activity for one to two weeks.

You may experience hemorrhoid pain for two to four weeks.

In some cases, pain during bowel movements may last as long as one to two months.

Although recovery may seem to last for a long period of time, each day will get better.

Most symptoms of severe pain and hemorrhoid bleeding only last for 24-48 hours.

Is There a Thrombosed Hemorrhoid Cure?

There are many treatments that work for hemorrhoids. However, since hemorrhoids do come back on occasion, there is no known thrombosed hemorrhoid cure.

While there are many treatment options for external hemorrhoids, these treatments do not always work for thrombosed hemorrhoids.

The most common and effective treatment for a thrombosed hemorrhoid is called an external thrombectomy.

During this procedure, your doctor will make a small cut in the clot. The incision will cause the clot to drain. Because this can be very painful, external thrombectomies are done in a hospital setting under local anesthesia.

The procedure is most effective when it is performed within three days of the onset of your thrombosed hemorrhoid.

You can expect to experience pain following the surgery, but it will gradually subside with each passing day.

Thrombosed Hemorrhoid Summary?

Thrombosed hemorrhoids are external hemorrhoids that form a blood clot and result in a reduction of blood flow in the vein.

They are not considered to be dangerous but can be very painful.

Because of the severity of their pain, some patients get very concerned with thrombosed hemorrhoids. 


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1 comment

  • Douglas: December 07, 2017

    Great post on thrombosed hemorrhoids, bunch of great info thanks!

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