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Thrombosed Prolapsed Hemroids - Treatments and Causes
Definition and Cause:
Thrombosed hemroids are mainly internal hemroids 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 hemroid. When this blood flow out becomes restricted, you may end up with a very painful thrombosed hemroid - a hemroid 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 hemroids are best treated by surgery. A simple inject, slice and squeeze:
Inject the adrenaline anesthetic into the hemroid, which both deadens the area to pain and coagulates the blood in the hemroid - this stings at first. Slice the offending hemroid open and squeeze the coagulated blood out. If the hemroid 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 hemroid - this is one very simple surgery that results in substantial pain reduction immediately.
The recurrence of a thrombosed hemroid is quite low once it has been dealt with by the knife.
Non-surgical Treatment:
If the thrombosed hemroid 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 hemroid 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 hemroid pain should lessen markedly, if not completely.
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The down side of this home remedy, is that the thrombosed hemroid may return. The sitz bath may be seen as a cure, in that the hemroid 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 hemroid 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 hemroid, 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 hemroid, 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 hemroid pain compares to it.
Finally, discuss the hemroid information you find here with your health care professional, to make sure the information is suitable in your situation.
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