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When an external hemorrhoid gets irritated and clots (thrombosed, or clotted,
hemorrhoid), a doctor may relieve your pain by removing the contents of the
clot. The doctor will use a medicine to numb the anal area (local anesthetic). Then he or she will make a small incision to drain the clot.
probably give you immediate and long-lasting relief from the intense
Before you go home, you will be instructed to take daily
sitz baths (sit in a shallow tub of warm water for 10 to 15 minutes) and to
gently cleanse your anal area with a cleansing agent such as Balneol. Your
doctor may give you a cream that contains a local anesthetic to help relieve
pain. The wound should heal in about a week.
If your doctor
doesn't remove the clot within 3 to 4 days after it develops, the pain will
gradually get less over the next few days. The skin covering the clot may break
open on its own, causing mild bleeding. With home treatment, pain and bleeding
should go away in about a week. But it may take several weeks for the clot
to go away.
Current as of:
June 4, 2014
Anne C. Poinier, MD - Internal Medicine & Kenneth Bark, MD - General Surgery,
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North Kansas City Hospital.