Will thrombotic external hemorrhoids turn cancerous?

Written by Chen Tian Jing

Colorectal Surgery

Updated on September 04, 2024

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Thrombosed external hemorrhoids are a common clinical symptom of external hemorrhoids. The pathogenesis mainly involves the formation of blood clots inside the hemorrhoidal node, which is primarily due to local circulatory disturbances within the hemorrhoidal node. Thrombosed external hemorrhoids do not have the potential to become cancerous. If thrombosed external hemorrhoids are not treated promptly, it may lead to increased pain or significant swelling of the thrombosed external hemorrhoids. In severe cases, it can cause the hemorrhoids to become trapped at the anal opening, unable to retract, or lead to necrosis due to cut-off local blood supply. Therefore, it is crucial to treat thrombosed external hemorrhoids as early as possible.

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Written by Yu Xu Chao

Colorectal Surgery

1min 13sec

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Is the pain and swelling of hemorrhoids external or internal?

This situation might involve both internal and external hemorrhoids, which is referred to as mixed hemorrhoids. Internal hemorrhoids might also prolapse, leading to inflammatory edema and causing anal swelling and pain. External hemorrhoids can also present with inflammatory edema and thrombosis, leading to anal swelling and pain. Hence, in clinical practice, this situation is often considered as mixed hemorrhoids. Mixed hemorrhoids mainly occur at the same point in the anal canal, both above and below the dentate line, and symptoms of both internal and external hemorrhoids are present. Clinically, if the patient is unwilling to undergo surgery, conservative treatment with medication can be considered initially, such as oral administration of Diosmin tablets, followed by the use of an anal wash or a sitz bath with potassium permanganate solution after defecation, and then application of Dihuang ointment externally to alleviate discomfort. However, if the inflammatory edema does not subside and anal swelling and pain are significant, it is advised to consider surgical intervention early to prevent necrosis due to prolapsed hemorrhoids. (Please follow medical advice when using medications.)

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Written by Deng Heng

Colorectal Surgery

40sec

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What should I do if a thrombosed external hemorrhoid is bleeding?

After the skin of a thrombosed external hemorrhoid ruptures, small blood clots may be exposed, leading to bleeding. Generally, resting, diet adjustment, and maintaining soft and smooth bowel movements can be effective. Additionally, local use of hemorrhoid creams and suppositories can typically help achieve healing and stop the bleeding. Thrombosed external hemorrhoids often occur after intense physical activity or straining during bowel movements due to the sudden rupture of subcutaneous veins around the anal margin, forming an oval lump. (The use of medications should be carried out under the guidance of a professional doctor.)

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Written by Chen Tian Jing

Colorectal Surgery

45sec

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How long does surgery for thrombotic external hemorrhoids take?

Thrombotic external hemorrhoid surgery primarily involves the excision of thrombotic external hemorrhoids. If it's simply an excision of external hemorrhoids, the surgery generally takes about half an hour. The recovery time post-surgery requires two to three weeks, mainly depending on the severity of the patient's condition and individual tissue healing rates, which can vary. After the excision surgery for thrombotic external hemorrhoids, a local wound is left, necessitating daily disinfection and dressing changes. When necessary, hemorrhoid ointment or muscle-generating Yuhong ointment may also be applied to promote healing and treatment.

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Written by Deng Heng

Colorectal Surgery

26sec

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Is internal hemorrhoids more uncomfortable or external hemorrhoids?

"Whether internal hemorrhoids or external hemorrhoids are more uncomfortable, overall, internal hemorrhoids tend to be more discomforting. This is because internal hemorrhoids have three main clinical manifestations: rectal bleeding, prolapse of the hemorrhoidal nucleus outside the anus, and pain. Rectal bleeding can lead to systemic anemia, prolapse of the hemorrhoidal nucleus can cause anal itching and anal eczema, and the pain is also very distressing. On the other hand, the main clinical manifestations of external hemorrhoids are a foreign body sensation in the anus and moisture in the anus, and only thrombosed external hemorrhoids cause anal pain."

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Written by Yu Xu Chao

Colorectal Surgery

1min 10sec

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How to eliminate a two-centimeter external hemorrhoid?

The external hemorrhoid is about two centimeters in size, which indicates that it's relatively large. This condition can cause feelings of a foreign object in the anus, itching, and even moisture around the anal area, leading to anal eczema. If one wishes to completely eliminate it, it is advisable to go to the hospital's proctology department as soon as possible to have a hemorrhoidectomy. Post-surgery, one should choose anal cleaning solutions or potassium permanganate solution for sitz baths, complemented by external applications of medicines such as Jing Huang Gao or hemorrhoid creams. At the same time, the patient's diet should consist of light and easily digestible food to prevent dry and hard stools, which will aid in the healing of the surgical site. Additionally, patients should develop good bowel habits, maintain smooth bowel movements, and avoid sitting or squatting for long periods. Regularly performing anal lifting exercises can prevent the recurrence of external hemorrhoids. If patients prefer not to undergo surgery, conservative medical treatment can be used to reduce the size of the external hemorrhoids, but it cannot completely eliminate them.