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 16sec

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Can external hemorrhoids be pinched?

In clinical practice, external hemorrhoids can be classified into skin tag hemorrhoids, varicose vein hemorrhoids, thrombosed hemorrhoids, and inflammatory hemorrhoids. Among these, skin tag hemorrhoids can be pinched, but do not exert excessive force to avoid skin damage and causing anal pain. On the other hand, varicose vein hemorrhoids, thrombosed hemorrhoids, and inflammatory hemorrhoids should not be pinched, as pinching may easily cause subcutaneous vein damage, exacerbate thrombosis, and lead to anal distension and pain. External hemorrhoids can be gently massaged and rubbed, but should not be pinched forcefully. Moreover, clinically, treatments for external hemorrhoids often involve the use of anal washes or potassium permanganate solution for sits baths, and it is recommended to take a sitz bath for five to ten minutes after defecation to help reduce external hemorrhoids and prevent their enlargement. Maintaining good bowel habits is essential, avoiding prolonged defecation and excessive straining. After defecation, it is advisable to perform more anal lift exercises to strengthen the anal sphincter muscles.

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Written by Yu Xu Chao

Colorectal Surgery

1min 12sec

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Can external hemorrhoids use hemorrhoid suppositories?

In clinical practice, hemorrhoidal suppositories can also be used for external hemorrhoids. Since hemorrhoidal suppositories are mainly administered through the rectum to act locally, they have a certain therapeutic effect on external hemorrhoids, especially for varicose external hemorrhoids and inflammatory external hemorrhoids, helping to alleviate local swelling and pain. Additionally, for external hemorrhoids, it is often recommended to use anal cleansers, or to sit in baths with potassium permanganate or other medicated solutions, combined with the external application of hemorrhoidal cream or golden ointment. If symptoms do not show significant improvement after four to five days of medication treatment, it is advisable to visit a hospital's proctology department for external hemorrhoid surgery as soon as possible, to prevent potential thrombosis or necrosis of the external hemorrhoids. Moreover, patients should develop good bowel habits, avoiding prolonged sitting or excessive straining during bowel movements to prevent worsening of external hemorrhoids. (Medication should be used under the guidance of a doctor)

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Written by Chen Tian Jing

Colorectal Surgery

54sec

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How to treat thrombosed external hemorrhoids

The treatment of thrombosed external hemorrhoids generally includes conservative medication or surgical treatment. Thrombosed external hemorrhoids are a clinical type of external hemorrhoids. They usually present in the acute phase with significant local pain and thrombus encapsulation within the hemorrhoid. Due to congestion and edema in the hemorrhoid, excessive pressure builds up inside, causing severe pain for the patient. Conservative medication treatment primarily involves sitz baths with hemorrhoidal wash solutions and hot compresses to promote thrombus absorption, as well as applying hemorrhoidal creams, or orally taking anti-swelling, pain-relieving, and thrombus-absorbing medications. If these methods repeatedly fail, surgery can be opted to strip and remove the local thrombus.

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Written by He Cai Dong

Colorectal Surgery Department

1min 15sec

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Can external hemorrhoids be pushed back in by hand?

External hemorrhoids cannot be pushed back in by hand, as they are swollen around the anus, not prolapsed internal hemorrhoids. If they were prolapsed internal hemorrhoids, the lump could be pushed back in. For external hemorrhoids, if it is a short-term flare-up, it is recommended to take a warm saltwater sitz bath. After ten minutes, apply hemorrhoid cream to the affected area once in the morning and evening. Oral medication can also be used in conjunction, and treatment for a week can reduce the swelling. If the external hemorrhoid lump is very large and accompanied by severe pain, thrombosed hemorrhoids should be considered, and it is necessary to visit the hospital's proctology department. Surgery may be required if necessary. Diet should be light; spicy and irritating foods should not be eaten, nor should triggering foods like beef, lamb, and seafood. Alcohol consumption, including beer, should be avoided.

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Written by Chen Tian Jing

Colorectal Surgery

1min 10sec

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Thrombotic external hemorrhoids clinical characteristics

The clinical features of thrombosed external hemorrhoids primarily include acute episodes of localized swelling and pain in the anal area, with thrombosis forming in the local hemorrhoidal tissue. This condition is primarily due to dry stools and excessive straining during bowel movements, leading to congestion and edema in the local hemorrhoidal tissue and subsequent disruption of local blood circulation, resulting in thrombosis. After an attack, the anal hemorrhoidal tissue may display dark red or purplish clots, enclosed by the local skin and mucous membrane. Treatment options include the application of topical medications and hot compresses to promote absorption of the hemorrhoids, as well as local surgical excision. It is important to note that if rupture or bleeding occurs, considering the possibility of local thrombus rupture, it is essential to perform proper local cleaning and disinfection and to promptly proceed with surgical excision to prevent infection.