How long does it take to recover after external hemorrhoidectomy?

Written by Deng Heng
Colorectal Surgery
Updated on January 18, 2025
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External hemorrhoids are mainly classified into inflammatory external hemorrhoids, thrombotic external hemorrhoids, connective tissue external hemorrhoids, and varicose vein external hemorrhoids. Regardless of the type, the primary treatment method is surgical removal. After the hemorrhoids are excised, the perianal area generally does not bleed when passing stools for the first two to three days, and the patient can usually go home in about 7 days. For complete recovery to the pre-condition state, it is estimated to take between 20 days to a month.

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Written by Yu Xu Chao
Colorectal Surgery
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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 Chen Tian Jing
Colorectal Surgery
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How to quickly eliminate the flesh masses of external hemorrhoids?

If a patient has an external hemorrhoid that has enlarged and they want to quickly or completely eliminate it, it is recommended to directly perform surgical removal. External hemorrhoids generally include thrombotic external hemorrhoids, varicose cluster external hemorrhoids, and inflammatory edematous external hemorrhoids. There are also some skin tag-like or connective tissue external hemorrhoids that do not exhibit clinical symptoms, and do not require excessive intervention in treatment. However, during an acute attack of thrombotic or inflammatory edematous external hemorrhoids, due to congestion or increased pressure in the local hemorrhoidal nucleus, severe pain can occur. You can choose to press with dilute salt water to promote the dissipation of edema. Complete removal requires surgical excision to avoid recurrent flare-ups of the condition.

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Written by Yang Dong
Colorectal Surgery Department
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The difference between rectal prolapse and external hemorrhoids.

Rectal prolapse is the protrusion of the rectal mucosa, which manifests as an eversion of the mucosa presenting as pink-colored, cylindrical protrusions. These can usually be manually repositioned back into the anus, appearing smooth once repositioned. In contrast, external hemorrhoids are mostly caused by varicosities and are the same color as the skin. They cannot be completely repositioned manually, which distinguishes them from rectal prolapse.

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Written by Deng Heng
Colorectal Surgery
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Do external hemorrhoids always require surgery?

Simple external hemorrhoids do not necessarily require surgery. External hemorrhoids are mainly those that grow below the dentate line, and their main clinical manifestation is a foreign body sensation in the anus, which does not pose a significant risk to the body. Only thrombosed external hemorrhoids with obvious anal pain may not require surgery if the lump is small, as the thrombus can be absorbed on its own. Only those with large lumps need to have the thrombus removed to alleviate pain.

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Written by Chen Tian Jing
Colorectal Surgery
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Can thrombotic external hemorrhoids go away?

Thrombotic external hemorrhoids mainly refer to the formation of blood clots within the external hemorrhoids located around the anus. During the acute phase of thrombotic external hemorrhoids, there is generally severe pain and a feeling of distension in the anal region. If not treated with medication, thrombotic external hemorrhoids are difficult to resolve on their own. Options include applying hemorrhoid cream or using traditional Chinese medicine solutions for fumigation and hot compresses to promote the absorption and dissipation of the blood clots in the external hemorrhoids. If conservative medication does not yield good results, surgery can be considered to strip and remove the blood clots from the external hemorrhoids. Failure to use medications can potentially lead to a worsening of the thrombotic external hemorrhoids, or an increase in blood clots leading to necrosis and delaying treatment of the disease.