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 Deng Heng
Colorectal Surgery
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Clinical Characteristics of External Hemorrhoids

External hemorrhoids refer to hemorrhoids located below the dentate line, which are classified into four main types, each with distinct clinical manifestations. Connective tissue external hemorrhoids and varicose vein-type external hemorrhoids primarily present with a mild sensation of a foreign body in the anus. Inflammatory external hemorrhoids are characterized by redness, swelling, protrusion, burning, or itching of the anal skin or skin tags. Thrombosed external hemorrhoids often occur after intense exercise or straining during bowel movements, suddenly presenting as a round or oval lump under the skin at the edge of the anus. This lump contains a venous thrombus and is accompanied by anal pain.

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Written by Chen Tian Jing
Colorectal Surgery
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What fruits should be eaten for thrombotic external hemorrhoids?

During the acute phase of thrombosed external hemorrhoids, patients experience varying degrees of pain in the anal region, occasionally accompanied by a feeling of bloating. Therefore, the diet should primarily consist of light, liquid, and easy-to-digest foods. If consuming fruits, it is best to eat soft, cool-natured fruits such as dragon fruit and bananas, avoiding hard or tropical fruits that may cause dry stools, which can exacerbate the symptoms of thrombosed external hemorrhoids. During the acute phase of thrombosed external hemorrhoids, in addition to dietary considerations, it is also necessary to use topical hemorrhoid cream locally or undergo surgery to excise and strip the local thrombosis for significant symptom relief, to prevent the condition from worsening, which could lead to increased thrombosis or necrosis.

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Written by Deng Heng
Colorectal Surgery
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External hemorrhoids are divided into several types.

External hemorrhoids refer to hemorrhoids below the dentate line and are divided into four types. The first type is the connective tissue type of external hemorrhoids, which are formed by the proliferation and bulging of excess skin at the anal margin. The second type is the varicose vein type of external hemorrhoids, formed by the dilation and bending of the venous plexus below the dentate line. The third type is inflammatory external hemorrhoids, which is a state where external hemorrhoids become inflamed. The fourth type is the thrombosed external hemorrhoid, which is formed by bleeding due to the rupture of the subcutaneous veins at the anal margin, resulting in a blood clot.

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Written by Deng Heng
Colorectal Surgery
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Can external hemorrhoids be treated with anti-inflammatory drugs?

Some types of external hemorrhoids can be treated with anti-inflammatory drugs. External hemorrhoids refer to hemorrhoids that are located below the dentate line. They can be divided into four categories: connective tissue external hemorrhoids, varicose vein type external hemorrhoids, thrombotic external hemorrhoids, and inflammatory external hemorrhoids. The first three types of external hemorrhoids do not require anti-inflammatory drugs. Only inflammatory external hemorrhoids, which are caused by inflammatory hyperplasia around the anus, can be treated with anti-inflammatory drugs during inflammation to reduce the size of the pathological tissues. (Please use medication under the guidance of a doctor.)

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Written by Yu Xu Chao
Colorectal Surgery
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How to relieve the pain of external hemorrhoids?

When there is pain in an external hemorrhoidal tag, it is often due to inflammatory edema or the formation of a thrombus, leading to pain. In such cases, it is advisable to first use an anal cleansing agent or a potassium permanganate solution for a sitz bath after defecation. The duration of the sitz bath should be controlled between five to ten minutes, which can effectively reduce swelling and relieve pain. After the sitz bath, applying external remedies such as Yellow Ointment or Musk Hemorrhoids Cream can also help reduce swelling and alleviate pain. For particularly severe pain, directly using diclofenac sodium suppositories inserted into the anus can provide anti-inflammatory and analgesic effects. Additionally, for external hemorrhoids with inflammatory edema, it is also necessary to combine this with oral diosmin tablets to relieve discomfort. However, if the external hemorrhoidal tag remains swollen for a long period or if the thrombus does not resolve, it is advisable to consider early surgical excision of the external hemorrhoids, followed by diligent postoperative dressing changes.