Can external hemorrhoids be washed with hot water?

Written by Yu Xu Chao
Colorectal Surgery
Updated on June 26, 2025
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External hemorrhoids can be washed with warm water, but the temperature should not be too high, generally controlled below 40 degrees Celsius. Washing external hemorrhoids with warm water can promote local blood circulation and relieve the anal swelling caused by external hemorrhoids. At the same time, it can also remove secretions on the surface of the hemorrhoids, which helps to avoid inflammatory edema in external hemorrhoids. However, the water temperature must not be too high as it could scald the skin around the anus or cause dehydration of the perianal skin, leading to discomfort. Clinically, external hemorrhoids are mainly classified into four types: excess skin hemorrhoids, varicose vein hemorrhoids, thrombotic hemorrhoids, and inflammatory hemorrhoids. Depending on the type, the treatment methods differ. For inflammatory and thrombotic hemorrhoids, it is generally recommended to undergo early hemorrhoidectomy to prevent severe anal pain and serious impact on the patient's life.

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Written by Chen Tian Jing
Colorectal Surgery
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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.

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Written by Deng Heng
Colorectal Surgery
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What foods to eat for thrombotic external hemorrhoids?

Thrombotic external hemorrhoids are primarily caused by inflammation of the anal veins, or by the rupture and thrombus formation of the anal venous plexus due to excessive straining. The main symptoms are a sudden bluish-purple swelling at the edge of the anus or severe pain. The primary cause is usually due to constipation. Therefore, it's important to maintain smooth bowel movements when eating. Increasing the intake of vegetables and fruits and reducing the consumption of meat, while ensuring regular bowel movements, is most crucial.

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Written by Chen Tian Jing
Colorectal Surgery
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Thrombosed external hemorrhoid characteristics

Thrombosed external hemorrhoids are a clinical type of external hemorrhoids. The main characteristics of the hemorrhoid nucleus in thrombosed external hemorrhoids are that the hemorrhoid nucleus is stuck at the anus and cannot retract, accompanied by swelling and enlargement. As the hemorrhoid nucleus contains thrombosis, its color is mostly purplish red or dark red, and patients will experience severe local pain and a sensation of distension. Thrombosed external hemorrhoids generally belong to the acute phase of external hemorrhoids, often occurring when the stool is dry or the intestinal heat is severe. For the treatment of thrombosed external hemorrhoids, one can choose Chinese herbal solution for hot compresses to promote the absorption of the thrombus, or directly perform a surgical excision. (This answer is for reference only. For medication, please consult a professional physician and do not medicate blindly.)

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Written by Chen Tian Jing
Colorectal Surgery
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What medicine is used for thrombotic external hemorrhoids?

Thrombosed external hemorrhoids generally result from the formation of blood clots inside the local external hemorrhoids, causing acute symptoms. During an episode of thrombosed external hemorrhoids, patients experience localized pain or a feeling of constriction, and the formation of dark red or purplish external hemorrhoids can be visibly seen at the anus, which are very painful to the touch. Treatment for thrombosed external hemorrhoids primarily involves topical medications or surgery. If the symptoms are mild, one may choose to apply hemorrhoid cream or use diluted saline solution to compress and reduce swelling. Surgery can also be opted to excise and remove the affected external hemorrhoids. Thrombosed external hemorrhoids generally occur in individuals who strain excessively during defecation or after extreme fatigue. Therefore, if accompanied by dry stools, it is necessary to use stool softeners to help lubricate and ease bowel movements for treatment.

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Colorectal Surgery
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Thrombotic external hemorrhoid compression treatment

Treatment options for thrombosed external hemorrhoids include topical medications, compression therapy, or direct surgical excision. The choice of treatment depends on the severity of the clinical condition. For mild thrombosis, a traditional Chinese medicine wash with blood-activating and stasis-dissolving effects can be used for local hot compresses to promote the absorption and reduction of the thrombus. If the thrombus enlarges, professional proctological techniques can also be used to crush the thrombus locally, but it is important to maintain cleanliness and hygiene of the local mucosa to avoid infection. If the condition of thrombosed external hemorrhoids worsens, or if the patient experiences severe pain, surgical excision treatment can also be directly performed.