Can internal hemorrhoids with prolapsed thrombus shrink?

Written by Yu Xu Chao
Colorectal Surgery
Updated on May 03, 2025
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If internal hemorrhoids prolapse and form thrombosis, it indicates poor local blood circulation in the internal hemorrhoids and damage to the hemorrhoidal veins, leading to thrombosis. Such thrombosis will not shrink and will cause a significant foreign body sensation in the anus and anal distension pain. For cases where internal hemorrhoids prolapse and form thrombosis, it is crucial to go to the hospital's colorectal surgery department for timely surgical treatment. Surgical options include internal hemorrhoidal banding, internal hemorrhoidectomy, or TST. Postoperatively, patients should use anal cleansers and medications like golden ointment and red oil ointment gauze for dressing changes to promote wound healing. Furthermore, patients should be cautious with their diet, avoiding spicy, stimulating, and dry foods to prevent irritation to the wound, which could lead to infection, inflammation, or swelling, and thus significant pain. Additionally, patients should maintain hygiene around the anal area and wear loose, breathable cotton underwear.

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Written by Deng Heng
Colorectal Surgery
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What should I do if internal hemorrhoids prolapse and cause pain?

Generally, internal hemorrhoids do not cause pain. However, when internal hemorrhoids prolapse and become trapped outside the anus, leading to swelling, infection, or even necrosis, various degrees of pain can occur, which can be very painful. Therefore, when internal hemorrhoids prolapse and become trapped, surgery is required. Thus, hospitalization for surgery to relieve the trapped hemorrhoids is necessary to definitively cure the condition.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if hemorrhoids prolapse during pregnancy?

During pregnancy, due to increased abdominal pressure, patients who already have hemorrhoids may experience internal swelling or even prolapse. To treat and alleviate prolapsed hemorrhoids during pregnancy, conservative treatment should be the first approach. Surgical treatments may lead to local pain due to wounds, which can cause false contractions. Conservative treatments can include using dilute salt water or potassium permanganate solution for local washing and hot compresses to promote mucosal retraction. Additionally, a hemorrhoid cream with safe ingredients specifically for pregnant women can be applied locally. If the prolapse is severe, surgery is recommended after delivery. (Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Chen Tian Jing
Colorectal Surgery
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Can internal hemorrhoids cause constipation?

When internal hemorrhoids flare up, if their size increases and obstructs the anal opening, it can prevent normal defecation or make it difficult, potentially causing symptoms of constipation such as difficulty in defecating or poor bowel movements. Prolonged and recurrent difficulty in defecating can also lead to overly dry stools within the intestinal lumen, further exacerbating symptoms of constipation. Therefore, constipation is one of the most common clinical complications of hemorrhoids. To treat constipation, one can initially choose oral medications that lubricate the intestines and facilitate bowel movements. At the same time, it is essential to actively treat hemorrhoids, reduce the size of the hemorrhoidal tissue, or directly remove both internal and external hemorrhoids, to enable normal expulsion of stool.

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Written by Chen Tian Jing
Colorectal Surgery
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How to stop bleeding from internal hemorrhoids prolapse?

If internal hemorrhoids bleeding leads to unstoppable bleeding, the most common and direct way to stop the bleeding primarily involves local ligation. The prolapse and bleeding of internal hemorrhoids are mainly due to the repeated prolapse and friction of the local mucosa causing rupture and bleeding, or the persistent bleeding from ruptured small arteries. If prompt hemostatic treatment is not administered, it could potentially lead to chronic blood loss and subsequent anemia due to decreased blood volume. Therefore, if patients experience bleeding from internal hemorrhoids, especially if the bleeding is prolonged or substantial, it is advised to visit a proctology department for relevant examinations soon. If necessary, it may be crucial to promptly proceed with internal hemorrhoidal ligation surgery.

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Written by Chen Tian Jing
Colorectal Surgery
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Can you drink alcohol if you have internal hemorrhoids bleeding?

If a patient experiences internal hemorrhoid bleeding, it is not advisable to drink alcohol during the bleeding period. Alcohol contains excessive amounts of irritating substances. Excessive drinking can cause excessive congestion of the mucous membrane of the internal hemorrhoids, and the already ruptured mucosa may increase the likelihood of further bleeding. Therefore, drinking alcohol during internal hemorrhoid bleeding can increase the amount of bleeding and might even lead to an increase in the size of the hemorrhoids, or the formation of acute edema and thrombosis, worsening the severity of the condition. During the bleeding period of internal hemorrhoids, patients are advised to follow a light diet and may need to further combine this with oral hemostatic medications, or use hemorrhoidal suppositories and hemorrhoid creams for symptomatic hemostasis and anti-swelling treatment. (The use of medications should be conducted under the guidance of a doctor.)