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Hemorrhoid thrombosis by severity, types of treatment

Hemorrhoids are one of the most frequent diseases of the rectum, but many people find this ailment too delicate to go to the doctor. Meanwhile, it is fraught with serious complications: in 4 out of 5 cases, exacerbation of the disease leads to the formation of thrombosis, which provokes inflammation, pain and even tissue necrosis.

Official medicine offers several ways to combat the pathology, but for speedy healing, folk recipes will not interfere. How does a hemorrhoidal thrombosis proceed, how does recovery progress quickly? It all depends on the timeliness of the treatment started.


What is hemorrhoidal thrombosis?

Hemorrhoidal thrombosis Hemorrhoids sometimes last for years, and the discomfort can only be expressed in discomfort to which the patient gets used to it over time. However, if a vascular lumen is blocked, acute thrombosis of hemorrhoids occurs. The mechanism for the development of complications is as follows:

  1. In the endothelial vessels of the rectum, platelets settle.
  2. Fibrinogen is released into the plasma.
  3. The blood coagulates.
  4. The resulting thrombus closes the lumen of the vessels, completely blocking the outflow of blood from the node.

As a result, the patient becomes uncomfortable with stooling, sitting, and even walking. But this is nothing compared with the pain syndrome that occurs in the rectal area.

Severity of thrombosis

The severity of symptoms depends on the severity of the disease. For ease of diagnosis, doctors have introduced a special classification:

1. The first stage. Stagnation of venous blood in the hemorrhoid. At this stage there is moderate pain, but externally the knot remains unchanged. Perhaps burning and itching in the anus, unpleasant sensations during bowel movements. At this stage, people rarely seek help.

2. In the second stage , thrombosis and inflammation of the node occurs. It becomes a source of constant pain, acquires a purple-red color. The edema is sharply expressed, and the spasm of the anal sphincter significantly complicates defecation.

In this case, additional damage to the site by fecal masses is possible, which further aggravates the disease. Often the body temperature rises.

3. At the third stage , the surrounding tissues are involved in the pathological process: the skin and subcutaneous tissue of the perianal region, perineum, groin, and sometimes the inner surface of the thigh.

The greatest danger lies in the possible necrosis of hemorrhoids, which can even lead to gangrene.

Hemorrhoids themselves rarely hurt, but a combination of circumstances can lead to thrombosis. The mechanism of development of this complication is understandable, and the reasons provoking such a course of events are as follows:

  • strong tension of the muscles of the abdominal wall (for example, straining with constipation, lifting weights, etc.);
  • hypothermia;
  • pregnancy and childbirth;
  • mechanical damage to tissues.

Pregnant women especially often encounter hemorrhoidal thrombosis. This is explained by the constant pressure of the fetus, extending to the rectum, located in close proximity to the uterus. In addition, expectant mothers change the percentage ratio of blood cells to plasma, which can play a crucial role in the prolapse of fibrin.

In more rare cases, inflammatory processes in the perianal area and blood diseases accompanied by an increase in its clotting act as a cause of thrombosis. If the doctor during the diagnosis reveals such disorders, then complex treatment will be required, and not just the nodes.

Symptoms of hemorrhoidal thrombosis

Symptoms of hemorrhoidal thrombosis

This complication of hemorrhoids can develop both inside the rectum and on the external surface of the anus. But sometimes the disease is manifested and combined. Accompanying hemorrhoidal thrombosis are the following symptoms: sharp pain, bleeding and swelling.

The most prominent symptom of the disease is pain. It is sharp, strong and constant, it appears suddenly and does not stop, it may increase with bowel movements or physical exertion. Spasm of the sphincter sometimes leads to the complete impossibility of going to the toilet.

External changes can be seen if there is a thrombosis of the external hemorrhoid, which falls out of the rectum and is not amenable to reduction. At the same time, it has a red or purple color and is greatly enlarged due to edema.

Thrombosis of the internal hemorrhoid does not have such visible external signs. Changes in the mucous membrane are detected only with rectoscopy or palpation.

Bleeding from a hemorrhoid is an alarming sign indicating damage to the wall. Such a symptom may indicate a mechanical injury of the rectum or the formation of a fistula, but tissue necrosis is a much more dangerous cause.

Visual inspection allows you to see the external nodes: at the early stage, purple color is noticeable, and at the third stage black areas stand out, surrounded by edematous, bluish tissue. Due to the bright symptoms, the doctor usually does not have doubts about the diagnosis.

Finger examination is carried out in order to detect the affected area with internal hemorrhoids , to assess their condition. The knots are hard to the touch, they are not compressed, and blood remains on the glove. But such an examination is often accompanied by pain, and spasm of the sphincter creates additional difficulties - in this situation, local anesthetic is often used.

Rectoscopy allows you to specify the diagnosis, see the presence of fistulas and signs of inflammation of the intestinal tissue around the hemorrhoids. For this purpose, a special device is used - a rectoscope or a rectal speculum. The procedure is also performed under local anesthesia.

Hemorrhoidal Thrombosis Treatment

Hemorrhoidal Thrombosis Treatment

Treatment of the disease depends on the stage of the pathological process. Gel, ointment, suppositories for thrombosis of the hemorrhoid are effective in the early stages. In more difficult situations, there is a need for surgical treatment, and the drugs become supportive therapy. Also, doctors recommend using folk remedies - an integrated approach will not leave the disease a chance.

Drug treatment

Medicines allow to eliminate venous stagnation at the first stage, at the second and third stage - to prevent the formation of a new blood clot, relax the rectal sphincter and reduce the intensity of the inflammatory process. Used for the treatment of such drugs:

  • Hepatrombin (suppository and ointment);
  • Heparin ointment;
  • Levomikol (ointment);
  • Detralex (tablets);
  • Aescin (tablets, gel for external use);
  • Alcohol-Novocain blockade around the site.

When prescribing drugs, the doctor proceeds from the general clinical picture of the disease. But patients do not always go to the hospital immediately after the appearance of nodes. And therein lies the mistake! Although it is not so easy to get rid of hemorrhoids, it is still possible to prevent the development of complications due to modern medicine.

In addition, pregnancy imposes a number of features on the treatment of hemorrhoidal thrombosis. For example, complete healing is possible only after childbirth, so during pregnancy, such therapy is considered effective when there is a positive trend.

Of the drugs usually used ointments and gels, but with pills will have to wait: systemic effects may affect the condition of the fetus. Patients generally should not plan a pregnancy until they get rid of hemorrhoids.


Surgical removal of a hemorrhoidal thrombosis is effective in the second and third stage in case of impotence of drug therapy before the disease. If bleeding occurs, the intervention is often carried out on an emergency basis. With this illness perform two types of operations:

1. Thrombectomy:

  • incise the knot;
  • a blood clot goes along with leaky venous blood;
  • sometimes a special surgical clamp is used to remove the clot.

2. Resection:

  • a knot is cut out along with a nearby mucous membrane;
  • more efficient method, because eliminates the cause of the disease.

Surgery usually does not require the hospitalization of the patient. Only in severe cases, the patient is determined in the hospital under the constant supervision of physicians.

Folk remedies for the treatment of thrombosis

Of course, the pain is so unbearable that a person will even agree to an operation. But, before you go under the knife, you should try folk remedies - in combination with medication therapy, they give a considerable effect.


Although many representatives of official medicine are skeptical of this method, these animals have long been used to treat various diseases. The fact is that leech saliva contains the enzyme hirudin - a natural anticoagulant.

In addition, the process of sucking blood from the hemorrhoid itself has a positive effect. Therefore, if a person has identified external thrombosis of the hemorrhoid, treatment should be carried out using leeches.

When the internal form of the disease to use these animals will not work, because the affected areas are out of reach.

Bay leaf

This culinary seasoning also has antipruritic and anti-edema effects, which will be beneficial for hemorrhoid thrombosis.

However, funds based on bay leaf should be prepared according to a strict recipe - the kidneys, liver and heart are very sensitive to the components of the plant. Infusion is suitable for internal use:

1. 30 bay leaves pour 3 liters of boiling water.
2. Insist 10-15 minutes.
3. Filter out.
4. Daily dose - 1 glass (drink for 1 day in small sips).

Not superfluous will use and recipes for external use:

1. Baths:

  • 100 g of leaves pour 5 liters of boiling water;
  • insist 20 minutes;
  • poured into a basin;
  • booty into it and do not get up until the liquid is completely cooled.

2. Lotions:

  • 5-6 leaves pour 1 cup boiling water;
  • insist 10 minutes;
  • impregnate gauze with the resulting liquid;
  • applied to the anus for 2-3 minutes.

3. Microclysters:

  • make infusion as for lotions;
  • cool and filter;
  • inject the liquid through syringes into the rectum.

Preventive measures

Thrombosis prophylaxis for hemorrhoids consists primarily in exclusion of food products that cause constipation (smoked foods, spicy dishes, alcohol, etc.). If you limit the pressure of feces on the nodes, then you can avoid the appearance of unwanted blood clots. But, without the treatment of hemorrhoids, the risk of blood clots still remains - it is recommended to make every effort to get rid of the primary disease.

In addition, as a preventive measure, doctors advise you to temper physical exertion, and not to push too much during bowel movements. If we can not go to the toilet, then it is better to take a laxative. Among popular recipes, a glass of boiled milk with 1 tablespoon of honey will cope with this task.


Hemorrhoidal thrombosis is expressed in severe pain and swelling in the rectal area. Often, the patient has a spasm of the anal sphincter, which creates additional difficulties with the chair. Treatment with herbs, pills and ointments will help to deal with the disease. But if you observe bleeding and periodic exacerbation of the disease - you cannot do without surgery. Yet the best treatment option is to eliminate the root cause. It is with hemorrhoids that you need to fight to stop the occurrence of complications.


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