Thrombosed hemorrhoids are external hemorrhoids that have either ruptured, or ruptured and developed a blood-clot.

Thrombosed hemorrhoids can become strangulated and cause extreme pain. Typically, an individual with a thrombosed hemorrhoid will report a large mass of extremely sensitive tissue protruding from the anus.

Thrombosed hemorrhoids are easy to spot and felt. They can be either hard or soft to touch. Referred to as a skin tag, these lumps feel like small masses of skin. Thrombosed hemorrhoids also appear to be blue in colour. This is because the veins are strangled under the skin and there is no regular blood flow through them. Upon being irritated, they can also turn red.

While they are not considered dangerous, thrombosed hemorrhoids do cause considerable pain and swelling because they affect the nerve endings located in the anal skin. Bleeding is not common but it can occur if the blood clot oozes or receives friction.

Thrombosed hemorrhoids are amenable to variety of treatments, some of which are home-based remedies, some of which are surgical procedures that require being under a doctor's care.

Some of the most commonly prescribed home treatments are:
. daily sitz baths
. the use of stool-softeners
. making alterations to dietary habits and bowel habits; and
. increasing one's psychical activities or creating an exercise regime.

Although conservative nonsurgical treatment (stool softeners, increased dietary fiber, increased fluid intake, warm baths, and analgesia) ultimately results in resolution of symptoms for most patients, thrombosed hemorrhoids will almost certain end up being treated with surgical intervention. It will need to be discussed with your doctor as to which treatment is appropriate however the usual way is for the clot to be removed by surgically draining it.

The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure, and to empty bowels without undue straining as soon as possible after the urge occurs. Exercise, including walking, and eating a high fibre diet, help reduce constipation and straining by producing stools that are softer and easier to pass. Good sources of fibre are fruits, vegetables, and whole grains will help to keep your bowls regular and the stools softer.

In some cases, hemorrhoids must be treated endoscopically or surgically. These methods are used to shrink and destroy the hemorrhoidal tissue. The doctor will perform the procedure during a hospital visit.

A number of methods may be used to remove or reduce the size of hemorrhoids such as painless non-surgical techniques, lasers for hemorrhoids, harmonic scalpel for hemorrhoids, and the use of hemorrhoid medications.

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