Thrombosed piles are external hemorrhoids that have either ruptured, or developed a blood-clot.
Thrombosed hemorrhoids can cause acute pain if they become strangulated. A person with thrombosed piles will usually have a large mass of extremely sensitive tissue protruding from the rectum.
Thrombosed hemorrhoids are easy to identify. To the touch they feel like small masses of skin and can be either hard or soft. Thrombosed hemorrhoids tend to be blue in colour because the veins are strangulated preventing blood from flowing through. They can also become red and inflamed.
To see photographs of thrombosed piles click here
Thrombosed piles are not considered to be serious as they to not pose a danger to the patient, however because they affect the nerve endings around the anus, they do cause extreme pain. They don’t generally bleed unless friction causes the clot to rupture.
There are a number of treatments that can be used for thrombosed piles, from home remedies to surgical procedures. Some of the most commonly prescribed home treatments are:
- daily sitz baths
- the use of stool-softeners
- application of ice (wrapped in a cloth)
- making alterations to dietary habits and bowel habits; and
- increasing one’s psychical activities or creating an exercise regime.
It is always worth tying home remedies such as analgesics, warm baths, stool softeners, increased fibre and increased fluids, before resorting to painful surgery, however it is possible that eventually surgical intervention may needed for thrombosed piles. Preventative care must be taken after any surgery to avoid the piles re-occurring.
The types of surgery available for thrombosed piles includes:
- Band ligation- A rubber band is placed around the thrombosed piles which causes them to dry up and drop off.
- Sclerotherapy-The thrombosed pile is injected with a shrinking agent and eventually disappears.
- Hemorrhoidectomy-The thrombosed pile is removed surgically. Due to its painful nature, this type of treatment is generally only used as a last resort as recovery can take several weeks.