Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Most prolapsed internal hemorrhoids can be pushed back into the anus, but
occasionally your health care professional may need to reduce them by gently pushing them
with constant pressure.
If the hemorrhoids remain swollen and trapped outside the anus and they
are not treated, the hemorrhoid tissue may not receive enough blood and can
become infected. In such situations, surgery may be required to resolve the
Thrombosed external hemorrhoids can be painful and are associated with a
hard lump that is felt at the anus and cannot be pushed back inside. Most often
the clot within the hemorrhoid will need to be removed with a small incision.
After local anesthetic is placed under the skin surrounding the hemorrhoid,
a scalpel is used to cut into the area and the clot is removed. There is almost
instant relief of the sharp pain but a dull ache may continue.
There may be some mild bleeding from the hemorrhoid for a couple of days.
Sitz baths and over-the-counter pain medications may be recommended.
The use of a rubber or air rubber donut may help with the pain, and preventing constipation is a priority.
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