Thrombosed Hemorrhoid (Clotted Hemorrhoid)

Thrombosed hemorrhoid, a condition that severely reduces daily quality of life, is commonly known as “clotted hemorrhoids.” This condition, which manifests especially with sudden onset severe pain, can be controlled with appropriate treatment.

What is Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

Hemorrhoids occur when the veins around the anal canal enlarge and swell. Thrombosed hemorrhoid is the formation of a blood clot (thrombus) within these enlarged veins. It is especially seen in external hemorrhoids and manifests with sudden, severe pain. The clot creates pressure within the vein, causing tension and tenderness in the tissue.

What are the Symptoms of Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

• Sudden onset, throbbing, and severe pain in the anal area
• Bluish discoloration around the anus
• A hard and tender lump that can be felt
• Discomfort when sitting
• Mild bleeding

What Causes Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

The primary cause of thrombosed hemorrhoids is an increase in intravascular pressure in the anal region. This increase leads to blood clotting within the vein.

• Constipation and Straining: Hard stools and prolonged straining create significant pressure on the anal veins.
• Prolonged Sitting: The risk increases especially in desk workers and individuals with a sedentary lifestyle.
• Pregnancy: Increased intra-abdominal pressure and hormonal changes during pregnancy increase the risk.
• Heavy Lifting: Lifting heavy objects can cause a sudden increase in pressure.
• Chronic Diarrhea: Frequent bowel movements and irritation can weaken the vein structure.

How is Thrombosed Hemorrhoid (Clotted Hemorrhoid) Diagnosed?

The diagnosis of thrombosed hemorrhoids is usually made through a physical examination. The doctor visually and manually evaluates the swelling in the anal area. In most cases, no additional tests are required. However, if there is bleeding or if a different disease is suspected, further investigations may be performed.

What are the Treatment Methods for Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

1. Home-Based Treatments

In mild to moderate cases, warm sitz baths can be taken 2–3 times a day for 10–15 minutes. A fiber-rich diet and ample water intake are recommended to prevent constipation. Painkillers, anti-inflammatory drugs, and local hemorrhoid creams may also be used as advised by a physician.

2. Surgical Intervention

In cases causing severe pain and significantly affecting daily life, a surgical procedure may be applied. In this procedure, the clot is drained under local anesthesia, and the patient is discharged on the same day.

How to Prevent Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

• Consume fiber-rich foods
• Drink at least 2 liters of water daily
• Avoid sitting on the toilet for long periods
• Exercise regularly
• Avoid constipation

When Should a Doctor Be Consulted for Thrombosed Hemorrhoid (Clotted Hemorrhoid)?

• Severe and persistent pain
• Heavy bleeding
• Fever and signs of infection
• Swelling that does not improve within 1–2 weeks

Thrombosed Hemorrhoid (Clotted Hemorrhoid) Treatment Prices

Thrombosed hemorrhoid (clotted hemorrhoid) treatment prices vary depending on individuals' needs, the experience of the performing physician, and the health center and city where the procedure will be performed.

Cities Where We Provide Thrombosed Hemorrhoid (Clotted Hemorrhoid) Treatment

General Surgery Specialist Op. Dr. İbrahim Çolhan performs thrombosed hemorrhoid (clotted hemorrhoid) treatment in Adana. In addition to Adana, our patients from many other cities such as Mersin, Osmaniye, Hatay, Niğde, Kahramanmaraş, and Gaziantep also benefit from this healthcare service.