Severely painful thrombosed hemorrhoids can excised in a few minutes during an office visit. No special surgical preparation is required. After numbing the area with a local anesthetic, the doctor makes a small incision and removes the thrombosed hemorrhoid. The incision is left open and heals naturally in a few days.
After the Procedure
Approximately four hours after leaving our office, remove the outer layers of gauze pads. Leave the last layer, the one touching your skin, in place until you sit in a sitz bath (plain warm water). Let the pad get completely saturated and fall off or gently remove it. DO NOT remove this gauze pad dry.
- Wear a soft gauze pad or sanitary napkin (mini-pad) to absorb any drainage, discharge of mucus or blood. Change the pad frequently. Good hygiene promotes healing. You will have bleeding off and on for a couple of weeks. The blood may drip into the toilet and make the water red. This is normal and you should not be alarmed.
- If you have any discomfort you may take Tylenol or Advil as needed. If you have a burning sensation when you have a bowel movement, sitz baths may provide relief.
- Stay on a high fiber diet. Avoid spicy foods, nuts, seeds and popcorn. Avoid citrus fruits such as oranges and grapefruits and acidic foods such as chocolate and tomatoes.
- Drink six to eight glasses of water per day.
- Continue to take at least 3 sitz baths per day. A sitz bath is simply sitting in a tub of warm water (approximately three inches deep) for 15 to 20 minutes. Take sitz baths daily until you return to our office for your follow-up visit.
Call us if you have severe pain, fever, chills or persistent bleeding. These may be signs of complications that require medical attention.