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American Society of Colon & Rectal Surgeons

Thrombosed Hemorrhoid
Excision

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.
 
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