Hemorrhoid is a condition where the veins around the anus or lower rectum get swollen and inflamed. When there is restriction of blood flow in these veins then, the vessels spilt causing pools of blood and clot under the skin. Such a condition is known as Thrombosed Hemorrhoids. They occur inside the anal canal or as external hemorrhoids and vary in size from being very small to being as large as a golf ball in the extreme cases. In some cases, thrombosed hemorrhoids can be dangerous as it can lead to Gangrene or infection. In case the blood flow is totally obstructed then gangrene may develop in few cases and if the blood flow is partially blocked then there are chances of infection occurring.

Thrombosed hemorrhoids can be easily seen and or felt. They are also known as a skin tag. Thrombosed hemorrhoids are like small masses of skin which appear bluish in color due to the strangled veins which restrict the blood flow.  Thrombosed hemorrhoids are soft at times or may be hard at times. They are generally quite painful with swelling as they affect the nerve endings located in the anal skin. Bleeding is uncommon but may occur if the blood clot oozes or receives friction.

Etiology:

• Decreased blood flow.
• Damaged haemorrhoidal vein wall.
• Prolonged sitting.
• Extreme straining during a bowel movement.
• Lifting weights.

Treatment:

In few cases of thrombosed hemorrhoids, there is no need of any treatment as usually the blood clots under the skin, over a period of weeks, gets reabsorbed into the body. During that period, soothing balms can be used to manage the hemorrhoid pain, and further activities that could worsen the condition should be avoided. If treatment is required then, natural methods can always cure thrombosed hemorrhoids. Surgery is usually not recommended.

There are a few home remedies which can help in accelerating the shrinking of the clot and in the healing of the thrombosed hemorrhoids. They are as follows:-

• Warm bath can often help in relieving the pain.
• Intake of fiber content should be increased for easy bowel movements.
• Soothing creams can be used to decrease pain.
• Apply ice to the anal opening or to the affected area. This will decrease the blood flow to the area and will numb the thrombosed hemorrhoid.
• Vitamin E 4000 IU should be taken three times a day. It helps in dilating the thrombosed hemorrhoids so that the blood can flow through easily.

In serious thrombosed hemorrhoids, surgery is usually indicated to drain or excise the clot. Hemorrhoidectomy may be indicated where not only the clots but the damaged veins are also extracted. Laser surgery can be a safer option. It is less painful, and has reduced risk of infection.