The Thrombotic Hemorrhoid: A Real Pain

Medically reviewed by: Gary H. Hoffman, MD

The Thrombotic Hemorrhoid.  It Hurts. Can The Proctologist Help?

In Los Angeles and cities across the globe, it seems as if everyone either has hemorrhoids or knows someone who has them.  And, most of us have heard of Preparation H® to help the pain of hemorrhoids.  Proctologists, also known as colon and rectal surgeons, see patients on a regular basis for the treatment of hemorrhoidal disease.  Whether the treatment is in the office, at home, at a surgical center, or at a hospital such as Cedars-Sinai MedicalCenter, treatment is usually needed.

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But, how many people actually know what a hemorrhoid is, let alone what a thrombotic hemorrhoid is.  And, that is where the proctologist comes in handy.  The proctologist, also known as a colon and rectal surgeon, has received extensive training in the diagnosis and treatment of hemorrhoids, as well as all diseases of the colon, rectum and anus.

So, What Is A Thrombotic Hemorrhoid?

A thrombotic hemorrhoid belongs to a larger class of diseases called hemorrhoids.  Hemorrhoids are nothing more than bundles of arteries, veins, nerves and connective tissue, all grouped together into a small mass of tissue.  Hemorrhoids are present at birth and enlarge as we age.  It is this enlargement that can lead to trouble.

Hemorrhoids are divided into internal and external hemorrhoids.  When an external hemorrhoid develops a blood colt, it stretches, swells and HURTS.  It may hurt a lot.  It is at this point that home remedies and treatments go out the window, and the doctor is called.

What Next?

Although local measures may soothe the problem, they usually do not.  Your surgeon will examine you to assess the extent, size and location of the hemorrhoid.  If the hemorrhoid appears to be composed of mostly swollen skin with only tiny clots, the best recommendation may be bedrest, stool softeners and pain medications.

If however, the thrombotic is composed primarily of a large blood clot, your proctologist may be able to almost painlessly open it, drain the clot and relieve the pressure and pain.  Finally, if the thrombotic hemorrhoid requires operative removal, your surgeon may choose to do this under anesthesia at a surgicenter, or at a hospital such as Cedars-SinaiMedicalCenter in Los Angeles.  The important factor is the experience and skill of your colorectal surgeon.

Los Angeles Colon and Rectal Surgical Associates.

The surgeons of  Los Angeles Colon and Rectal Surgical Associates are board certified and available to consult with you and help you with all diseases of the colon, rectum and anus.  You can schedule an appointment by calling (310)273-2310.  Your consultation is confidential and you will have a chance to ask the questions you need to, in order to understand your problem and planned treatment.

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