Management of Thrombosed External Hemorrhoid in Minnesota

It is not uncommon for patients in the Minneapolis and St. Paul areas to call our clinic and ask for immediate help because they have painful bulging in the rectum. Through phone triages, we know they develop the thromobosed external hemorrhoid. We accommodate their visits and help to relieve their pain the same day.

Thrombosed external hemorrhoid is a common problem in Minnesota. It is usually a complication from the underlying disease – internal hemorrhoids. It occurs outside the anal verge when one or more varicose hemorrhoidal veins rupture and blood clots develop. Typical symptoms of thrombosed external hemorrhoids are sudden onset with severe rectal pain and tender bluish swelling in the anus.

The differential diagnosis of rectal pain includes anorectal abscess, anal fissure, and rectal pain due to spasm of anal sphincters.

These hemorrhoids are typically treated with either incision to remove the clot or with external hemorrhoidectomy. Simply draining the clot usually relieves the pain immediately, but it may not work well if multiple thromboses exist as it can also lead to recurrence, so it is better for patients with multiple thromboses to completely excise the thrombosed hemorrhoids.

If anyone in the Minneapolis and St Paul areas develops the sudden onset of severe rectal pain, please call us immediately. We will accommodate to your urgent medical needs.

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