How is thrombosed hemorrhoids treated?

Anal thrombosis refers to thrombosed hemorrhoids located at the anal verge—a relatively common clinical condition. When this condition occurs, patients typically experience significant pain and swelling around the anus, severely impacting their daily life and work. Prompt treatment is therefore essential upon diagnosis. So, how are thrombosed hemorrhoids treated?

How Are Thrombosed Hemorrhoids Treated?

Surgical intervention is generally recommended for thrombosed hemorrhoids. However, if surgery is not desired or contraindicated, non-surgical (conservative) management may be considered. The primary surgical options include thrombectomy (removal of the clot) or excision of the external hemorrhoid. For conservative management, cold compresses are advised initially to alleviate pain and swelling. After three days, warm sitz baths or warm compresses should be substituted to improve microcirculation around the anus and further reduce pain and swelling.

Patients should avoid all external irritants—such as scalding hot water, vigorous scratching, excessive scrubbing—and substances known to provoke sensitivity, including fur products. They should also avoid allergenic or irritating foods and beverages, such as fish, shellfish, strong tea, coffee, and alcoholic drinks. Healthcare providers should thoroughly educate patients on protective measures, guide appropriate medication use, encourage active collaboration with medical staff, and fully engage the patient’s initiative and self-management capacity.

Patients should maintain local perianal hygiene—especially during summer months when moisture accumulation is more likely. Developing a routine habit of perianal cleansing and ensuring local dryness is crucial. We hope this information proves helpful to you.