Hemorrhoid thrombosis - burst - what should I do?

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Micky3270
Regular Member


Date Joined Oct 2009
Total Posts : 113
   Posted 11/29/2009 10:46 AM (GMT -6)   
I have a hemorrhoid with thrombosis. Yesterday it seemed to burst. There was blood/blood clots and obviously is really painful. I was seen at Mayo last week and they had talked about having me see a surgeon, but held off thinking it might resolve itself. Has anyone had this, or had one apparently burst? I'm not sure what to do. I should get a call from the doctor tomorrow, but I don't know if I should be going in before then or what. confused

fruitgirl
Veteran Member


Date Joined Feb 2009
Total Posts : 6785
   Posted 11/29/2009 11:57 AM (GMT -6)   
I would go ahead and call your GI's office today...if I call mine after hours/on a weekend, I get an answering service that then calls the GI who is on call (there are three in the practice). The GI then calls me, and I can ask my question. It'll at least help ease your mind so you'll know if you need to head to the ER or not. I hate going to the ER (nothing like waiting for hours in the germiest place on earth!), so avoid them at all costs.
Status: Remission since May 2009!
Symptoms began in November 2008, ~4 weeks after giving birth to my son
Diagnosed with pancolitis on 1/30/09
Meds: Apriso (4 0.375g pills ONCE!! daily), mesalamine enema twice weekly, Natural Factors Ultimate probiotic 12/12 Formula, OrthoNovum, multivitamin.  Used prednisone (starting dose 40 mg) to get into remission.
Thread with links to UC resources and  information:
 


tap
Regular Member


Date Joined May 2008
Total Posts : 466
   Posted 11/29/2009 12:47 PM (GMT -6)   
I had a thrombosed hemorrhoid about two and a half months ago. Just walking hurt like crazy and one morning while walking around the pain went away. The hemorrhoid had burst. I'm surprised that you would still have much pain after it burst. I would suggest taking a sitz bath for 15 to 20 minutes with some Epsom salt if you have it. It will hopefully sooth things.
44 - male - Diagnosed with pancolitis in 1998
Psyllium Seed Powder (2 teaspoon) - twice per day; Flaxseed (2 tablespoon ground) - once per day;
Vitamin D3 - 5000 IU once per day; NSI Turmeric Extract with BioPerine - once per day;
Align, Culturelle, Sustenex, Ultimate Flora Critical Care, Jarrow Formulas Saccaromyces Boulardii+MOS probiotics;
Asacol - 2 400mg pills 3 times per day;
Mesalamine Enema - twice per week;
Prednisone - 40mg taper - started 10/30/2009 - finish 01/21/2010


Judy2
Forum Moderator


Date Joined Mar 2003
Total Posts : 9287
   Posted 11/29/2009 12:49 PM (GMT -6)   
I've had them burst before. I get blood with a stool, but it's not in the stool. Then the pressure and pain go away. I usually take a bath or long hot shower and count myself lucky that the pain is gone.

If it continues to bleed, you of course would call your doctor.

bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 11/29/2009 1:29 PM (GMT -6)   
A colorectal doc is best for these things...not a GI.

Get an emergency appt for Monday and I hope the pain gets better very soon.
Dx'd with moderate Pancolits 05/07 better with Pentasa and Cortifoam.
I also take Probiotics, Curcumin, Benefiber and cannot tolerate
artificial sweetners (never could even before UC).
 
 
UC Forum Co-Moderator
I am not a healthcare provider. I am offering support and guidance based upon my own conclusions and/or research. ALWAYS consult with a qualified healthcare provider.


seconder
Veteran Member


Date Joined Jun 2008
Total Posts : 598
   Posted 11/29/2009 4:19 PM (GMT -6)   
I had a thrombosed hemorrhoid burst about a month or so ago, and I never went to the doctor.  I'm loathe to go to the doctor, but any doctor should be able to excise and treat a thrombosed hemorrhoid; it's well within the scope of their practice.
 
I kept it clean and packed with gauze, and bleeding stopped and everything resolved itself just fine in about a week.  Nightly sitz baths helped.  Friends have told me the same thing.  (One friend was on a trans-Atlantic flight when his decided to go off.  Blech.)

elsielefe
New Member


Date Joined Jun 2010
Total Posts : 1
   Posted 6/17/2010 10:54 PM (GMT -6)   
"I had a thrombosed hemorrhoid burst about a month or so ago, and I never went to the doctor. I'm loathe to go to the doctor, but any doctor should be able to excise and treat a thrombosed hemorrhoid; it's well within the scope of their practice."

Hey, is there any medicine you take for your hemorrhoid?
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[img]http://getfirefox.yi.org/image/images/smiley147.gif[img]

Post Edited (elsielefe) : 6/28/2010 12:26:52 AM (GMT-6)


kops2da
Veteran Member


Date Joined Jun 2008
Total Posts : 2865
   Posted 6/18/2010 8:48 AM (GMT -6)   
My husband had one burst years ago and it cleared up himself but he told his doctor at next visit.  He was given Anusol suppositories for his hemmroids and it shrunk them!
ElaineNY
 
Senior - diagnosed with proctosigmoiditis - 6/2008 Cannot tolerate mesalamines including rectal meds, etc. 
Prednisone for about 5 months - tried 6 MP with no help. 
No prescriptions now except for Cortifoam and anusol about once a week.  Now treating only with Imodium and Pepto Bismal and below....
Probiotic Align, Prilosec for GERD, Gas-X, vitamins, Calcium/D
Tylenol for knees and arthritis.
 
 
 


journey2health
Veteran Member


Date Joined Oct 2009
Total Posts : 2639
   Posted 6/18/2010 12:05 PM (GMT -6)   
Definitely recommend Analpram. Shrinks them....
Ellen

In remission! diagnosed pancolitis mild to mod 9/19/09. Now have to take 7.5 mg. prednisone and 2 mg alternating, indefinitely because of loss of adrenal function due to being on pred the past 7 of 9 months)
12 400 mg. Asacol daily, 1000 mg. Canasa daily
Rowesa enemas every third night, 1 tbs. psyllium husk powder daily, Mutaflor probiotic
multi-vitamin; calcium plus D, Biotin, turmeric. Eliminated dairy, caffeine, alcohol, fried, greasy, citrus and artificial sweeteners. For sleeping, Melatonin 4 mg, Zinc Magnesium and B6 compound- 2 cap and Zyprexa. (.25 to .5 mg Klonopin if all fails).
For insufficient adrenal function, vitamins C, B6,B Complex, pantothesic acid and vitamin e


blksteeda
Veteran Member


Date Joined Dec 2009
Total Posts : 859
   Posted 6/19/2010 8:44 AM (GMT -6)   
I had two procedures to remove thrombossed hemorrhoids at the beginning of the year...one in the beginning of jan and one at the end. I tried everything to get rid of them and NOTHING helped. My GI had given me Analpram and that had no effect at all. He recommended me to a general surgeon and he made a couple small incisions and removed the clot. I was left with an empty "shell" of skin but that gradually shrunk and was no longer visible after two weeks or so. Unfortunately I developed another one after getting rid of the first one and had the same procedure done again and two weeks later, the loose skin shrunk back to nothing and I've had no problems since
Gordon / Male / 37
 
Active Ulcerative Colitis (left sided)
50mg / 6mp
Colazal 3-3x/day
Rowasa Enemas every other night
Prednisone again - 5mg
Remicade Infusion 5mg/kg started 04/10/10---3rd infusion
______________________________________
 
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VSL#3
Intestinew
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blksteeda
Veteran Member


Date Joined Dec 2009
Total Posts : 859
   Posted 7/14/2012 7:39 AM (GMT -6)   
I used to get very large external thrombossed hemorrhoids. I've always gone to my general surgeon and he's lanced them for me. Just a little cut and he squeezes the clot out (after numbing of course). That was the only way I was able to get relief as any OTC / Prescription med never helped. After they were lanced, the incision area hurt the next day but by the second day it got much much better. After 3 days I never felt a thing. For a while you'll have a shell of skin where the clot was but the body absorbs that and will shrink away.
Gordon / Male / 37

Active Ulcerative Colitis (left sided)

50mg / 6mp

Colazal 3-3x/day

Remicade Infusion 10mg/kg started 04/10/10

______________________________________



______________________________________

Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5449
   Posted 7/14/2012 12:10 PM (GMT -6)   
     Gordon...you're lucky he numbed it for you.    Over thirty five years ago, when I was pregnant with my youngest daughter, I went to a colorectal surgeon for this problem.  I remember him having me drop my drawers, lean over some kind of post and BAM...cut that sucker right out.  I thought I would go to the MOON!  No anesthetic, nothing.  He then said to me..."OH, you're going to have to come back after you have the baby."  I just looked at him and left thinking..."Not to you I'm not..jerk."  That was back in January of 1977.  It wasn't until Sept of 1998 that I was diagnosed with ulcerative proctitis.  By that time he was long gone and I was treated by a GI doctor for the disease....who really wasn't much better..lol.

blksteeda
Veteran Member


Date Joined Dec 2009
Total Posts : 859
   Posted 7/14/2012 12:25 PM (GMT -6)   
even with the numbing it's still a very uncomfortable experience...the numbing is actually the worst part as they're jabbing a needle right into it. I think the surgeon learned a few new swear words from me.
Gordon / Male / 37

Active Ulcerative Colitis (left sided)

50mg / 6mp

Colazal 3-3x/day

Remicade Infusion 10mg/kg started 04/10/10

______________________________________



______________________________________

Defhero
New Member


Date Joined Feb 2013
Total Posts : 2
   Posted 2/25/2013 6:30 PM (GMT -6)   
Mine popped on its own and I will give my 2 cents on other ppl's. fear! about 3 weeks ago i had felt an interior hemmy. Well, that became an exter. one in no time. Having it feel full and the size of a grape and at times a jelly bean. I was going to go see the doc. about a week ago, wanted to know it was not butt cancer. Not having insurance, I did everything I could to avoid, so I came to the internet and here. I bought witch hazel, prep H and pills that are cayenne/garic. I used all, but the prep H (it seem to irritate it more) I stopp'd after a couple of times. Well, this is going on 3-4 weeks now. But 1st, after the second week, I thought it was going down and possibly away. But late in the week, it started to fill up and get hard (and hurt at times). It seemed to be down in morning and full by night. It felt as it could "POP" anytime, but kept asking myself, where would it pop to? Seemed to be under the skin alittle farther than poppable access. Last night I finely applied ice right to it, before I did the other routine. This morning when I woke, my underwear was wet, IT POPPED finely. It popped from the inner side of the anus. It showed like a blood burger, which was the clot. I held steady, throught the scare, all because of these forums. I ready surgery is horrible, I heard that doc office needle draining is painful. I went natural and today, I am a happy camper. Keep your head up and stay positive. I am going to say 3-6 weeks to heal a "Major" hemmy and when you feel it full to the hurting rim, it is close to popping on its own. Once popped, your body will heal on its own.

runzwscssrs
New Member


Date Joined Mar 2014
Total Posts : 1
   Posted 3/30/2014 2:54 AM (GMT -6)   
I just wanted to thank everyone here for sharing your experiences and advice, because I was so scared tonight when I had a burst h.! I didn't know if I should go to the e.r., or what to do! It would seem that I can just keep the area clean and let it heal on its own, which is what I'd prefer to do. Anyway, very grateful to have found this forum and all of the brave and caring people here! :-)

embersglow1
Veteran Member


Date Joined Nov 2013
Total Posts : 1376
   Posted 3/30/2014 12:38 PM (GMT -6)   
Sitz baths are a life saver for my bottom.
I have two old ext hemmies just hanging around (hope they shrivel and re absorb at some point) and two newbies that i dont know of they are internal and came out or just external again.
Pain has been unreal with my recent tenesmus.

After each bowel movement I soak a cotton ball in witch hazel and clean the area real good. Usually 2 maybe a 3rd cotton ball.
this feels wonderful and is good for keeping bad stuff out of your "wound"

Once clean and dry, you may want to put a protective film on it... I use Calmoseptine (ask the pharmacist for it behind the counter.) I would think Vaseline would be protective as well.

Also; got lidocaine after my surgery consult w a colorectal surgeon. Thats been a life saver on occessions!

Didnt realize they could "pop" myself. So thank you for posting this and everyone for their responses!
Katie - 27 - 7-11-13 - pancolitis.
Currently Flaring; diarrhea w/ blood, mucous.

Prednisone - 30mg
Zoloft 200mg
Culturelle
Vitamin D3
S. Boulardi

Past meds: Vancomycin, Balsalazide, Lialda,Prednisone - 20, 40, 60, 30 - never helped
Allergic Sulfas
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