Hemorrhoid thrombosis - burst - what should I do?

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Regular Member

Date Joined Oct 2009
Total Posts : 119
   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

Veteran Member

Date Joined Feb 2009
Total Posts : 7150
   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:

Regular Member

Date Joined May 2008
Total Posts : 474
   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

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   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.

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.

Veteran Member

Date Joined Jun 2008
Total Posts : 610
   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.)

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?

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

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!
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.

Veteran Member

Date Joined Oct 2009
Total Posts : 2826
   Posted 6/18/2010 12:05 PM (GMT -6)   
Definitely recommend Analpram. Shrinks them....

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

Veteran Member

Date Joined Dec 2009
Total Posts : 1709
   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

Veteran Member

Date Joined Dec 2009
Total Posts : 1709
   Posted 7/14/2012 1:39 PM (GMT 0)   
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



Veteran Member

Date Joined Aug 2008
Total Posts : 5975
   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.

Veteran Member

Date Joined Dec 2009
Total Posts : 1709
   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



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.

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! :-)

Veteran Member

Date Joined Nov 2013
Total Posts : 1612
   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
Vitamin D3
S. Boulardi

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

New Member

Date Joined Aug 2014
Total Posts : 1
   Posted 8/30/2014 7:52 AM (GMT -6)   
Thanks for the posts on this question everyone. I had a hemorrhoid which burst the other day. Before it burst I applied Prep-H Ointment to the area and packed my ass with tissue. The next morning the hemorrhoid popped. I stumbled upon this forum to find how to treat the aftermath! What to do-do (I had to put that) in situations where your butt is bleeding.

I wore a maxi pad and put neosporin on a tissue to wipe my butt the next day. Now I'm typing this to you and I am thankful one of you posters said let your body heal itself, which is so true.

Im on my way to get some witch hazel and some epson salt and soak in a bath. Luckily Im at a friend's house and they have a salt watered pool that is heated. Im going to take a bath first then go swimming. A day of fun will help take my mind off my butt problems.

Has anyone use tea tree oil on the area where the hemorrhoid popped?

Keep it Positive y'all! yeah

New Member

Date Joined Sep 2014
Total Posts : 1
   Posted 9/21/2014 5:53 AM (GMT -6)   
Well I got my h about 5 days ago and on the 3rd day it popped.I've been cleaning it since with sitz bath and shower.I went to the doctor on the second day and he only gave percription for lidocaine and ibroprophen .well lidocaine really works when it comes to easing pain.but almost everyday it bleeds with clotty looking blood.should I wait a week more to see if it heals or go to the doc.

Regular Member

Date Joined Nov 2006
Total Posts : 204
   Posted 9/22/2014 11:15 AM (GMT -6)   
This thread is interesting. I have a large internal hemmorhoid that will hang out unless I push it back in (sorry if TMI). I've talked about getting it either lanced or having a rubber band done for it but my GI doc doesn't recommend either since he's concerned it will cause issues with my proctitis. :( He just tells me to take fiber and drink more water which I'm admittedly bad about (but do take fiber daily). It's okay at times but I pretty much always have a little but of blood while going and have to push it back in after doing a number 2. Today is a particularly crummy one. Feel like I have more burning and the pressure is painful while going but feels like it's deeper inside. Wonder if it's the H or inflammation.

New Member

Date Joined Oct 2014
Total Posts : 1
   Posted 10/23/2014 9:53 PM (GMT -6)   
I must say this blog has really made my night. I am in week three as defhero describes. The only advice i can give you all is stay clean and NEVER SCRATCH THE ITCH NO MATTER WHAT. Grit your teath but never scratch. It aids in flaring. Definitely limit the amount of time you sit on the toilet. We all know it helps relieve the itch. "Dont do it Ms Ceily!" (Oprah voice) Seriously though, warm enemas are good but dont overuse them. It causes irritation. Once every other week is ok. Overuse also confuses regular bowel movement ever causes frequent sense of urination. Epison salt and warm sitz bathe also speed healing. They can be costly in the pharmacy but using a makeshift cussion works just as well. Your goal is to relax the muscles and reduce contraction. Lastly, during healing you can use light petroleum jelly to keep from increasing irritation while walking and use a tux to absorb excess moisture. (FYI...2ply is also a plus). Also dont use powder on hemo, i learned that the hard way. I also want to thank you all for the information about ulcerative colitis, i now know where this began. Once last tip to my fellow hemorrhoidians, stop stressing, eat right, and drink water limit lactose products.

Veteran Member

Date Joined Jan 2004
Total Posts : 8358
   Posted 10/23/2014 11:04 PM (GMT -6)   
i love it when these old hemi threads come back to life !

New Member

Date Joined Mar 2015
Total Posts : 1
   Posted 3/20/2015 7:16 AM (GMT -6)   
I had a thrombosed burst hemmy. Had some before but not this bad.
I had it 5 days
Nothing worked so I used tumeric powder mixed with mustard oil ( coconut will do), it was amazing but tumeric stains yellow so be careful. All you do is mix it up 50/50 in fry pan until bubbles get on top then put in a bowel. Dab 1/1/2 teaspoon of the paste into a cotton wool bud. Then put on your bum for about 20 mins, repeat every 2 hours and in 2 days ( no crap) it will be half the size . Best is to take a compile days off work and be diligent. Mine shrunk and wasn't hard and then it burst when I was cleaning it. Was a bit messy so I took a sitz bath, well I sat in the basin and had a chuckle since I shave in it. Lolol. Anyhoo it stopped the pain that actually wasn't too bad , put some cream on ( preferably antiseptic but my
hemmy cream was fine. Not sure if it helps but my Aussie butt is a lot better

New Member

Date Joined May 2015
Total Posts : 1
   Posted 5/5/2015 9:26 AM (GMT -6)   
I'm 32 had about 5 episodes with a reoccurring hemorrhoid since I was 19. Never been able to find a relief other then overloading myself with ibuprofen. I take warm baths and apply an ice pack alternating daily. It takes roughly 3 days for mine to burst I've though about cutting it open myself but it usually bursts shortly after I get those thoughts. It is the most painful experience I've had and sucks that it will come back. But once it burst its a major relief. Just wear a pad to absorb blood and keep Neosporin in the area for a few days. Life gets back to normal but it will come back just try to eat better and not push hard when pooping to delay the inevitable.

New Member

Date Joined Jun 2015
Total Posts : 1
   Posted 6/16/2015 2:50 PM (GMT -6)   
Just had a thrombosed external haemorrhoid burst. The pain before was excruciating. There may of been 2, but there appeared to be a small one on the side of the larger one. This morning, the smaller one burst. Lots of congealed blood as well as fresh blood. It's continued bleeding all day but it seems to be under control now. The larger haemorrhoid is still there but the pressure has reduced somewhat (which is a relief). I'm keeping it clean and I'm going to stay home tomorrow. So glad I came across this site otherwise I'd of freaked out!

New Member

Date Joined Aug 2015
Total Posts : 1
   Posted 8/3/2015 11:51 AM (GMT -6)   
Hello I am new here but had to register and also share my issue.

I am glad I found this forum with people sharing the same problem as me, my external hem just burst after 6 days of pain and discomfort, I just clean it under the shower and wiped it after with baby wipes, there was a bit of blood and it's still bleeding but not much.

3 days ago my doctor prescribed me Ultraproct ointment and supp, she said it would shrink the hem and help with inflamation.

I am a bit worried it may bleed more or become infected, please help with some advice?
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