What is a Thrombosed Hemorrhoid?
A hemorrhoid is a mass of swollen anal
tissue. A thrombosed hemorrhoid is a
painful external hemorrhoid that contains a
What is the Treatment?
In the clinic, the doctor numbs the area with
a local pain medicine. Then, the clot and
some of the surrounding tissue is removed.
Your incision usually is left open. You
may have drainage for 1 – 2 weeks. This
will decrease over time. The color will
change from red to red-yellow in the
days after your surgery. Use gauze pads
to tuck between buttocks or a sanitary
napkin in your underwear until the
drainage stops. Because the anal area is
not sterile, sterile pads are not needed.
Keep the analarea clean to aid healing.
After each bowel movement, gently wipe
or spray with a “squirt-bottle” or a hand
Take a sitz bath at least three times a day
for 3-4 days. Sit in your bath tub with at
least 3-5 inches of warm water for at
least 10-20 minutes. Or, you may use a
sitz bath unit that fits over your toilet.
Sitz baths aid healing and decrease pain
and rectal spasms.
Do not use rectal creams, ointments, or
suppositories unless instructed by the
No abdominal exercise or heavy lifting for
48 hours. You may return to work if the
pain is managed.
Avoid constipation by increasing the fiber in
your diet and drinking more liquids (6 – 8
glasses or more a day). When you feel the
urge to have a bowel movement, go. The
longer the stool is in your bowel the more
difficult it will be to pass. You may need
MiraLAX® or Milk of Magnesia® if you are
Extra Strength Tylenol® will usually control
pain. Follow the package directions.
Your doctor may order narcotic pain pills if
the pain is not controlled by Extra Strength
AFTER the first 3 days, Tylenol® or
ibuprofen should relieve any pain that you
Do not take aspirin, since it can increase
When to Call the Doctor
ξ Large amounts of bright red blood
from the rectal area that will not stop
with firm pressure to the area for 10
ξ Temperature greater than 100.4ºF for
two readings four hours apart.
ξ Foul-smelling drainage
ξ Excess swelling in the rectal area
ξ Problems passing urine
Digestive Health Center: (608) 890-5000
After hours, weekends or holidays this
number will be answered by the paging
operator. Ask for the doctor on call or ask
Leave your name and phone number with
area code. The doctor will call you back.
If you live out of the area, call (855) 342-
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 10/2017 University of Wisconsin Hospitals
& Clinics Authority, All Rights Reserved. Produced by the Department of Nursing. HF#4476