Pin by Emma Watson on Enthused Fitness

Pin by Emma Watson on Enthused Fitness Possible thrombosed hemorrhoid I am a 27 y/o female and I have what I am pretty sure is hemorrhoids, possibly thrombosed. I am wondering if it is always necessary to visit a doctor for a thrombosed hemorrhoid or if this can resolve on its own. What I am wondering is that all the information I find says that thrombosed hemorrhoids are painful, but this is not painful just irritating as it feels like a foriegn object ie I can noticeably feel it when I sit down, but it isnt painful. Should I wait a few days to see if it resolves itself or go on to the doctor? I should mention that it appears to be a small lump in the skin smaller than a pea, is smooth, is a dark bluish color that can be seen under the skin color, no bleeding, and is in the outer skin of the rectum. Im sure that it is a hemorrhoid because it appeared after I had a painful bowel movement after being slightly constipated. I had some sharp pain for a few hours afterward, that is now gone, and the next day I noticed the bump. It has been about three days and I just wanted to know how serious this could be. Any information or advice is appreciated. Thanks. My emergency department employs doctors as well as mid level providers such as myself. I am a family nurse practitioner with specialization in emergency medicine and cardiovascular medicine. The nurse practitioners and physician assistants do most of the procedures suturing lacerations, draining abscesses, and relieving the pain of thrombosed hemorrhoids. In fact, I just did one tonight in a middleaged man who was suffering from one. He had no known history of hemorrhoids and was not sure what the painful lump on his anus was. He was heterosexual with no history of constipation or straining. In fact, he had a few day history of diarrhea. After cleaning and adequately numbing the hemorrhoid using 1% lidocaine with epi to decrease bleeding, I made a small incision with a 11 blade and removed several large clots. There was very little bleeding and almost complete relief of the pain. The procedure is quick and relatively painless, so do not be afraid to have it done if needed. Sometimes it may be necessary to consult a surgeon to have them removed completely, but this is done under anesthesia or with an epidural. an emergency department family nurse practitioner who loves her job! Hello Ive been asked to respond to the question, so here goes: This does indeed sound like a thrombosed hemorrhoid. Since hemorrhoids are often falling or pendulous in nature, they are frequently treated by deliberat thrombosing anyway, either via rubber band strangulation in which case the hemorrhoid dies, withers and sloughs off, or by injection with a thrombolytic causing the same effect. This is done more often when the hemorrhoid is less accessable, as in the case you describe. Id give this a few days, since although these can be painful, they are usually described as you have done, as an annoyance, as they are, for all practical purposes, foreign bodies. This one may follow its own course and resolve on its own, and Id give it a week at most. If its still there, still uncomfortable, and/or becomes more bothersome, I would of course suggest being seen with an eye toward having it and/or the clot removed, per the post by erfnp, above, who graphically describes the simple surgical removal of thrombi in cases where the hemorrhoid isnt amenable to thrombolytic or strangulation therapy. Yours may not be, as it appears to be not fully pendulous, at least not yet. I hope this is helpful. Best of luck to you and please follow up with us as needed. I just went through the most painful experience ever, for me anyway. for several weeks , after having a bm, a small tissue would be out of my anus. I just pushed it back in. well, one time after pushing back in I was immediately uncomfortable. I was unable to do anything but lay on the couch. Could not go to the bathroom at all. Of course I was not aware of what was wrong. Never had a hemroid and never even thought of it. I have many health issues and this one hit me head on. By 7:30 my husband took me to the er. I was impacted and the er physician removed some of it. This was without the benefit of any local pain stuff. Yes, I was crying. then she had someone practically sit on me and then proceeded to do a procedure on a thrombosed hemorrhoid. This was very painful. I do recall her giving me a shot some where down there, but she may as well have givin me a bullet to bite down on. I cannot even recall right now what I have endured that could be more painful. It is my suggestion to you to go to your doctor asap. get professional advice on diet and maybe referral to a general surgeon. start drinking 8 16oz glasses of water a day, now. and if you drink alchoholget your docs advice on stopping. Also, help with stop smoking if you smoke. seriously, do not ignore this lump. It is no laughing matter until all is healed and well. My sister has numerous hemorrhoid jokes now that I am on the mend. take care and get to your doctor. i am a young male im 21 years old and after have bouts of bad diarrhea whenever i was cleaning myself i found a small pea sized bump to the side of my anus, it is freaking me out and all these thrombosed hemorrhoids seem to be a blue black color and mine is not its just a bump. it is tender to the touch and not really painful unless i push on it. i feel like it is probably a hemorrhoid but i am not positive and i really dont feel comfortable going to the doctor about it, if its nothing to important or will go away. The only other thing it would likely be and its pretty unlikely is an ingrown hair, whats known as a wild hair in some circles, since it would be a little bit beyond the usual boundary. It does happen sometimes, but its much more likely a simple hemmorhoid, and while there are symptomatic treatments for these things, there is no home cure. Sometimes theyll go into remission shrink back into the background but even if this happens, they usually just return again and again. The question becomes: Just how much of this are you willing to put up with? Its not a dangerous thing in itself, although if it starts bleeding this presents a whole other dilemma as to selfmanagement. Id just get it checked the doctor is used to this and a lot weirder things, trust me, and just doesnt really care, sees it as part of the job. Your call, however, and not something to worry over too much otherwise.Pin #by #Emma #Watson #on #Enthused #Fitness