Patients with hemorrhoids that do not bleed but are significantly painful are considered to have external hemorrhoids. Because external hemorrhoids occur below the dentate line, they are sensitive to painful stimulation because they are within the innervation of the limb. In particular, acute thrombosed external hemorrhoids occur secondary to constipation or after overeating or prolonged sitting, resulting in acute perianal venous blood reflux and the formation of thrombosed emboli. The acute stage can be treated by surgical excision, which is performed under local anesthesia or epidural anesthesia to cut open the lesion, ligate the feeding vessels, trim the wound edges, and peel off the embolus to avoid residual. The postoperative application of petroleum jelly gauze and local pressure dressing on the wound can prevent bleeding events. After surgery, the patient should also be treated with intravenous anti-infection therapy, and should be advised to eat a full liquid diet and to take fumigation and sitz baths after each bowel movement to promote healing.
Support Us
If the above content has been helpful to you, please click the share button to share the article or website. This is the greatest support for us.
Discussion
Share your experience, or seek help from fellow patients.
