Thrombosed Piles (Hemorrhoids) - Causes & Treatment

A thrombosed piles happens when a blood clot forms inside the hemorrhoidal vein, blocking blood flow and causing painful swelling of the anal tissues. You can get the best treatment for thrombosed piles at Pristyn Care, with top-grade advanced medical technologies and equipment. To get rid of all proctological complications, book a consultation today with Pristyn Care.

A thrombosed piles happens when a blood clot forms inside the hemorrhoidal vein, ...blocking blood flow and causing painful swelling of the anal tissues. You can get the best treatment for thrombosed piles at Pristyn Care, with top-grade advanced medical technologies and equipment. To get rid of all proctological complications, book a consultation today with Pristyn Care.Read More

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What Are Thrombosed Piles?

Piles, also known as hemorrhoids, arise from abnormal distension of the hemorrhoidal veins that are present beneath the mucosa of the lower rectum and anus. There are two kinds of piles – External and Internal Piles. 

• External piles form on the verge of the anal canal, below the dentate line, and are the most commonly occurring type. Thrombosed external piles appear as a painful and discomforting dark blue lump at the verge of the anal canal.
• Internal piles form in the lower rectum above the dentate line. Thrombosed internal piles are far less common and may not be visible outside unless they protrude from the anal canal. 

Thrombosed piles happen when either an external or internal pile fills with blood clots. Thrombosed piles are not dangerous, but they can be extremely painful. If symptoms do not go away, there are numerous treatment options ranging from topical creams to surgery.

Causes Of Thrombosed Piles

Some possible causes of thrombosed piles include:

• Pregnancy, from pressure caused by the baby
• Childbirth, from pushing at the time of delivery
• Physical exertion caused by repeated heavy lifting
• Prolonged sitting
• Constipation,that can lead to straining on the toilet
• Diarrhea or loose stools
• Obesity, or having an excessive amount of fat on the body
• Anal intercourse
• Not using the toilet regularly

Diagnosis and Surgery For Thrombosed Piles

Diagnosis

An experienced proctologist can easily and effectively diagnose thrombosed piles. Diagnosis of thrombosed piles can be done using clinical evaluation and procedural diagnosis. 

Clinical evaluation

A proctologist conducts clinical evaluation to-

• Know about the history of severe pain in the anal area.
• Detect a thrombosed piles by physical examination of a painful lump or inflammation of the perianal tissues.

Procedural diagnosis

• Your doctor can perform a digital rectal exam to check for blood in the stool and other issues in the anal and rectal regions. 
• If the digital rectal exam is inconclusive, the anal canal can be analyzed with the help of an anoscope, which is a speculum that can be used to see and inspect the lower rectum. 
• If there is proper clinical evidence of rectal bleeding, a colonoscopy or sigmoidoscopy can be performed by your doctor to know other causes of bleeding, like inflammatory bowel disorder, colorectal polyps, or rectal cancer. 

Surgery

A thrombectomy is usually performed to treat thrombosed piles. Thrombectomy is a minor procedure in which the doctor makes a cut in the inflamed piles and drains the blood. A doctor advises thrombectomy for external piles if you have a huge clot. Or, they may recommend surgery if the blood clot is causing intense tissue injury.

The doctor gives the patient anesthesia before they begin the procedure, so they will not feel any pain. Thrombectomy is most effective if performed a few days after blood clots form in a pile. 

If a thrombectomy is not effective, surgery may be needed. There are a variety of surgical options available to treat thrombosed piles. These include:

• Stapled hemorrhoidectomy: It is a procedure where the piles are stapled in place while a person is under general anesthetic.
• Laser hemorrhoidectomy– Laser hemorrhoidectomy is a new innovative method of hemorrhoidectomy. In this hemorrhoidectomy procedure, a laser will be inserted into the anal canal to eliminate the terminal branches of superior and inflamed pile arteries. The patient will have no surgical incision scar on the anus in this surgery.

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