Management of thrombosed external hemorrhoids has been poorly studied as of 2018. If diagnosed within the first few hours of presentation, the pooling blood may be evacuated using a syringe. Once the blood has clotted, removal by this method is no longer possible and the clot can be removed via an incision over the lump under local anesthetic. The incision is not stitched but will heal. Care needs to be taken in regard to bleeding from the wound and possible infection with fecal bacteria. If left alone it will usually heal within a few days or weeks. The topical application of a cream containing a heparinoid is often advised to clear the clot.
Perianal hematoma
Anal fissure
Anal fistula
Perianal cellulitis
Anal wink
Rectal discharge
Rectal tenesmus
Perineal hernia