How Do I Relieve Blood Clot Pain?

External hemorrhiod is a clinically frequently-occurring disease. It is often caused by over-eating spicy food, making stools close to the toilet, rupturing the perianal subcutaneous vein, and blood stasis subcutaneously. Clinically, patients often feel conscious swelling of the anus, pain and foreign body sensation. Examination shows that there are grape-like dark purple tumors around the anus or under the skin of the anal canal, sometimes with mild erosion and bleeding on the surface.

Thrombotic hemorrhoids

Thrombosis external hemorrhoids

Thrombotic external hemorrhoids are a common type of external hemorrhoids, often caused by constipation, excessive force during bowel movements, strenuous activities or coughing, lifting heavy objects, childbirth, etc., rupture the anal marginal vein, and the blood extravasates into the connective tissue and becomes a blood clot. A round or oval mass is formed subcutaneously in the anus, of varying sizes, located inside or outside the anal canal. The lump is soft at the beginning and hardens after a few days. If it is not inflamed, the lump can be completely absorbed and dissipated within 3 to 4 weeks without leaving any traces; if the inflammation is repeated, the connective tissue in the lump grows and can become connective tissue external hemorrhoids . If an infection occurs, an abscess can develop.

Causes of thrombotic hemorrhoids

1. Local inflammation. Due to the location of the hemorrhoidal venous plexus, inflammatory infections often occur due to external or internal factors, resulting in fibrosis of the elastic tissue of the venous wall, decreased resistance, venous plexus expansion and flexion gradually formed, blood stasis excessive, and slowly formed Thrombotic external hemorrhoids.

2. Increased intra-abdominal pressure. If under the action of certain diseases, the negative pressure in the body is increased excessively, which seriously affects the blood return in the venous tube, it can also induce the disease. These factors include intra-abdominal tumors, tumors of the reproductive organs and nearby tumors, prostate disease, women in pregnancy, or dietary factors and prolonged squatting.

3. Anatomical factors. When a person is sedentary for a long time, due to the action of gravity and the pressure of the organs, the upward return of the hemorrhoid vein will be affected, leading to venous flexion, which creates favorable conditions for the generation of thrombotic external hemorrhoids.

4. Physical stimulation. This is mainly caused by external or internal factors, such as the external temperature and stimulus, the constipation, diarrhea and other abnormal conditions on the local impact, which will cause venous congestion and stasis.

5. Genetic factors. If there is a congenital thinness of the vein wall, because it cannot bear the pressure inside and outside the blood vessel, it gradually expands and eventually forms external hemorrhoids. ^[2]

Clinical manifestations of thrombotic hemorrhoids

After defecation or strenuous activity, I feel a bump in the anus, severe pain, restricted movement, and even restlessness.

Essentials for diagnosis of thrombotic hemorrhoids

(1) After defecation or strenuous activity, anal masses protrude, pain is severe, and mobility is limited.

(2) The mass is dark purple, round or oval, ranging in size, slightly hard, and tenderness.

(3) If the mass is too large, it can cause ischemic necrosis of the anal skin, or it can be ruptured and discharged by itself. The wound heals itself or forms anal fistula.

Identification of thrombotic external hemorrhoids

Sudden and severe pain in the anus, a tender mass under the skin of the anal margin, defecation, sitting, walking, and even coughing can all make the pain worse. During the examination, there was a dark purple round hard nodule on the skin surface of the anal margin. Sometimes the blood clot absorbs itself after 3 to 5 days, and the pain relieves and heals itself. 1. Internal hemorrhoid incarcerated internal hemorrhoid prolapse, incarceration, long pain, flap edema, slow regression, surface erosion of the hemorrhoid core with infection and odor when infected.

2. Anal fissure Anal pain is periodic, blood in the stool, and local examination shows a longitudinal fissure at 6 or 12 o'clock.

Thrombus external hemorrhoids home emergency treatment

(1) Rest in bed and raise lower limbs.

(2) Wet compress with 50% magnesium sulfate solution or wet compress with 50% saline.

(3) Use 30g decoction of peppercorn and 30g of salt to bathe.

(4) topical application of alum lotion or Sihuang cream.

(5) Patients with severe pain and no tendency to shrink the lump within 1 to 3 days of onset should be sent to the hospital for surgery.

(6) You can also use Rishuan lotion for sitting bath (use according to instructions or doctor's order).

(7) Oral "Maizhiling" tablets (used according to instructions or doctor's order) can also be taken orally.

Thrombosis prevention

Thrombosis and external hemorrhoids usually start suddenly. I feel anal discomfort at the beginning, and soon I feel pain. A round or oval mass grows brown or dark purple in the anal mouth. Some of them can clearly see the thrombus inside. It's hard, some can move slightly, the pain varies, some feel severe pain, restless, and some only have anal bulging, foreign body sensation, and inconvenience. Excessive defecation, difficulty in drying and defecation, pregnancy and childbirth, excessive weight bearing, drinking and staying up late can increase the intravascular pressure of the external hemorrhoid venous plexus, especially the explosive force, which is more prone to rupture and bleeding of the hemorrhoid vein blood vessels, and the blood gathers and coagulates in the anus Subcutaneously, a thrombotic external hemorrhoid is formed. In short, those who can cause the elasticity of the external hemorrhoidal venous plexus to decrease, increase the pressure, and rupture the blood vessels are the causes of thrombotic external hemorrhoids.

Therefore, to prevent thrombotic external hemorrhoids, it is necessary to treat anal inflammatory diseases in time, drink less alcohol, eat less spicy and stimulating food, pay attention to drink plenty of water, eat more vegetables, fruits, and exercise in order to maintain smooth stool and develop good bowel habits. Do a good job in family planning. Pregnant women should participate in appropriate activities. Shorten the birth process as much as possible to reduce the pressure on the anorectum; heavy physical labor that exceeds their ability should be avoided as much as possible.

How can we prevent the recurrence or occurrence of thrombotic external hemorrhoids?

Five words to summarize are: feel comfortable and don't be depressed, smooth stools and no secrets, eat more vegetables and not spicy, do more activities, don't sit for a long time, and treat the disease early and don't delay.

First, once symptoms such as anal bloating and blood in the stool occur, an experienced anorectal surgeon should be immediately diagnosed and treated.

Second, patients suffering from hypertension, arteriosclerosis, liver cirrhosis, heart disease, and abdominal tumors, which are prone to induce hemorrhoids, must take effective measures for timely treatment to avoid illness.

Third, pay attention to diet regulation. Anorectal physicians warn patients that hemorrhoids should not drink alcohol, the first rule is whether to drink rice wine, white wine, or beer. All spicy foods, such as mustard, pepper, hot sauce, ginger, shallots, garlic, fennel, etc., have a great impact on hemorrhoids' congestion and bleeding. Hemorrhoid patients should eat less or try not to eat them.

From the perspective of preventing and treating hemorrhoids, eating more fruits and vegetables has many benefits. For example: spinach, celery, scallion white, watermelon, pear, banana, apple, etc. (oranges should be eaten less because they are hot fruits). On the one hand, it can maintain smooth defecation, and on the other hand, it can reduce the bleeding and expansion of hemorrhoids.

There are many health foods effective for the prevention and treatment of hemorrhoids, including turtles, turtles, pigs or sheep large intestines, field snails, loach, honey, red beans, black sesame, walnut meat, bamboo shoots, cistanche, sophora flowers, coriander, black fungus, radish, figs, etc. . Patients can choose according to different seasons.

Patients with hemorrhoids should eat lighter, eat less greasy or smoked fried foods, the best diet is regularly quantified; eat full food, not overeating, uneven hunger and fullness to prevent gastrointestinal dysfunction.

Fourth, develop good bowel habits and keep the bowels smooth. Constipation, dryness, hard work, fast abdominal pressure, venous plexus flexion and expansion, often cause hemorrhoid rupture, anal skin laceration, blood in the stool and pain. Patients with constipation should not use excessive force when going to the toilet. On the other hand, it is necessary to prevent diarrhea. Many times a day, even if the stool is thin, it will damage the hemorrhoids. At the same time, it should not be too long to poop, and the bad habits of reading books and newspapers should be changed. It is best to wash the anus with warm saline after the stool to improve local blood circulation. In addition, to prevent hemorrhoids, it is recommended to use a bucket stool, because the squatting position is easy to induce hemorrhoids and even anal prolapse.

Fifth, exercise appropriately and pay attention to changing body position. This is also an important method to prevent the recurrence of hemorrhoids. In addition to systemic physical exercises such as exercises and punches, local functional exercises must also be strengthened. Anal contraction exercises, also known as "anal lift "That is, self-adjusting the sphincter, contracting, relaxing the anus, closing and releasing, fifty times each time, about three minutes, once or twice a day. You can do it standing, sitting, lying down, anytime, anywhere. No one else can see, just feel good about yourself. Persisting in doing it for a long time is very good for preventing recurrence. People who have been engaged in sedentary, standing, and squatting for a long time are better to sit up and walk for a long time, move for a long time, and rest for a while.

Thrombus external hemorrhoids physical therapy

Magnetic therapy (magnetotherapy), a method in which magnetic fields act on the human body to treat diseases. The magnetic field affects the human body's current distribution, the movement of charged particles, the permeability of the membrane system, and the orientation of magnetic moments of biopolymers, etc., changes the physiological and biochemical processes of tissue cells, produces analgesia, swelling, and promotes blood and lymph circulation And other effects. In ancient China, magnetic therapy was used to treat diseases. In the early 1960s, ferrite magnetic blocks were used to apply acupuncture points to treat symptoms such as hypertension and arthritis. Later, magnetic therapy machines and clothing, hats, shoes, trousers, pads and other clothing were used to apply magnetic fields. , Magnetoelectric method, magnetic needle method, etc. So far, the rapid development of magnetic therapy in China has entered a multi-level, multi-disciplinary, multi-level, and in-depth improvement stage in recent years. The theory, biological effects, clinical indications, methodologies, and research of magnetic therapy products for magnetic therapy all have relatively clear arguments. In recent years, NdFeB magnetic blocks have been used to treat hemorrhoids, constipation, diarrhea, anal fissure, anus, perianal diseases, etc. It has the functions of promoting blood circulation, eliminating inflammation, improving local blood circulation and regulating gastrointestinal function. According to the theory of traditional Chinese medicine, the magnetic field is applied to the local meridians, acupoints, and lesions to make the biological magnetic field continuously release biological energy, open the blood circulation at the hemorrhoids, eliminate qi and blood stagnation, open the blocked meridians, eliminate inflammation and swelling, and promote disease. Partial siltation, coagulation or semi-coagulation of blood dilution will restore the normal circulation of hemorrhoid vein blood, which will gradually shrink and disappear the hemorrhoid nucleus. Magnetic therapy has become one of the main methods of physical therapy. Many medical science and technology workers have conducted further research on the mechanism, and a variety of magnetic clothing and magnetic sleep systems are also developing to a higher level.

Thrombus external hemorrhoid surgery

The most simple method of treating thrombotic hemorrhoids ^[3] is the simple thrombectomy, or thrombectomy, which involves making a radial or spindle incision in the center of the thrombus and separating the blood clot with a hemostat. And removed. It has been found in clinical practice that this method is still satisfactory for smaller pure thrombotic external hemorrhoids. However, the curative effect is not ideal for large thrombus or thrombotic external hemorrhoids formed by aggregation of multiple thrombi or on the basis of mixed hemorrhoids and varicose external hemorrhoids.

If a simple thrombectomy is used, only the local thrombus is removed, but the external hemorrhoidal part of the mixed hemorrhoids or the external varicose vein plexus of the varices still exists, so that the local area is still swollen, and it is easy to cause edema and aggravate the local pain. The patient still feels swollen, painful, and uncomfortable, and even more thrombosis is formed in the original lesion after the operation of thrombotic external hemorrhoids. The method of surgical incision and peeling removes and removes the thrombus in the same site together with the varicose external hemorrhoidal venous plexus. The operation is relatively thorough, removing the source of swelling and rethrombosis, except for a slightly larger wound, which is a simpler thrombus. Apart from an average one-day delay in healing, the possibility of edema, pain, and re-thrombosis were significantly reduced, thereby improving the efficacy.

Thrombus external hemorrhoids treatment

Thrombosis external hemorrhoids are clinically frequently-occurring. In the treatment, surgical resection or surgical incision and stripping of blood are often used, and the patient suffers a lot. However, the treatment of this disease with warm saline sitting bath method can have wonderful results, which can save 95% of patients from the suffering of surgery. Now introduce this method as follows.

In 2000ml of warm water (temperature about 4O.C.), put two people in a salt bath with salt for about 10-15 minutes, twice a day. After 3 days of general treatment, the mass was significantly reduced, and the swelling and pain were reduced. After 1 week, the anal mass basically disappeared. If there is mild erosion and bleeding on the surface of the tumor, and the pain is more obvious, then you can take anti-inflammatory drugs orally with local erythromycin ointment after sitting bath.

Squeezing for the treatment of thrombotic external hemorrhoids

Operation method: Disinfect the anus with 0.1% of Xinjieer before operation, and inject 2 ml of procaine 2% (for allergy test) into the head and surrounding skin of the external hemorrhoids. Cover the hemorrhoids with a sterile gauze, and then rub the gauze with your right thumb, food, and middle fingers, and crush the spherical block of the external hemorrhoids with a strong pinch. 3-5 minutes.

Exercise therapy for thrombotic hemorrhoids

Thrombosis is the most common type of external hemorrhoids. During the examination, a dark purple oblong nodule was bulged on the right side of the anus, which clearly separated from the surrounding skin. The mass is very sensitive and can cause pain when touched slightly. Patients usually cannot sit flat, and when they need to sit, they have to lean on the stool with their hips half-sided and sit obliquely, which will increase the pain when defecation, walking, and even coughing. Often due to excessive force during bowel movements, violent activity or coughing, rupture of the veins of the anal margin, blood exudates into connective tissue and becomes a blood clot. Round or oval masses are generated under the skin of the anus, ranging in size from the anal canal. Or outside the anal margin. The lump is soft at the beginning and hardens after a few days.

If it is not inflamed, the mass can be completely absorbed and dissipated within three to four weeks without leaving traces; if it is repeatedly inflamed, the connective tissue in the mass proliferates and can become external hemorrhoids of connective tissue; if an infection occurs, an abscess can be generated. It is a common and frequently-occurring disease in middle-aged people. Human ancestors evolved from apes walking on four feet, and they are on the same level as the heart. Therefore, the superior rectal vein has no venous valves, so when the humans walk upright in the future, the upper rectal venous blood will return upward. More difficult, coupled with the pressure of the internal organs, it is easier to form veins and develop straight hemorrhoids. Exercise therapy has a great effect on preventing blood stasis. Properly engaged in exercise can reduce venous pressure, strengthen the function of the cardiovascular system, eliminate constipation, and strengthen muscle strength. These have important effects on the prevention and treatment of hemorrhoids.

PPH surgical treatment of thrombotic external hemorrhoids

For thrombotic external hemorrhoids, the Ministry of Health recommended treatment method-Antai Thai intelligent pph surgery, experts said that the minimally invasive technology mainly based on pph surgery can not only achieve the same treatment purpose as ordinary surgery, but also mild postoperative pain and hospitalization period Short and rapid recovery, thousands of cases of various types of hemorrhoids have been successfully treated, and the reasons for their popularity are as follows: ^[4]

(I) Different from traditional surgery, the new type of anal Thai intelligent pph surgery uses the treatment method of "lower disease and upper treatment". Therefore, there is almost no pain after pph, and the root cause of hemorrhoids is eliminated, and the recurrence of hemorrhoids is avoided. hair.

(B) Experts point out that there is almost no pain after pph; and because the operation has removed the rectal mucosal prolapse band and blocked the terminal anastomotic branch of the arteriovenous end of the rectum, eliminating the source of hemorrhoids and avoiding hemorrhoids relapse. For some complicated hemorrhoids, such as mixed hemorrhoids, ring hemorrhoids, severe hemorrhoid prolapse, anal prolapse, etc., pph shows its unique therapeutic advantages.

(3) The pph operation process takes about 20-30 minutes. The patient has less pain, less bleeding, and recovers faster. He can have normal bowel movements within 24 hours after surgery, no pain, and no long-term serious complications such as anal stenosis and fecal incontinence. . Generally only need to be hospitalized for 1 to 3 days without affecting daily life.

How to treat external hemorrhoids

There are secret recipes for the treatment of thrombotic external hemorrhoids ^[5] . Sesame, garlic, and persimmon are beneficial for the treatment of thrombotic external hemorrhoids. The following describes how sesame, garlic, and persimmons play a role in treating thrombotic external hemorrhoids.

In addition to nourishing, strong, preventing aging and gastrointestinal diseases, sesame is also effective for constipation. Sesame can promote blood circulation and prevent hemorrhoids caused by congestion. The effect of black sesame is higher than that of white sesame. Consuming foods that are stained with black sesame and adding honey is very helpful for constipation. You can also use the boiling juice of black sesame to smear the affected area of thrombotic external hemorrhoids for external use.

Roasted garlic can be used for pain due to thrombotic external hemorrhoids. The method is to peel the whole garlic without peeling it, wrap it with aluminum foil and bake it until it changes; peel it after softening, and stick it to the affected part with gauze. Put it on before bedtime, get up in the morning and remove it, it works well.

Persimmon can treat thrombotic external hemorrhoids and bleeding. In addition to being rich in dietary fiber, persimmons have a function to relieve constipation. Either soft or dried persimmons, or white powder on dried persimmons are effective. Persimmon leaves can be used as persimmon tea leaves, which have diuretic, antipyretic and hemostatic functions. Drinking daily is effective for hemorrhoids.

The above three foods are the most common in our lives, so using the above recipes to treat thrombotic external hemorrhoids can be a reference for patients who are suffering from thrombotic external hemorrhoids.

Thrombosis external hemorrhoids what health exercises can prevent thrombotic external hemorrhoids?

The following health exercises can prevent thrombotic external hemorrhoids ^[6]

First, spinal abdominal motion supine, legs stretch naturally, centering on Qihai acupoint (one inch below the umbilical cord), rotate with the palm of your hand; rotate 20-30 times counterclockwise, rotate 20-30 times clockwise, first reverse Rotate forward.

Second, the anus movement is relaxed throughout the body, the hips and thighs are clamped strongly, with the inhalation, the tongue licks the palate, and the anus is lifted upwards. Like pooping, close your breath a little after lifting your anus, and then relax with your breath. Do it a dozen times a day, morning and evening.

3. Cross-lifting exercise Cross your legs, sit on the bed or chair, relax your whole body; keep your legs standing crosswise, at the same time, gather your hips and pinch your legs, raise your anus; relax when you sit down, do this for 10 ~ 30 times in a row .

Fourth, lift the pelvis, bend your knees on your back, bring your heels close to your hips, put your hands under your head, and use your feet and shoulders as fulcrum to lift your pelvis while lifting your anus and lower your pelvis when you relax. After proficiency, you can also cooperate with breathing, inhale when lifting the anus, and exhale when relaxing. This method can be done 1 to 3 times a day, each time 20 times.

Fifth, the body forward flexion legs open, two palms held loose, lifted from the front of the chest to the breast, at the same time back up the chest to inhale; after full gas, the upper body into a bow-like forward flexion, two The fist changed into the palm along the two armpits and pulled out behind the body. Do this 5 to 6 times in a row.

6. Lift the center of gravity and disturb your legs, lift your arms to the top of your head, and lift your heels for deep breathing; your arms will naturally fall in front of your body, while your heels will fall down and make a deep breath. This potential can be made 5 to 6 times in a row.

Common misunderstandings of thrombotic external hemorrhoids

Thrombosis external hemorrhoids ^[7] Misunderstanding of treatment 1: One injection, never relapse

This is often seen in some irresponsible advertisements, saying that the internal hemorrhoid sclerotherapy injection will not recur. The characteristics of internal hemorrhoid sclerosis injection therapy are: positive effect, rapid effect, safe use, and no sequelae. But never recurring is a bit exaggerated.

Misunderstanding of the treatment of thrombotic external hemorrhoids II: Ten people and nine hemorrhoids, no need to treat

This view is wrong. No treatment is needed for hemorrhoids without symptoms, but bleeding, prolapse, pain and other symptoms, but delaying treatment, can lead to malignant anemia, hemorrhoid incarcerated necrosis, canceration and so on.

Misunderstanding of the treatment of thrombotic external hemorrhoids III: Cancer of thrombotic external hemorrhoids

This statement disturbs some patients with hemorrhoids. In fact, modern medicine has not yet confirmed the possibility of hemorrhoids becoming cancerous, but long-term incurable disease will become a major cause of canceration. However, the early symptoms of rectal cancer are often similar to hemorrhoids, which can sometimes lead to misdiagnosis of rectal cancer and delay treatment time, which should be paid attention to.

Misunderstanding of thrombotic external hemorrhoids treatment 4: thrombotic external hemorrhoid surgery can cause fecal incontinence

This is unfounded rumor. Surgical treatment of hemorrhoids, as long as the method is correct, will not cause fecal incontinence.

Misunderstanding of thrombotic external hemorrhoids treatment 5: thrombotic external hemorrhoids relapse well, surgery is useless

wrong. Although hemorrhoids is a disease with a high recurrence rate, it is by no means necessary for surgery. Some hemorrhoids have severe symptoms and are difficult to treat. Clinical cure can only be achieved by surgery, and as long as postoperative care is taken, recurrence can be prevented.

Misunderstanding 6 of thrombotic external hemorrhoids treatment: cryotherapy is good, should be preferred

Modern cryotherapy for hemorrhoids has indeed opened a new way for hemorrhoids, and the effect is better. However, cryotherapy is only suitable for internal hemorrhoids, and due to tissue necrosis after surgery, sometimes major bleeding. Therefore, whether to choose cryotherapy should be determined according to the condition, and the latest method may not be the best method.

Minimally invasive treatment of thrombotic external hemorrhoids

PPH minimally invasive surgery and HCPT minimally invasive surgery are two minimally invasive treatment technologies for the treatment of external hemorrhoidal hemorrhage. With its minimally invasive, safe, no bleeding, painless, short time, no hospitalization, no sequelae and other advantages to help patients solve the "hemorrhoid" troubles , Completely get rid of the pain caused by external hemorrhoids.

1. PPH minimally invasive surgery: pph ring anastomat is used during the operation to penetrate deep into the anus, to perform anastomosis on the hemorrhoid mucosa, pull the hemorrhoid nucleus to the original position, cut off the blood circulation inside the hemorrhoid nucleus, and gradually reduce the hemorrhoid nucleus. It is removed in a short time. The whole operation process only takes about 15 minutes, no sequelae will be left after surgery, recovery is relatively fast, no hospitalization is needed, and it will not affect the work and study of patients.

2. HCPT minimally invasive surgery: The function of high-frequency capacitors is used to generate heat through vibration, so that the plasma inside the tissue structure of the disease can be automatically separated, and the hemorrhoids are electrocoagulated so that they can gradually necrotic in the shortest time Atrophy, and then gradually fall off to ensure that the anal pad will not be damaged. The surgical procedure is very short, there is no need to be hospitalized after the operation, and the recovery is relatively fast. It is especially suitable for office workers and is in line with the modern fast-paced lifestyle. ^[8]