External Thrombosed Hemorrhoids (Piles) - Pain & Bleeding
Posted , 18 users are following.
To give some context:
I’m a 20 year old American male, I am very active and athletic, I’m in college right now as a nursing student, I’m a full-time firefighter/paramedic, and I’m assigned to the busiest fire station in the city. This plays a role later on.
Here’s the entire story, little lengthy but I think it gives light to where I am now.
Roughly 4 days ago I developed an external hemorrhoid. I’ve had internal and external before, but with relatively no pain and little-to-no blood. That morning, I went to the gym and did some power lifting, which I think may have been the instigator. Later that afternoon, I discovered it after a bowel movement, but there wasn’t any blood or pain associated with it, just a small (about peanut sized) lump. Didn’t think much of it, figured it would go away like the others have in the past.
Fast forward a few hours after I discovered it, (late in the evening around 10pm), I began to feel some pain, but it was more annoying and uncomfortable that an actual ‘hurting pain’.
The next day, I woke up in a world of hurt. I examined the area, where I discovered that the previously peanut-sized external hemorrhoid had doubled in size and had a small dark blue/purple mark on it. I still didn’t have any bleeding, just excruciating pain. That is when I realized it had become a Thrombosed External Hemorrhoid.
I soaked in a warm bath for 10 minutes, cleaned the best I could with some wet tissues, applied a generous amount of the prep H cream, took ibuprofen and an ambien and passed out for the next 6 hours (I obviously wasn’t going to class). When I woke up, the pain had decreased, but still hurt a good bit. I soaked in the tub, and repeated the process from earlier, minus the ambien. The next day I had to go to work at the fire department (24 hour shifts, 7am to 7am, every third day, so I have 48 hours off before I go back on shift), so I repeated the process later that night and went to bed feeling a little better. When I woke up I felt some pain but nothing compared to the day before. Went to work, ran a decent amount of emergency calls throughout the day, nothing too strenuous, but the pain had begun to get worse as I was constantly moving. After we got back to the station from a call late in the evening, I went to the dormitory and laid down and tried my best to relieve the pain. It hurt to move any direction, and shortly thereafter we got a house fire call. Long story short, I thought I was going to die, it felt like my anus was a propane tank on fire and was going to explode. By the time we got back to the station I was in unbearable pain. I took a shower and that’s when I noticed a some blood on my boxers. Fast forward to the next morning, I didn’t sleep at all that night, and the pain had gotten unimaginably worse. As soon as I got home I took off my clothes and that’s when I saw that I had bled through my uniform.
I soaked in the bath, cleaned with wet tissues, applied prep-H, iced for 20 minutes, took ibuprofen, then placed some gauze in the region and got in bed.
Woke up a few hours later to find that the bleeding had slowed a lot, and my pain had decreased significantly.
I did the whole regimen once again, and honestly felt pretty good. It didn’t hurt at all moving around, just a slight annoying feeling.
Then, I had a bowel movement. I thought I was going to have to summon a priest, some of the worst pain I have had since this ordeal started. My stool was relatively normal, not hard or loose, and I had a fat bright red blood clot sitting on top. I sneezed in the middle of it and was almost certain I shot my lower intestines out of my body. I couldn’t wipe, so I resorted to the shower and those wet tissues to clean, and did the same regimen as before, and it seemed like in 30-45 minutes my pain was almost gone.
Since I have final exams next week, I have to//NEED to study. So I have to sit at my desk for long periods of time. I had no pain sitting for the first few hours, and the bleeding was there but almost nonexistent. Fast forward 6-7 hours later (I got up a few times and walked around) I felt that annoying pain again and discovered I had bled through my clothes once again.
Now, it has been 12 hours since then, pain is the same, and I’m still bleeding. I’m a paramedic, and a nursing student, I’m well aware of what can happen if bleeding persists. But it’s not a lot, just enough to be slightly concerning when combined with the fact it hasn’t stopped in about 18 hours despite my efforts.
I looked online and there’s next to nothing about thrombosed external hemorrhoids bleeding, aside from a few mentions about if they aren’t treated by a doctor with a small incision to remove the clot, they will resolve themselves by popping.
Has anyone had an experience like this? If you’ve had a thrombosed external hemorrhoid, how did you treat it? How long did the bleeding last? How long did it take the pain to go away completely? How much bleeding is too much? Those who had to sit for long periods of time and/or be active, what did you do to manage this?
I’m past the window my doctor could do anything so I haven’t bothered with him, plus with final exams and work, I don’t have time to be out for Even just one day now. I have work tomorrow, and I need this to be resolved. Specifically the pain and bleeding, moreso the bleeding.
Any advice or personal insight/opinion is 100% welcome and a big thanks to those in advance that will reply.
0 likes, 26 replies
lionetta_96733 jason5320
Posted
Well Jason I don't have much bleeding but I have pain after my BM it's more like my rectal area. Try to used Recticare Lidociane 5%Anorectal cream it's helps me for the external Thrombosed it well shrink back a little. Also Jason if you feel your self have to have BM and its hurt at the end of rectal I will say don't stain at all. Also drink lot of water and what will help to easy your BM is Mirlax that's what helps me I still have the the pain After I BM. Find a doctor that can that will see you for your Hemorrhoids. I'm going on Wednesday for mines to see what the Hell going why I'm having pain after my BM an it's hurting my rectal cause if its external please they can removed it. Also when my wife was putting cream on my external hem. She said she saw a white bump on around my rectal and my external hem look big but not that big. So hopefully I have good result about this hemorrhoids. Jason drink lots of water try to buy the cream Recticare eat more food with fiber. And please make a doctor appointment with someone that can help with hemorrhoids. Oh I forgot the tell you my uncle had the same thing you have and he got his removed he said that it was the beat thang that happen to him. The surgery with well it took him three days to heal they gave him fiber for pills to him BM also he said that he have to make sure he diet because it can come back. Now everyone heals different from surgery.
jason5320 lionetta_96733
Posted
I still have some pain and consistently bleeding, but I can see and tell a major difference in the last 12 hours. Epsom salt bath, medicated wipes, Frozen witch hazel cotton balls, neosporin, gauze, and elevating the butt above the heart have worked tremendously. I’ll update once I can finally say I’ve resolved the problem. The only issue that’s left is the bleeding. I cant figure out how to stop it.
martin31040 jason5320
Posted
Hi, you can use essential oil for Haemorrhoids, these are the recommended one's, Cypress, Frankincense, Tea Tree, Peppermint, and others, I've used these and work pretty good, according what I've read they are astringent, stop bleeding, pain relief, etc, lots of info online, 2 drops of essential oil to 1 teaspoon of carrier oil like sweet almond oil, or Johoba oil.
jason5320
Posted
After using witch hazel, salt baths, ice, and Advil, I’m still experiencing problems. I still have pain, nowhere near as bad as the day before, but enough to make me wince.
The bleeding is steady, and I still have a clot there because I can see the ‘black dot’ in the hemorrhoid. So I’m guessing it only partially burst and has drained some, but my clot hasn’t come out. After reading about this, it seems that I’m not going to improve until the clot comes out.
Since I’ve missed the 72 hour window to get the procedure, it’s now a waiting game. A bloody, painful, inconvenient waiting game.
One article I read said that if the bleeding is steady, to lay on the left side for a few hours and take a day of bed rest. So now, I’m currently laying on my left side for the next little bit to try to relieve some of the pressure on the veins in an effort to lessen the bleeding. But I’m still in my initial problem, I can’t go to work or even study until I can get this resolved. Some people have said theirs bled for 2-3 weeks after, others have said months.
The bleeding is just one part of it, I can’t go to work because I’ll definitely be on my feet for long hours doing strenuous activities which would put me back at square one.
For those who’ve dealt with this, how did you manage the bleeding with your daily activities? Is there something I can do to stop it or get the clot out myself?
I’ve used everything people have said, aside from the stool softener because I have no need for that at the moment.
Any help or just sharing of personal experiences and how you at least managed the symptoms will be so greatly appreciated.
purplepalmtree jason5320
Posted
best advice I can give is you need to stop all and every strenuous activity until you have properly healed try eating less I take lactulose to soften poo it should be almost like water so there is less pressure on rectal area, squat when you poo swear its nasty but this is how humans are meant to poo like animals it's better for your bum, I find eating less food also makes it better, not healthy but I dont care I'd rather eat nothing than be in pain. I havent been able to work in 4 weeks, but I had an anal fissure alongside thrombosed hemorrhoid. thrombosed hemorrhoids take about 2 weeks to stop hurting, anal fissures 4-6 it's so depressing really gets me down. I'm same as you I eat healthy I'm only 30 I exercise and only relief I get is when I soak 5 hours in the bath tub.
lionetta_96733 jason5320
Posted
Hi Jason I sorry again worried about the amount of blood you keep having. Please make an appointment about this bleeding. I'm glad it's getting easier for you a little. For me it's getting easier sometime but I saw a white bump like at around external hemrriods close to the anal its a size of pea just a little big. But I still have pain not as bad maybe 4 out 6. Still take like Advil gel pills two of them but it ease the pain. Hopefully this Wednesday i can get some answer from my Doctor.
dennise50005 jason5320
Posted
TimX jason5320
Posted
jessica92792 jason5320
Posted
Jason, how long did this ordeal last? I recently was dx with thrombosed hemorrhoids s/p childbirth and pushing last week and I'm in AGONY!! I can't sit, stand, kneel - nothing but cry making it especially terrible bc I have a newborn baby to take care of and feed. This is terrible.
jimmy_13217 jason5320
Posted
purplepalmtree jimmy_13217
Posted
It sounds like you have a skin tag, when you get a thrombosed pile the creams and ointments wont do a thing until your body has reabsorbed the blood clot that is where the pain comes from. once your body reabsorbed the pain stop and the fat pile starts to go down in size it can take awhile, if it doesnt go away that skin need to be removed so that it doesnt keep filling with blood and cause problems again. I got thrombosed hemorrhoid was put on cocodamol didnt poo for 5 days starting taking lactulose and had a poo, it tore my bum hole I developed a fissure along with the thrombosed hemorrhoid I havent been able to work in 4 weeks I'm in pain all the time at times I wish I would die, its embarrassing and cant tell people cause unless they have had the same they cant understand the pain. first 2 days of thrombosed hemorrhoid I literally never slept. I'm nowhere near as sore as the first 2 weeks but every morning I go to the toilet I suffer I spend 5 hours in the bath then take too many co codamol to help with the pain about 5 or 6, but going onto week 5 and still in pain for most of my day
krystil13529 jimmy_13217
Posted
So I know this an old post but I was wondering what happened to your thrombosed hemroid that would not go away? I am in the same boat having a thrombosed hemroid for 3 weeks. Did yours ever go away? This is debilitating .
jimmy_13217 krystil13529
Posted
it did eventually go away! took a LONG time but slowly it did subside and then go. Hang in there! I know how bad it is.
krystil13529 jimmy_13217
Posted
can you tell me
how long? 2 months? 3 months?
krystil13529 jimmy_13217
Posted
Also what helped? staying off your feet? medications?
CAl30733 krystil13529
Posted
Hi there. I hope you are finally getting some relief. When experiencing health issues like this, it is wise to seek out a good physician. Dr's have advised me to stay active during flare-ups because blood flow is key during the healing process. They can also prescribe meds to help. Warm epson salt baths can also help with discomfort. Good luck
krystil13529 CAl30733
Posted
I went to see a colorectal specialist. He just told me as far as activity to do as much as I can tolerate but the flareup is so painful!! i’m wondering how long your thrombosed hemorrhoid took to heal? I am now over a month. Some days I’m fine and some days it’s a lot of discomfort and pain but it’s interesting that your doctors have advised you to stay active during the flareups. thank you for that advice!
CAl30733 krystil13529
Posted
I've been dealing with these issues on and off for many years. Generally when it was just a bad thrombosed hemorrhoid it would take about a month to heal. I powered through it by keeping bowel movements soft by taking magnesium and also soaking in the bath everyday. It's crazy how painful it can be. Unless you've experienced it, it's hard to understand.