Comments on: Public announcement for hemorrhoid sufferers

By: D.

D. — Fri, 28 Mar 2008 17:02:29 +0000

I have an average external hemorrhoid, and have had it for only a couple days. Its generally uncomfortable, obviously, but recently it started to sting and bleed….which I hadn’t yet experienced. On closer inspection, it appears to have a dark red spot, what I’d assume is a scab. I’ve been very careful to be gentle and keep the area clean and dry. I’m not too keen on seeing a doctor..but does this sound like something I need to be concerned about?

I couldn’t possibly tell without seeing it myself. Generally there is not much that is life threatening about a hemorrhoid, but I don’t know exactly what you’ve got going on.

Good luck.

By: john

john — Sat, 22 Mar 2008 09:25:52 +0000

hi, i’ve had hemorrhoid problems off and on for the past couple years. earlier last year i had two incidents with thrombosed external hemorrhoid swhich was beyond painful. the first time i was in a horrible amount of pain for about 2 days, but on the 3rd day i felt remarkably better and within a week of the pain presenting i felt pretty much fine. the second time i went to my doctor and had the out-patient incision procedure done as the pain was just too much to take. a day ago, after a straining bowel movement, i began to experience the same pain and felt the same pea sized lump. where as before my pain would be along the lines of a 9.5/10 in the pain rating, this one was probably closer to a 7 (it is also the same spot as the previous ones, if that makes a difference), i made an appointment to have it treated again fearing it would continue to get worse, but woke up the next day with less pain, maybe a 5 and decided to wait it out as i’m currently without insurance and with school, my income is somewhat limited. my question is this, is it worth going into a doctor and having the incision procedure again or will the pain continue to decrease? my job requires a decent amount of sitting and currently i can’t sit in any position other then on my side without a decent amount of discomfort. i also can’t afford to miss a large amount of school or work, and with the incision procedure i was basically fine after a day or two, but if the symptoms will continue to dissipate i would prefer not to pay the costs of the procedure assuming i can resume a normal lifestyle relatively soon. thank you for any help.

All I can say is that I don’t know. I’ve seen situations like this get better and I’ve seen them get worse. All you can do is wait and see how it develops for you.

By: randy

randy — Wed, 19 Mar 2008 08:01:08 +0000

I believe I have a thrombosed external hemmoroid as it matcheses the description here. It was very swollen and about two days ago I think it tore open on one side after a bowel movement. It started bleeding and i saw what looked like a blod clot come out of it. now it has been bleeding since that happened and forthe past 36 hours. i have been putting some folded up tissue up there so that it won’t stain my underwear. Is this bleeding normal? Should I go to a walk in clinic? If so, what can i expect they will do for me?

Thank You,
Randy

Sounds more like an inflammed hemorrhoid, which can also bleed. Thrombosed hemorrhoids are typically pretty painful. The bleeding isn’t harmful, but if you’re having symptoms you should probably get someone to take a look at it.

By: jeanette

jeanette — Sun, 24 Feb 2008 02:01:38 +0000

i am scheduled for laser surgery for my internal hemmoroids i also have external ones but was told i can only have laser on the internal ones the others would need a operation but i am worried about the pain after the laser surg and i did not know it would need more than 1 treatment. i was told this is painful so i”m not sure i want to get this done.

thanks jeanette

You might want to see if you can find someone who does the infrared coagulation as described in this post. It works for both internal and external hemorrhoids and is relatively painless.

Good luck.

By: Andy

Andy — Fri, 15 Feb 2008 20:35:34 +0000

Dr. Mike. I have a couple of questions for you. First of all I really appreciate the time and work you put into your site. I went to the Doctor because I have two Hemorrhoids…one is pretty big and thrombosed and the other is just a small one. When I say the Hemorrhoid was big it was probably the size of a small blueberry. I returned yesterday from the Doctor after having the Thrombosed Hemorrhoid cut open and the clot removed. The doc told me I was borderline and could either wait it out or have him remove the clot. I chose to have him remove the clot so that hopefully I could heal fast. Aside from the numbing shoot being incredibly painful, everything else went fast and painless. He said he couldn’t do anything with the small one because it looked ok. My question is after removing the clot the skin is still there, will that skin eventually go away? Amazingly after returning home and giving the numbing medicine time to go away I was NEVER any discomfort. Aside from the bleeding everything seemed fine. I am almost worried that it went so well. Also I am curious to know when it is safe to start exercising and working out again. If the skin from the Thrombosed Hemorrhoid does in fact go away on its on, do I need to wait for that to happen. Do I need to wait for the small Hemorrhoid to go away? Those were two questions. I completely forgot to ask my doctor and am glad that I am able to ask you and hopefully you can help me out. Thanks so much.

The skin issue should resolve on its own. The small hemorrhoid, if not thrombosed, may or may not go away with time. You should be able to start working out any time. I wouldn’t strain during workouts, however.

Cheers–

MRE

By: Patty

Patty — Thu, 31 Jan 2008 22:10:03 +0000

Thank you Dr. Mike – I know legally you can’t say anything, but just pointing me in another direction was worth sending my email. Thanks much Patty

Good luck.

By: Patty Krueger

Patty Krueger — Thu, 31 Jan 2008 14:48:51 +0000

My father has been suffering from hemorrhoids for years – over ten. He is 67 years old. He has had 2 hemorroidechtomies, a fisure surgery, he’s been to a dermatologist who said he had a fungus, and recently to yet another specialist who said he has some small hemorrhoids near the opening but in HIS opinion nothing that would cause the pain my father describes. The pain he says is like a HOT poker, he tries to avoid all pepper and spicy foods. He bleeds a great deal on occasion, we’re not talking a smear of blood on the tissue, we’re talking lots of red in the toilet. My father thinks he’s crazy because no one seems to believe him or understand. It’s like when you take your car in and they hook it up to their fancy digital machine – if the machine doesn’t show a problem, no one knows what to do. Also recently he has had a cat scan, a colonoscopy, the other type of oscopy when they go down through your throat, and an ultrasound. You seem to understand that’s why I am writing. My dad is in bed today where he’s been for 3 days. He was even reduced to tears last night – he is in so much pain. Obviously the docs could be missing something, BUT WHAT? So far they’ve reported no tumors, no cancer, just mild diverticulitis and a what they described and a small hemorrhoid that shouldn’t cause pain. I would even give you my cell phone if you’d be willing to discuss. I also have the colorful pictures from the ultrasound I’d be happy to send you. I have to help my dad – it is ridiculous for him to live this way. He even went as far as to ask the doc if he could wear a bag so he would no longer have to use the toilet. That’s how bad it is. Thanks much – Patty

Hi Patty–

Medico-legally I can’t take on your father’s care over the internet or over the phone. I don’t have a clue as to what’s going on with him since I haven’t seen or evaluated him. And I’m not an expert in colo-rectal diseases. I wrote the post on the hemorrhoid care my friend got because I didn’t know it existed, and I wanted to let others know about it.

Having said all that, you might want to Google Levator Syndrome also sometimes called proctalgia fugax. It sounds to me from the symptoms that this may be what your father has. If so, you should be able to find someone who can take care of him.

Best–

MRE

By: Karl Cantrell

Karl Cantrell — Fri, 11 Jan 2008 18:09:20 +0000

I have has a “growth” on my rear for a few years now. It is hard to the touch and will now has a scab on the top of it (because of the swelling, I think). At first I thought that I might have broken my tailbone, but now this thing has grown from the top of my anus to above my buttocks. Until recently it has not been painful all of the time, only if I fell on it or hit that area or something to that effect. However, now it burns all the time. I am a very active 24 year old guy and now I can not even lay on my back because of the pain it causes. I don’t have insurance and have tried to avoid the doctor. I just want to find out what this is. Is it a hemorroid, tumor, or one of those weird beetles off the Mummy? I read about Thrombosed Hemorrhoids and this seems to be the closest explaination to what I am suffering from. However, I am not totally convinced that this is a hemorrhoid.

It would be impossible for me to say without seeing it. It could be anything from a hemmorhoid to a fissure to a pilonidal cyst to who knows what.

You should probably get it looked at.

Cheers–

MRE

By: ken

ken — Sun, 23 Dec 2007 22:52:23 +0000

Thanks for your comment.
There is no longer any pain and clot is gone after some bleeding, which also has stopped.
However, there is a sizeable flap of skin that still remains.
Is there anyway to get rid of this? What specific procedure would be best (ligation, hemorrhoidectomy, etc) and would insurance cover it? Thanks again.

Hey Ken–

If it doesn’t bother you, I would give it some time to see what happens before I signed up for a procedure. Maybe it will resolve. And I don’t have a clue as to whether insurance would cover such a procedure or not – I would imagine that it would.

Best–

MRE

By: ken

ken — Sat, 22 Dec 2007 20:54:59 +0000

I think I have had thrombosed external hemorrhoid for about seven days now.
After home treatments of topical creams and witch hazel compress upon doctor’s advice, the pain has subsided after few days. There were some bleeding but the swelling hasn’t gone down. Will it shrink away naturally or would I need a medical procedure?
I would appreciate your advice. Thanks.

Based on my experience, you’ll probably need a medical procedure to get rid of the clot if what you have is truly a thrombosed hemorrhoid.

Good luck.

MRE