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Thrombotic External Hemorrhoid
Rectal (more accurately anal) thrombus is a common ailment which comes on suddenly. It is marked by acute pain and the appearance of a dark purplish lump just outside the anal opening. The lump is caused by the breaking of a small vein with the escape of blood beneath the skin. The extreme pain is due to pressure on the surface nerve endings, just like pressure from a boil. The size of the lump filled with blood varies from that of a pea to that of a walnut.

The formation of thrombus generally follows heavy lifting, spasms of coughing or sneezing, straining to have a bowel movement, taking of harsh laxatives, or no apparent cause. The blood becomes clotted shortly after the lump forms.  When it ruptures there is almost immediate relief from the pain and aching but with the relief comes the peril of having complications such as recurrent attacks, the formation of irritating skin tabs, an abscess or chronic itching if the cause is not remedied. In cases of smaller thrombus there sometimes occurs an absorption of the clot by the bloodstream, but complications can still occur.

An anal thrombus is an external “hemorrhoid " often confused with a true hemorrhoid. However, it differs in that the lump forms suddenly instead of gradually; it is filled with a clot instead of enlarged veins; the lump is formed in the skin on the outside instead of protruding down from the inside. The recovery from the acute attack is rapid in thrombus, whereas in hemorrhoids, the recovery without treatment - if any - is gradual. The formation of an anal thrombus is a signal pointing to the underlying cause which will usually be found in the rectum. It is unwise to leave such a condition untreated, hoping that it will cure itself.

Thrombosed Internal Hemorrhoid
In the very worse cases of true hemorrhoids, the hemorrhoidal mass actually becomes prolapsed (pushed out the body), then the anal sphincter muscle tightens up (spasms) around it, and then the hemorrhoid clots.  This is a strangulated Class 4 hemorrhoid, also called a thrombosed hemorrhoid or thrombosis.

I have a unique protocol specifically for these very extreme cases, involving a series of Keesey treatments and a number of other steps.  The results for the patient are nothing short of spectacular in cases where there is early detection and treatment

 

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