Home Hemorrhoids Thrombosed Hemorrhoid Pain: 4 Factors to Consider

Thrombosed Hemorrhoid Pain: 4 Factors to Consider

The 8 Causes & 7 Tips of Thrombosed Hemorrhoids
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A thrombosed hemorrhoid can cause complications if not treated. Even though they're rare, they can be uncomfortable and dangerous. Thrombosed hemorrhoids can cause necrosis (dead tissue) and ulceration (open sores) on the skin because of increased pressure inside the hemorrhage.

Blood clots that form inside hemorrhoids obstruct blood flow and cause anal swelling and pain. If they become ulcerated, thrombosed hemorrhoids can cause rectal bleeding and severe pain.

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Thrombosed Hemorrhoid Pain: 8 Reasons

The 8 Causes of Thrombosed Hemorrhoids

Thrombosed hemorrhoids mainly occur when blood clots form in the veins within and around the hemorrhoids. This condition can be excruciating and often requires medical intervention to ease the symptoms. Here are some reasons thrombosed hemorrhoids can be so painful:

Straining During Bowel Movements

One of the most common reasons that hemorrhoids become thrombosed is straining while passing stool. This can increase pressure in the rectal area, causing the veins to swell and inflame.

Sitting for Prolonged Periods

Sitting for long hours can also put pressure on the veins in the rectal area, leading to the development of thrombosed hemorrhoids. This is especially prevalent among individuals with a sedentary lifestyle or sitting for their jobs.


Pregnant women are at risk for thrombosis hemorrhoids because of the increased pressure in the pelvic area and hormonal changes that can affect the veins.

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Can also contribute to thrombosed hemorrhoid pain as it increases pressure in the veins and can lead to poor circulation, causing the veins to become swollen.

Chronic diarrhea or constipation

Individuals who suffer from chronic diarrhea or constipation may also have a higher risk of developing thrombosed hemorrhoids. Straining during bowel movements or frequent bathroom trips can cause painful and inflamed veins.

Lifestyle factors

Consumption of alcohol, smoking, and inactivity may further exacerbate hemorrhoid pain caused by thrombosed blood vessels. These lifestyle factors can cause poor circulation and increase pressure on the veins, leading to inflammation and pain.


Some individuals may be predisposed to developing thrombosed hemorrhoids due to their genetics. If other family members have had the condition, there may be an increased risk of developing it.


Our veins may weaken as we age, making them more susceptible to inflammation and swelling. This can lead to hemorrhoids that become thrombosed and associated pain.

7 Effective Tips to Reduce Thrombosed Hemorrhoid Pain

The 7 most effective tips for reducing thrombosed hemorrhoids

Thrombosed hemorrhoids can be even more painful and alarming. Several ways exist for thrombosed hemorrhoid pain to be relieved and healing to be promoted. Several practical tips will be presented to help you ease discomfort and prevent complications.

Keep the Affected Area Clean and Dry

One of the most important things you can do to ease thrombosed hemorrhoid pain is to prevent water from getting into the affected area. Infection can be prevented, and healing can be promoted by doing this. You can use gentle, unscented wipes or a bidet to clean yourself after bowel movements. Then, you can use a soft towel or a hair dryer on the relaxed setting to pat the area dry.

Use Warm Compresses

Warm compresses can help reduce inflammation, relieve pain, and increase blood flow to the area. Wet towels or a site bath can apply heat to the affected area. A site bath is a shallow basin filled with warm water over which you sit for 10-15 minutes.

Apply Topical Treatments

Over-the-counter creams, ointments, and pads can relieve thrombosed hemorrhoid pain. Some contain a mild anesthetic to numb the area and reduce itching and burning. Others have a vasoconstrictor to reduce swelling and inflammation. Follow the directions carefully and avoid products with steroids or hydrocortisone, which can weaken the skin and worsen the condition.

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Take Pain Relievers

If the thrombosed hemorrhoid pain is severe, take pain relievers like acetaminophen or ibuprofen. Medication for these conditions can help relieve pain, inflammation, and fever. However, avoid taking aspirin or any nonsteroidal painkiller drugs (NSAIDs), such as naproxen or diclofenac, which can increase the risk of bleeding and irritation in the stomach and intestine.

Increase Fiber and Fluid Intake

To ease thrombosed hemorrhoid pain and promote healing, avoid constipation and straining during bowel movements. Increase fiber and fluid intake to soften stools and keep the anal canal hydrated. Opt for fruits, vegetables, whole grains, legumes, and hydrating beverages like water, herbal tea, or clear soups.

Practice Good Bowel Habits

To reduce the risk of worsening hemorrhoids, increase fiber and fluid intake and adopt good bowel habits. Respond promptly to the urge to use the toilet, limit time spent in the bathroom, and elevate feet using a squatting or footstool to minimize straining. Use gentle toilet paper, and pat dry instead of rubbing.

Consult a Healthcare Provider

Make an appointment with a healthcare provider

If the thrombosed hemorrhoid pain persists or worsens despite the above measures, consult a healthcare provider. They can examine the area, rule out other conditions, and recommend further treatment options, such as excision, ligation, or sclerotherapy. If you're in pain, they might prescribe a more potent painkiller or refer you to a specialist, such as a gastroenterologist or a colorectal surgeon.


The pain of thrombosed hemorrhoids can be uncomfortable and frustrating, but treatment options are available to help you manage your symptoms. Pain can be relieved with lifestyle changes, over-the-counter medications, or medical attention.

It's important to note that while thrombosed hemorrhoids are painful, they're not life-threatening. Get advice and treatment if you are experiencing hemorrhoids. You can find relief from your symptoms and get back to living your life as soon as you seek treatment.

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Matt Callard
I am a passionate traveler, as if traveling were my full-time job. I like to change my surroundings and environment, like changing desktop wallpaper. Nature increases the concentration in my writing, which helps brainstorming flow in my blood. I have a cat named Kitana. She is the most desperate about traveling, more than any other cat. How do I know? If I miss any tour in any week, she literally destroys my clothing with her wolverine nails. I and my cat also participate in extreme activities like surfing, biking, hill tracking, paragliding, boating, etc. She was always there in my accidents, injuries, and stitches. She always sits on my lap when it hurts me most. The funniest part is that she has experienced all my tattoos. She sleeps on my blanket when I go through any painful experience. My hobbies and lifestyle added many pain and injuries to my life. That is why I have a lot of experience in dealing with different levels of pain and burn. It influenced me to become a pain expert and share primary suggestions to handle any unwanted situations that hurt.


  • What Helps Thrombosed Hemorrhoid Pain?

    There are simple home treatments that can ease your pain. The remedies may include hot baths, ointments, suppositories, and witch hazel compresses. It is common for thrombosed hemorrhoids to go away on their own within a few weeks. You should speak with your healthcare provider if you experience bleeding that is persistent or if you have painful hemorrhoids.

  • What is the difference between thrombosed and regular hemorrhoids in pain?

    Chronic hemorrhoids have a longer duration and are less severe pain than thrombosed hemorrhoids. External hemorrhoids are caused by blood pooling, which causes a blood clot and an inflammation of the area. This type of hemorrhoid causes itching, burning, and mild discomfort but is more painful.

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