Hemroids are swollen veins in the lower rectum and Excretory Orifice. They're similar to varicose veins that form in the legs. Hemroids can occur inside the rectum (internal hemroids). Or one may form at the Excretory Orifice opening (external hemroids). Although they may bleed, most hemroids aren't cause for concern. But a small blood clot (thrombus) can develop in an external hemroids. This may lead to severe pain and sometimes bleeding.
When to Go to the Emergency Room (ER)
If you have severe pain or excessive bleeding, seek immediate medical care.
What to Expect in the ER
A doctor is likely to check your Excretory Orifice and rectum using a slender, lighted tube (anoscope or proctoscope). A local anesthetic is given to ease any discomfort.
Tips for Preventing Hemroids
If the blood clot has formed within the past 48 to 72 hours, your doctor may remove it from within the hemroids. This is a simple procedure that can relieve pain. You will have a local anesthetic to keep you pain-free during the procedure. A small incision is made in the skin, and the blood clot is removed. Stitches are generally not needed.
If more than 72 hours have passed, your doctor will suggest home treatments. Simple home treatments can relieve your pain. These may include warm baths, ointments, suppositories, and witch hazel compresses. Many thrombosed hemroids go away on their own in a few weeks.
If you have persistent bleeding or painful hemroids, talk to your doctor about possible treatment with banding, ligation, or removal (hemroidsectomy).