Time-Sensitive: External Thrombosed Hemorrhoids
Rectal Bleeding
Bright red bleeding on the toilet paper or in the bowl. Often from internal hemorrhoids—but not always.
Understand Your Symptoms
Bleeding, pain, swelling, itching, or soiling are common. We focus on making the right diagnosis first, then the most effective, minimally invasive treatment.
Time-Sensitive: External Thrombosed Hemorrhoids
- Purple, visible bulge at the edge of the anus with sudden, significant pain
- Often appears after straining, coughing, lifting, or prolonged sitting
- Best outcomes when treated within 3 days of onset
These are not usually medical emergencies, but they are time-sensitive—call us so we can see you promptly (ideally within 3 days).
If you think you’re having a medical emergency (heavy bleeding, dizziness, fainting, severe illness), go to the nearest emergency center.
Anal Pain
Sharp pain may suggest a fissure; tender swelling can indicate a thrombosed external hemorrhoid or abscess.
Itching or Irritation
Common with leakage, skin tags, or dermatitis. We’ll help identify the cause and calm the skin.
Lump or Swelling
Could be prolapsing internal hemorrhoids, a thrombosed external hemorrhoid, or a skin tag.
Constipation / Straining
Increases hemorrhoid symptoms and risk of fissures. We’ll create a plan to keep things moving comfortably.
Mucus or Soiling
Can accompany prolapse or skin irritation. A proper exam guides the fix.
“Perhaps there is no other condition that is as often misdiagnosed as hemorrhoids… I have seen many cases where ‘hemorrhoids’ were blamed for the patients’ symptoms and even treated for years, when the actual pathology was either a fissure, fistula, prolapse, anal papilla, or in some cases even a carcinoma.” — Dr. Khawaja Azimuddin, Colorectal Surgeon
What Else It Might Be
Anal Fissure: sharp pain with bowel movements, small streak of blood.
Thrombosed External Hemorrhoid: sudden, tender bluish lump at the edge of the anus.
Prolapse: tissue that bulges out with bowel movements; may need reduction.
Perianal Abscess: severe pain, swelling, possible fever—needs urgent evaluation.
Skin Tag / Irritant Dermatitis: itching, hygiene difficulty, chronic irritation.
Other causes: less commonly, polyps or colorectal cancer—especially with persistent bleeding or weight loss.
Quick Self-Check & Next Steps
1
Don’t assume it’s hemorrhoids. A quick in-office anoscopy helps us make the right plan.
2
Ease symptoms at home: fiber + hydration, avoid straining, brief sitz baths, gentle cleansing (no harsh wipes).
3
Get the right treatment: many issues can be treated the same day after evaluation.
FAQs
No referral is needed—just call or request online.
We prioritize urgent symptoms and can often see you the same day.
Often, yes. After a focused exam (sometimes with anoscopy), we can proceed with the right in-office treatment when appropriate.
Ready for Answers?
We can usually diagnose and treat at the same visit.