Thrombosed piles: Are they dangerous? Look out for these five symptoms

Piles is an uncomfortable condition that usually affects adults ages 45 to 65. 

It usually develops when the tissue around the anus or rectum becomes swollen and there are a number of things that can cause this. 

These include: 

  • Straining during bowel movements 
  • Sitting for long periods of time on the toilet 
  • Chronic diarrhoea or constipation 
  • Obesity 
  • Pregnancy 
  • Low-Fibre diet 

But what does it mean if you have thrombosed piles? 

Thrombosed piles is when a blood clot forms inside a haemorrhoid, typically on the outside edge of the anus. 

While the condition isn’t dangerous it can suddenly become very painful and need urgent treatment. 

The NHS says the pain due to a thrombosed external haemorrhoid usually peaks after 48 to 72 hours, and then gradually goes away over seven to 10 days. 

It adds: “A thrombosed external haemorrhoid may bleed a little for a few days. It then gradually shrinks to become a small skin-tag.” 

So what are the symptoms of ordinary piles?

The health body lists the following symptoms: 

  • Bleeding after passing a stool – the blood is usually bright red 
  • Itchy bottom 
  • A lump hanging down outside of the anus, which may need to be pushed back in after passing a stool 
  • A mucus discharge after passing a stool 
  • Soreness, redness and swelling around your anus 

How do you treat piles? 

There is medicine available to relieve and swelling and discomfort, but usually the first port of call is simple changes to diet and not straining on the toilet. 

Chinese medicines and homeopathic remedies are believed by some to help treat symptoms, but one diet change recommended by medical experts is to eat a high fibre diet. 

Bupa says: “There isn’t enough evidence to show that Chinese medicines or homeopathic treatments can help to treat piles. 

“Provided your piles aren’t severe, you can probably reduce your symptoms without taking conventional medicines by eating a high-fibre diet and drinking plenty of fluid. Taking care to gently clean yourself after every bowel movement will reduce soreness and itching too. 

“Speak to your pharmacist if you’re thinking about using any herbal or homeopathic remedies. Natural remedies aren’t necessarily harmless or safer than conventional medicines. They’re also unlikely to have been tested as thoroughly.” 

How can you prevent new haemorrhoids?


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