Thrombosed Treatment (External Piles): Benefits, side effects, and risks

Thrombosed External piles

Haemorrhoids or piles are a common problem in which swelling develops in the veins inside the rectum of the anus causing pain, itching, or bleeding. However, thrombosed haemorrhoid’s are induced by a blood clot inside the haemorrhoid. The blood clot blocks blood flow, causing sore symptoms.

There are two types of haemorrhoid’s - internal and external. Internal haemorrhoid’s are located within the anus, whereas external haemorrhoid’s form in the tissues outside the anus. Acute haemorrhoidal disease or perianal thrombosis are other names for thrombosed haemorrhoids.

Thrombosed haemorrhoids condition is not treacherous, but it can be painful. Also, if the symptoms do not go away, there are numerous piles treatments available for cure. Many reputed piles hospitals in Chennai also provide you with the best solution.


Factors that can increase a person's chances of developing piles:

  • Increased pressure on the pelvis.
  • Pregnant women usually have higher blood pressure and a higher incidence of constipation.
  • Piles formation is more common in older people.
  • Being overweight or obese
  • Consuming a low-fibre diet.
  • Having a constipation history.
  • Excessive straining during bowel movements.


Furthermore, to pain and discomfort, if you bleed when you have a bowel movement then you must diagnose as bleeding can also be a sign of cancer in the gastrointestinal (GI) tract. In such cases,

  • The doctor will examine by inserting a gloved, lubricated finger into your rectum to feel for any lumps or growth. This process is known as a digital rectal exam.
  • If you have signs or are at risk for colon cancer the doctor may examine to look deeper inside your colon by Sigmoidoscopy or Colonoscopy. In Sigmoidoscopy, the doctor inserts a narrow, adjustable scope with a camera at one end to witness the base portion of your colon. In the Colonoscopy process, the doctor uses a scope to look at the entire length of your colon.


For serious symptoms, you must always visit a piles doctor near you. Usually, a thrombectomy is used to treat thrombosed haemorrhoids which is a small procedure where surgeons make a cut in the haemorrhoid and drain the blood. But before surgery, your doctor will use anaesthesia so that you don't feel any pain.

Few surgical options include-


For surgically removing haemorrhoids, including blood vessels and clots a haemorrhoidectomy may be performed under general anaesthesia. The procedure is more invasive in comparison to other options, so it is reserved for extreme cases.

Rubber band ligation

It is where an elastic band is wrapped around haemorrhoid’s base. It cuts off the blood supply, causing it to shrink over several weeks.


It is an electric current that terminates the blood gush to the haemorrhoid.

Haemorrhoid stapling

A stapling instrument terminates an internal haemorrhoid or it racks a prolapsed internal haemorrhoid back inside the anus and holds it there.

Side effects

Usually, there are no side effects for piles treatment. However, in rare cases, chronic blood loss from haemorrhoid’s can result in anaemia, a condition in which you don't have enough healthy red blood cells to transport oxygen to your cells. Another risk can be strangulated haemorrhoid when the blood supply to an internal haemorrhoid is cut off, the haemorrhoid may cause excruciating pain.

Dr. Karthik Gunasekaran