Piles Treatment and Thrombosed Piles – An Overview

piles treatmentPiles treatment can be fairly straightforward given the different treatment options that are available ranging from home remedies to advanced surgical procedures.

However, in some cases, even before treatment is commenced, piles can become thrombosed.

Here we explain this a bit further.

What Are Thrombosed Piles?

External piles (the ones that are visible outside the anus) can sometimes either rupture or form a blood clot within them. These piles are called thrombosed piles.

What Causes Thrombosed Piles?

Thrombosed piles are usually a result of excessive straining when attempting to open the bowels in patients who already have hemorrhoids. It is also seen in women following a normal vaginal delivery.

Sometimes, it can also develop in patients who have just suffered episodes of diarrhea or in those will have recently changed their diet.

What Are The Symptoms of Thrombosed Piles?

In most cases, piles themselves may have no symptoms initially.

But sometimes, when they do get thrombosed, they can cause pain which can be very distressing to the patient.

The pain occurs because of the stretching and swelling of the skin and mucous membrane that overlies the pile. This stretching irritates the nerves which therefore causes the pain.

The pain from thrombosed piles can last for up to 2 weeks if the condition resolves by itself. There is always a high risk of this recurring.

How Are Thrombosed Piles Diagnosed?

Thrombosed piles are diagnosed on clinical examination. There are no specific tests that need to be performed as such. The patient’s symptoms are also fairly characteristic.

Thrombosed Piles Treatment

Piles treatment are many and the same holds true with regards to managing thrombosed piles.

1. Home remedies

Home remedies for piles treatment include: [list style=”checkmark”]

  • warm baths
  • the use of laxatives and stool softeners
  • adopting a high-fibre diet
  • Losing weight can also help
  • A regular exercise routine has also been shown to reduce piles and thus reduce the risk of thrombosed piles[/list]

2. Painkillers

In the event that thrombosed piles cause significant amount of pain, patients may be able to take over-the-counter painkillers to help.

3. Surgical treatment

Surgical treatment is usually reserved for patients in whom conservative treatment options are ineffective. Treatments can include –[list style=”arrow”]

  • Rubber band ligation – here a tight rubber band is placed around the base of the thrombosed pile thus cutting off its blood supply and promoting its shedding off.
  • Sclerotherapy – here is sclerosing agent such as phenol is injected into the pile which reduces its size eventually leading to it fall off.
  • Haemorrhoidectomy – this form of piles treatment involves surgically excising the piles. The procedure is usually performed under local anaesthetic though sometimes general anaesthetic may be required. It is an effective procedure with excellent outcomes and low recurrence rates. However, patients can take a long time to recover following this procedure.[/list]


Thrombosed piles can be distressing and troublesome to the patients suffering from it. Treatment options are similar to piles treatment in general and are aimed at removing the thrombosed piles completely.

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