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Hemorrhoids are a common condition. Hemorrhoids are normal structures of the body guiding the blood and that are localized at the anus. The term hemorrhoid is used in cases where the structure is responsible for symptoms. Hemorrhoids appear due to the dilation of the veins in the anus. Hemorrhoids can be external, located below the anal sphincter muscle, or internal, located above the sphincter. External hemorrhoids are generally visible to the naked eye.


External hemorrhoidal thrombosis is when a blood clot forms in a vein located at this level. The symptoms consist of:
  • strong and lasting pain in the anus, present at the time of defecation, but also in the absence of extensive efforts;
  • swelling felt by the patient at the anal margin;
  • occasional bleeding, traces of red blood on toilet paper.

Spontaneous healing accompanied by pain relief usually occurs in less than a week, but the mass may persist a little longer. Sometimes a sort of small scar may still remain.


The diagnosis is made after observing the external hemorrhoids. When looking past the folds of the anus swelling can be observed.


The treatment of external hemorrhoids is medical and consists of:
  • occasionally, a prescription of laxatives;
  • anti-inflammatory creams and pain relief ointments;
  • Oral analgesics, paracetamol or anti-inflammatory drugs;
  • veinotonics, allowing for better blood circulation.

Sometimes a small incision will help evacuate the clot and relieve excessive pain.

Fighting against constipation with the help of fiber enrichment or laxatives prevents the occurrence of hemorrhoids. It is also advised to avoid extensive efforts while having a bowel movement.

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