10.  Anal thrombosis

 

Definition:

There are net of inferior wreath/ring of veins under the skin of anus area. If the discharge from these veins are disturbed, blood flow stops and it leads to a rapidly occurring swelling and violent pain. This condition is called as Thrombosis (Locking of the vein) or by some physicians designated as outside (exterior) hemorrhoids.  Besides this, the hematoma is a cause of swelling, thus the bleeding from a crack of the vein with following blood coagulation. Although both conditions almost cause the same complaints, the therapy is nevertheless different.

Causes:

Although the exact causes not yet known, they are mostly associated with overweight males whereby observed after long durations of toilet stays. The knots are to be seen frequently with 3 and 6 o'clock directions.

Complaints:

Suddenly arising violent pain with grope-able swelling at the anus edge. Sitting is hardly possible and the general state becomes strongly disturbed.

Anal thrombosis

Treatment:

In the case of smaller knot formations, it can be waited for some time under application of anti inflammation ointments, medications and ice compressions. If there is no success under this treatment, then only the operational therapy remains. In case of a hematoma a small cut is done after local anesthesia and the coagula are squeezed out, whereby the complaints suddenly stop.

In the case of a larger thrombosis is present, then the veins must be splitted and sometimes also the whole knot has to be cut off. This can likewise take place in local anesthesia. Additionally, it might be advisable to simultaneous stretch of the anal channel, which leads to a better blood discharge.

In the Proktoklinik hematomas will be treated by a small incision under local anesthesia after previous ice compression and squeezing out of the coagula.

In the case of thrombosis another procedure is performed. This procedure is successfully performed only in the Proktoklinik. A small cut is set at the base of swollen knot under local anesthesia with the help of only 3.5 mm wide (about 1/8 of an inch) “mini shaver” and cleaned from the inside. Additionally a gentle stretch of the anal channel takes place, whereby the discharge is improved and a renewed occurrence is made more difficult.

Although this procedure appears to be complex for a small knot, it is better for the well being of the patient and a larger cut over the skin or total cutting of the knot is avoided.

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 Anal diseases - still a topic with taboo   |   Anatomy of the final intestine   |   What are Hemorrhoids actually?   |   How does the illness of the hemorrhoids developed? 
How does the hemorrhoidal illness express itself?   |   How Hemorrhoids are treated?   |   How is the treatment in the Proktoklinik?   |    Anal fissure   |   Anal fistula / Anal abscess   |   Illness of the Linea Dentata   |   Skin folds (Mariscs)   |   Condyloms