Should I have surgery for a small blood clot in an external hemorrhoid?

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Question
Hello doctor,
I have external hemorrhoids, at first I had pain and problems, but because I didn't have time to go to the doctor at work, I took medicine bought at a private pharmacy, then the pain was relieved and rarely see problems. However, just to be sure, I went to the doctor today and the doctor said there was a small black blood clot in the hemorrhoid but I didn't bleed. Because now I don't have as much pain as the first few days. The doctor asked me if I should have surgery for small blood clots in external hemorrhoids? If not, is there any way to dissolve the clot? I look forward to receiving medical advice. I thank you!
Anonymous customer
Answer
Answered by Doctor Le Thanh Tuan - Gastroenterologist - General Surgery Department - Vinmec Nha Trang International General Hospital
Hello,
To the question “Should I ask” Small clot surgery in external hemorrhoids? ”, the doctor would like to answer as follows:
It takes about 2-3 weeks for the clot to dissolve completely. If the blood clot is causing other abnormalities, you may have minor surgery to remove the clot.
To prevent external hemorrhoids, you need to limit constipation, avoid the cause of dry, hard stools, difficult to defecate. Some useful tips in prevention include:
Eat enough fiber, which is found in whole grains, legumes, cereals, fresh fruits and vegetables, etc. However, it is recommended to supplement or eat Fiber slowly to avoid bloating. Drink a lot of water: Including broth, fruit juice, purified water, ... ensure the amount of water replenished for the body every day reaches 1.5 - 2 liters of water for adults. Attention should be paid to drinking water evenly throughout the day, not focusing on one time, not letting the body lose too long. Increase physical activity. Use stool softeners as prescribed by your doctor and should not be abused; Maintain a daily bowel habit: People who are constipated or at risk of hemorrhoids should maintain the habit of going to the toilet at the same time of day. However, don't spend too much time on the toilet, don't strain or try to push. If you are sad to defecate, do not try to hold back; You should see your doctor if you often suffer from constipation or recurrent hemorrhoids for prevention, early and effective treatment.
If you still have questions about external hemorrhoids, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!

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