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Connie Pennington
Connie Pennington,
Category: Medical
Satisfied Customers: 712
Experience:  Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC
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Large hemmarhoid - just anusol and tucks? Or something

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Large hemmarhoid - just anusol and tucks? Or something beyond that needed.Is anything stronger?No change since last night - when I first noticed it.It’s definitely a pain in the ......I have photos of helpfulThanks!!

Hi, i`m Richard, a Veterinarian from the UK. Hopefully I can help today.

Customer: replied 5 months ago.
I wish it WAS my dog. Unfortunately, it’s ME

ah, ok, Miscategorised then, sorry I can`t be much help! Definitely not my expertise! I`ll pass you onto customer services to change your category.

Richard.

Customer: replied 5 months ago.
Should I switch to another answerer - as this is not a verenoary situation..??
Customer: replied 5 months ago.
Thanks...!!

Hi, I am a colorectal surgeon (for people!)

I am sorry you have a hemorrhoid!

Yes a picture will help me tell you exactly what to do, please post.

Customer: replied 5 months ago.
Ok
Customer: replied 5 months ago.
I selected. Think it is uploading
Customer: replied 5 months ago.
Feels like anusol did nothing overnight
Customer: replied 5 months ago.
Don’t know if preparation h does more - or exactly what to do
Customer: replied 5 months ago.
what if any pain medication...

OK, that is a thrombosed external hemorrhoid.

It is the outside skin fold filled with a blood clot.

The quickest relief is to have a surgeon numb it up and excise a bit of skin, and remove the clot. Then it is all over.

Topicals will not help.

Sitting in hot water will help, it softenes the clot, so the body can absorb it, which takes 2-3 weeks.

Customer: replied 5 months ago.
The pain will distract from me working I fear...
Customer: replied 5 months ago.
Wow

Do you have access to a surgeon? And a colorectal one would be even better?

I do this in the office all the time, and we take walk ins who have this issue. So call your nearest colorectal surgeon.

Customer: replied 5 months ago.
Even though I noticed nothing until last night a after a day of a lot of sitting??Do I go to urgent care - or what??
Customer: replied 5 months ago.
I see

Urgent care or the ER will diagnose you, but will only turn around and send you to a surgeon.

Do you have access to a surgeon inyour town?

Customer: replied 5 months ago.
They don’t cut all that skin away - or they do? It doesn’t then bleed a lot - or take all kind of time to heal a incision....??
Customer: replied 5 months ago.
Probably - it’s Boston

We make a tiny elipitical incision and express the blood clot. the reason we remove a little skin is so that it will not come back.

It hardly ever bleeds (as it is a clot) Relief is immediate.

Customer: replied 5 months ago.
I never looked for one
Customer: replied 5 months ago.
That sounds all almost too good to be true
Customer: replied 5 months ago.
Long procedure??

Oh, you are set, google the colorectal people and call their office and tell them you have a thrombosed hemorrhoid, can you be seen right away. Takes about 20 sec.

Customer: replied 5 months ago.
Will I be okay for a diagnostic chest MRI scheduled later in the day..??

Yes.

Are you on blood thinners?

Customer: replied 5 months ago.
Just baby aspirin
Customer: replied 5 months ago.
Is it okay for me to be sitting at my desk with this thing..??

Perfect.

That is the easiest way for immediate relief.

I had a patient waiting at my front door yesterday to have it done.

Common.

You will not hurt it, but it can grow and burst with some bleeding as the clot tries to come out. Or it may slowly absorb over days, weeks.

Customer: replied 5 months ago.
it’s hardened clot blood and not just a bulging vein with still liquid blood??

Yes, it is a clot, but they can bleed in people on blood thinners, but not bad.

I would excise yours with no hesitation.

Customer: replied 5 months ago.
I see surgical specialists - some of whom also mention colorectal - but hard to tell if it is their true specialty
Customer: replied 5 months ago.
At Mt Auburn Hospital

Most all surgeons do it, unless it is like a breast surgeon.

Call the information desk at the hospital and ask them to direct you.

Customer: replied 5 months ago.
Ok - so general surgeon is okay..??

Yes

Customer: replied 5 months ago.
The snip of skin they take will not hurt in healing - or become prone to infraction - or bleeed...???

No, heals up in 2-3 days. Pain relief is immediate.

No worries about infection.

Customer: replied 5 months ago.
we would not expect natural healing to resolve in that similar time frMe??
Customer: replied 5 months ago.
I have had smaller one before - that naturally healed - is this a whole other situation..??

No. Oh no. It might get bigger, or it might begin to absorb, which takes weeks. Depends on the size, and the level of pain you can put up with.

Customer: replied 5 months ago.
why do we know it is hardened and clotted versus just a bulbous vein??

Because I have been doing this for 20 years.

Customer: replied 5 months ago.
Sorry. I meant biologically why it became hard and clotted in one day versus just being liquid blood..

No worries. When a vessel bursts, clotting factors are immediately released to stop the bleeding. A clot then forms at the break point.

I am sorry you are dealing with this. I hope you get relief this am in Boston!

Listen, I am off to work now, good luck to you and let me know how it goes!

Customer: replied 5 months ago.
Soaking now and watching you tube videos of the procedure....Trying to sort it out - as cutting looks scary.Thank you for the guidance..!!!
Customer: replied 5 months ago.
I think that is what I did not understand - if a vessel actually bursted - or just expanded...

The little numbing shot (with a tiny needle) is the only thing you would feel.

The cut (small) you would not feel.

NO worries if it scares you, in time the body absorbs these things.

Customer: replied 5 months ago.
I am scheduled today to have a cardiac MRI with contrast and I was wondering if there is any reason why the contrast may have any thrombolytic or clotting a fax that should cause me not to do that or affect me having the removal of the hemorrhoid tomorrow thank you

No, not at all.

Good luck with the MRI.

Will not affect the hemorrhoid removal at all.

Customer: replied 5 months ago.
Really great to know that until you have that information so timely on my way over to the procedure thank you so very much

You are welcome.

Customer: replied 5 months ago.
Sing sadly the thing does appear to be growing

Well I am glad you have an appt tomorrow! They will fix it up for you.

Customer: replied 5 months ago.
Will I be able to go to work after the procedure that day - or should I expect downtime???
Customer: replied 5 months ago.
This is the latest - it’s hard to fathom

Goodness, given what you are putting up with, yes you will be able to go to work, with less pain after the procedure!

Customer: replied 5 months ago.
Same day - no time for wound healing etc??
Customer: replied 5 months ago.
Have to decide whether to cancel appointments later that day..Perhaps I am off track in thinking of sutures and leakage and wound needing to close etc...

No, there may be some minor discomfort, but you can return to work, if you are working with it now, it will feel better than that!

Good luck to you today, and I am sure you will feel better.

Customer: replied 5 months ago.
I sure hope the doc will jump right in and operate. It’s a first meeting...I saw so many other procedures they have online - staples etc...

It is an external hemorrhoid. There is only one procedure, and that is to make an incision and extract the clot/cut it out.

Stop playing on line, as it causes anxiety :)

Also, please rate this question, as we work for stars, and then I will get credit for helping you.

The link will remain open.

Connie Pennington,
Category: Medical
Satisfied Customers: 712
Experience: Colorectal Surgeon at Colon & Rectal Surgery Consutants, PC
Connie Pennington and 5 other Medical Specialists are ready to help you
Customer: replied 5 months ago.
Wow - you couldn’t have been more right. Seems like problem solved..!! Now the only mystery is degree of pain and bleeding upon novacaine wraring off

Oh, you will be fine!

Just a tiny tinge of an open wound, it will heal rapidly! Promise!

Customer: replied 5 months ago.
Really grateful for the guidance

Anytime. Take care in Boston.

Customer: replied 5 months ago.
Doctors name was perfect for her job - Dr. Schnipper!! : )

HHHaaa Haa!

Customer: replied 5 months ago.
Pain came in as novacaine wore off - but thank goodness the Advil and trylenol kicked in.Cleaning it after a bowel movement yielded the surprise of finding some significant part of the mass still there. I didn’t expect that - she DID take plenty out it appeared.Anything to be concerned about - or make of - the finding of some mass remaining there???Thanks for your patience with all the fretful questions...

No, nothing to worry about. There will be swelling around the area, but should not be as bad as it was.

If more clot comes out that is ok.

Sitting in a hot water bath will help clean it out and help it heal.

Customer: replied 5 months ago.
I see. I will do that - somehow I had thought - maybe from YouTube videos - that the whole big thing would be gone...Thanks..

The whole big thing should be gone, but sometimes a bit of clot squeezes out from the inside.

The water soak should draw it out. Hang in there!

Customer: replied 5 months ago.
Thanks.!!!