External hemorrhoid - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T22:53:57Z

Prepared the page for translation

← Older revision		Revision as of 22:53, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

			</translate>
	{{Hemorrhoid background}}		{{Hemorrhoid background}}
			<translate>


	==Clinical Features==		==Clinical Features==
	[[File:M 44 anus 22.jpg\|thumb\|[[External hemorrhoid]]]]
	[[File:Perianal thrombosis 01.jpg\|thumb\|Thrombosed [[external hemorrhoid]]]]		[[File:M 44 anus 22.jpg\|thumb\|[[Special:MyLanguage/External hemorrhoid\|External hemorrhoid]]]]
			[[File:Perianal thrombosis 01.jpg\|thumb\|Thrombosed [[Special:MyLanguage/external hemorrhoid\|external hemorrhoid]]]]
	*Occur distal to dentate line		*Occur distal to dentate line
	*Can be seen at external inspection		*Can be seen at external inspection
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	**Non-thrombosed hemorrhoids are usually painless		**Non-thrombosed hemorrhoids are usually painless
	***If patient complains of pain but hemorrhoids are not thrombosed suspect:		***If patient complains of pain but hemorrhoids are not thrombosed suspect:
	****[[perianal Abscess\|Perianal/perirectal abscesses]]		****[[Special:MyLanguage/perianal Abscess\|Perianal/perirectal abscesses]]
	****[[Anal fissure]]s		****[[Special:MyLanguage/Anal fissure\|Anal fissure]]s
	*Prolapse		*Prolapse
	**Requires periodic reduction by the patient		**Requires periodic reduction by the patient


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Anorectal DDX}}		{{Anorectal DDX}}
			<translate>

			</translate>
	{{Lower GI bleeding DDX}}		{{Lower GI bleeding DDX}}
			<translate>


	==Management==		==Management==


	===Not Thrombosed===		===Not Thrombosed===

	*Usually self-limiting with resolution in 1 week		*Usually self-limiting with resolution in 1 week


	===Thrombosed===		===Thrombosed===

	*Consider conservative treatment (sitz baths and bulk laxatives) if:		*Consider conservative treatment (sitz baths and bulk laxatives) if:
	**Thrombosis has been present >72 hrs		**Thrombosis has been present >72 hrs
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	**Pain is tolerable		**Pain is tolerable
	*Conservative treatment may also include topical 0.3% nifedipine and 1.5% viscous lidocaine<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>		*Conservative treatment may also include topical 0.3% nifedipine and 1.5% viscous lidocaine<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>
	*Consider [[Perianal block]] for pain relief		*Consider [[Special:MyLanguage/Perianal block\|Perianal block]] for pain relief
	*Consider excision if:		*Consider excision if:
	**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic		**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic
	**Thrombosis is acute (<72 hrs)		**Thrombosis is acute (<72 hrs)
	**Extremely painful		**Extremely painful
	**See [[External Hemorrhoid Excision]]		**See [[Special:MyLanguage/External Hemorrhoid Excision\|External Hemorrhoid Excision]]


	==Disposition==		==Disposition==

	*Discharge home if uncomplicated		*Discharge home if uncomplicated
	*Colorectal surgery follow up		*Colorectal surgery follow up


	==See Also==		==See Also==
	*[[Anorectal Disorders]]
	*[[Internal hemorrhoid]]		*[[Special:MyLanguage/Anorectal Disorders\|Anorectal Disorders]]
	*[[Hemorrhoids]]		*[[Special:MyLanguage/Internal hemorrhoid\|Internal hemorrhoid]]
			*[[Special:MyLanguage/Hemorrhoids\|Hemorrhoids]]


	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
			</translate>

Elcatracho: /* See Also */

2021-02-21T01:26:26Z

ClaireLewis at 20:43, 29 September 2019

2019-09-29T20:43:20Z

← Older revision		Revision as of 20:43, 29 September 2019
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	**Non-thrombosed hemorrhoids are usually painless		**Non-thrombosed hemorrhoids are usually painless
	***If patient complains of pain but hemorrhoids are not thrombosed suspect:		***If patient complains of pain but hemorrhoids are not thrombosed suspect:
	****Perianal/perirectal abscesses		****[[perianal Abscess\|Perianal/perirectal abscesses]]
	****Anal ~~fissures~~		****[[Anal fissure]]s
	*Prolapse		*Prolapse
	**Requires periodic reduction by the patient		**Requires periodic reduction by the patient
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	==Disposition==		==Disposition==
	*Discharge home if uncomplicated		*Discharge home if uncomplicated
	*~~Colo-rectal~~ surgery follow up		*Colorectal surgery follow up

	==See Also==		==See Also==

Spenceemmett: /* Thrombosed */

2018-10-10T16:32:08Z

Thrombosed

← Older revision		Revision as of 16:32, 10 October 2018
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	===Thrombosed===		===Thrombosed===
	*Consider sitz baths and bulk laxatives if:		*Consider conservative treatment (sitz baths and bulk laxatives) if:
	**Thrombosis has been present >~~48 hr~~		**Thrombosis has been present >72 hrs
	**Swelling has started to shrink		**Swelling has started to shrink
	**Pain is tolerable		**Pain is tolerable
	*Conservative ~~management with~~ topical 0.3% nifedipine and 1.5% viscous lidocaine ~~is alternative~~<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>		*Conservative treatment may also include topical 0.3% nifedipine and 1.5% viscous lidocaine<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>
	*Consider [[Perianal block]] for pain relief		*Consider [[Perianal block]] for pain relief
	*Consider excision if:		*Consider excision if:
	**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic		**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic
	**Thrombosis is acute (<~~48 hr~~)		**Thrombosis is acute (<72 hrs)
	**Extremely painful		**Extremely painful
	**See [[External Hemorrhoid Excision]]		**See [[External Hemorrhoid Excision]]

Spenceemmett: /* Clinical Features */

2018-10-10T16:21:22Z

Clinical Features

← Older revision		Revision as of 16:21, 10 October 2018
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	**Non-thrombosed hemorrhoids are usually painless		**Non-thrombosed hemorrhoids are usually painless
	***If patient complains of pain but hemorrhoids are not thrombosed suspect:		***If patient complains of pain but hemorrhoids are not thrombosed suspect:
	****Perianal/~~intersphincteric~~ abscesses		****Perianal/perirectal abscesses
	****Anal fissures		****Anal fissures
	*Prolapse		*Prolapse

Kramarsh: /* Disposition */

2018-03-22T17:16:07Z

Disposition

← Older revision		Revision as of 17:16, 22 March 2018
Line 39:		Line 39:

	==Disposition==		==Disposition==
	*Colo-rectal surgery		*Discharge home if uncomplicated
			*Colo-rectal surgery follow up

	==See Also==		==See Also==

Kramarsh: /* Disposition */

2018-03-22T17:15:35Z

Disposition

← Older revision		Revision as of 17:15, 22 March 2018
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	==Disposition==		==Disposition==
			*Colo-rectal surgery

	==See Also==		==See Also==

Devin Smith: /* Thrombosed */

2017-02-19T23:16:54Z

Thrombosed

← Older revision		Revision as of 23:16, 19 February 2017
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	**Pain is tolerable		**Pain is tolerable
	*Conservative management with topical 0.3% nifedipine and 1.5% viscous lidocaine is alternative<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>		*Conservative management with topical 0.3% nifedipine and 1.5% viscous lidocaine is alternative<ref>Perrotti P. Conservative treatment of acute thrombosed external hemorrhoids with topical nifedipine. Dis Colon Rectum. 2001 Mar;44(3):405-9.</ref>
			*Consider [[Perianal block]] for pain relief
	*Consider excision if:		*Consider excision if:
	**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic		**Patient is not immunocompromised, child, pregnant woman, has portal hypertension, coagulopathic

Rossdonaldson1 at 11:22, 15 February 2017

2017-02-15T11:22:47Z

← Older revision		Revision as of 11:22, 15 February 2017
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	==Clinical Features==		==Clinical Features==
			[[File:M 44 anus 22.jpg\|thumb\|[[External hemorrhoid]]]]
			[[File:Perianal thrombosis 01.jpg\|thumb\|Thrombosed [[external hemorrhoid]]]]
	*Occur distal to dentate line		*Occur distal to dentate line
	*Can be seen at external inspection		*Can be seen at external inspection

Mholtz at 05:55, 12 February 2017

2017-02-12T05:55:56Z

← Older revision		Revision as of 05:55, 12 February 2017
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	==Background==		==Background==
	{{~~Hemorroids~~ background}}		{{Hemorrhoid background}}

	==Clinical Features==		==Clinical Features==

← Older revision		Revision as of 01:26, 21 February 2021
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	==See Also==		==See Also==
	*[[Anorectal Disorders]]		*[[Anorectal Disorders]]
			*[[Internal hemorrhoid]]
			*[[Hemorrhoids]]

	==External Links==		==External Links==