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thrombosed hemorrhoid

post #1 of 19
Thread Starter 
I developed my first and very painful hemorrhoid last Thursday. It has gotten larger and larger and more painful ever since I noticed it. I went for my almost 37 week ob appointment today and told her about it and how it has horrid. She took a look and told me that it was thrombosed (filled with blood clots) and that I needed to get it taken care of right away because of the size it was and the pain. She made an appointment for me to see the local out of hospital surgical doctors that she works closely with. She faxed over all my records and will be working closely with them because of how far along I am.

I have an appointment tomorrow. I have researched the procedures that they do for thrombosed hemorrhoids. I am comfortable with getting the procedure done- as I am in so much pain- I need this to be fixed. What scares me about all of this is what I have been reading about how this effects my birth experience (I am almost 37 weeks and know that birth is just around the corner). All of the information I have read states that c-section may be required because of the complications that can arise from the hemorrhoid surgery site, or even problems with waiting to treat until after delivery (not sure if I could wait- it hurts so very badly). I am scared of a c-section, but will come to terms with it if need be.

This really sucks why can i not just have a normal complication free pregnancy. Sigh.
post #2 of 19
Oh, Candi, that does suck!
I hope it all works out and baby is able to be delivered vaginally. I cannot imagine what you must be going through, hugs!
post #3 of 19
I'm sorry sending you no c/s vibes
post #4 of 19
I just had one of these too, my first also. It really hurt, but I think yours sounds worse, I'm so sorry! I used tons of witchhazel and soaked in hot water. The blood clot came out on its own (sorry, tmi!) and then I bled for about a week. Finally it stopped and the pain went away. I did think about how miserable labor would be accompanied by one of these! I had no idea a c-section could be recommended.
I hope you are feeling better soon!
post #5 of 19
I am lurking from the Sept DDC, but just wanted to offer my condolences and what worked for me. I had internal hemorrhoids before I was every pregnant and when I pushed during labor with my 1st baby I pushed so hard I pushed them all out. After delivery they were severely thrombosed and I wanted surgery just to relieve the pain but my OB recommended I try other things because the pain of the surgery/lancing and recovery on top of recovering from labor/episiotomy was not going to be worth it and he did not want to see me in such pain.

I then suffered with prolapsed hemorrhoids for another 3.5 years until I finally had hemorrhoid surgery. I had the ones that would thrombose about 1-2 times a month. The best thing that anyone ever recommended was HYDROCORTISONE cream. My general surgeon recommended it in the weeks leading up to my surgery and it helped so much. Just slather on a bunch on your hemorrhoid and wear a pad/pantiliner. Lay on your side and walk as much as possible. Walking/light excercise helps to relieve the pressure of the blood in the vessel there and relieves the discomfort. DO NOT SIT on your butt if you can at all avoid it. Stand or lay on your side with a pillow between your knees.

I would NEVER do the surgery/lancing a few weeks prior to possibly giving birth. The recovery is HELL... for me it was 2000 times worse than the pain of childbirth.

If it were me I would try conservative measures (things above) combined with sitz baths, proctofoam (helps to numb the area) or ask the MD for some lidocaine cream to put on your hemorrhoid area also. Taking Tylenol also (ibuprofen works much better but is a no-no late in pregnancy).

I used to work in OB and remember a patient who had a really bad hemorrhoid late in her pregnancy and the general surgeon refused to lance/do surgery, but instead banded it. She said it helped and was so greatful that she didnt do the surgical route because she ended up in labor like two days later and would have still been recovering.

Good luck and I hope you feel better soon!!! Hemorrhoids are the absolute WORST!!!!!
post #6 of 19
Hugs mama!
I kind of feel for you. I had vaginal hemorrhoids, and they were terrible. I couldn't wait to have them gone after the baby came out. And it has been 2 days and no more of them!!!!! Will the ones you have go away after the labor?

I heard that they could be bad during labor, but I had no issues. Actually my blood pressure rose just enough (not in a dangerous way) that they tightened up during the labor.

To treat them (more like get by with them), I used homeopathy- pulsatilla 30 c every day, butchers broom herb, vitamin c, and loads of blueberries

Hope it all works out well.
post #7 of 19
DDC crashing. I too had a thrombosed hemorrhoid this pregnancy, and have had 1-2 in the past. I suffered so much, so I know how you feel, I really do. That said, I was able to suffer through and while it is still there, the pain has subsided to a workable level, and so I have not had surgery. I would give it at least a week-2 weeks before I consented to the surgery, only b/c although it sounds like a good answer, I have heard from too many that the recovery is hell. I hope the pain subsides for you like it has for me.
post #8 of 19
this thread is freaking me out!!!
my butt turned inside out during labour....

dh is freakining because my butt looks almost the same right now....midwife didn't look at them or mention anything...i have been using pharmacy brand ointment and they keep getting bigger...

i will call a doctor today and have him look at it
post #9 of 19
Thread Starter 

Update: after my apointment

I went to see the doctor I was referred to today. As I explained what was going on, he had the same reaction as my OB (and many of these responses here). He told me that they always try to avoid messing with hemorrhoids this late in pregnancy. He mentioned tucks and creams, and resting and baths. I thought it was awesome that he wanted to do what was best for me and the baby. I told him that I had been doing all of that for a week, that it was getting bigger, more painful and hard to the touch. I have spent most of the last week crying from the pain.

So he examined me and said that in my case I needed to have it taken care of right away. Apparently I have one of the largest and most severe thrombosed hemorrhoids he had ever come across. sigh. Also he said that with how severe it was, he did not recommend leaving it alone until after birth (as he usually does for these), because of the chance of rupture and hemorrhaging. I was numbed, given a local (ouch!) and then he removed it. He was going to lance it, but the size was so large and the bloodclots were numerous and beginning to back up into the veins, so he had to remove tissue as well. No stitches or anything though.

It does hurt, and I am on a pain med (i was put on one for the hemorrhoid itself though...) for the most part the extreme pressure skin tearing feeling has been replaced with a stinging sharp pain. I am bleeding quite a bit and my attempt at going to the bathroom earlier had me crying. I am hoping for a quick recovery. It is so nice not to have that painful thing hanging off of me now. It is a matter of healing up a bit (2-3 days of big healing and taking it easy for a week). Hopefully baby will wait until 38 weeks to come.

Oh and the doctor eased my mind, letting me know that vaginal birth should not be a problem for me. He recommended a counter pressure (like a warm washcloth) being held to the spot while I am actively pushing. I only pushed 3 times to get DD2 out- so hopefully this one will come out as easy. He also said that he will consult and share records with my ob so she will be on top of things as well.

So here is to hoping that a good nights sleep will give my body time to heal and my mind to zen.
post #10 of 19
I had a thrombosed hemorroid when I was 38 weeks with my first baby, and had to have it removed too. Mine was very bad as well. The good news was that it was fine for pushing 3 weeks later, and didn't come back. These things happen with pregnancy sometimes.

I am glad you got it taken care of!

Rest well tonight.
post #11 of 19
Candi, I'm glad you got in, hopefully it will heal up nicely for you before teh big day!

Ok, so I think i've got one, too, that developed last night. It's been really hard to sleep, and hurts with every move. plus i'm sick, so the coughing and sneezing makes it hurt. yikes! Feels like someone has a hot cow prod up my tush.

First sign of daylight I'm calling my m/w to ask what do to. I don't know how to deal with this and a toddler and my other responsibilities, you know? I'm 37w5d, so not much time to get this thing healed up.

post #12 of 19
my butt looks inside out right now

I am afraid of what will happen when the baby starts to come

I am so glad this thread came up...

still trying to get a doc...maybe the walkin clinic if i can't get one...
post #13 of 19
Candi - just wondering how you're doing... tell me it turned out ok??!!!

I go in to the doc tomorrow to see what he recommends. I just can't function like this! (Can't sleep either. It's 4:30 and I'm doing a sitz bath.)
post #14 of 19
Thread Starter 
Things are going really well actually.

The first night was really rough- it stung sharply where it was removed and there was a lot of bleeding. I sobbed when I had to go to the bathroom that night. The next day (yesterday) was much better. I felt well enough to stop taking the pain meds. Only had a tiny bit of stinging and not much bleeding. Going to the bathroom was not pleasant, but was not horrible (I didn't cry- just winced). Honestly it felt much like an episiotomy does the first few days after birth.

I am on the second day past and I feel soooooo much better. I no longer hurts all the time like I did before it was removed (hurrah!) and the spot is tender if it is touched, but otherwise it doesn't hurt at all. Only a tiny bit of spotting when I dab at it. I am feeling really confident that I made the right decision about it. Everything seems to be healing up really well. Things should be fine for whenever labor comes.

I hope that you feel better soon Michigan Mama- I understand the pain. It hurt so very much. I am glad to say I feel much better now. I hope that your doctor can give you some relief.
post #15 of 19
I have had the same issue in the past and i get accupuncture done for it. Got rid of them! I also asked my midwife ahead of time for a prescription for hydrocortisone suppositories so if after birth there were any issues i could just start using them right away before they got too bad. The suppositories are the only thing that works for my internal rhoids. I'm 2 weeks postpartum and so far i'm having no issues.
post #16 of 19
I'm so sorry you're having to deal with that. Hemorrhoids have been the worst part of pregnancy for me, since the first pregnancy! There's no pain quite like them! Not even labor, in my opinion!
My biggest fear is having a hemorrhoid when I go into labor and having to push the baby out with a horrendous hemorrhoid mucking up the experience. I'm just loading up on stool softeners and things I know make my stool come out easiest and avoiding them at all costs. I heard if you labor on your side, it won't aggravate your hemorrhoids as much.
Good luck in what you decide. Since you're wanting to VBAC, maybe you can have the surgery done immediately, since there's a chance you'll go into labor after your due date (since it's natural). You could potentially have two more weeks to recover before labor?
post #17 of 19
OK, so I had mine opened yesterday (the big one, anyway), and it still hurts, but I can walk and move a bit better now. I'm going to try to take it easy so the other ones don't progess further and the one they lanced will continue to heal. Unfortunately, I don't think I'll be rid of them until after the baby's born and the pressure is relieved! I got a big hemorrhoid from birthing ds1, so I'm prepared for that. But hopefully with some counter pressure there it will help.

Thanks for the tip about laboring in sidelying.

And Candi - I hope you are holding your sweet baby by now and that ole 'roid' was no issue for you!
post #18 of 19
Thread Starter 

After birth update

Had my baby on Friday :

No real problems with the removed hemorrhoid spot (though it only had 2 days to heal before birth). It did bleed a bit, but stopped very quickly and now is just tender again. No complications at all- thank goodness.
post #19 of 19
Congrats on your baby boy! I'm glad everything went well.
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