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    Be Careful!!! Hemorrhoid can burst if becomes thrombosed.

    2 minute(s) read
    Information by
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    Dr. Sarinda Lertbannaphong

    Bangkok Hospital Headquarter

    Package Image
    Prof. Dr. Art Hiranyakas

    Bangkok Hospital Headquarter

    30 Dec 2025
    Dr. Sarinda Lertbannaphong
    Dr. Sarinda Lertbannaphong
    Bangkok Hospital Headquarter
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    Be Careful!!! Hemorrhoid can burst if becomes thrombosed.
    Bangkok Hospital Headquarter
    Updated on: 30 Dec 2025

    Hemorrhoids are swollen veins within and around the anal canal. The veins around the anus tend to stretch under the increased pressure and may be swollen. If you have experienced an acute anal pain with per rectal bleeding related to the bowel movements, it is highly recommended to seek for an urgent medical attention. This could be the signs and symptoms of ruptured hemorrhoids.     

     

    Get to know ruptured hemorrhoids

    If a blood clot forms inside the hemorrhoids, it can become thrombosed and eventually burst, once the internal pressure increases (during the excessive straining from either constipation or diarrhea).

     

    Signs and symptoms of ruptured hemorrhoids

    Warning signs and symptoms indicating ruptured hemorrhoids include:

    • Palpable painful lump at the anal opening
    • Persistent per rectal bleeding
    • Severe pain, irritation and swelling around the anus

     

    Severity of ruptured hemorrhoids

    If the hemorrhoid bursts, an emergency care must be sought. The serious complication that’s caused by excess blood loss are dizziness, faintness or even hypotension/shock. However, per rectal bleeding can also be a particular sign of other disease conditions, such as colorectal and anal canal cancer. Owning to the fact that these conditions mutually share the certain presentations, careful physical examination and subsequent appropriate diagnostic tests conducted by expert specialists are highly recommended.

     

    Management of ruptured hemorrhoids

     Once the hemorrhoid bursts, an immediate care should be provided as to follow the steps:

    • Gentle compression using clean soft cloths or sanitary napkins to stop the bleeding.
    • Apply cold compression or cold sitz bath to reduce the inflammation and to stop the bleeding.

    If per rectal bleeding persists and the following symptoms develop: palpitation, dizziness, faintness and cold hands and/or feet, an immediate medical attention must be obtained.

     

    Treatment of ruptured hemorrhoids

    Ruptured hemorrhoid with excessive per rectal bleeding usually happens from the external hemorrhoid. The primary treatment option is to have the hemorrhoid removed, known as hemorrhoidectomy. It is considered as the most effective approach for this issue with rapid recovery and quickly return to daily activities. Depending on the severity, surgery can be arranged as a “Day – Surgery” procedure or outpatient procedure without hospitalization.

    อย่าปล่อยให้เลือดคั่งจนริดสีดวงแตก

    Prevention of ruptured hemorrhoids 

    • Avoid the excessive strain during the motion.
    • Avoid prolonged sitting in the toilet.
    • Drink plenty of water of at least 8-10 glasses per day.
    • Consume high-fiber diet; fruits, vegetables and whole grains.
    • Seek for medical attention whenever needed.

     

    A ruptured hemorrhoid may lead to severe blood loss, resulting in serious complications which require an emergency. Accurate and timely diagnosis to role out other conditions is the key enabling an effective treatment. Due to advances in the surgical techniques and technologies, the new treatments have continuously emerged, allowing the patients to achieve the best possible treatment outcomes with minimal discomfort, less post-operative complications, rapid recovery, quickly return to the normal daily activities and less recurrences.

    Information by

    Doctor Image

    Dr. Sarinda Lertbannaphong

    Surgery

    Colon and Rectal Surgery

    Dr. Sarinda Lertbannaphong

    Surgery

    Colon and Rectal Surgery
    Doctor profileDoctor profile
    Doctor Image

    Prof. Dr. Art Hiranyakas

    Family Medicine, Surgery

    Colon and Rectal Surgery

    Prof. Dr. Art Hiranyakas

    Family Medicine, Surgery

    Colon and Rectal Surgery
    Doctor profileDoctor profile

    For more information, please contact

    Colorectal Surgery Clinic

    1st Floor, D Building, Bangkok Hospital

    Daily 08.00 am. – 05.00 pm.

    (+66) 2310 3000

    (+66) 2310 3002

    (+66) 2755 1002

    1719 (local mobile calls only)

    [email protected]

    @BHQSurgery

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