Perianal: Occlusion of a vein in the rectal mucosa. Perianalthrombosen are very painful, but usually disappear by itself. The healing can be accelerated by incision, which also relieves the pain immediately.Perineal thrombosis is caused mostly by prolonged sitting on hard surfaces, but also spicy food and alcohol promote their development. Due to the likelihood of confusion with hemorrhoids, they are sometimes referred to as "fake hemorrhoids".Depending on the severity it can be treated with heparin ointment, but also form without therapy usually after a few days of self back. An excessive mechanical irritation, for example by rough toilet paper should be avoided. If the patient endures very severe pain, a small section with the scalpel under local anesthesia will help. After this relief a significant reduction in pain will enter immediately.Because after the procedure it often bleeds a little, here the most proctologists lay a tamponade which often hurts a lot. The tamponade should be lubricated with EMLA or a Xylocainhaltigen (or similar) ointment.It is important that the two mucous membranes do not stick too fast. As a consequence it could bleed again and the next day you are having a new "varix".One more thing: An anal venous thrombosis hurts a lot!There are only 3 proctology disorders who do violently hurt:1. Fissure2. Abscess3. Anal venous thrombosisIf it causes pain only when sitting and if it is endurable otherwise, then it is a thrombosed hemorrhoid that does not have to be operated on an emergency basis. Here it is enough to use the ointment, to wait for a while, cool it and maybe, if they do not regress, the patient needs surgery.
