A burst hemorrhoid refers to a thrombosed external hemorrhoid that has ruptured. A blood clot forms inside, increasing pressure until the overlying skin breaks, releasing the clot and blood.
Typical Healing Duration
Pain and discomfort from a burst hemorrhoid typically subside within 7 to 10 days. The thrombosed hemorrhoid may take two to three weeks to fully resolve as the body reabsorbs the blood clot. Initial bleeding usually lasts seconds to minutes but should not exceed 10 minutes.
Several factors influence healing time. Hemorrhoid size and severity play a role, with smaller ones resolving more quickly. General health, including circulation or immune function, also impacts recovery. Adherence to self-care supports healing and helps prevent complications.
Supporting Recovery at Home
Self-care measures can alleviate discomfort and promote healing. Sitz baths, soaking the anal area in 3 to 4 inches of warm water for 15 to 20 minutes multiple times daily and after bowel movements, are beneficial. Use plain warm water; avoid salts, oils, or lotions, as these may cause irritation.
Maintaining soft bowel movements is important for healing. Increase daily fiber intake through fruits, vegetables, and whole grains, and drink plenty of fluids. Over-the-counter stool softeners can also help prevent straining during bowel movements, which can irritate the healing area.
After a bowel movement, gently clean the anal area using water and mild soap, or opt for moist, fragrance-free wipes instead of dry toilet paper. Over-the-counter pain relievers, such as acetaminophen, may help manage discomfort, but nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided if there is active bleeding. Applying a cold compress, like ice wrapped in a towel, for 10-15 minutes can also help reduce swelling and pain.
Signs to Consult a Doctor
While many burst hemorrhoids heal with home care, certain symptoms indicate a need for professional medical evaluation. Persistent or excessive bleeding is a concern; if bleeding lasts longer than 10 minutes, is heavy, or occurs frequently, medical attention is recommended. Darker blood or large quantities also warrant a doctor’s visit, as these could signal other conditions.
Severe or worsening pain that does not improve with home remedies also warrants medical consultation. Signs of infection, such as fever, pus or discharge, increased redness, or swelling around the anal area, require prompt assessment. If the hemorrhoid does not show signs of improvement after about a week of consistent home care, or if there is any uncertainty regarding the condition or the source of bleeding, consult a healthcare provider to rule out more serious issues.