References in periodicals archive ?
It is important to document that observed hemorrhoids account for the bleeding episode (bleeding at the contact site with the anoscope or an applicator, thrombosed hemorrhoids, or a clot over the hemorrhoid).
For those younger than age 40 years, flexible sigmoidoscopy is recommended, even if it's obvious that the patient has external thrombosed hemorrhoids that are bleeding.
The society recommends excision of thrombosed hemorrhoids less than 72 hours old and expectant treatment with analgesia and sitz baths for thrombosed hemorrhoids present for longer than 72 hours (SOR: B).