All of the following are true about external hemorrhoids except?
|A||Painful, below the dentate line|
|B||Skin tag is not seen in these cases|
|C||Ligation is done for management|
|D||May resemble a semiripe blackcurrant|
a. Appears suddenly, is very painful and tender.
b. Resembles a semi ripe black currant.
c. Untreated, it may resolve, suppurate, fibrosis and give rise to cutaneous/ skin tag or burst.
d. Also called as " 5 day painful self curing lesion"
Management: Provided it is seen within 36 hours of onset, a perianal hematoma is best treated as emergency. Under local anaesthesia the hemorrhoid is bisected and two halves are excised together with 1.25 cm of adjacent skin. Rarely it is treated conservatively because of liability of skin wound in these region to become an anal fissure.