Hemorrhoids


Hemorrhoids, are they cancer?
Hemorrhoids are not cancer; they are a benign and common local disease of the anus. The main cause is due to the displacement of the anal cushion or the formation of varicose veins and thrombi in the local mucosal tissue, leading to protrusion, swelling, and even pain and bleeding of the local mucosa. Hemorrhoids are a common proctological disease, with an incidence rate of about 60% among adults, primarily influenced by poor dietary and defecation habits. Therefore, to prevent the onset of hemorrhoids, it is recommended to avoid overly spicy and irritating foods and to keep bowel movements under ten minutes to prevent overly dry stools.


What to eat when hemorrhoids bleed?
When symptoms of bleeding occur in hemorrhoids, it is generally necessary to first carry out symptomatic treatment with oral hemostatic medications and local anal suppository for hemorrhoids. Simple bleeding or minor bleeding can be alleviated by oral medication or conservative topical drugs. If the bleeding hemorrhoids are accompanied by recurrent protrusion of internal masses or severe anal pain, in addition to oral hemostatic drugs, it is also necessary to combine surgical ligation or internal hemorrhoidal banding for hemostasis, and if necessary, combined with internal sclerosant mucosal injection for comprehensive treatment. When patients with hemorrhoids bleed, it is generally advised to eat liquid food and avoid hard textured food, and certainly not to eat spicy and irritating food.


How to alleviate hemorrhoidal bleeding
For hemorrhoid bleeding, it is first necessary to determine the degree of bleeding. If it is mild hemorrhoid bleeding, it can generally be managed with the use of hemorrhoid suppositories to compress and stop the bleeding. If the bleeding is more severe, oral hemostatic medications can be taken. If relief is still not achieved, it is recommended to seek treatment at the hospital's colorectal surgery or gastroenterological surgery departments. If hemorrhoid-induced bleeding occurs frequently and with a large amount each time, it is advisable to consider hemorrhoid surgery as soon as possible. Hemorrhoid bleeding is caused by the tortuous dilation of the inferior rectal venous plexus, which can be injured and cause bleeding either in cases of hard stools or when hemorrhoid symptoms are severe. In the operating room, the diseased vessels need to be removed to fundamentally resolve the cause of the bleeding.


Do hemorrhoids cause a lot of bleeding during bowel movements?
In clinical settings, most patients with hemorrhoids experience constipation, which can cause certain damage to the intestines, especially when the symptoms of hemorrhoids are pronounced, often leading to bleeding. This condition is generally related to local mucosal damage or ulcers. However, as long as bleeding is promptly controlled, it generally does not affect one's healthy life. Therefore, there is no need to worry. When problems with hemorrhoids occur, it is essential to address the symptoms appropriately. Of course, if the condition persists for a long time, considering surgical solutions is also an option, which, however, may result in a slower recovery. Thus, it’s important to maintain regular bowel movements to avoid such embarrassing issues. Additionally, performing regular pelvic floor exercises or improving dietary habits, such as incorporating whole grains or high-fiber foods, can help regulate and prevent frequent recurrence of hemorrhoids.


What should pregnant women with hemorrhoids eat?
If pregnant women suffer from hemorrhoids, they should correct some unhealthy dietary habits. It's important to eat more foods rich in fiber, as high-fiber foods often accelerate intestinal peristalsis to alleviate constipation. In daily life, one can eat more celery, cabbage, and fruits like apples, bananas, oranges, pears, and dragon fruit, which are all good choices. Additionally, consuming more coarsely processed foods, which are also rich in nutrients and dietary fiber, is suitable for pregnant women with hemorrhoids to ensure smooth bowel movements.


Is it scary to have bleeding hemorrhoids?
Firstly, hemorrhoids are soft venous masses formed by the dilation and excessive twisting of veins under the mucous membrane and the skin at the end of the rectum. During defecation, the stool rubs against the raised twisted veins, and the straining during defecation causes increased pressure on these vessels, leading to rupturing of the hemorrhoidal veins and resulting in bleeding with the stools. If the amount of bleeding is significant, it can lead to symptoms like anemia and dizziness. If the bleeding is minor, it generally does not pose a problem. Therefore, if there is a case of hemorrhoidal bleeding, it is best to visit the colorectal surgery department of a hospital for a proper diagnosis and, if necessary, surgical treatment can be performed to prevent recurrence of the bleeding.


What causes hemorrhoids to bleed?
Internal hemorrhoids can easily cause rectal bleeding. The main reason is the varicosity of hemorrhoidal veins. During defecation, dry and hard stools scratch the hemorrhoidal veins causing them to rupture and bleed. Additionally, due to the long-term presence of hemorrhoids, the hemorrhoidal veins become overstretched, making the vein walls thin and fragile, and easily damaged during bowel movements. For hemorrhoid-induced rectal bleeding, treatment can be administered through medications aimed primarily at reducing bleeding symptoms and alleviating the varicosity of the hemorrhoidal veins. Sitz baths can also be used to reduce swelling around the anus. If medication provides limited relief, minimally invasive or surgical treatments may be considered.


Hemorrhoids bleeding examination what
Hemorrhoid bleeding is mainly due to the rupture of local hemorrhoid mucosa or bleeding from local small arteries caused by repetitive friction and irritation. If the mucosa bleeds, the bleeding generally manifests as minor seepage; however, if small arteries rupture, the bleeding appears as dripping or squirting. To examine hemorrhoid bleeding, an anal digital examination and an anoscopy must be conducted to determine the exact location of the bleeding and the amount of blood loss. Based on the examination results, an appropriate treatment plan can be selected. For minor bleeding, local application of hemostatic creams or oral hemostatic medications can be considered. If the bleeding is more significant, appearing as dripping or squirting arterial pulsatile bleeding, it is recommended to perform ligation to stop the bleeding.


How to relieve hemorrhoids in pregnant women
During pregnancy, due to the enlargement of the uterus, pressure on the pelvic cavity can hinder the return flow of blood in the pelvic veins, which can lead to the occurrence of hemorrhoids in pregnant women or aggravate existing hemorrhoids. Hemorrhoids in pregnant women can be alleviated through the following methods: First, pay attention to diet adjustment, eat more vegetables and dietary fibers, which can soften the stool and reduce irritation to the hemorrhoids. Also, it is important to avoid spicy and irritating food, as it can stimulate hemorrhoids and cause bleeding. Second, if the hemorrhoids are quite severe, local hot compresses can be applied to promote local blood flow and relieve pain. Third, if the hemorrhoids are indeed severe, traditional Chinese medicine can be used for treatment during pregnancy. The local use of traditional Chinese medicine during pregnancy will not affect the fetus.


Can hemorrhoids cream be used for bleeding hemorrhoids?
Bleeding, as one of the common symptoms of hemorrhoids, is relatively common in daily life. If hemorrhoidal bleeding occurs, hemorrhoid creams can be used. Many hemorrhoid creams have the effects of stopping bleeding, reducing swelling, and alleviating the erosion of hemorrhoidal mucosa. Using hemorrhoid cream can provide limited relief for mild hemorrhoids, especially in reducing bleeding symptoms. However, if the bleeding is substantial or frequent, the effectiveness of hemorrhoid creams will be relatively limited, and it is necessary to seek timely medical treatment at a hospital.