What should I do if hemorrhoids are bleeding?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 19, 2024
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Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.

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What should I do if hemorrhoids bleed?

First, determine the specific cause of the bleeding before treatment. It is recommended to promptly visit a proctology department to complete the relevant examinations, and then decide on future actions. Pay attention to rest and diet, eat less spicy and irritating food, adjust your mindset, and maintain a good mood. If necessary, take oral medication, such as anti-inflammatory drugs, then keep the area clean and dry, and reduce toilet time. Also, regular follow-ups should suffice.

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Written by Zhang Da Wei
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What should be avoided in the diet for hemorrhoids with bleeding?

Hemorrhoids presenting with rectal bleeding is a rather typical symptom. This condition definitely requires dietary restrictions because dietary irritants can potentially worsen bleeding. Thus, it's essential to avoid certain foods both during an episode and as a precautionary measure. It is generally advised to steer clear of cold and spicy foods, as these can stimulate the intestines and potentially exacerbate bleeding. In cases where bleeding is more pronounced, a bland diet is usually recommended. Other stimulating foods should also be avoided to prevent aggravating the condition. Of course, dietary restrictions are not only essential during symptomatic periods but also as a preventive measure regularly to effectively prevent recurrent episodes of hemorrhoids.

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Written by Yu Xu Chao
Colorectal Surgery
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How to relieve the pain of hemorrhoids

Most of the time, hemorrhoids do not cause pain. Pain from hemorrhoids is often considered to be due to inflammatory swelling, external hemorrhoid rupture, or thrombosis formation, which leads to pain. If you want to relieve the pain promptly, you can choose sodium diclofenac suppositories for anal insertion, which can have anti-inflammatory and analgesic effects. Later, after defecation, you can use anal washes or potassium permanganate solution for sitz baths, in conjunction with hemorrhoid cream for external application and oral Diosmin tablets to reduce swelling. If the symptoms do not improve significantly after four to five days of medication, it is necessary to go to the hospital’s coloproctology department for hemorrhoid surgery as soon as possible, such as hemorrhoidectomy, external hemorrhoid excision, and TST. Post-surgery, it is important to adhere to dressing changes to promote wound healing, and maintain smooth bowel movements.

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Written by Chen Tian Jing
Colorectal Surgery
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Consequences of hemorrhoids bleeding

Rectal bleeding, commonly seen in cases of hemorrhoids, usually appears as bright red blood. The bleeding is not mixed with the stool but is excreted along with it from the anus. Minor hemorrhoid bleeding can cause local anal itching. When the bleeding is heavy or prolonged, it can lead to a significant loss of blood volume, resulting in anemia in the patient. Anemia can then lead to other systemic diseases and problems. Therefore, it is important to treat hemorrhoid bleeding early. Treatment options include oral hemostatic medications combined with the topical application of hemorrhoid cream to stop the bleeding.

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Written by Chen Tian Jing
Colorectal Surgery
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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.