What to eat when hemorrhoids bleed?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 14, 2024
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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.

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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 Yu Xu Chao
Colorectal Surgery
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How to treat hemorrhoids bleeding

In clinical practice, the treatment of hemorrhoidal bleeding primarily depends on the severity of the bleeding. If a patient experiences frequent hemorrhoidal bleeding and the volume of blood loss is significant, it is recommended to adopt surgical treatments early. Prolonged bleeding can lead to severe anemia, severely impacting the patient's health. Possible surgical options include sclerotherapy, internal hemorrhoid ligation, or surgeries like PPH and TST. However, if the hemorrhoidal bleeding is infrequent and the volume of blood loss is minimal, the first step should be to improve the diet. Consuming more seasonal fresh fruits and vegetables, maintaining smooth bowel movements, not spending too long on bowel movements or straining excessively, and using hemorrhoidal suppositories or ointments for anal administration after bowel movements are recommended.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if hemorrhoids are bleeding?

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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Written by Chen Tian Jing
Colorectal Surgery
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Can hemorrhoidal ointment be used for bleeding hemorrhoids?

Hemorrhoids bleeding needs to be assessed based on the amount of bleeding and the duration of bleeding to determine different treatment methods. If the bleeding is minimal and short-lived, mostly noticed on toilet paper, one can opt for oral hemostatic medications or apply hemorrhoidal cream with hemostatic effects around the anus. However, if the bleeding is significant or persists for a long time, and each bleeding episode appears as dripping or jetting, to further prevent the occurrence of anemia, it is advisable to directly undergo surgical ligation to stop the bleeding, avoiding repeated bleeding episodes that could lead to anemia and further impact body functions.

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Written by Xu Jun Hui
General Surgery
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Do hemorrhoids bleed?

Hemorrhoids can progress to a stage where there is rectal bleeding characterized by bright red blood that is separate from the stool. This is caused by the severe tortuosity and dilation of the superior hemorrhoidal veins. As the hemorrhoids worsen, congestion and dilation of the hemorrhoidal venous plexus become more pronounced. In the presence of bowel dysfunction and hard stools, the hemorrhoidal venous plexus can be injured, leading to rupture and bleeding. Initially, the bleeding is typically minimal yet frequent. Over time, this may lead to frequent and substantial bleeding. Chronic bleeding from hemorrhoids can cause chronic blood loss anemia, which impacts the physical and mental health of the individual.