Consequences of hemorrhoids bleeding

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 22, 2024
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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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Where to apply moxibustion for hemorrhoidal bleeding?

It is not recommended to use moxibustion treatment when hemorrhoids bleed. This is because moxibustion involves local heat effects that can lead to further congestion and swelling of the local mucosa. Additionally, mugwort, usually used in moxibustion, has properties that can stimulate blood circulation and regulate menstruation, which could potentially worsen local bleeding if used for treatment. Therefore, the primary treatment for bleeding hemorrhoids should be oral hemostatic drugs, and surgery should be performed as soon as possible for ligation to stop the bleeding. Moxibustion treatment is not recommended as it may delay the condition, possibly leading to increased bleeding and the risk of anemia. Hemorrhoid hemostatic drugs can include oral medications that clear heat, cool the blood, and detoxify to stop bleeding. Topical application of hemorrhoid cream to press and stop bleeding can also be used concurrently. If the bleeding is severe or prolonged, it is advisable to undergo surgical treatment directly.

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Written by Yang Dong
Colorectal Surgery Department
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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.

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Written by Zhang Peng
General Surgery
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How come hemorrhoids bleed?

In this case, it depends on the cause of the hemorrhoids. In general, the most common cause of hemorrhoids is varicose veins around the rectal veins, which can be caused by obstructed venous return. Generally, there are no corresponding venous valves around the upper rectal veins, and the veins or small vein walls of hemorrhoids are very thin. In the case of hemorrhoidal venous varicose, if the stool is relatively dry, it is easy to cause the veins to rupture and bleed during defecation. This type of bleeding is generally painless, and the bleeding can stop on its own, usually being bright red blood. Due to high local pressure, some people may experience significant bleeding, or even show signs of shock. In this case, surgical treatment measures must be taken to achieve radical cure.

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Written by Chen Tian Jing
Colorectal Surgery
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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.

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Written by Chen Tian Jing
Colorectal Surgery
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How many days does hemorrhoid surgery hurt?

After hemorrhoid surgery, the local wound can be quite painful, especially in the early postoperative period. As the local anesthesia wears off, patients may experience varying degrees of pain, which usually lasts about a week. For those with less severe conditions, the pain may only last for three days. However, for severe hemorrhoids, especially after circular mixed hemorrhoid surgery, there are more ligations and deeper wounds at the site, thus the pain may extend to 10 days. Additionally, when the ligation thread falls off, there may also be varying degrees of bloating, sagging, pain, and bleeding in the anal area. To avoid intensifying postoperative pain, it is recommended that patients use stool softeners to ease bowel movements after the surgery. For severe pain, patients can also take painkillers when the pain becomes unbearable. (Please use medication under the guidance of a doctor)