How to treat internal hemorrhoids?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 06, 2024
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Hemorrhoids are divided into internal, external, and mixed types. The clinical symptoms of internal hemorrhoids mainly include local pain, prolapse, and rectal bleeding due to rupture. If there are recurrent episodes or associated inflammation, there may also be an increase in secretions, which can irritate the local skin around the anus and cause itching. Therefore, the primary treatment for internal hemorrhoids involves the use of suppository hemorrhoid plugs. If there is accompanying bleeding, it is also necessary to combine this with oral hemostatic medications. In cases of perianal itching, options such as sichuan pepper water or other insecticidal and anti-itch traditional Chinese medicine washes can be used for fumigation and hot compresses on the affected area.

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Written by Deng Heng
Colorectal Surgery
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What should I do if internal hemorrhoids prolapse and cause pain?

Generally, internal hemorrhoids do not cause pain. However, when internal hemorrhoids prolapse and become trapped outside the anus, leading to swelling, infection, or even necrosis, various degrees of pain can occur, which can be very painful. Therefore, when internal hemorrhoids prolapse and become trapped, surgery is required. Thus, hospitalization for surgery to relieve the trapped hemorrhoids is necessary to definitively cure the condition.

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Written by Chen Tian Jing
Colorectal Surgery
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Can you drink beer if you have internal hemorrhoids bleeding?

During the bleeding phase of internal hemorrhoids, patients should not drink beer or other alcoholic beverages, nor eat spicy and stimulating foods such as chili peppers and seafood. This is because both drinking alcohol and consuming spicy, stimulating foods can cause the mucous membrane in the anal area to become congested. If there are any bleeding spots locally, the likelihood and volume of bleeding will be greater than normal. Therefore, further hemostatic treatment is necessary during the bleeding period. If alcohol is consumed, the volume of bleeding will increase and the severity of the bleeding condition will become worse. It is recommended that patients use external hemorrhoid creams for hemostasis, or take oral hemostatic drugs for symptomatic treatment. If the bleeding is substantial or the condition is not under control, further surgical treatment may be needed. (Please use medication under the guidance of a doctor.)

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Written by He Cai Dong
Colorectal Surgery Department
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What should I do if the internal hemorrhoids hurt after being pushed back in?

If the pain does not subside after pushing back a prolapsed internal hemorrhoid, it is often due to the formation of a thrombus, which is why the localized pain is quite noticeable. In such cases, it is advised to use topical medications for treatment. You can use hemorrhoid suppositories or ointment, inserting them into the anus to alleviate the pain. If the pain remains significant, you can also take oral pain relievers temporarily. If pain persists even after these treatments, it may be considered a strangulated hemorrhoid, which is more serious. It is recommended that you visit a formal hospital's proctology department. There, a doctor can perform a digital rectal examination and an anoscopy to establish a definitive diagnosis and provide appropriate treatment. If very severe, surgery may be needed. (Use of medications should be under the guidance of a physician.)

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Written by Deng Heng
Colorectal Surgery
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Why is it difficult to cure internal hemorrhoids bleeding?

Internal hemorrhoids refer to the soft venous masses formed by the dilation and varicosity of the hemorrhoidal venous plexus located beneath the mucosa at the end of the rectum, above the dentate line of the anus. Once these masses have formed, they contain blood vessels which can rupture, leading to bleeding during bowel movements, evident as blood mixed with stool. Once these pathological masses have formed, it is very difficult to completely heal them with medication alone; surgical removal of these venous masses is required to prevent recurrent bleeding. Therefore, if conservative treatment is applied, it only slightly alleviates symptoms. If any triggering factors are present, bleeding may recur.

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Written by Deng Heng
Colorectal Surgery
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How should internal hemorrhoids be effectively treated?

The treatment methods for internal hemorrhoids are mainly divided into conservative treatment and surgical treatment. Conservative treatments include oral medications or topical medications, mainly aimed at relieving symptoms such as bleeding or prolapse during the remission phase, without addressing the pathological site. Surgical options include hemorrhoidal ligation, hemorrhoidectomy, PPH (stapled hemorrhoidopexy), and injection therapy, all of which are surgeries targeting the hemorrhoids themselves, and their effectiveness is generally quite definitive.