Is bleeding from hemorrhoids internal hemorrhoids?

Written by Ren Zheng Xin

Gastroenterology

Updated on September 25, 2024

00:00

00:00

Hemorrhoids causing blood in the stool are mostly due to internal hemorrhoids, which are a manifestation of varicose veins in the hemorrhoidal veins. During defecation, because the stool is rather dry and hard, it can easily scratch the hemorrhoidal veins as it moves downward. Due to internal hemorrhoids, the hemorrhoidal veins become distended and the vein walls become very thin, making them easily damaged, thus leading to bleeding. Minor cases may involve blood during defecation or dripping blood, while more severe cases can present with spraying blood during bowel movements. Depending on the amount of bleeding, one should choose treatments such as medications, minimally invasive procedures, or surgery.

Other Voices

home-news-image

Written by Yu Xu Chao

Colorectal Surgery

1min 2sec

home-news-image

Is minimally invasive surgery or traditional surgery better for internal hemorrhoids prolapse?

If the patient has only internal hemorrhoids prolapse without external hemorrhoids, it is better to opt for minimally invasive surgery, as it causes less damage and allows for faster postoperative recovery. Clinically, the TST surgical method is often recommended to avoid postoperative anal stenosis. However, if the internal hemorrhoids prolapse is accompanied by severe external hemorrhoids, it is advisable to opt for the traditional external peeling and internal ligation surgery, as this method can also effectively address external hemorrhoids, avoiding the need for a second surgery. Postoperatively, the use of anal cleansers, potassium permanganate solution, golden ointment, red oil ointment gauze, and hemorrhoid suppositories for dressing changes can promote recovery. Additionally, postoperative patients should avoid certain foods and maintain smooth bowel movements to prevent infections, swelling, and bleeding, which will aid in recovery.

home-news-image

Written by Yu Xu Chao

Colorectal Surgery

1min 18sec

home-news-image

How to solve internal hemorrhoids that are prolapsed and incarcerated?

In clinical practice, for cases where internal hemorrhoids prolapse and become incarcerated, surgical treatment is often recommended. This is because the prolapse of internal hemorrhoids indicates a significant displacement and that the hemorrhoids have been prolapsed for a long time, which can lead to incarceration. In such cases, there is a risk of localized swelling or thrombosis formation, causing anal swelling and pain, and in severe cases, necrosis of the prolapsed tissue. Therefore, it is advised to opt for surgical treatment as soon as possible for incarcerated internal hemorrhoidal prolapse. Surgical options include hemorrhoidal banding, PPH (Procedure for Prolapse and Hemorrhoids), and TST (Transanal hemorrhoidal dearterialization) among others. Anesthetic choices can range from local infiltration anesthesia, spinal anesthesia, to general intravenous anesthesia. With spinal and general anesthesia, the patient does not experience pain during surgery and does not feel fear of pain. Post-surgery, it is also necessary to select appropriate medications for dressing changes, such as anal washes, hemorrhoidal suppositories, and golden yellow ointment to promote wound healing.

home-news-image

Written by Yu Xu Chao

Colorectal Surgery

1min 11sec

home-news-image

Can internal hemorrhoids with prolapsed thrombus shrink?

If internal hemorrhoids prolapse and form thrombosis, it indicates poor local blood circulation in the internal hemorrhoids and damage to the hemorrhoidal veins, leading to thrombosis. Such thrombosis will not shrink and will cause a significant foreign body sensation in the anus and anal distension pain. For cases where internal hemorrhoids prolapse and form thrombosis, it is crucial to go to the hospital's colorectal surgery department for timely surgical treatment. Surgical options include internal hemorrhoidal banding, internal hemorrhoidectomy, or TST. Postoperatively, patients should use anal cleansers and medications like golden ointment and red oil ointment gauze for dressing changes to promote wound healing. Furthermore, patients should be cautious with their diet, avoiding spicy, stimulating, and dry foods to prevent irritation to the wound, which could lead to infection, inflammation, or swelling, and thus significant pain. Additionally, patients should maintain hygiene around the anal area and wear loose, breathable cotton underwear.

home-news-image

Written by Chen Tian Jing

Colorectal Surgery

55sec

home-news-image

Can I exercise more if I have internal hemorrhoids bleeding?

If the patient is in a period of internal hemorrhoids bleeding, it is not advised for the patient to engage in excessive exercise and physical training, as the local mucosa is ruptured and bleeding during this period. Excessive exercise can potentially increase the pressure inside the local blood vessels, thereby increasing the amount of bleeding or worsening the condition. During internal hemorrhoids bleeding, related hemostatic treatments are necessary to prevent anemia from long-term repeated bleeding. Treatment mainly involves oral or topical hemostatic drugs. In terms of exercise and training, it is recommended to primarily walk gently and avoid vigorous exercises. If conservative medication does not effectively treat the bleeding, surgical ligation can also be considered for hemostasis. (Please use medications under the guidance of a doctor.)

home-news-image

Written by Ren Zheng Xin

Gastroenterology

44sec

home-news-image

Is bleeding from hemorrhoids internal hemorrhoids?

Hemorrhoids causing blood in the stool are mostly due to internal hemorrhoids, which are a manifestation of varicose veins in the hemorrhoidal veins. During defecation, because the stool is rather dry and hard, it can easily scratch the hemorrhoidal veins as it moves downward. Due to internal hemorrhoids, the hemorrhoidal veins become distended and the vein walls become very thin, making them easily damaged, thus leading to bleeding. Minor cases may involve blood during defecation or dripping blood, while more severe cases can present with spraying blood during bowel movements. Depending on the amount of bleeding, one should choose treatments such as medications, minimally invasive procedures, or surgery.