Can I exercise more if I have internal hemorrhoids bleeding?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 25, 2024
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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.)

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Written by Yu Xu Chao
Colorectal Surgery
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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.

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Written by Deng Heng
Colorectal Surgery
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Do internal hemorrhoids require surgery?

Surgical indications for internal hemorrhoids include bleeding and prolapse of anal masses. These symptoms necessitate surgical treatment. Secondly, if scheduling surgery is not possible due to being busy, conservative treatment like applying ointment to the anus or taking medication can be used initially to alleviate the symptoms. If conservative treatment fails, it is still not too late to opt for surgery. (Specific medications should be used under the guidance of a physician.)

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Written by Yu Xu Chao
Colorectal Surgery
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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.

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Written by Yu Xu Chao
Colorectal Surgery
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Second-degree internal hemorrhoids, what is the best way to treat them?

Second-degree internal hemorrhoids mainly refer to the intermittent rectal bleeding and anal prolapse caused by internal hemorrhoids, but the prolapsed tissues can retract back into the anus on their own after defecation. For this condition, it is generally recommended to use conservative medication treatments, change dietary habits, and develop good bowel habits to alleviate symptoms and prevent the progression of the prolapse. For example, patients can eat more foods rich in roughage to facilitate smoother bowel movements. It's also advised not to sit too long during defecation or strain excessively. After defecation, it is beneficial to perform anal exercises and take sits baths using anal washes or warm saline solution for five to ten minutes to promote local circulation and ease the prolapse. Additionally, patients should regularly perform anal exercises and maintain an active lifestyle. When using hemorrhoid suppositories or creams, it is important to choose the appropriate medication based on the symptoms.

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What department should I go to at the hospital for internal hemorrhoids?

Patients with internal hemorrhoids should go to the proctology department at the hospital, because internal hemorrhoids are venous clusters that grow above the dentate line of the rectum. The main symptom is rectal bleeding, along with prolapse, pain, anal itching, and a feeling of heaviness around the anus as the primary clinical manifestations. Proctologists have a good knowledge base about diseases around the anal area and are well-versed in diagnosing and treating internal hemorrhoids, as well as managing post-surgical recovery. Therefore, it is appropriate for patients with internal hemorrhoids to consult the proctology department after arriving at the hospital.