What should I do if internal hemorrhoids have been bleeding for several days?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 17, 2024
00:00
00:00

If internal hemorrhoids have been bleeding continuously for several days, and the bleeding is substantial, it is advisable to promptly undertake active hemostasis treatment. Common treatments for bleeding internal hemorrhoids mainly include taking oral hemostatic medication, or using suppositories and ointments for hemorrhoids to actively stop the bleeding. However, conservative treatment can only provide temporary relief of symptoms. If after treatment, the patient does not pay attention to a light diet or good bowel habits, there may also be a recurrence of hemorrhoid bleeding. If the bleeding is already severe, and there is a possibility of serious anemia, it is advised to perform a local internal hemorrhoid ligation surgery as soon as possible to prevent anemia or exacerbate the severity of the disease. (Medication should be used under the guidance of a doctor.)

Other Voices

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
44sec home-news-image

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.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
58sec home-news-image

Will internal hemorrhoids falling out be painful?

If internal hemorrhoids can retract back into the anus on their own after prolapse, they generally do not cause severe pain. However, if the prolapse lasts for a long time or occurs repeatedly, and if the mucous membrane of the hemorrhoid core ruptures and bleeds due to friction from walking or exercising, this can lead to pain due to the localized prolapse. It may even lead to congestion and swelling of the local hemorrhoid core after prolapse, thereby causing inflammatory edematous hemorrhoids, further intensifying the pain. Therefore, to avoid pain from internal hemorrhoids, or for those that prolapse and cannot retract back, it is advisable to actively use medications for treatment at the early stages of prolapse. For recurrent cases, direct internal hemorrhoid ligation surgery can also be performed.

doctor image
home-news-image
Written by Yu Xu Chao
Colorectal Surgery
58sec home-news-image

What is the most effective treatment for internal hemorrhoids bleeding?

The most effective treatment method for internal hemorrhoid bleeding primarily depends on the severity of the bleeding. If it is only early-stage internal hemorrhoid bleeding, the most effective method is to choose hemorrhoid suppositories or ointments for anal administration, which can quickly stop the bleeding. At the same time, patients should pay attention to their diet and avoid spicy, irritating and dry foods as much as possible, which can also alleviate the bleeding of internal hemorrhoids. However, if the internal hemorrhoid bleeding is frequent and the amount of bleeding is substantial, then the most effective treatment method is to go to the hospital's colorectal surgery department for surgical treatment. The surgical treatments can include sclerotherapy injections, PPH or TST, and internal hemorrhoid banding, etc. Consistently changing dressings after surgery can effectively improve and control internal hemorrhoid bleeding.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
54sec home-news-image

How to stop bleeding from internal hemorrhoids prolapse?

If internal hemorrhoids bleeding leads to unstoppable bleeding, the most common and direct way to stop the bleeding primarily involves local ligation. The prolapse and bleeding of internal hemorrhoids are mainly due to the repeated prolapse and friction of the local mucosa causing rupture and bleeding, or the persistent bleeding from ruptured small arteries. If prompt hemostatic treatment is not administered, it could potentially lead to chronic blood loss and subsequent anemia due to decreased blood volume. Therefore, if patients experience bleeding from internal hemorrhoids, especially if the bleeding is prolonged or substantial, it is advised to visit a proctology department for relevant examinations soon. If necessary, it may be crucial to promptly proceed with internal hemorrhoidal ligation surgery.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
21sec home-news-image

Will internal hemorrhoids affect menstruation?

Internal hemorrhoid bleeding can potentially affect menstruation. Although brief internal hemorrhoid bleeding does not affect menstruation, if the hemorrhoid bleeding is heavy, prolonged, frequent, and occurs daily or frequently, exceeding the body's ability to replace the lost blood, it can cause severe systemic anemia. In such cases, it might affect menstruation.