Can internal hemorrhoids heal by themselves?

Written by Chen Tian Jing
Colorectal Surgery
Updated on May 20, 2025
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The vast majority of internal hemorrhoid bleeding is not self-healing. Only a small amount of mucosal bleeding or if the patient actively takes care of themselves after bleeding, there might be a tendency to self-heal. Internal hemorrhoid bleeding is mainly caused by excessive local congestion pressure or hard stools piercing the local mucosal skin, leading to bleeding, generally related to poor dietary habits and defecation habits of the patient. Therefore, to achieve self-healing from internal hemorrhoid bleeding, the patient firstly needs to adjust their diet and defecation habits to avoid repeated occurrences of bleeding during bowel movements. If the bleeding is significant or lasts for a long time and cannot heal on its own, it is recommended that the patient seek treatment as soon as possible to avoid long-term internal hemorrhoid bleeding which could lead to anemia.

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Written by Deng Heng
Colorectal Surgery
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What foods should be avoided if there is bleeding from internal hemorrhoids?

Internal hemorrhoids bleeding is the main clinical symptom of internal hemorrhoids; the amount of bleeding can vary greatly and is usually bright red. It can spray out or drip out. Patients with internal hemorrhoids bleeding are advised to avoid eating chili peppers and drinking alcohol. This is because chili peppers contain a component called capsaicin, which strongly irritates the gastrointestinal mucosa and can dilate blood vessels, exacerbating the bleeding. Alcohol can also dilate blood vessels and worsen the bleeding.

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Written by Deng Heng
Colorectal Surgery
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Is infusion useful for internal hemorrhoids bleeding?

Useful. Bleeding is one of the main clinical manifestations of internal hemorrhoids, and the amount of bleeding can be large or small, generally bright red in color. The treatment methods for internal hemorrhoids are divided into conservative treatment and surgical treatment, and infusion can be used in both. In conservative treatment, infusion can administer hemostatic drugs to stop bleeding, or some nutritional drugs to reduce stool and protect the mucosa. For surgical patients, infusion can include antibiotics to prevent infection.

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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 Chen Tian Jing
Colorectal Surgery
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The hazards of internal hemorrhoids bleeding

Internal hemorrhoids or mixed hemorrhoids are most commonly diagnosed clinically, with prolapse and rectal bleeding being typical symptoms. If internal hemorrhoid bleeding occurs, the choice of treatment depends on the amount and duration of bleeding. Increased bleeding or prolonged bleeding duration requires early conservative medication or surgical ligation to prevent anemia due to local hemorrhoidal bleeding. Prolonged and significant rectal bleeding from internal hemorrhoids primarily endangers the patient by causing a decrease in overall blood volume due to chronic blood loss, leading to anemia. Following anemia, patients may experience symptoms such as palpitations and fatigue due to insufficient blood volume.

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Written by Yu Xu Chao
Colorectal Surgery
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Can warm water sitz baths improve internal hemorrhoids that have prolapsed?

Warm sitz baths for prolapsed internal hemorrhoids can improve anal heaviness to some extent, and prevent inflammatory edema caused by the prolapse. They can also help prevent further worsening of prolapsed hemorrhoids, as warm sitz baths promote circulation around the anal area, relieve heaviness, and can somewhat reduce the prolapse, but they cannot completely cure it. Prolapsed internal hemorrhoids are caused by pathological hypertrophy and descent of the anal cushions, representing an organic lesion. Simple conservative medical treatment can only prevent the hemorrhoids from worsening, but cannot fully cure them. For prolapsed internal hemorrhoids that can be manually reduced, conservative treatment is generally recommended. Regular smooth bowel movements should be maintained, long duration of defecation should be avoided, and frequent anal sphincter exercises should be performed. However, for prolapsed hemorrhoids that cannot be reduced, or those that develop incarceration with edema or thrombosis, surgical treatment is recommended.