How many days will it take for internal hemorrhoids to heal after prolapse?

Written by Chen Tian Jing

Colorectal Surgery

Updated on November 19, 2024

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If a patient exhibits prolapsed internal hemorrhoids, it is first recommended that a professional proctologist reposition the prolapsed hemorrhoids. If prolapse continues to recur after repositioning, the likelihood of spontaneous recovery is low, and the patient will likely need further surgical treatment. Prolapse is a common clinical symptom of hemorrhoids. If it is a simple prolapse that can retract spontaneously, symptoms can be relieved within 3 to 5 days after medication treatment. However, if the prolapse requires manual repositioning by the patient, or if it recurs repeatedly, surgical removal is necessary. Recovery from the surgery typically takes about 2 to 3 weeks.

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Written by He Cai Dong

Colorectal Surgery Department

1min 1sec

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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

21sec

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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.

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Written by Chen Tian Jing

Colorectal Surgery

1min 5sec

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Can you drink alcohol if you have internal hemorrhoids bleeding?

If a patient experiences internal hemorrhoid bleeding, it is not advisable to drink alcohol during the bleeding period. Alcohol contains excessive amounts of irritating substances. Excessive drinking can cause excessive congestion of the mucous membrane of the internal hemorrhoids, and the already ruptured mucosa may increase the likelihood of further bleeding. Therefore, drinking alcohol during internal hemorrhoid bleeding can increase the amount of bleeding and might even lead to an increase in the size of the hemorrhoids, or the formation of acute edema and thrombosis, worsening the severity of the condition. During the bleeding period of internal hemorrhoids, patients are advised to follow a light diet and may need to further combine this with oral hemostatic medications, or use hemorrhoidal suppositories and hemorrhoid creams for symptomatic hemostasis and anti-swelling treatment. (The use of medications should be conducted under the guidance of a doctor.)

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Written by Yu Xu Chao

Colorectal Surgery

1min 18sec

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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.

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Written by Yu Xu Chao

Colorectal Surgery

58sec

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Can internal hemorrhoids burst by themselves?

Internal hemorrhoids that prolapse should not be burst forcibly. As internal hemorrhoids are located at the anus, they are continuously exposed to contaminants from fecal and secretion matter over time. If the prolapsed hemorrhoids burst, it could lead to local infections and even necrosis. Therefore, do not burst prolapsed hemorrhoids, but rather, try to push them back into the anus. If they cannot be reinserted, it is recommended to opt for surgical treatment early to avoid rupture or strangulated edema, which can lead to swelling, pain, or necrosis in the anal area. Surgical options include hemorrhoidal banding, PPH, or TST procedures. Post-surgery, treatments may include the use of anal washes, red ointment gauze, aureomycin ointment, etc. Moreover, patients should eat a light diet, maintain smooth bowel movements, and regularly perform pelvic floor exercises.