Precautions for Internal Hemorrhoids Bleeding

Written by Deng Heng
Colorectal Surgery
Updated on December 29, 2024
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Rectal bleeding is the primary clinical manifestation of internal hemorrhoids. When rectal bleeding occurs, it's essential first to rule out whether the bleeding is definitely from internal hemorrhoids because rectal bleeding can be caused by many diseases, including malignant tumors. Once it's determined that the bleeding is from internal hemorrhoids, it is important to pay attention to whether the volume of blood is large, the duration of bleeding is long, and the frequency of bleeding is high, and whether there is frequent or daily bleeding. If so, it will exceed the body's ability to replenish blood through its hematopoietic function, leading to severe systemic anemia.

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Written by Deng Heng
Colorectal Surgery
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What should I do if internal hemorrhoids are bleeding?

The main symptoms of internal hemorrhoids are bleeding and protrusion, where the hemorrhoidal tissue prolapses outside the anus. There are several types of bleeding: the first is dripping blood during defecation, where blood drops steadily. Another type is spraying blood, similar to the way a syringe ejects fluid; these are all categorized under rectal bleeding. For internal hemorrhoids, the presence of either bleeding or prolapse outside the anus indicates a need for surgical treatment. This means that if internal hemorrhoids cause spraying blood, surgical treatment is required (i.e., removing the hemorrhoidal tissue), which can improve the bleeding and spraying issues.

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Written by Chen Tian Jing
Colorectal Surgery
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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.)

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Written by Deng Heng
Colorectal Surgery
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How should internal hemorrhoids be effectively treated?

The treatment methods for internal hemorrhoids are mainly divided into conservative treatment and surgical treatment. Conservative treatments include oral medications or topical medications, mainly aimed at relieving symptoms such as bleeding or prolapse during the remission phase, without addressing the pathological site. Surgical options include hemorrhoidal ligation, hemorrhoidectomy, PPH (stapled hemorrhoidopexy), and injection therapy, all of which are surgeries targeting the hemorrhoids themselves, and their effectiveness is generally quite definitive.

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Written by Chen Tian Jing
Colorectal Surgery
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Do internal hemorrhoids require surgery?

The clinical symptoms of internal hemorrhoids are numerous, and surgery is only recommended if the internal hemorrhoids frequently recur, or if the clinical symptoms are severe. Severe internal hemorrhoids are primarily characterized by substantial rectal bleeding or recurrent prolapses, and due to repeated prolapses, friction on the local mucosa may even cause anal pain. A severe symptom of prolapsed internal hemorrhoids is that after each prolapse, the patient needs to manually reposition them, accompanied by jet-like or dripping fresh red rectal bleeding. Surgical methods for internal hemorrhoids mainly include hemorrhoidectomy with ligation or local injection of sclerosing agents.

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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.