The harm of internal hemorrhoids prolapse

Written by Deng Heng

Colorectal Surgery

Updated on January 08, 2025

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Prolapsed internal hemorrhoids are one of the main clinical manifestations of internal hemorrhoids, and their harm is mainly manifested in two aspects: Firstly, the prolapse of hemorrhoidal tissue outside the anus can lead to perianal skin eczema and itching, and anal eczema. Secondly, it can lead to incarcerated hemorrhoids, where the prolapsed internal hemorrhoid, held by the sphincter, forms congestion, and is accompanied by hardening of the hemorrhoidal tissue, pain, and even necrosis.

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Written by Chen Tian Jing

Colorectal Surgery

53sec

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Can internal hemorrhoids heal on their own?

To determine whether internal hemorrhoids bleeding is self-healing, one should primarily assess the amount of bleeding and the duration of bleeding to further evaluate the severity of the condition. If it is the first occurrence or if the bleeding is mostly noticeable on toilet paper and is relatively minor, self-healing of internal hemorrhoids bleeding can be achieved through lubrication of the stool during defecation and, if necessary, oral administration of cooling blood-stopping medications. However, if the bleeding duration is prolonged, or if the amount of bleeding is significant each time, it is unlikely to achieve complete healing simply through lifestyle adjustments, dietary changes, or even medication. Further surgical ligation and hemostasis treatment may be required for the patient.

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Written by Deng Heng

Colorectal Surgery

34sec

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Hemorrhoids: What dietary considerations should be noted?

Patients with internal hemorrhoids should primarily focus on a reasonable diet, paying attention to eat less or avoid spicy and stimulating foods and condiments. Additionally, they should cultivate the habit of drinking more water, preferably light salt water or honey water. For constipation and hemorrhoids, it's important to consciously drink more water and eat more fruits and fresh vegetables, especially those that are rich in coarse fiber. Stimulating foods such as chili peppers, black pepper, ginger, garlic, and onions should be consumed minimally.

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Written by Chen Tian Jing

Colorectal Surgery

1min 7sec

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Do internal hemorrhoids need treatment?

Internal hemorrhoids require active treatment. If not actively treated, internal hemorrhoids may prolapse and worsen, or bleeding may intensify. This can lead to severe local symptoms and potentially develop from early-stage symptoms that are mild, into more severe cases that may only be significantly improved through surgery. The treatment methods for internal hemorrhoids primarily involve the use of topical and oral medications. When prolapse or severe swelling occurs, patients can take oral medications that clear heat, cool the blood, reduce swelling, and alleviate pain, specifically for hemorrhoids. These should be combined with local anal suppositories for symptomatic treatment. For cases accompanied by bleeding, oral hemostatic medications can be administered. If the prolapse is substantial, or if the internal hemorrhoids cannot retract back into the anus, surgical removal is recommended. (The use of medications should be under the guidance of a doctor.)

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Written by Deng Heng

Colorectal Surgery

31sec

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Can excessive bleeding from internal hemorrhoids cause dizziness?

Excessive bleeding from internal hemorrhoids can lead to symptoms of dizziness. Bleeding is one of the main clinical manifestations of internal hemorrhoids. The amount of bleeding can vary, and the color of the blood is typically bright red. If there is a large amount of bleeding, lasts for a long time, or occurs frequently, and it exceeds the body's ability to produce new blood, it can lead to systemic anemia. Prolonged conditions can result in severe anemia, which may cause dizziness.

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Written by Chen Tian Jing

Colorectal Surgery

1min 1sec

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

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.)