Are there any effects if internal hemorrhoids are constantly prolapsed?

Written by Yu Xu Chao
Colorectal Surgery
Updated on May 07, 2025
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Internal hemorrhoids that protrude permanently can easily lead to incarceration, causing inflammatory edema. Constant friction over a long period can also cause the surface of the hemorrhoids to break and bleed. Additionally, contamination and waste matter may infect the hemorrhoids. Due to the prolonged protrusion outside the anus, the local circulation can become obstructed, leading to swelling and even inducing local thrombosis, which causes pain in the anus. Therefore, it is not possible to reinsert the prolapsed internal hemorrhoids back into the anus. In such cases, it is advisable to seek prompt medical treatment at a hospital's colorectal surgery department. Surgical options like hemorrhoid banding, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization) are recommended. Post-surgery care should include the use of anal cleansers, red oil gauze strips, and golden ointment for dressing changes. Additionally, it is crucial to maintain smooth bowel movements.

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Written by Chen Tian Jing
Colorectal Surgery
1min 7sec home-news-image

Can internal hemorrhoids lead to anemia?

Internal hemorrhoids bleeding easily leads to anemia in patients, especially when internal hemorrhoids bleed frequently and recurrently, or each bleeding episode is relatively severe, potentially causing a trend of decreased blood volume in patients. When blood volume reaches a certain threshold, symptoms of anemia can appear. If the anemia is assessed as mild or moderate, besides using local hemostatic hemorrhoid creams or suppositories, patients can also take oral traditional Chinese medicine that supplements qi and generates blood for symptomatic treatment, to enhance body immunity and physical constitution. If anemia primarily presents as severe, to avoid further exacerbation of anemia or impairment of overall organ functions, it is recommended that patients undergo surgical ligation for hemostasis and, if necessary, blood transfusion. (Medication should be used under the guidance of a doctor.)

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Written by Chen Tian Jing
Colorectal Surgery
1min 5sec home-news-image

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 Deng Heng
Colorectal Surgery
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Why is internal hemorrhoid bleeding painless?

Bleeding from internal hemorrhoids, also known as rectal bleeding, is the most common primary clinical manifestation in patients with internal hemorrhoids. Internal hemorrhoids refer to the venous clusters that grow above the dentate line, and their onset occurs above this line. The area above the dentate line is mainly controlled by the autonomic nervous system, making it insensitive to pain and irritation. Therefore, many patients with bleeding internal hemorrhoids may not even realize it themselves, as it does not cause pain. In contrast, external and mixed hemorrhoids, which involve the area below the dentate line, are controlled by somatic nerves, making pain more readily felt.

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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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What department should I go to at the hospital for internal hemorrhoids?

Patients with internal hemorrhoids should go to the proctology department at the hospital, because internal hemorrhoids are venous clusters that grow above the dentate line of the rectum. The main symptom is rectal bleeding, along with prolapse, pain, anal itching, and a feeling of heaviness around the anus as the primary clinical manifestations. Proctologists have a good knowledge base about diseases around the anal area and are well-versed in diagnosing and treating internal hemorrhoids, as well as managing post-surgical recovery. Therefore, it is appropriate for patients with internal hemorrhoids to consult the proctology department after arriving at the hospital.