Do internal hemorrhoids definitely need to be pushed back in?

Written by Yu Xu Chao
Colorectal Surgery
Updated on June 18, 2025
00:00
00:00

If internal hemorrhoids prolapse, they must be pushed back in because prolonged prolapse at the anus can lead to increased secretions in the anal area, causing itching. Moreover, internal hemorrhoids that prolapse can rub against underwear, resulting in damage, or even provoke inflammatory infections causing swelling and pain in the anus. Additionally, prolonged prolapsed hemorrhoids may also lead to poor local circulation, potentially forming blood clots, causing severe swelling and pain, and even possibly leading to necrosis of the hemorrhoids. Therefore, if internal hemorrhoids prolapse, they should be pushed back in as much as possible. If they cannot be pushed back, it is advisable to promptly visit the hospital's colorectal surgery department to consider procedures such as hemorrhoidal banding, PPH (Procedure for Prolapse and Hemorrhoids), or TST (Transanal Hemorrhoidal Dearterialization). After the surgery, it is crucial to adhere to changing dressings to avoid wound infection and inflammation. Furthermore, if the internal hemorrhoids repeatedly prolapse after being pushed back, surgical treatment is also necessary.

Other Voices

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 3sec home-news-image

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.)

doctor image
home-news-image
Written by Yu Xu Chao
Colorectal Surgery
1min 11sec home-news-image

How long does it take for internal hemorrhoids to reposition after being pushed back in?

This situation mainly depends on how much the internal hemorrhoids have prolapsed and the severity of the prolapse. If the internal hemorrhoids can be pushed back in after prolapsing, it generally takes half an hour to an hour to reposition them. However, if the patient overexerts themselves or strains during coughing or defecation, the internal hemorrhoids may prolapse again. For patients whose internal hemorrhoids repeatedly prolapse, it is advisable to consider surgical treatment as soon as possible. Because repeated prolapse of internal hemorrhoids can lead to further pathological hypertrophy and descent of the anal cushion, in such cases of organic lesions, simple repositioning cannot solve the problem. It may even cause the prolapse to become larger over time and lead to complications like incarcerated edema, resulting in local thrombosis, swelling, and anal pain. Therefore, for patients with repeated prolapse, it is recommended to visit the hospital's colorectal surgery department for surgical treatment as soon as possible, such as internal hemorrhoid ligation, TST, and other surgical methods.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
54sec home-news-image

How to treat internal hemorrhoids?

Hemorrhoids are divided into internal, external, and mixed types. The clinical symptoms of internal hemorrhoids mainly include local pain, prolapse, and rectal bleeding due to rupture. If there are recurrent episodes or associated inflammation, there may also be an increase in secretions, which can irritate the local skin around the anus and cause itching. Therefore, the primary treatment for internal hemorrhoids involves the use of suppository hemorrhoid plugs. If there is accompanying bleeding, it is also necessary to combine this with oral hemostatic medications. In cases of perianal itching, options such as sichuan pepper water or other insecticidal and anti-itch traditional Chinese medicine washes can be used for fumigation and hot compresses on the affected area.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
21sec home-news-image

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.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
44sec home-news-image

Why is it difficult to cure internal hemorrhoids bleeding?

Internal hemorrhoids refer to the soft venous masses formed by the dilation and varicosity of the hemorrhoidal venous plexus located beneath the mucosa at the end of the rectum, above the dentate line of the anus. Once these masses have formed, they contain blood vessels which can rupture, leading to bleeding during bowel movements, evident as blood mixed with stool. Once these pathological masses have formed, it is very difficult to completely heal them with medication alone; surgical removal of these venous masses is required to prevent recurrent bleeding. Therefore, if conservative treatment is applied, it only slightly alleviates symptoms. If any triggering factors are present, bleeding may recur.