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

Written by Yu Xu Chao
Colorectal Surgery
Updated on January 20, 2025
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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.

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What foods should be avoided if there is bleeding from internal hemorrhoids?

Internal hemorrhoids bleeding is the main clinical symptom of internal hemorrhoids; the amount of bleeding can vary greatly and is usually bright red. It can spray out or drip out. Patients with internal hemorrhoids bleeding are advised to avoid eating chili peppers and drinking alcohol. This is because chili peppers contain a component called capsaicin, which strongly irritates the gastrointestinal mucosa and can dilate blood vessels, exacerbating the bleeding. Alcohol can also dilate blood vessels and worsen the bleeding.

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

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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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.)

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Can warm water sitz baths improve internal hemorrhoids that have prolapsed?

Warm sitz baths for prolapsed internal hemorrhoids can improve anal heaviness to some extent, and prevent inflammatory edema caused by the prolapse. They can also help prevent further worsening of prolapsed hemorrhoids, as warm sitz baths promote circulation around the anal area, relieve heaviness, and can somewhat reduce the prolapse, but they cannot completely cure it. Prolapsed internal hemorrhoids are caused by pathological hypertrophy and descent of the anal cushions, representing an organic lesion. Simple conservative medical treatment can only prevent the hemorrhoids from worsening, but cannot fully cure them. For prolapsed internal hemorrhoids that can be manually reduced, conservative treatment is generally recommended. Regular smooth bowel movements should be maintained, long duration of defecation should be avoided, and frequent anal sphincter exercises should be performed. However, for prolapsed hemorrhoids that cannot be reduced, or those that develop incarceration with edema or thrombosis, surgical treatment is recommended.