What is the most effective treatment for internal hemorrhoids bleeding?

Written by Yu Xu Chao
Colorectal Surgery
Updated on May 16, 2025
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The most effective treatment method for internal hemorrhoid bleeding primarily depends on the severity of the bleeding. If it is only early-stage internal hemorrhoid bleeding, the most effective method is to choose hemorrhoid suppositories or ointments for anal administration, which can quickly stop the bleeding. At the same time, patients should pay attention to their diet and avoid spicy, irritating and dry foods as much as possible, which can also alleviate the bleeding of internal hemorrhoids. However, if the internal hemorrhoid bleeding is frequent and the amount of bleeding is substantial, then the most effective treatment method is to go to the hospital's colorectal surgery department for surgical treatment. The surgical treatments can include sclerotherapy injections, PPH or TST, and internal hemorrhoid banding, etc. Consistently changing dressings after surgery can effectively improve and control internal hemorrhoid bleeding.

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Written by He Cai Dong
Colorectal Surgery Department
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What should I do if the internal hemorrhoids hurt after being pushed back in?

If the pain does not subside after pushing back a prolapsed internal hemorrhoid, it is often due to the formation of a thrombus, which is why the localized pain is quite noticeable. In such cases, it is advised to use topical medications for treatment. You can use hemorrhoid suppositories or ointment, inserting them into the anus to alleviate the pain. If the pain remains significant, you can also take oral pain relievers temporarily. If pain persists even after these treatments, it may be considered a strangulated hemorrhoid, which is more serious. It is recommended that you visit a formal hospital's proctology department. There, a doctor can perform a digital rectal examination and an anoscopy to establish a definitive diagnosis and provide appropriate treatment. If very severe, surgery may be needed. (Use of medications should be under the guidance of a physician.)

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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 Yu Xu Chao
Colorectal Surgery
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Second-degree internal hemorrhoids, what is the best way to treat them?

Second-degree internal hemorrhoids mainly refer to the intermittent rectal bleeding and anal prolapse caused by internal hemorrhoids, but the prolapsed tissues can retract back into the anus on their own after defecation. For this condition, it is generally recommended to use conservative medication treatments, change dietary habits, and develop good bowel habits to alleviate symptoms and prevent the progression of the prolapse. For example, patients can eat more foods rich in roughage to facilitate smoother bowel movements. It's also advised not to sit too long during defecation or strain excessively. After defecation, it is beneficial to perform anal exercises and take sits baths using anal washes or warm saline solution for five to ten minutes to promote local circulation and ease the prolapse. Additionally, patients should regularly perform anal exercises and maintain an active lifestyle. When using hemorrhoid suppositories or creams, it is important to choose the appropriate medication based on the symptoms.

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Written by Yu Xu Chao
Colorectal Surgery
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How to solve internal hemorrhoids that are prolapsed and incarcerated?

In clinical practice, for cases where internal hemorrhoids prolapse and become incarcerated, surgical treatment is often recommended. This is because the prolapse of internal hemorrhoids indicates a significant displacement and that the hemorrhoids have been prolapsed for a long time, which can lead to incarceration. In such cases, there is a risk of localized swelling or thrombosis formation, causing anal swelling and pain, and in severe cases, necrosis of the prolapsed tissue. Therefore, it is advised to opt for surgical treatment as soon as possible for incarcerated internal hemorrhoidal prolapse. Surgical options include hemorrhoidal banding, PPH (Procedure for Prolapse and Hemorrhoids), and TST (Transanal hemorrhoidal dearterialization) among others. Anesthetic choices can range from local infiltration anesthesia, spinal anesthesia, to general intravenous anesthesia. With spinal and general anesthesia, the patient does not experience pain during surgery and does not feel fear of pain. Post-surgery, it is also necessary to select appropriate medications for dressing changes, such as anal washes, hemorrhoidal suppositories, and golden yellow ointment to promote wound healing.

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Written by Yu Xu Chao
Colorectal Surgery
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What color is a prolapsed internal hemorrhoid?

If internal hemorrhoids prolapse, it indicates that the hemorrhoidal venous plexus is severely varicose and congested, and the anal cushion has pathologically enlarged and descended, leading to the prolapse of the internal hemorrhoids. The color of prolapsed internal hemorrhoids at the anal opening commonly appears as purple lumps or swellings. If the prolapsed hemorrhoids cannot retract back into the anus, even with manual assistance, this condition may lead to necrosis of the internal hemorrhoids. If necrosis occurs and results in localized thrombosis, the hemorrhoids may turn black. In such cases, prompt surgical treatment is required to prevent necrosis and worsening infection of the hemorrhoids. Surgical options include internal hemorrhoid ligation, PPH (procedure for prolapse and hemorrhoids), or TST (transanal hemorrhoidal dearterialization), as well as the traditional excision and ligation. Postoperatively, consistent wound dressing changes are necessary to promote healing.