Where to apply moxibustion for hemorrhoidal bleeding?

Written by Chen Tian Jing
Colorectal Surgery
Updated on August 31, 2024
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It is not recommended to use moxibustion treatment when hemorrhoids bleed. This is because moxibustion involves local heat effects that can lead to further congestion and swelling of the local mucosa. Additionally, mugwort, usually used in moxibustion, has properties that can stimulate blood circulation and regulate menstruation, which could potentially worsen local bleeding if used for treatment. Therefore, the primary treatment for bleeding hemorrhoids should be oral hemostatic drugs, and surgery should be performed as soon as possible for ligation to stop the bleeding. Moxibustion treatment is not recommended as it may delay the condition, possibly leading to increased bleeding and the risk of anemia. Hemorrhoid hemostatic drugs can include oral medications that clear heat, cool the blood, and detoxify to stop bleeding. Topical application of hemorrhoid cream to press and stop bleeding can also be used concurrently. If the bleeding is severe or prolonged, it is advisable to undergo surgical treatment directly.

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Written by Xu Jun Hui
General Surgery
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Hemorrhoids with bloody stools belong to what type of hemorrhoids?

Hemorrhoids are divided into internal and external hemorrhoids. Bleeding from hemorrhoids generally belongs to internal hemorrhoids or develops into mixed hemorrhoids. Therefore, hemorrhoidal bleeding is due to internal hemorrhoids or mixed hemorrhoids. Hemorrhoids are classified into four degrees: First-degree hemorrhoids do not prolapse. Second-degree hemorrhoids prolapse during defecation when abdominal pressure increases but can retract spontaneously afterward. Third-degree hemorrhoids involve prolapse of the hemorrhoidal tissue that requires manual replacement. Fourth-degree hemorrhoids are incarcerated and cannot be retracted. The treatment of hemorrhoidal bleeding depends on the amount and nature of the bleeding. If it is a small amount of bleeding, conservative treatment is generally sufficient, and the bleeding symptoms will disappear. If the bleeding is significant and persistent, failure to promptly address and surgically treat it may lead to chronic anemia and iron deficiency anemia.

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Written by Huang Gang
Gastroenterology
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Is it scary to have bleeding hemorrhoids?

Firstly, hemorrhoids are soft venous masses formed by the dilation and excessive twisting of veins under the mucous membrane and the skin at the end of the rectum. During defecation, the stool rubs against the raised twisted veins, and the straining during defecation causes increased pressure on these vessels, leading to rupturing of the hemorrhoidal veins and resulting in bleeding with the stools. If the amount of bleeding is significant, it can lead to symptoms like anemia and dizziness. If the bleeding is minor, it generally does not pose a problem. Therefore, if there is a case of hemorrhoidal bleeding, it is best to visit the colorectal surgery department of a hospital for a proper diagnosis and, if necessary, surgical treatment can be performed to prevent recurrence of the bleeding.

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Written by Chen Tian Jing
Colorectal Surgery
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What to eat when hemorrhoids bleed?

When symptoms of bleeding occur in hemorrhoids, it is generally necessary to first carry out symptomatic treatment with oral hemostatic medications and local anal suppository for hemorrhoids. Simple bleeding or minor bleeding can be alleviated by oral medication or conservative topical drugs. If the bleeding hemorrhoids are accompanied by recurrent protrusion of internal masses or severe anal pain, in addition to oral hemostatic drugs, it is also necessary to combine surgical ligation or internal hemorrhoidal banding for hemostasis, and if necessary, combined with internal sclerosant mucosal injection for comprehensive treatment. When patients with hemorrhoids bleed, it is generally advised to eat liquid food and avoid hard textured food, and certainly not to eat spicy and irritating food.

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Written by Du Rui Xia
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What should pregnant women do about hemorrhoids?

Women who develop hemorrhoids during pregnancy should stop eating spicy and stimulating foods. They should eat more vegetables and fruits that are rich in fiber to facilitate bowel movements, such as bananas, daylilies, black fungus, apples, peaches, and pears. They can also use some medications for sitz baths, twice a day after each bowel movement, once in the morning and once in the evening. Additionally, they should avoid standing or sitting for long periods and can perform anal lifting exercises or massage the anal area. Massaging can help with blood circulation and can be somewhat helpful in improving hemorrhoids.

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How to quickly reduce hemorrhoid swelling

Inflammatory edema in hemorrhoids can lead to anal distension and pain in patients. Clinically, for the reduction of hemorrhoid swelling, options such as anal cleansing agents or potassium permanganate solutions can be used for sitz baths. The duration of the sitz bath should be controlled between five to six minutes, which can help in reducing swelling and relieving pain. After the sitz bath, applying Golden Ointment externally can also help in reducing swelling and relieving pain. Additionally, patients need to take oral Diosmin tablets to improve local blood circulation and prevent exacerbation of local swelling. Furthermore, patients should ensure smooth bowel movements, avoiding dry and hard stools to prevent irritation of the swollen hemorrhoids, thus worsening anal pain. They should also visit the hospital's proctology department as soon as possible for manual repositioning of the prolapsed hemorrhoids back into the anus. If repositioning is not possible, then surgical intervention, such as hemorrhoidectomy, must be considered promptly.