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 Chen Tian Jing
Colorectal Surgery
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Do hemorrhoids require surgery?

When severe hemorrhoids are in an acute attack phase, it is necessary to undergo surgical treatment as soon as possible. Besides surgery, treatment options for hemorrhoids also include conservative medication to alleviate symptoms. For mild hemorrhoids, or those that flare up less frequently, the primary treatment is conservative topical medication. However, when hemorrhoids repeatedly prolapse, cause pain, and result in significant rectal bleeding, affecting the normal functioning of the patient’s body, it is advised to promptly proceed with hemorrhoidectomy surgery. This helps avoid complications such as severe pain that interferes with normal living, or significant bleeding that could lead to anemia in patients, thereby worsening the condition and increasing the difficulty of future treatments. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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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 Ren Zheng Xin
Gastroenterology
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What color is the blood in hemorrhoids?

Hemorrhoids are mainly divided into internal and external hemorrhoids. Internal hemorrhoids can cause rectal bleeding, the color of which is bright red. If the hemorrhoids are severe, then the amount of bleeding can be significant. Internal hemorrhoids mainly present with painless rectal bleeding, usually occurring after defecation. It is necessary to go to the hospital's proctology department timely for an anoscopy. Mild cases can be treated with medications for hemorrhoids and topical ointments, while severe cases may require surgical treatment. It is important to rest frequently, drink plenty of water, avoid sitting for long periods, eat less spicy food, and also avoid smoking and alcohol.

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Written by Yu Xu Chao
Colorectal Surgery
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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.

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Written by Chen Tian Jing
Colorectal Surgery
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Can hemorrhoidal ointment be used for bleeding hemorrhoids?

Hemorrhoids bleeding needs to be assessed based on the amount of bleeding and the duration of bleeding to determine different treatment methods. If the bleeding is minimal and short-lived, mostly noticed on toilet paper, one can opt for oral hemostatic medications or apply hemorrhoidal cream with hemostatic effects around the anus. However, if the bleeding is significant or persists for a long time, and each bleeding episode appears as dripping or jetting, to further prevent the occurrence of anemia, it is advisable to directly undergo surgical ligation to stop the bleeding, avoiding repeated bleeding episodes that could lead to anemia and further impact body functions.