Do hemorrhoids cause a lot of bleeding during bowel movements?

Written by Zhang Da Wei
General Surgery
Updated on September 10, 2024
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In clinical settings, most patients with hemorrhoids experience constipation, which can cause certain damage to the intestines, especially when the symptoms of hemorrhoids are pronounced, often leading to bleeding. This condition is generally related to local mucosal damage or ulcers. However, as long as bleeding is promptly controlled, it generally does not affect one's healthy life. Therefore, there is no need to worry. When problems with hemorrhoids occur, it is essential to address the symptoms appropriately. Of course, if the condition persists for a long time, considering surgical solutions is also an option, which, however, may result in a slower recovery. Thus, it’s important to maintain regular bowel movements to avoid such embarrassing issues. Additionally, performing regular pelvic floor exercises or improving dietary habits, such as incorporating whole grains or high-fiber foods, can help regulate and prevent frequent recurrence of hemorrhoids.

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Written by Zhang Da Wei
General Surgery
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What should be avoided in the diet for hemorrhoids with bleeding?

Hemorrhoids presenting with rectal bleeding is a rather typical symptom. This condition definitely requires dietary restrictions because dietary irritants can potentially worsen bleeding. Thus, it's essential to avoid certain foods both during an episode and as a precautionary measure. It is generally advised to steer clear of cold and spicy foods, as these can stimulate the intestines and potentially exacerbate bleeding. In cases where bleeding is more pronounced, a bland diet is usually recommended. Other stimulating foods should also be avoided to prevent aggravating the condition. Of course, dietary restrictions are not only essential during symptomatic periods but also as a preventive measure regularly to effectively prevent recurrent episodes of hemorrhoids.

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Written by Xu Jun Hui
General Surgery
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Do hemorrhoids bleed?

Hemorrhoids can progress to a stage where there is rectal bleeding characterized by bright red blood that is separate from the stool. This is caused by the severe tortuosity and dilation of the superior hemorrhoidal veins. As the hemorrhoids worsen, congestion and dilation of the hemorrhoidal venous plexus become more pronounced. In the presence of bowel dysfunction and hard stools, the hemorrhoidal venous plexus can be injured, leading to rupture and bleeding. Initially, the bleeding is typically minimal yet frequent. Over time, this may lead to frequent and substantial bleeding. Chronic bleeding from hemorrhoids can cause chronic blood loss anemia, which impacts the physical and mental health of the individual.

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Written by Zhang Da Wei
General Surgery
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Hemorrhoids bleeding symptoms

Hemorrhoids bleeding during bowel movements is actually a common symptom in clinical settings and is a typical symptom of hemorrhoids. This bleeding generally occurs during defecation, sometimes soiling the fingers with blood, and can also cause a spraying type of bleeding. Furthermore, excessive exhaustion, irregular eating patterns, staying up late, and heavy alcohol consumption may exacerbate this bleeding, which are typical symptoms of hemorrhoids. The blood from hemorrhoids is usually bright red, and this condition is intermittent in nature, often not mixing with the stool. Thus, the bleeding generally stops after defecation ceases, and this condition can worsen with the patient's bowel movements among other issues. Additionally, if bleeding of a different color occurs, it may be caused by upper gastrointestinal bleeding, thus it is important to distinguish this from hemorrhoidal bleeding.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if hemorrhoids are bleeding?

Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.

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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.