How to alleviate hemorrhoidal bleeding

Written by Xu Jun Hui
General Surgery
Updated on September 14, 2024
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For hemorrhoid bleeding, it is first necessary to determine the degree of bleeding. If it is mild hemorrhoid bleeding, it can generally be managed with the use of hemorrhoid suppositories to compress and stop the bleeding. If the bleeding is more severe, oral hemostatic medications can be taken. If relief is still not achieved, it is recommended to seek treatment at the hospital's colorectal surgery or gastroenterological surgery departments. If hemorrhoid-induced bleeding occurs frequently and with a large amount each time, it is advisable to consider hemorrhoid surgery as soon as possible. Hemorrhoid bleeding is caused by the tortuous dilation of the inferior rectal venous plexus, which can be injured and cause bleeding either in cases of hard stools or when hemorrhoid symptoms are severe. In the operating room, the diseased vessels need to be removed to fundamentally resolve the cause of the bleeding.

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Written by Ren Zheng Xin
Gastroenterology
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How often does hemorrhoids cause bleeding?

Internal hemorrhoids can cause rectal bleeding, typically occurring during defecation, ranging from dripping to jet-like bleeding. Rectal bleeding is painless, and prolonged bleeding can lead to anemia characterized by loss of appetite, fatigue, and lack of concentration. It is important to timely apply hemostatic medications or opt for treatments like electrocoagulation, banding, or surgery. Dietary adjustments should be made by increasing the intake of vegetables and fruits and reducing spicy, greasy, and irritating foods. Regular routines should be maintained, avoiding prolonged sitting, and using warm water for sitz baths every evening can effectively relieve the symptoms of hemorrhoidal venous dilatation.

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Written by Zhang Lu
Obstetrics
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How to relieve hemorrhoids in pregnant women

During pregnancy, due to the enlargement of the uterus, pressure on the pelvic cavity can hinder the return flow of blood in the pelvic veins, which can lead to the occurrence of hemorrhoids in pregnant women or aggravate existing hemorrhoids. Hemorrhoids in pregnant women can be alleviated through the following methods: First, pay attention to diet adjustment, eat more vegetables and dietary fibers, which can soften the stool and reduce irritation to the hemorrhoids. Also, it is important to avoid spicy and irritating food, as it can stimulate hemorrhoids and cause bleeding. Second, if the hemorrhoids are quite severe, local hot compresses can be applied to promote local blood flow and relieve pain. Third, if the hemorrhoids are indeed severe, traditional Chinese medicine can be used for treatment during pregnancy. The local use of traditional Chinese medicine during pregnancy will not affect the fetus.

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Written by Chen Tian Jing
Colorectal Surgery
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Hemorrhoids, are they cancer?

Hemorrhoids are not cancer; they are a benign and common local disease of the anus. The main cause is due to the displacement of the anal cushion or the formation of varicose veins and thrombi in the local mucosal tissue, leading to protrusion, swelling, and even pain and bleeding of the local mucosa. Hemorrhoids are a common proctological disease, with an incidence rate of about 60% among adults, primarily influenced by poor dietary and defecation habits. Therefore, to prevent the onset of hemorrhoids, it is recommended to avoid overly spicy and irritating foods and to keep bowel movements under ten minutes to prevent overly dry stools.

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Written by Xu Jun Hui
General Surgery
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Can hemorrhoid suppositories be used for hemorrhoid bleeding?

For hemorrhoid bleeding, if the bleeding is not severe, external hemorrhoid suppositories can be used to compress and stop the bleeding, which can be quite effective. If the hemorrhoid bleeding is heavy and prolonged and the suppository is not effective, hospitalization is required. Intravenous hemostatic drugs or oral hemostatics should be administered, with local gauze compression, and surgery should be performed as soon as possible to definitively stop the bleeding. If the bleeding is due to oral anticoagulants, it may be necessary to consider discontinuing these medications, providing symptomatic support treatment for hemostasis, and surgical treatment if necessary.

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Written by Chen Tian Jing
Colorectal Surgery
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Where to apply moxibustion for hemorrhoidal bleeding?

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.