Do hemorrhoids cause bleeding?

Written by Ai Bing Quan
General Surgery
Updated on November 09, 2024
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Hemorrhoids are a relatively common disease in surgical clinics, characterized by varicose veins. They generally occur when there is increased abdominal pressure or constipation, which can easily lead to hemorrhoids. Bleeding during defecation is the most common symptom of hemorrhoids. Not all hemorrhoids involve bleeding; it is most common in internal and mixed hemorrhoids. Minor bleeding may not require treatment, but significant bleeding may necessitate the use of topical ointments and oral hemostatics. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, consume fresh vegetables and fruits, and avoid prolonged sitting or standing.

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Written by Ai Bing Quan
General Surgery
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How to treat hemorrhoids with bleeding?

If the bleeding from hemorrhoids is not severe, treatment might not be necessary for the time being. However, it is important to be cautious in daily life. Avoid consuming spicy, cold, or greasy foods, and ensure that bowel movements are smooth to prevent constipation and diarrhea. Doing so will gradually reduce the bleeding and improve the condition. If the condition worsens and the bleeding increases, topical ointments can be applied as a treatment. Additionally, taking oral hemostatic medications and employing sitz baths as treatment methods can be beneficial. If bleeding persists repeatedly and does not improve after these treatments, or if the bleeding is substantial, surgery might be required.

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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 Yu Xu Chao
Colorectal Surgery
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How to relieve the pain of hemorrhoids

Most of the time, hemorrhoids do not cause pain. Pain from hemorrhoids is often considered to be due to inflammatory swelling, external hemorrhoid rupture, or thrombosis formation, which leads to pain. If you want to relieve the pain promptly, you can choose sodium diclofenac suppositories for anal insertion, which can have anti-inflammatory and analgesic effects. Later, after defecation, you can use anal washes or potassium permanganate solution for sitz baths, in conjunction with hemorrhoid cream for external application and oral Diosmin tablets to reduce swelling. If the symptoms do not improve significantly after four to five days of medication, it is necessary to go to the hospital’s coloproctology department for hemorrhoid surgery as soon as possible, such as hemorrhoidectomy, external hemorrhoid excision, and TST. Post-surgery, it is important to adhere to dressing changes to promote wound healing, and maintain smooth bowel movements.

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Written by Gao Tian
General Surgery
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Hemorrhoids bleeding symptoms

Generally, symptoms include bloody stools, with severe cases dripping blood. Secondly, there may be itching and pain around the anal skin. Thirdly, if external hemorrhoids are present, they can cause severe pain. Therefore, it is advised to visit the relevant department as soon as these symptoms arise to clarify the cause of the bleeding and receive treatment. Hemostatic medications can be used, along with some topical ointments. It is important to rest, pay attention to diet, avoid spicy and irritating foods, avoid overexertion, and maintain cleanliness and dryness. Reducing time spent on the toilet and regular check-ups can also help.

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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.