How to treat hemorrhoids with bleeding?

Written by Ai Bing Quan
General Surgery
Updated on February 01, 2025
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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.

Other Voices

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Written by Ren Zheng Xin
Gastroenterology
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What causes hemorrhoids to bleed?

Internal hemorrhoids can easily cause rectal bleeding. The main reason is the varicosity of hemorrhoidal veins. During defecation, dry and hard stools scratch the hemorrhoidal veins causing them to rupture and bleed. Additionally, due to the long-term presence of hemorrhoids, the hemorrhoidal veins become overstretched, making the vein walls thin and fragile, and easily damaged during bowel movements. For hemorrhoid-induced rectal bleeding, treatment can be administered through medications aimed primarily at reducing bleeding symptoms and alleviating the varicosity of the hemorrhoidal veins. Sitz baths can also be used to reduce swelling around the anus. If medication provides limited relief, minimally invasive or surgical treatments may be considered.

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Written by Du Rui Xia
Obstetrics
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What should pregnant women with hemorrhoids eat?

If pregnant women suffer from hemorrhoids, they should correct some unhealthy dietary habits. It's important to eat more foods rich in fiber, as high-fiber foods often accelerate intestinal peristalsis to alleviate constipation. In daily life, one can eat more celery, cabbage, and fruits like apples, bananas, oranges, pears, and dragon fruit, which are all good choices. Additionally, consuming more coarsely processed foods, which are also rich in nutrients and dietary fiber, is suitable for pregnant women with hemorrhoids to ensure smooth bowel movements.

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Written by Chen Tian Jing
Colorectal Surgery
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What's causing hemorrhoids to itch?

Hemorrhoids cause secretions to flow out from within the anal canal, particularly in the case of internal hemorrhoids. When severe, these secretions can flow outside the anus due to changes in the position of the anus or the patient's body, irritating the local skin and mucosa around the anus, thus leading to symptoms of itching. Additionally, with repeated prolapse of internal hemorrhoids, the mucosa may get trapped at the anal opening and cannot retract normally, also causing irritating itching and possibly even pain and bleeding due to repeated friction. To treat the itching from hemorrhoids, it is first necessary to alleviate the increased secretion from internal hemorrhoids. Options include using anti-inflammatory suppositories or gels, and washing the anal area with saline water or herbal washes that have antipruritic effects.

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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 Zhao Li Li
Obstetrics
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What should a pregnant woman do if she has bleeding hemorrhoids?

Due to the impact of hormone levels during pregnancy, pregnant women are easily prone to significantly slower gastrointestinal motility, which can lead to constipation. Frequent constipation can persistently irritate the local area around the anus, easily causing hemorrhoids. Therefore, it is essential to have a nutritious diet that is light and includes plenty of coarse fibrous vegetables and fresh fruits during pregnancy, as these can promote gastrointestinal motility and alleviate symptoms of constipation. If there is bleeding at the site of anal hemorrhoids after defecation, it is necessary to seek medical attention promptly for examination, hemostasis, anti-inflammatory treatment, and symptomatic treatment.