What should I do if hemorrhoids bleed?

Written by Gao Tian
General Surgery
Updated on April 18, 2025
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First, determine the specific cause of the bleeding before treatment. It is recommended to promptly visit a proctology department to complete the relevant examinations, and then decide on future actions. Pay attention to rest and diet, eat less spicy and irritating food, adjust your mindset, and maintain a good mood. If necessary, take oral medication, such as anti-inflammatory drugs, then keep the area clean and dry, and reduce toilet time. Also, regular follow-ups should suffice.

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Written by Zhang Peng
General Surgery
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How come hemorrhoids bleed?

In this case, it depends on the cause of the hemorrhoids. In general, the most common cause of hemorrhoids is varicose veins around the rectal veins, which can be caused by obstructed venous return. Generally, there are no corresponding venous valves around the upper rectal veins, and the veins or small vein walls of hemorrhoids are very thin. In the case of hemorrhoidal venous varicose, if the stool is relatively dry, it is easy to cause the veins to rupture and bleed during defecation. This type of bleeding is generally painless, and the bleeding can stop on its own, usually being bright red blood. Due to high local pressure, some people may experience significant bleeding, or even show signs of shock. In this case, surgical treatment measures must be taken to achieve radical cure.

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Written by Yang Dong
Colorectal Surgery Department
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Can hemorrhoids cream be used for bleeding hemorrhoids?

Bleeding, as one of the common symptoms of hemorrhoids, is relatively common in daily life. If hemorrhoidal bleeding occurs, hemorrhoid creams can be used. Many hemorrhoid creams have the effects of stopping bleeding, reducing swelling, and alleviating the erosion of hemorrhoidal mucosa. Using hemorrhoid cream can provide limited relief for mild hemorrhoids, especially in reducing bleeding symptoms. However, if the bleeding is substantial or frequent, the effectiveness of hemorrhoid creams will be relatively limited, and it is necessary to seek timely medical treatment at a hospital.

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Written by Du Rui Xia
Obstetrics
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What should pregnant women do about hemorrhoids?

Women who develop hemorrhoids during pregnancy should stop eating spicy and stimulating foods. They should eat more vegetables and fruits that are rich in fiber to facilitate bowel movements, such as bananas, daylilies, black fungus, apples, peaches, and pears. They can also use some medications for sitz baths, twice a day after each bowel movement, once in the morning and once in the evening. Additionally, they should avoid standing or sitting for long periods and can perform anal lifting exercises or massage the anal area. Massaging can help with blood circulation and can be somewhat helpful in improving hemorrhoids.

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Written by Ai Bing Quan
General Surgery
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Do hemorrhoids cause bleeding?

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 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.