What should I do if hemorrhoids bleed?

Written by Gao Tian

General Surgery

Updated on April 18, 2025

00:00

00:00

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.

Other Voices

home-news-image

Written by Ren Zheng Xin

Gastroenterology

45sec

home-news-image

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.

home-news-image

Written by Ren Zheng Xin

Gastroenterology

49sec

home-news-image

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.

home-news-image

Written by Chen Tian Jing

Colorectal Surgery

1min 10sec

home-news-image

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.

home-news-image

Written by Yu Xu Chao

Colorectal Surgery

1min 3sec

home-news-image

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.

home-news-image

Written by Chen Tian Jing

Colorectal Surgery

39sec

home-news-image

Consequences of hemorrhoids bleeding

Rectal bleeding, commonly seen in cases of hemorrhoids, usually appears as bright red blood. The bleeding is not mixed with the stool but is excreted along with it from the anus. Minor hemorrhoid bleeding can cause local anal itching. When the bleeding is heavy or prolonged, it can lead to a significant loss of blood volume, resulting in anemia in the patient. Anemia can then lead to other systemic diseases and problems. Therefore, it is important to treat hemorrhoid bleeding early. Treatment options include oral hemostatic medications combined with the topical application of hemorrhoid cream to stop the bleeding.