Hemorrhoids bleeding symptoms

Written by Gao Tian
General Surgery
Updated on June 04, 2025
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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
1min 2sec home-news-image

Hemorrhoids bleeding examination what

Hemorrhoid bleeding is mainly due to the rupture of local hemorrhoid mucosa or bleeding from local small arteries caused by repetitive friction and irritation. If the mucosa bleeds, the bleeding generally manifests as minor seepage; however, if small arteries rupture, the bleeding appears as dripping or squirting. To examine hemorrhoid bleeding, an anal digital examination and an anoscopy must be conducted to determine the exact location of the bleeding and the amount of blood loss. Based on the examination results, an appropriate treatment plan can be selected. For minor bleeding, local application of hemostatic creams or oral hemostatic medications can be considered. If the bleeding is more significant, appearing as dripping or squirting arterial pulsatile bleeding, it is recommended to perform ligation to stop the bleeding.

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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 Zhang Da Wei
General Surgery
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What should be avoided in the diet for hemorrhoids with bleeding?

Hemorrhoids presenting with rectal bleeding is a rather typical symptom. This condition definitely requires dietary restrictions because dietary irritants can potentially worsen bleeding. Thus, it's essential to avoid certain foods both during an episode and as a precautionary measure. It is generally advised to steer clear of cold and spicy foods, as these can stimulate the intestines and potentially exacerbate bleeding. In cases where bleeding is more pronounced, a bland diet is usually recommended. Other stimulating foods should also be avoided to prevent aggravating the condition. Of course, dietary restrictions are not only essential during symptomatic periods but also as a preventive measure regularly to effectively prevent recurrent episodes of hemorrhoids.

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Written by Xu Jun Hui
General Surgery
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How to alleviate hemorrhoidal bleeding

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 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.