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

Written by Zhao Li Li

Obstetrics

Updated on February 20, 2025

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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.

Other Voices

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Written by Zhang Da Wei

General Surgery

53sec

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Hemorrhoids bleeding symptoms

Hemorrhoids bleeding during bowel movements is actually a common symptom in clinical settings and is a typical symptom of hemorrhoids. This bleeding generally occurs during defecation, sometimes soiling the fingers with blood, and can also cause a spraying type of bleeding. Furthermore, excessive exhaustion, irregular eating patterns, staying up late, and heavy alcohol consumption may exacerbate this bleeding, which are typical symptoms of hemorrhoids. The blood from hemorrhoids is usually bright red, and this condition is intermittent in nature, often not mixing with the stool. Thus, the bleeding generally stops after defecation ceases, and this condition can worsen with the patient's bowel movements among other issues. Additionally, if bleeding of a different color occurs, it may be caused by upper gastrointestinal bleeding, thus it is important to distinguish this from hemorrhoidal bleeding.

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Written by Xu Jun Hui

General Surgery

44sec

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Do hemorrhoids bleed?

Hemorrhoids can progress to a stage where there is rectal bleeding characterized by bright red blood that is separate from the stool. This is caused by the severe tortuosity and dilation of the superior hemorrhoidal veins. As the hemorrhoids worsen, congestion and dilation of the hemorrhoidal venous plexus become more pronounced. In the presence of bowel dysfunction and hard stools, the hemorrhoidal venous plexus can be injured, leading to rupture and bleeding. Initially, the bleeding is typically minimal yet frequent. Over time, this may lead to frequent and substantial bleeding. Chronic bleeding from hemorrhoids can cause chronic blood loss anemia, which impacts the physical and mental health of the individual.

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Written by Ren Zheng Xin

Gastroenterology

49sec

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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.

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Written by Chen Tian Jing

Colorectal Surgery

58sec

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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

1min 10sec

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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.