What should I do if hemorrhoids are bleeding?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 19, 2024
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Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.

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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 Chen Tian Jing
Colorectal Surgery
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Do hemorrhoids require surgery?

When severe hemorrhoids are in an acute attack phase, it is necessary to undergo surgical treatment as soon as possible. Besides surgery, treatment options for hemorrhoids also include conservative medication to alleviate symptoms. For mild hemorrhoids, or those that flare up less frequently, the primary treatment is conservative topical medication. However, when hemorrhoids repeatedly prolapse, cause pain, and result in significant rectal bleeding, affecting the normal functioning of the patient’s body, it is advised to promptly proceed with hemorrhoidectomy surgery. This helps avoid complications such as severe pain that interferes with normal living, or significant bleeding that could lead to anemia in patients, thereby worsening the condition and increasing the difficulty of future treatments. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Chen Tian Jing
Colorectal Surgery
1min 7sec home-news-image

What should I do if hemorrhoids are bleeding?

Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.

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home-news-image
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 Chen Tian Jing
Colorectal Surgery
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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.