Do internal hemorrhoids require surgery?

Written by Deng Heng

Colorectal Surgery

Updated on September 11, 2024

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Surgical indications for internal hemorrhoids include bleeding and prolapse of anal masses. These symptoms necessitate surgical treatment. Secondly, if scheduling surgery is not possible due to being busy, conservative treatment like applying ointment to the anus or taking medication can be used initially to alleviate the symptoms. If conservative treatment fails, it is still not too late to opt for surgery. (Specific medications should be used under the guidance of a physician.)

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Written by Deng Heng

Colorectal Surgery

35sec

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What foods should be avoided if there is bleeding from internal hemorrhoids?

Internal hemorrhoids bleeding is the main clinical symptom of internal hemorrhoids; the amount of bleeding can vary greatly and is usually bright red. It can spray out or drip out. Patients with internal hemorrhoids bleeding are advised to avoid eating chili peppers and drinking alcohol. This is because chili peppers contain a component called capsaicin, which strongly irritates the gastrointestinal mucosa and can dilate blood vessels, exacerbating the bleeding. Alcohol can also dilate blood vessels and worsen the bleeding.

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Written by Chen Tian Jing

Colorectal Surgery

56sec

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How is internal hemorrhoids treated? Is there a way?

There are many treatment methods for internal hemorrhoids, the most common being medication. If the internal hemorrhoids repeatedly prolapse or bleed significantly, direct surgical removal can also be considered. Conservative treatments primarily involve the local use of hemorrhoid suppositories, combined with oral hemostatic and anti-swelling traditional Chinese medicine. If surgical criteria are met, direct surgical removal can be performed. Surgical methods mainly include injection of sclerosing agents into the mucosa of internal hemorrhoids, internal hemorrhoid banding, and internal hemorrhoid ligation and excision. To prevent recurrence after surgery, patients should maintain good dietary and bowel habits postoperatively, avoid overly spicy and stimulating foods, and try to keep bowel movements under ten minutes without straining excessively.

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Written by Chen Tian Jing

Colorectal Surgery

56sec

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Can internal hemorrhoids cause constipation?

When internal hemorrhoids flare up, if their size increases and obstructs the anal opening, it can prevent normal defecation or make it difficult, potentially causing symptoms of constipation such as difficulty in defecating or poor bowel movements. Prolonged and recurrent difficulty in defecating can also lead to overly dry stools within the intestinal lumen, further exacerbating symptoms of constipation. Therefore, constipation is one of the most common clinical complications of hemorrhoids. To treat constipation, one can initially choose oral medications that lubricate the intestines and facilitate bowel movements. At the same time, it is essential to actively treat hemorrhoids, reduce the size of the hemorrhoidal tissue, or directly remove both internal and external hemorrhoids, to enable normal expulsion of stool.

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Written by Chen Tian Jing

Colorectal Surgery

54sec

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How to stop bleeding from internal hemorrhoids prolapse?

If internal hemorrhoids bleeding leads to unstoppable bleeding, the most common and direct way to stop the bleeding primarily involves local ligation. The prolapse and bleeding of internal hemorrhoids are mainly due to the repeated prolapse and friction of the local mucosa causing rupture and bleeding, or the persistent bleeding from ruptured small arteries. If prompt hemostatic treatment is not administered, it could potentially lead to chronic blood loss and subsequent anemia due to decreased blood volume. Therefore, if patients experience bleeding from internal hemorrhoids, especially if the bleeding is prolonged or substantial, it is advised to visit a proctology department for relevant examinations soon. If necessary, it may be crucial to promptly proceed with internal hemorrhoidal ligation surgery.

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Written by Deng Heng

Colorectal Surgery

41sec

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What should I do if internal hemorrhoids are bleeding?

The main symptoms of internal hemorrhoids are bleeding and protrusion, where the hemorrhoidal tissue prolapses outside the anus. There are several types of bleeding: the first is dripping blood during defecation, where blood drops steadily. Another type is spraying blood, similar to the way a syringe ejects fluid; these are all categorized under rectal bleeding. For internal hemorrhoids, the presence of either bleeding or prolapse outside the anus indicates a need for surgical treatment. This means that if internal hemorrhoids cause spraying blood, surgical treatment is required (i.e., removing the hemorrhoidal tissue), which can improve the bleeding and spraying issues.