Is it scary to have bleeding hemorrhoids?

Written by Huang Gang
Gastroenterology
Updated on September 09, 2024
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Firstly, hemorrhoids are soft venous masses formed by the dilation and excessive twisting of veins under the mucous membrane and the skin at the end of the rectum. During defecation, the stool rubs against the raised twisted veins, and the straining during defecation causes increased pressure on these vessels, leading to rupturing of the hemorrhoidal veins and resulting in bleeding with the stools. If the amount of bleeding is significant, it can lead to symptoms like anemia and dizziness. If the bleeding is minor, it generally does not pose a problem. Therefore, if there is a case of hemorrhoidal bleeding, it is best to visit the colorectal surgery department of a hospital for a proper diagnosis and, if necessary, surgical treatment can be performed to prevent recurrence of the bleeding.

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Written by Chen Tian Jing
Colorectal Surgery
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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 Xu Jun Hui
General Surgery
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Can hemorrhoid suppositories be used for hemorrhoid bleeding?

For hemorrhoid bleeding, if the bleeding is not severe, external hemorrhoid suppositories can be used to compress and stop the bleeding, which can be quite effective. If the hemorrhoid bleeding is heavy and prolonged and the suppository is not effective, hospitalization is required. Intravenous hemostatic drugs or oral hemostatics should be administered, with local gauze compression, and surgery should be performed as soon as possible to definitively stop the bleeding. If the bleeding is due to oral anticoagulants, it may be necessary to consider discontinuing these medications, providing symptomatic support treatment for hemostasis, and surgical treatment if necessary.

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Written by Chen Tian Jing
Colorectal Surgery
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How many days does hemorrhoid surgery hurt?

After hemorrhoid surgery, the local wound can be quite painful, especially in the early postoperative period. As the local anesthesia wears off, patients may experience varying degrees of pain, which usually lasts about a week. For those with less severe conditions, the pain may only last for three days. However, for severe hemorrhoids, especially after circular mixed hemorrhoid surgery, there are more ligations and deeper wounds at the site, thus the pain may extend to 10 days. Additionally, when the ligation thread falls off, there may also be varying degrees of bloating, sagging, pain, and bleeding in the anal area. To avoid intensifying postoperative pain, it is recommended that patients use stool softeners to ease bowel movements after the surgery. For severe pain, patients can also take painkillers when the pain becomes unbearable. (Please use medication under the guidance of a doctor)

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Written by Ai Bing Quan
General Surgery
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Do hemorrhoids cause bleeding?

Hemorrhoids are a relatively common disease in surgical clinics, characterized by varicose veins. They generally occur when there is increased abdominal pressure or constipation, which can easily lead to hemorrhoids. Bleeding during defecation is the most common symptom of hemorrhoids. Not all hemorrhoids involve bleeding; it is most common in internal and mixed hemorrhoids. Minor bleeding may not require treatment, but significant bleeding may necessitate the use of topical ointments and oral hemostatics. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, consume fresh vegetables and fruits, and avoid prolonged sitting or standing.

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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.