How to alleviate hemorrhoidal bleeding

Written by Xu Jun Hui
General Surgery
Updated on September 14, 2024
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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 Ren Zheng Xin
Gastroenterology
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What causes hemorrhoids to bleed?

Internal hemorrhoids can easily cause rectal bleeding. The main reason is the varicosity of hemorrhoidal veins. During defecation, dry and hard stools scratch the hemorrhoidal veins causing them to rupture and bleed. Additionally, due to the long-term presence of hemorrhoids, the hemorrhoidal veins become overstretched, making the vein walls thin and fragile, and easily damaged during bowel movements. For hemorrhoid-induced rectal bleeding, treatment can be administered through medications aimed primarily at reducing bleeding symptoms and alleviating the varicosity of the hemorrhoidal veins. Sitz baths can also be used to reduce swelling around the anus. If medication provides limited relief, minimally invasive or surgical treatments may be considered.

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Written by Ren Zheng Xin
Gastroenterology
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Can hemorrhoids suppositories be used for bleeding hemorrhoids?

Hemorrhoidal bleeding can be treated with hemorrhoidal suppositories, which can alleviate circulatory disorders around the anus, reduce inflammation of the veins, and prevent the worsening of hemorrhoids. Additionally, if the bleeding is heavy, minimally invasive treatment or surgery may be required. During the treatment period, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, eat fresh vegetables, ensure smooth bowel movements, and clean the anus after defecation to prevent infection. Active medication or other methods of treatment should be pursued.

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Written by Chen Tian Jing
Colorectal Surgery
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Hemorrhoids, are they cancer?

Hemorrhoids are not cancer; they are a benign and common local disease of the anus. The main cause is due to the displacement of the anal cushion or the formation of varicose veins and thrombi in the local mucosal tissue, leading to protrusion, swelling, and even pain and bleeding of the local mucosa. Hemorrhoids are a common proctological disease, with an incidence rate of about 60% among adults, primarily influenced by poor dietary and defecation habits. Therefore, to prevent the onset of hemorrhoids, it is recommended to avoid overly spicy and irritating foods and to keep bowel movements under ten minutes to prevent overly dry stools.

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Written by Chen Tian Jing
Colorectal Surgery
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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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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.