Hemorrhoids bleeding symptoms

Written by Zhang Da Wei
General Surgery
Updated on December 06, 2024
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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 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 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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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.

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Gastroenterology
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Is it scary to have bleeding hemorrhoids?

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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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.