How to quickly reduce hemorrhoid swelling

Written by Yu Xu Chao
Colorectal Surgery
Updated on January 03, 2025
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Inflammatory edema in hemorrhoids can lead to anal distension and pain in patients. Clinically, for the reduction of hemorrhoid swelling, options such as anal cleansing agents or potassium permanganate solutions can be used for sitz baths. The duration of the sitz bath should be controlled between five to six minutes, which can help in reducing swelling and relieving pain. After the sitz bath, applying Golden Ointment externally can also help in reducing swelling and relieving pain. Additionally, patients need to take oral Diosmin tablets to improve local blood circulation and prevent exacerbation of local swelling. Furthermore, patients should ensure smooth bowel movements, avoiding dry and hard stools to prevent irritation of the swollen hemorrhoids, thus worsening anal pain. They should also visit the hospital's proctology department as soon as possible for manual repositioning of the prolapsed hemorrhoids back into the anus. If repositioning is not possible, then surgical intervention, such as hemorrhoidectomy, must be considered promptly.

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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 Xu Jun Hui
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Hemorrhoids with bloody stools belong to what type of hemorrhoids?

Hemorrhoids are divided into internal and external hemorrhoids. Bleeding from hemorrhoids generally belongs to internal hemorrhoids or develops into mixed hemorrhoids. Therefore, hemorrhoidal bleeding is due to internal hemorrhoids or mixed hemorrhoids. Hemorrhoids are classified into four degrees: First-degree hemorrhoids do not prolapse. Second-degree hemorrhoids prolapse during defecation when abdominal pressure increases but can retract spontaneously afterward. Third-degree hemorrhoids involve prolapse of the hemorrhoidal tissue that requires manual replacement. Fourth-degree hemorrhoids are incarcerated and cannot be retracted. The treatment of hemorrhoidal bleeding depends on the amount and nature of the bleeding. If it is a small amount of bleeding, conservative treatment is generally sufficient, and the bleeding symptoms will disappear. If the bleeding is significant and persistent, failure to promptly address and surgically treat it may lead to chronic anemia and iron deficiency anemia.

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Written by Zhao Li Li
Obstetrics
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What should a pregnant woman do if she has bleeding hemorrhoids?

Due to the impact of hormone levels during pregnancy, pregnant women are easily prone to significantly slower gastrointestinal motility, which can lead to constipation. Frequent constipation can persistently irritate the local area around the anus, easily causing hemorrhoids. Therefore, it is essential to have a nutritious diet that is light and includes plenty of coarse fibrous vegetables and fresh fruits during pregnancy, as these can promote gastrointestinal motility and alleviate symptoms of constipation. If there is bleeding at the site of anal hemorrhoids after defecation, it is necessary to seek medical attention promptly for examination, hemostasis, anti-inflammatory treatment, and symptomatic treatment.

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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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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.