How to treat hemorrhoids bleeding

Written by Yu Xu Chao
Colorectal Surgery
Updated on April 07, 2025
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In clinical practice, the treatment of hemorrhoidal bleeding primarily depends on the severity of the bleeding. If a patient experiences frequent hemorrhoidal bleeding and the volume of blood loss is significant, it is recommended to adopt surgical treatments early. Prolonged bleeding can lead to severe anemia, severely impacting the patient's health. Possible surgical options include sclerotherapy, internal hemorrhoid ligation, or surgeries like PPH and TST. However, if the hemorrhoidal bleeding is infrequent and the volume of blood loss is minimal, the first step should be to improve the diet. Consuming more seasonal fresh fruits and vegetables, maintaining smooth bowel movements, not spending too long on bowel movements or straining excessively, and using hemorrhoidal suppositories or ointments for anal administration after bowel movements are recommended.

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Written by Zhang Lu
Obstetrics
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What are the symptoms of hemorrhoids in pregnant women?

After pregnancy, the volume of the female uterus increases, and in late pregnancy, the fetus descends into the pelvis. These factors can compress the veins in the pelvic area, obstructing blood flow around the anus, causing venous blood stagnation around the anus, and making it easy for pregnant women to develop hemorrhoids or for pre-existing hemorrhoids to worsen during pregnancy. The symptoms of hemorrhoids in pregnant women include the following aspects: first, you can feel polyp-like tissue outside the anus with your hand. Second, when hemorrhoids are severe, they can cause the prolapse of hemorrhoidal tissue or be accompanied by anal bleeding. Third, hemorrhoids can sometimes be accompanied by constipation, and hemorrhoids during pregnancy should be treated through diet, exercise, and medication.

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Written by Xu Jun Hui
General Surgery
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Do hemorrhoids bleed?

Hemorrhoids can progress to a stage where there is rectal bleeding characterized by bright red blood that is separate from the stool. This is caused by the severe tortuosity and dilation of the superior hemorrhoidal veins. As the hemorrhoids worsen, congestion and dilation of the hemorrhoidal venous plexus become more pronounced. In the presence of bowel dysfunction and hard stools, the hemorrhoidal venous plexus can be injured, leading to rupture and bleeding. Initially, the bleeding is typically minimal yet frequent. Over time, this may lead to frequent and substantial bleeding. Chronic bleeding from hemorrhoids can cause chronic blood loss anemia, which impacts the physical and mental health of the individual.

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Written by Zhang Da Wei
General Surgery
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Do hemorrhoids cause a lot of bleeding during bowel movements?

In clinical settings, most patients with hemorrhoids experience constipation, which can cause certain damage to the intestines, especially when the symptoms of hemorrhoids are pronounced, often leading to bleeding. This condition is generally related to local mucosal damage or ulcers. However, as long as bleeding is promptly controlled, it generally does not affect one's healthy life. Therefore, there is no need to worry. When problems with hemorrhoids occur, it is essential to address the symptoms appropriately. Of course, if the condition persists for a long time, considering surgical solutions is also an option, which, however, may result in a slower recovery. Thus, it’s important to maintain regular bowel movements to avoid such embarrassing issues. Additionally, performing regular pelvic floor exercises or improving dietary habits, such as incorporating whole grains or high-fiber foods, can help regulate and prevent frequent recurrence of hemorrhoids.

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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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Written by Zhang Lu
Obstetrics
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How to relieve hemorrhoids in pregnant women

During pregnancy, due to the enlargement of the uterus, pressure on the pelvic cavity can hinder the return flow of blood in the pelvic veins, which can lead to the occurrence of hemorrhoids in pregnant women or aggravate existing hemorrhoids. Hemorrhoids in pregnant women can be alleviated through the following methods: First, pay attention to diet adjustment, eat more vegetables and dietary fibers, which can soften the stool and reduce irritation to the hemorrhoids. Also, it is important to avoid spicy and irritating food, as it can stimulate hemorrhoids and cause bleeding. Second, if the hemorrhoids are quite severe, local hot compresses can be applied to promote local blood flow and relieve pain. Third, if the hemorrhoids are indeed severe, traditional Chinese medicine can be used for treatment during pregnancy. The local use of traditional Chinese medicine during pregnancy will not affect the fetus.