What should I do if I have hemorrhoids and experience rectal bleeding during bowel movements?

Nov 26, 2024 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

In general, rectal bleeding caused by hemorrhoids may be due to factors such as poor dietary habits, prolonged sitting or standing, bleeding from internal hemorrhoids, external hemorrhoids, or mixed hemorrhoids. It is recommended to seek medical attention promptly, identify the underlying cause, and undergo appropriate treatment under a doctor's guidance. During the recovery period, it is important to maintain proper hygiene of the anal area and develop healthy lifestyle habits.

Generally, rectal bleeding caused by hemorrhoids may be due to poor dietary habits, prolonged sitting or standing, internal hemorrhoid bleeding, external hemorrhoid bleeding, or mixed hemorrhoid bleeding. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. A detailed explanation is as follows:

1. Poor dietary habits: Long-term consumption of spicy, greasy, or irritating foods, as well as insufficient dietary fiber intake, may lead to constipation or dry stools, increasing anal pressure during bowel movements and thus causing hemorrhoid bleeding. It is important to adjust the diet, increase dietary fiber intake, and consume more fresh vegetables and fruits.

2. Prolonged sitting or standing: Maintaining the same posture for extended periods, such as sitting or standing for long durations, may cause poor circulation in the pelvic area, worsening hemorrhoid symptoms, including bleeding. Avoid staying in the same posture for too long, get up and move around regularly to promote pelvic blood circulation.

3. Internal hemorrhoid bleeding: Internal hemorrhoids are located inside the anal canal, and when pressure is exerted during bowel movements, the hemorrhoidal nodules may rupture and bleed. It is important to maintain regular bowel movements, avoid prolonged sitting, and perform anal lift exercises frequently.

4. External hemorrhoid bleeding: External hemorrhoids form due to the dilation of veins around the anus. When inflammation or thrombosis occurs, bleeding may result. Follow medical advice to use medications such as AnTai Ointment, Yunnan Baiyao Hemorrhoid Ointment, or Ma Yinglong Musk Hemorrhoid Ointment to alleviate symptoms.

5. Mixed hemorrhoid bleeding: Mixed hemorrhoids occur when internal and external hemorrhoids coexist and connect with each other, increasing the size and pressure of the hemorrhoidal nodules, making them more prone to rupture and bleeding. For severe mixed hemorrhoids, surgical treatment under medical guidance may be necessary, such as hemorrhoidal artery ligation or rectal mucosal circumferential resection.

During the recovery period, it is important to maintain proper hygiene around the anal area, develop healthy lifestyle habits, avoid prolonged bowel movements, and promote overall recovery.

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How long does it take for the hemorrhoid ligation band to fall off after surgery?

If postoperative care is properly managed—keeping the anal area clean and dry, avoiding strenuous activity and straining during bowel movements—the blood supply to the ligated tissue will gradually be cut off, leading to normal necrosis and detachment. Most individuals complete the shedding process within 7–14 days. During this period, minor rectal bleeding or mild sensation of heaviness may occur, which are normal phenomena. No special intervention is required; simply allow the tissue to detach naturally.

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Can rectal polyps cause bleeding during bowel movements?

In general, whether rectal polyps cause rectal bleeding depends on the specific characteristics of the polyps. If related symptoms occur, it is recommended to seek medical attention promptly. When suspected rectal bleeding occurs, one should first observe the color and nature of the blood as well as any accompanying symptoms, and should not attempt to self-diagnose the underlying cause. It is important to maintain regular bowel habits in daily life and avoid straining during defecation to prevent intestinal injury.

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Can patients with hemorrhoids eat Ejiao cake?

In general, patients with hemorrhoids can consume Ejiao cake, as long as they do so in moderation. It is important to control the portion size when eating Ejiao cake to avoid indigestion or increased gastrointestinal burden caused by overconsumption. Choose Ejiao cake with simple ingredients and minimal spicy or irritating additives to reduce stimulation to the intestines and hemorrhoids. If symptoms such as abdominal bloating, worsened constipation, or increased hemorrhoidal pain occur after consumption, discontinue use and consult a healthcare provider.

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Is hospitalization required after mixed hemorrhoid surgery?

In general, whether hospitalization is required after mixed hemorrhoid surgery depends on a comprehensive assessment of factors such as the surgical method, the patient's physical condition, and expected postoperative recovery. If any discomfort occurs, it is recommended to promptly consult the attending physician. Before deciding on hospitalization, patients should have thorough discussions with their doctor to fully understand the surgical procedure and their own health status. For those recovering at home after surgery, it is important to keep the surgical wound clean and dry.