How to treat hemorrhoidal bleeding

Jan 24, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

Hemorrhoidal bleeding may be related to factors such as straining during bowel movements, improper diet, constipation, anal fistula, and anal fissure. Treatment should be selected based on individual conditions and the severity of the disease, such as improving dietary habits, controlling the force of defecation, using laxatives, or undergoing surgery. At the same time, attention should be paid to anal gland hygiene to avoid local cross-infection.

Generally speaking, hemorrhoids refer to piles. Hemorrhoidal bleeding is usually associated with factors such as straining during bowel movements, improper diet, constipation, anal fistula, and anal fissure. It is recommended to seek timely treatment according to the underlying causes, such as conservative management, medication, or surgical intervention. Patients with severe symptoms should seek prompt medical attention. Detailed analysis is as follows:

1. Straining during bowel movements

If excessive force is used during defecation, repeated irritation of the anal canal may cause blood vessels to rupture, leading to rectal bleeding. Therefore, it is important to control the force applied during bowel movements appropriately and avoid straining while coughing.

2. Improper diet

Long-term consumption of spicy and greasy foods during hemorrhoids may cause congestion and edema in the gastrointestinal tract and anal canal, resulting in rectal bleeding. It is recommended to correct unhealthy dietary habits and opt for bland, soft foods such as rice porridge and noodles.

3. Constipation

Constipation is often associated with improper defecation habits and prolonged sitting. If stools are dry, they can easily scratch the anal canal during bowel movements, causing bleeding from the injured area, which may even result in dripping blood. This may be accompanied by symptoms such as difficulty defecating and reduced stool volume. It is advisable to drink more water and, under medical guidance, use medications such as lactulose concentrated solution, magnesium sulfate injection, or mannitol injection for relief.

4. Anal fistula

Anal fistula is usually associated with infection of the anal glands. As the condition progresses, rupture of the anal canal may cause rectal bleeding, possibly accompanied by local itching and abscess formation. It is recommended to follow medical advice and undergo surgical treatments such as fistulectomy or fistulotomy.

5. Anal fissure

Anal fissure may be associated with improper posture and infection. Severe cases can cause rectal bleeding along with local redness, swelling, and pain. It is recommended to choose surgical treatment under medical guidance, such as fissurectomy or internal anal sphincterotomy.

When hemorrhoids cause bleeding, the underlying cause should first be identified, and an appropriate treatment plan should be developed based on individual conditions and severity to avoid self-medication. Additionally, maintaining hygiene in the anal area during treatment can help reduce the risk of infection.

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Is it effective to apply tea seed oil on hemorrhoids?

In general, tea oil cannot cure hemorrhoids and may only provide limited relief in the early stages. If bleeding or pain persists for more than one week or progressively worsens, medical attention should be sought immediately. A specialist can then evaluate the condition and recommend appropriate treatments, such as suppositories or ointments containing local anesthetics, steroids, or vasoconstrictors, or perform minimally invasive procedures or surgery. Tea oil can only serve as a temporary adjunct and should not replace proper medical treatment.

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What should I do if my hemorrhoids bleed every time I have a bowel movement?

Defecation usually refers to bowel movement. In general, rectal bleeding immediately after defecation may be caused by factors such as stool friction against hemorrhoidal tissue, increased abdominal pressure during bowel movements, prolapse of internal hemorrhoids, incarcerated mixed hemorrhoids, or thrombosed external hemorrhoids. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through conservative management, medication, surgical treatment, or other appropriate methods.

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What should I do if I have bleeding during bowel movements due to internal hemorrhoids?

In general, the treatment methods for bleeding internal hemorrhoids mainly include conservative management, local medication, oral drug therapy, physical therapy, and surgical treatment. In addition, patients should follow medical advice for standardized treatment and undergo regular follow-up examinations. If abnormal conditions such as heavy or persistent bleeding occur, timely medical consultation is necessary to adjust the treatment plan.

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What could be the reason for a lump growing near the anus?

The term "butt hole" usually refers to the anus. Common causes of a lump near the anus include prolonged sitting and pressure, dietary irritation, external hemorrhoids, perianal abscess, rectal prolapse, etc. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, avoid prolonged sitting or standing, engage in appropriate physical activity, maintain a light diet, and prevent constipation.