Is it serious if hemorrhoids cause blood in the stool with blood clots?

Rectal bleeding with blood clots caused by hemorrhoids is generally not serious if the volume is small and there are no other symptoms. However, if the blood clots are large, the bleeding is significant, or other symptoms are present, the condition is usually more severe.

Mild or moderate internal or external hemorrhoids may cause rectal bleeding and blood clots due to rupture of blood vessels from friction or increased pressure during bowel movements. In such cases, the amount of clot is usually small, the blood may appear bright red, and the patient typically does not experience other serious symptoms. This situation is generally not severe. Symptoms may gradually improve through dietary adjustments, increasing fiber intake, maintaining regular bowel movements, and using local anti-inflammatory and pain-relieving medications.

If rectal bleeding with blood clots is heavy or accompanied by other symptoms such as severe pain or perianal abscess, it may indicate a more serious condition. Prolonged and significant blood loss can lead to anemia, infection, or anal dysfunction. Wounds from ruptured hemorrhoids are prone to bacterial contamination and subsequent infection. Treatment options may include surgical procedures such as hemorrhoid ligation or hemorrhoidectomy to completely remove the lesion and stop the bleeding.

In daily life, it is recommended to maintain a light diet and avoid spicy foods to alleviate symptoms. Developing good bowel habits and maintaining personal hygiene can also aid in recovery.