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What are the early symptoms of hemorrhoids?

Jul 02, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
In general, the early symptoms of hemorrhoids mainly include rectal bleeding, anal itching, anal pain, prolapse of a mass, and changes in bowel habits. If discomfort occurs, it is recommended to seek timely medical attention at a qualified hospital. When early symptoms of hemorrhoids appear, patients may use medications such as Qinghuo Zhimai Tablets, Hua Jiao Wan, or Ma Yinglong Musk Hemorrhoid Ointment as directed by a physician to alleviate the condition.

Generally, the early symptoms of hemorrhoids mainly include rectal bleeding, anal itching, anal pain, prolapse of lumps, and changes in bowel habits. If discomfort symptoms appear, it is recommended to seek timely treatment at a regular hospital. Detailed analysis is as follows:

1. Rectal bleeding: In the early stages of hemorrhoids, rectal bleeding usually occurs during defecation, caused by the friction of feces against dilated hemorrhoidal veins, leading to rupture and bleeding. The blood is bright red, typically adhering to the surface of stool or dripping after defecation, and in severe cases, it may spurt, but generally stops on its own after bowel movement.

2. Anal itching: Early hemorrhoids can cause increased secretions around the anus. These secretions continuously irritate the perianal skin, disrupting the skin's normal acid-base balance and causing itching. Patients often scratch unconsciously, which may cause skin damage, further worsening discomfort and potentially leading to infection.

3. Anal pain: Pain symptoms in early hemorrhoids are relatively mild and typically occur when a thrombosis or inflammation develops. When blood vessels within the hemorrhoid rupture and form a blood clot, or when local inflammation occurs, surrounding nerves are stimulated, causing a feeling of distension or burning pain. The pain may intensify during defecation due to anal dilation.

4. Prolapse of lumps: In the early stages of hemorrhoids, the symptom of prolapse is not obvious. Only during bowel movements may the hemorrhoidal mass protrude from the anus, but it can retract spontaneously after defecation. This is because the hemorrhoidal mass is small in size at this stage, and the anal sphincter muscle function is not severely impaired, maintaining some contractile ability to pull it back.

5. Changes in bowel habits: Due to irritation of the rectal mucosa by hemorrhoids, the normal defecation reflex can be affected, and patients may experience frequent urges to defecate. Additionally, because of concerns about rectal bleeding and pain during bowel movements, some patients may unconsciously suppress the urge to defecate. Over time, this can lead to prolonged bowel movements and irregular defecation patterns.

If early symptoms of hemorrhoids appear, patients may take medications such as Qinghuo Zhimai Tablets, Hua Jiao Wan (Sophora Fruit Pills), and Ma Yinglong Musk Hemorrhoid Ointment as directed by a physician to improve symptoms. Attention should also be paid to maintaining regular bowel movements, increasing intake of high-fiber foods, avoiding prolonged sitting, and excessive straining during defecation to promote recovery. If symptoms continue to worsen, timely medical consultation is necessary to rule out other anorectal diseases.

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