What should I do if hemorrhoids bleed uncontrollably?

In general, the treatment methods for uncontrollable bleeding caused by hemorrhoids mainly include emergency hemostasis, routine care, topical medication, oral medication, and surgical treatment. Specific analyses are as follows:

1. Emergency Hemostasis

When bleeding occurs, defecation should be stopped immediately. The patient should rest in a sitting or lateral position, and gently press the bleeding site with clean gauze or a cotton ball for 5–10 minutes to achieve compression hemostasis. Avoid vigorous wiping or strenuous activity to prevent further vascular damage. If bleeding is heavy, elevating the buttocks can help reduce local blood flow.

2. Routine Care

Maintain cleanliness around the anus on a daily basis. After bowel movements, gently rinse the area with warm water to avoid irritation of damaged blood vessels from residual feces. Wear loose, breathable underwear to minimize friction. Avoid spicy and irritating foods; instead, consume fiber-rich foods such as bananas and oats, and drink plenty of water to soften stools, preventing injury to hemorrhoidal tissue during defecation.

3. Topical Medication

Topical medications act directly on the bleeding site to promote hemostasis. Patients may use Yunnan Baiyao Hemorrhoid Ointment as directed by a physician to stop bleeding and repair mucosal tissue. Alternatively, consider using Compound Carrageenan Suppositories to protect the hemorrhoidal mucosa and reduce damage, or Ma Ying Long Musk Hemorrhoid Suppositories to relieve inflammation and assist in stopping bleeding.

4. Oral Medication

Oral medications are used to support hemostasis and improve venous function. When bleeding is significant, patients may take Huaijiao Pills under medical guidance to clear heat, cool the blood, and stop bleeding. Alternatively, Aescuven Forte tablets (Mai Zhiling) can be taken to enhance venous tone and reduce bleeding. If anemia is present, Ferrous Fumarate Tablets may be used to replenish iron stores.

5. Surgical Treatment

Surgical intervention is required when conservative treatments fail or bleeding recurs frequently. For bleeding internal hemorrhoids, Procedure for Prolapse and Hemorrhoids (PPH), also known as stapled hemorrhoidopexy, is commonly used to interrupt blood flow by resecting part of the mucosa. Alternatively, simple hemorrhoidectomy may be performed to directly remove the bleeding hemorrhoidal tissue. Postoperative wound care is essential to prevent infection.

During treatment, it's important to develop regular bowel habits and avoid prolonged squatting during defecation. Closely monitor the volume and color of bleeding. Seek immediate medical attention if symptoms of anemia such as dizziness or palpitations occur, or if bleeding persists for more than 24 hours. Follow the doctor’s instructions for follow-up treatment and check-ups to reduce the risk of recurrence.