Bleeding hemorrhoids

What are bleeding hemorrhoids?

Hemorrhoids also known as piles are swollen veins inside your anus for the rectal column. Sometimes you will experience symptoms with your hemorrhoids like pain discomfort, itching bleeding and also burning sensation while you are sitting down or during your Bowel movement.

If your hemorrhoids are very mild you may not experience any of the symptoms other than straining during your morning break in your washroom.

There are two types of hemorrhoids: internal hemorrhoid and external hemorrhoid.

Why do hemorrhoids bleed?

When you have hemorrhoids, the swollen vein makes you too have a difficulty in passing your stool. So when you strain more to release a stool from your rectal column through your anus the surface of the hemorrhoid tissue can be damaged because of the hardened stool and causing it to bleed.

This condition is common with both internal and external hemorrhoids. The blood clots form bursts when it becomes full and this causes bleeding heavily.

The blood from hemorrhoids looks bright red. You can notice it in the toilet paper or the toilet bowl.

Symptoms of bleeding hemorrhoids

The main symptom of a bleeding hemorrhoid is blood traces. Even if it is internal hemorrhoid or external hemorrhoid, the bleeding will occur because of the formation of the blood clots inside.

There is no definitive answer for the blood clot formation in the veins. When the blood clot ruptures, it leads to bleeding.

  1. Traces of bright red color blood on the toilet tissue paper
  2. A small bump or a bulge formed on the external skin of the anus which can be felt during wiping after a bowel movement
  3. Hardened stool stuck inside the anus during the bubble movement
  4. Skin itching and irritation around the surface area of the anus because of the mucus discharge
  5. Difficulty to clean after a bowel movement

The bleeding can be stopped with help of some home remedies but if the degree of hemorrhoid is II or III, it is best to seek medical attention.

How do you treat bleeding hemorrhoids?

There are few home remedies you can do by grabbing few items from the kitchen and bathroom to stop the bleeding hemorrhoids.

Home remedies

  • Sitz bathe
    Taking a warm sitz bath is one of the many immediate reliefs to stop and control the bleeding. Fill in warm water in your bathtub and add some Epsom salts (no flavors or essential oils, because they might irritate the skin more). Slide-in till your anal area is covered and enjoy the warmth without feeling the pressure. You can also use sitz bath kits that come in plastic if you don't have a bathtub.
  • Moist Wipes
    The anus area is slightly inflamed and might cause pain while wiping after your toilet hours. To avoid this pain, use moist wipes to clean. This also reduces the dryness caused by dry wipes. Moist wipes without any essential oils or perfumes are good because they might irritate the skin.
  • Cold Pack
    Fill in cold water or ice cubes in a water bag, or get an ice pack and wrap them in a towel. You can also use a big bar of ice cube and wrap it in a medium-thick towel. Sit on it for 20 minutes. Allow yourself some time to absorb the coldness on the anus skin and feel the soothing.
  • Don’t Strain Your Anus
    During mornings or anytime you feel like going to the loo but not able to push the stool, avoid straining yourself by holding your breath. When you pressure yourself with these things, you might end up pressuring the hemorrhoid tissue. This can cause the blood clot to burst and you will bleed more.
  • Over-the-counter Drugs
    You can also apply OTC drugs that are available for hemorrhoids. You can try a medicated suppository too. The drugs usually carry the ingredients such as hazel, or hydrocortisone, and lidocaine.
  • Try a fiber-rich food
    Intaking a rich fiber content of fruits or food can help you to ease the hemorrhoid tissue. High fiber softens the stool and reduces the straining in the bowel movement and passes the stool without pressure.

Minimally Invasive Treatment Procedures For Bleeding Hemorrhoids

There are quite a few methods where your consultant can perform the procedure in the outpatient room itself with local anesthesia

  1. Rubber Band Ligation: The doctor will tie a rubber band to the base of the internal hemorrhoid tissue and restrict the blood flow to that tissue. This causes the tissue to shrink and then shed without blood loss.
  2. Sclerotherapy: Using a medicated solution the hemorrhoid tissues are shrunk. Your doctor injects a solution to the veins of the hemorrhoid tissue and that solution can help the tissue to wither and fall
  3. Bipolar, laser, or infrared coagulation: This method uses a laser or infrared rays to create a coagulation process to compress the hemorrhoid tissue and fall off
  4. Electrocoagulation: An electrical current dries up hemorrhoid, causing it to eventually fall off

The above procedures are effective only when the hemorrhoids are 72 hours old. For other cases, Hemorrhoidectomy is a better option to proceed with.

Hemorrhoidectomy - Surgery methods

When there is excess bleeding, it is best to go for surgeries to remove the hemorrhoids.

The surgery is performed with the help of local anesthesia, spinal anesthesia, and mild sedation also. Surgery is performed to remove the excess bleeding tissues and suture them with absorbable suture. Depending upon the surgery suture, they are classified as,

  1. Closed Hemorrhoidectomy - The sutures are closed after the surgery. The recurrence rate is high, also has postoperative complications
  2. Open Hemorrhoidectomy - The sutures are left open without closing the wound to reduce any infections
  3. Stapling - The blood flow to the hemorrhoid tissue is restricted by stapling it around its circumferential area.
  4. THD - The blood supply to the hemorrhoid tissue is cut using a device called a proctoscope.

How long does it take to stop the bleeding?

Bleeding hemorrhoids doesn’t have any duration. Smaller hemorrhoids can be cured in a few days (less than 3 days). During this time, you should not be carrying any intense laborious activities such as exercising, lifting heavy objects, and straining the lower half of the body.

For hemorrhoids that don't stop bleeding within 3 days need medical guidance. Please visit your nearby physician or protocan online inquiry to get the right advisory to stop the bleeding.

Bleeding hemorrhoids with high discomfort, pain, irritation on the anus skin, itching should be treated by a surgeon or GP at his office with a minimally invasive procedure or surgery.

Preventive Measures For Bleeding Hemorrhoids

To prevent bleeding hemorrhoids, you need to lead a good healthy life. A balanced lifestyle where you have proper food, sleep, and enough physical activity every day is the one that can stop the hemorrhoids from coming to you.

The straining in the bowel movement is the ultimate reason for the hemorrhoids. When you strain or hold your breath to push out your hardened stool, the veins in the rectal column and anus swell; the primary reason for hemorrhoids.

If you can prevent the hardening of the stool, you could stop the hemorrhoids from happening in the first place.

  1. Eat everyday fiber foods like banana, guava, pears, strawberries, beets, artichokes, Brussel sprouts, quinoa, almonds, and chia seeds
  2. Exercise every morning. Walking, jogging or yoga in the morning can ease up bowel movement. You can have pressure-free loo time.
  3. Take steam or hot showers occasionally, especially when you feel bloated or constipated. This can help you relieve the hardened stool and help your anus to open up gradually for the stool to pass without straining.
  4. Use a small stool as a prop to help your intestines to push out the feces easily. Bending the knee with help of a stool can allow your stool to pass without straining.
  5. After each time, wash off your anus in the shower if you can. Use moist wipes without any essential oils or perfumes.

When to see a doctor?

If your hemorrhoids are lasting more than 3 days, and the bleeding doesn’t stop even after all of your home remedies, please contact us to book an appointment.

When your discomfort is high and you cannot bear your irritation in the anus skin, reach out to the doctor quickly.