What Causes Internal And External Hemorrhoids And Simple Ways To Treat Them
Hemorrhoids are usually caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding, and possibly prolapse . Although hemorrhoids are rarely dangerous, they can be a recurrent and painful intrusion. Fortunately, there’s a lot we can do about hemorrhoids.
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When Hemorrhoid Surgery May Be Necessary
Very few people fewer than 10 percent of all adults who see a doctor because of symptomatic hemorrhoids will require a surgical operation.
Surgery to remove hemorrhoids is called a hemorrhoidectomy.
Your doctor may recommend a hemorrhoidectomy if:
- You have large external hemorrhoids
- You have both internal and external hemorrhoids
- An internal hemorrhoid has prolapsed
- You have excessive bleeding
In a hemorrhoidectomy, the doctor makes a small incision to remove the hemorrhoid and surrounding tissue before closing the wound with stitches.
A hemorrhoidectomy is performed in an operating room and can be done under general anesthesia, in which you are unconscious and unable to feel pain.
Hemorrhoidectomy is associated with postoperative pain, but the procedure is successful for 95 percent of cases.
More recently, another option aimed at avoiding the postoperative pain of a hemorrhoidectomy has become available, called a stapled hemorrhoidopexy. A circular stapling device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. The staples eventually fall out over time.
According to a study published in the journal Techniques in Coloproctology, in the long term, patient satisfaction, resolution of symptoms, quality of life, and functional outcome appeared similar among patients after stapled hemorrhoidopexy and hemorrhoidectomy. But other sources note that stapling has been associated with a greater risk of recurrence and rectal prolapse.
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Hemorrhoid Remedies You Can Try On Your Own At Home
There are several steps you can take at home to ease the discomfort caused by hemorrhoids:
- Take a sitz bath two to three times daily for 15 to 20 minutes. Sit in warm water, covering just your hips and buttocks. This can help reduce itching and irritation. You can take a sitz bath in a few inches of warm water in a regular tub, but small tubs that fit over toilet seats are also available for this purpose at pharmacies. Following a sitz bath, gently pat the area dry to avoid further irritation.
- Use ice packs on the area to relieve swelling and pain.
- Dont push too hard or strain while passing a bowel movement.
- Keep the area clean by bathing or showering daily with warm water. After bathing, gently pat the area dry. You can even use a hair dryer to dry the area.
- Sit on cushions rather than hard surfaces to help lessen the swelling of hemorrhoids and keep new ones from forming.
- Take over-the-counter pain relievers, such as acetaminophen, ibuprofen, or aspirin as needed.
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What Is The Medical Treatment For Rectal Bleeding
The treatment for rectal bleeding depends on the cause and source of the bleeding.
- Regardless of the source of bleeding, treatment of significant blood loss will begin by stabilizing the patients condition.
- Initially, medical professionals will provide oxygen to the patient and monitor the heart. An IV will be started to administer fluids and for a possible blood transfusion.
- Further treatment options will depend on the suspected source of bleeding. A general surgeon, gastroenterologist, or ulcerative colitis specialist will likely become involved in the treatment plan.
- Admission to the hospital is required when a marked amount of blood loss has occurred, if bleeding has not stopped, or if vital signs have not become normal.
Schedule An Appointment Today
Hemorrhoids are incredibly common and can be successfully managed with the right treatments. If youre concerned you have hemorrhoids or if theyre not improving, schedule an appointment with Dr. Heiman in Tampa, FL, today.
Disclaimer: This blog is not intended to substitute professional medical advice. Always talk with your doctor before starting or stopping medications or treatments.
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Why Do Hemorrhoids Bleed
Even though internal, external, and thrombosed hemorrhoids are all slightly different, one of the commonalities between them is possible bleeding as a symptom. Bleeding can occur for a variety of reasons, but the main reason is due to straining during a bowel movement when swollen, inflamed hemorrhoids are subjected to excessive straining, the surface of the hemorrhoid can become damaged and start to bleed. This can also happen when a person is constipated and has dry, hard stools. Because of pressure from pooling blood, thrombosed hemorrhoids can actually burst and cause significant bleeding as well.
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Hemorrhoids may be painful and can result in bleeding if they burst. Comprehend what triggers hemorrhoids and try dealing with bleeding hemorrhoids at home. If bleeding and symptoms continue, understand when to get the medical attention you require.
There are two types of hemorrhoids:
- Internal hemorrhoids develop in your rectum.
Both external and internal hemorrhoids can become thrombosed hemorrhoids. This means that a blood clot types inside the vein. Thrombosed hemorrhoids arent harmful. However, they can cause severe pain and inflammation. If it becomes too loaded with blood, hemorrhoid can burst.
Continue reading for more information about burst hemorrhoids, including what takes place and what you ought to do.
When a thrombosed hemorrhoid becomes too loaded with blood, it can rupture. This can cause a brief period of bleeding. Bear in mind that a thrombosed hemorrhoid will generally be very unpleasant before it bursts. Once it cracks, youll likely feel an instant sense of relief due to the release of additional pressure from the built-up blood.
If you have some bleeding but also continue to have pain or discomfort, you likely have bleeding hemorrhoid, rather than a burst hemorrhoid.
Find out more about bleeding hemorrhoids and how to handle them.
Bleeding from a burst hemorrhoid can last anywhere from a couple of seconds to several minutes. However, it should not last for more than 10 minutes. Sometimes, the area may continue to bleed sometimes between defecation.
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Easy Ways To Prevent Hemorrhoids
There are a number of easy, healthy ways to incorporate more fiber into your diet. Fiber-filled foods include fruits such as berries, avocados, and pears . Broccoli, artichokes, and Brussels sprouts are among the vegetables that can up your fiber intake. Whole grains, such as brown rice, quinoa, and oatmeal, are also an important source. Legumes, including lentils, various beans, and green peas, are a great way to get fiber. Nuts and seeds make for a great fiber-filled snack, too.
If youre having trouble getting enough fiber in your regular diet, consider a fiber supplement.
If you experience chronic constipation and suspect that may be contributing to your hemorrhoids, avoid eating too many foods that contain little or no fiber, such as cheese and fast and processed foods.
Drink plenty of water and other fluids. Recommendations for daily water intake vary and depend on the individual, but the Institute of Medicine of the National Academies has set adequate intake levels at 2.7 liters for men and approximately 3.7 liters for women. This can come from beverages and food, but caffeinated beverages and alcohol can be dehydrating and should not be counted in reaching this intake goal.
Exercise regularly. Exercise, especially 20 to 30 minutes of moderate aerobic activity a day, can help keep bowel movements regular. And regular exercise may help you lose weight, which may be contributing to the formation of hemorrhoids.
Other tips for preventing hemorrhoids include:
How Long Do Thrombosed Hemorrhoids Bleed
When a thrombosed hemorrhoid ruptures, it may bleed anywhere from a few seconds to a few minutes. Importantly, it shouldnt last more than 10 minutes. If it lasts more than 10 minutes, you should seek medical attention. It can mean an underlying clotting abnormality or some other problem.
Once the major bleeding episode is over, you may find intermittent traces of blood in your stool.
And while a ruptured hemorrhoid doesnt require any treatment, you may want to take a Sitz bath to keep the area clean and help it heal well.
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Is There A Permanent Treatment Or Solution For Internal Hemorrhoids
Internal piles are usually treated with a combination of medication, lifestyle changes, and surgery. You can start by taking over-the-counter painkillers such asparacetamol oribuprofen, which will help relieve the pain and discomfort associated with this condition.
If you have anemia due to internal piles, you may be prescribed iron supplements. If your internal hemorrhoids bleeding doesnt stop then, its time to see a doctor about this condition. Most doctors recommend starting with medications before considering alternative treatments such as surgery because it is safer for most people suffering from internal hemorrhoids.
Ask your doctor about HemWell, an FDA-approved, pain-free treatment thats permanent. If your provider doesnt offer HemWell, we can assist you in finding one that does. Please visit our website to learn more about this life-changing treatment. Learn more about hemorrhoids.
When Should I See My Doctor
Haemorrhoids often go away without any treatment. However, if you notice blood when you have a bowel motion, it is important to get checked out by a doctor, to make sure your symptoms are not a sign of something more serious. The symptoms of haemorrhoids can be very similar to those of bowel cancer.
Tell your doctor if you have noticed:
- blood or mucus in your stools
- changes in your bowel habits or movements
- changes in the colour of your stools
- recent weight loss
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How To Treat Bleeding Hemorrhoids
Though its not a very pleasant topic to think about, the fact is that hemorrhoids are one of the most common gastrointestinal problems. The National Institutes of Health estimates that about 1 in 20 Americans will develop hemorrhoids at some point during their life. For most people, though, getting hemorrhoids is a temporary problem that isnt much of a cause for concern. Sometimes the problem is more severe and the hemorrhoids cause rectal bleeding in those cases, a more proactive treatment approach is usually necessary.
Is Bright Red Blood In My Stool Worse Than Darker Blood
The longer the blood is in your digestive tract, the darker it will typically look. This is because there are digestive chemicals in your body that naturally break down everything that moves through your digestive tract. The blood gets darker the longer its in contact with these chemicals. If your bleeding is higher up in the digestive tract, it might appear darker in the toilet. If you see bright red blood, that can mean its lower in your digestive tract or is moving through your body very quickly. While there are many benign causes of bright red bleeding, there are fewer benign causes of darker blood for this reason, dark blood may be more concerning, and warrants workup by your healthcare provider.
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What Questions Should I Ask My Doctor About Rectal Bleeding During An Appointment
If youre experiencing rectal bleeding, calling your healthcare provider and going in for an appointment is often a good idea. Your provider will figure out whats causing the bleeding and develop a plan to stop the bleeding.
Its important to ask any questions you might have during this appointment. Dont be embarrassed to talk about your bowel movements or details about your poop. This information might seem disgusting, but it will help your provider know whats happening and find the best way to help you feel better.
Last reviewed by a Cleveland Clinic medical professional on 08/13/2020.
References
Diagnosis Of Rectal Bleeding
Do not assume the rectal bleeding is from hemorrhoids. A physical exam, rectal exam, sigmoidoscopy, and in some cases colonoscopy is mandatory to identify the cause of the bleeding and help rule out other conditions such as colon or rectal cancer. Associated change in bowel habits, weight loss, and abdominal pain mandate additional testing. New onset rectal bleeding in someone over the age of 40 that is not typical of hemorrhoids or does not respond to banding requires further testing with colonoscopy. Selected patients under the age of 40 may also need colonoscopy as colon cancer does occasionally occur in younger individuals. Sexually transmitted diseases of the rectum such as HPV, syphilis, gonorrhea, or herpes may also cause rectal bleeding.
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Are Bleeding Hemorrhoids Common
Usually, when people have bleeding hemorrhoids, they are referring to internal hemorrhoids and the painless rectal bleeding often associated with it.
Internal hemorrhoids are common, so much so that nearly half of adults around the age of fifty develop either type of hemorrhoid.
Pregnant women also commonly experience bleeding hemorrhoids.
- Avoid the excessive strain during the motion.
- Avoid prolonged sitting in the toilet.
- Drink plenty of water of at least 8-10 glasses per day.
- Consume high-fiber diet fruits, vegetables and whole grains.
- Seek for medical attention whenever needed.
A ruptured hemorrhoid may lead to severe blood loss, resulting in serious complications which require an emergency. Accurate and timely diagnosis to role out other conditions is the key enabling an effective treatment. Due to advances in the surgical techniques and technologies, the new treatments have continuously emerged, allowing the patients to achieve the best possible treatment outcomes with minimal discomfort, less post-operative complications, rapid recovery, quickly return to the normal daily activities and less recurrences.
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Dietary Changes And Self Care
If constipation is thought to be the cause of your haemorrhoids, you need to keep your stools soft and regular, so that you don’t strain when passing stools.
You can do this by increasing the amount of fibre in your diet. Good sources of fibre include wholegrain bread, cereal, fruit and vegetables.
You should also drink plenty of water and avoid caffeine .
When going to the toilet, you should:
- avoid straining to pass stools, because it may make your haemorrhoids worse
- use moist toilet paper, rather than dry toilet paper, or baby wipes to clean your bottom after passing a stool
- pat the area around your bottom, rather than rubbing it
Read more about preventing constipation.
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Whats Causing Your Rectal Bleeding
Rectal bleeding can happen for many reasons, the vast majority of which are benign. The following steps will help you determine if you need to be in contact with your doctor.
Your first task: determine if youre actually bleeding.
Before worrying too much about what youre seeing in the toilet or on your toilet paper, think carefully about what youve consumed in the recent past. There are several foods and medications that can alter the color of your stool.
- Beets, cranberries, tomatoes and products that use red food coloring especially Red 40 can dye your stool red.
- Blueberries, black licorice and medications that contain bismuth like Pepto Bismol® or Kaopectate® can turn your stool black.
If youve established that you are bleeding, your next step is determining the bloods origin point. That will help you figure out if you need to seek medical attention.
Severity Of Ruptured Hemorrhoids
Once the hemorrhoid bursts, an immediate care should be provided as to follow the steps:
- Gentle compression using clean soft cloths or sanitary napkins to stop the bleeding.
- Apply cold compression or cold sitz bath to reduce the inflammation and to stop the bleeding.
If per rectal bleeding persists and the following symptoms develop: palpitation, dizziness, faintness and cold hands and/or feet, an immediate medical attention must be obtained.
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Natural Ways To Stop Rectal Bleeding
Depending on the root cause of your rectal bleeding, youll want to choose the natural remedy that best fits your situation. These natural remedies are all natural rectal bleeding preventatives as well.
1. Relieve Constipation
If constipation is the health issue behind your rectal bleeding, then youll want to check out natural constipation relief remedies. When things are moving easily then rectal bleeding is much less likely due to constipation. How do you avoid constipation or get on the other side of it and get regular again? You definitely need to look at your diet. Are you getting enough fiber? Are you drinking enough water? These are two very simple things that are absolutely key to natural constipation relief. High fiber foods that help to relieve constipation include green vegetables, beans, squash, prunes and figs. Warm bone broths and hot herbal teas are also great.
There are foods youll want to avoid if constipation is an issue. These include things like refined flour, pasteurized dairy products, alcohol and fried foods. These are all food choices that make constipation more likely or worse.
Supplementing with probiotics and eating more fermented foods also really helps to relieve constipation. Exercise, especially rebounding, a.k.a. jumping on a mini-trampoline, helps to stimulate the bowels and lymphatic system. Light exercise can also support bowel function, including stretching, walking, jogging, yoga, swimming or dancing.
2. Calm Bleeding Hemorrhoids