Maintaining A Healthy Weight
Is Bleeding Normal With Hemorrhoids
First, any sort of bleeding that occurs from the rectum, while statistically likely from hemorrhoids, should be reported to a doctor.
However, because hemorrhoids are incredibly common among adults, pregnant women, and people with chronic constipation problems, rectal bleeding is found to be a typical symptom of this anorectal condition.
Ultimately, yes, bleeding is normal, but a medical professional should still check you outjust in case.
Quick Read Why Do I Get Hemorrhoids
- Hemorrhoids, also called the piles, are swollen veins in your anus or rectum.
- They can cause pain, irritation and bleeding but sometimes have no symptoms.
- Repeated straining during bowel movements is a common cause.
- Piles usually go away on their own, but over-the-counter creams or sitz baths can help.
- Consume more water and fiber and avoid lingering on the toilet.
By the time you turn 50, more than half of your peers will have experienced hemorrhoids at least once in their lives, proving that misery does indeed love company.
Hemorrhoids are extremely common, says Ashley Schmaing, a physician assistant at the Gastroenterology Clinic at Harborview Medical Center. And even then, the true prevalence is unknown because not everyone reports them to their healthcare provider or can even tell that they have them.
Recommended Reading: What To Do For Hemorrhoids On Outside
How Do Foods Influence Hemorrhoids Diet
Diet is believed to have a big impact in causingand preventinghemorrhoids. People who consistently eat a high-fiber diet are less likely to get hemorrhoids, while those people who prefer a diet high in processed foods face a higher hemorrhoid risk.
A low-fiber diet can leave you constipated, which can contribute to hemorrhoids in two way. For one, it promotes straining on the toilet. It also aggravates the hemorrhoids by producing hard stools that further irritate the swollen veins.
Classification Of Internal Hemorrhoids:
- Grade 1 A hemorrhoid is present but only visualized by a doctor with ansocopy or colonoscopy. The hemorrhoid does not extend out the anus.
- Grade 2 The hemorrhoid extends out of the anus with a bowel movement or with straining. After your BM, the hemorrhoid goes back inside on its own.
- Grade 3 The hemorrhoid extends out of the anus with a bowel movement or with straining. You have to manually push the hemorrhoid back inside the anus. If you have this, you should seek medical attention, but it is not urgent.
- Grade 4 A hemorrhoid extends outside the anus and are not able to be manually pushed back inside. If you have this seek medical attention immediately. There are significant potential complications.
Read Also: What Kind Of Dr To See For Hemorrhoids
Is Hemorrhoid Removal Surgery Painful
Minor or minimally invasive hemorrhoid removal surgery is usually not painful. These procedures typically involve the use of a local anesthetic, which numbs the affected area. More severe or persistent hemorrhoids might require removal that is more invasive, such as hemorrhoidectomy, although these are done less often.
What The Experts Say
Most people come to doctors after seeing blood in the toilet. Dont try to treat it. If you have this bleeding going on you should see your doctor to make sure its not something more serious. When I hear about a patient with rectal bleeding, I wonder about what it could be. Especially as were seeing younger and younger people diagnosed with colon and rectal cancer.Henry Govekar M.D., a Colon and Rectal Surgeon at Rush University Medical Group
Also Check: How To Treat Hemorrhoids And Constipation
What Are The Best Home Remedies For Hemorrhoids
If youd prefer to avoid medication, or youd like to complement your treatment with at-home remedies, here are some ways you can alleviate your hemorrhoids at home:
- Sitz baths: A regular sitz bath can relieve itching and irritation. Fill a tub with three to four inches of warm water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat yourself dry with a towel afterwards. For an extra soothing effect, try adding Epsom salts to the bath.
- Fiber supplements: These reduce hemorrhoid bleeding, inflammation, and enlargement by drawing water into your stool to make it easier to pass. A psyllium husk fiber supplement, such as Metamucil or a generic equivalent, is a good choice, although psyllium may cause gas or bloating. In that case, try a supplement containing wheat dextrin or methylcellulose .
- Cold compress: Applying ice packs to the anus for 10-15 minutes can help reduce swelling and reduce discomfort. To avoid ice burns always place ice in a cloth or paper towel, and never apply it directly to the skin.
- Aloe vera: Aloe vera has been used in many cultures for centuries to treat hemorrhoids due to its believed anti-inflammatory properties. Given the sensitivity of the area, only use pure aloe vera to treat hemorrhoids, and perform a patch test 24-48 hours on your inner wrist prior to application to check there is no allergic reaction.
Read Also: What To Do With Hemorrhoids During Pregnancy
What Does A Hemorrhoid Look Like When It Falls Off
Since the hemorrhoid will shrink and dry up, you likely wont notice it when it leaves your body, usually during a bowel movement. You may see the rubber band in the toilet, although its only a few millimeters wide. Typically, patients do not notice anything when the hemorrhoid falls off other than minor bleeding with their bowel movement.
You May Like: What Causes Hemorrhoids To Flare Up
You May Like: What Should You Do For Hemorrhoids
How Are Haemorrhoids Diagnosed
Diagnosis of haemorrhoids usually involves an examination of the anal passage to look for any swollen blood vessels. Your doctor may conduct one of the following tests.
- Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
- Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.
There is no need to feel embarrassed about these tests haemorrhoids are a common problem and your doctor is used to diagnosing and treating them.
In some cases, your doctor may refer you to a surgeon who can assess your haemorrhoids and recommend a treatment.
Can I Use A Suppository For Hemorrhoids With Bleeding
While many people love hemorrhoid suppositories, you should be careful using a hemorrhoid suppository when bleeding.
Make sure that you have bleeding hemorrhoids before relying strictly upon a hemorrhoid suppository.
If you can confirm your problem isn’t more serious, then a suppository for bleeding is a good idea.
My favorite suppository for bleeding hemorrhoids is from Boiron.
How Can I Treat My Hemorrhoids
You can most often treat your hemorrhoids at home by
- taking a stool softener or a fiber supplement such as psyllium or methylcellulose
- drinking water or other nonalcoholic liquids each day as recommended by your health care professional
- not straining during bowel movements
- not sitting on the toilet for long periods of time
- taking over-the-counter pain relievers such as acetaminophen, ibuprofen, naproxen, or aspirin
- sitting in a tub of warm water, called a sitz bath, several times a day to help relieve pain
Applying over-the-counter hemorrhoid creams or ointments or using suppositoriesa medicine you insert into your rectummay relieve mild pain, swelling, and itching of external hemorrhoids. Most often, doctors recommend using over-the-counter products for 1 week. You should follow up with your doctor if the products
- do not relieve your symptoms after 1 week
- cause side effects such dry skin around your anus or a rash
Most prolapsed internal hemorrhoids go away without at-home treatment. However, severely prolapsed or bleeding internal hemorrhoids may need medical treatment.
When Should You Get Hemorrhoid Surgery
Your healthcare provider may suggest surgery if you have large hemorrhoids, both internal and external hemorrhoids, or bleeding and pain that isn’t managed with other non-surgical treatments. With small hemorrhoids, your healthcare provider will usually suggest lifestyle changes first, such as eating a high-fiber diet and drinking lots of water.
Read Also: What Kind Of Surgeon Removes Hemorrhoids
How Do Healthcare Providers Treat Hemorrhoids
You should see your healthcare provider if symptoms get worse or interfere with your daily life or sleep. Also seek help if signs dont improve after a week of at-home treatments. Your provider may treat hemorrhoids with:
- Rubber band ligation: A small rubber band placed around the base of a hemorrhoid cuts off blood supply to the vein.
- Electrocoagulation: An electric current stops blood flow to a hemorrhoid.
- Infrared coagulation: A small probe inserted into the rectum transmits heat to get rid of the hemorrhoid.
- Sclerotherapy: A chemical injected into the swollen vein destroys hemorrhoid tissue.
Surgical treatments include:
- Hemorrhoidectomy: Surgery removes large external hemorrhoids or prolapsed internal ones.
- Hemorrhoid stapling: A stapling instrument removes an internal hemorrhoid. Or it pulls a prolapsed internal hemorrhoid back inside the anus and holds it there.
Different Kinds Of Hemorrhoids Can Cause Similar Symptoms
When internal hemorrhoids do progress, they will often protrude outside the anus, becoming prolapsed hemorrhoids. You can read about prolapsed hemorrhoids in several of our blog posts: Prolapsed Internal Hemorrhoids, What is a Prolapsed Hemorrhoid, and Rectal Prolapse or Hemorrhoids?). An internal hemorrhoid that has reached this stage can cause some external hemorrhoid-like symptoms, such as itchiness and swelling. Since prolapsed hemorrhoids and external hemorrhoids can cause similar symptoms, its sometimes difficult to know which is which without a doctors professional diagnosis. It is also not uncommon for both to be present at once.
Recommended Reading: What Type Of Doctor Specializes In Hemorrhoids
Postoperative Care After Hemorrhoidectomy
Most hemorrhoidal flare-ups stop hurting within two weeks without treatment. Eating a high-fiber diet and drinking 8 to 10 glasses of water per day can usually help you manage the symptoms by promoting softer and more regular bowel movements.
You may also need to use stool softeners to reduce straining during bowel movements, as straining makes the hemorrhoids worse. Your doctor may recommend over-the-counter topical ointments to ease occasional itching, pain, or swelling.
Diosmin Has Been Clinically Proven To Reduce The Duration And Severity Of Hemorrhoids And Their Symptoms
- Helps reduce the duration and severity of hemorrhoids and relieves the symptoms such as pain, edema and bleeding
- Acute hemorrhoid episodes have been shown to be less intense and didnt last as long versus previous episodes
As an oral treatment, Hemovel helps to reduce the duration and severity of hemorrhoids from the inside out, working in the body to relieve symptoms.
Recommended Reading: Is Salt Water Good For Hemorrhoids
Soak It Off In A Sitz Bath
A sitz bath comes from the German word sitzen, meaning sit, and it refers to a 10 to 15 minute soak in warm water that comes just up to your bottom and hips. Sitz baths can relieve irritation and itching as well as spasm of your anal sphincter muscles, says Dr. Thomas. Take a shallow soak in your bathtub or buy a small plastic tub from your pharmacy to give yourself a portable sitz bath two to three times a day.
How A Doctor Can Help
Doctors can recommend medical treatments and procedures that can reduce or get rid of hemorrhoids. Some of these procedures can be done right in a doctors office and involve very little discomfort.
- Medicated creams/ointments. If an OTC hemorrhoid cream isnt enough, doctors can prescribe stronger creams and ointments.
- Minimally-invasive procedures. There are some minimally-invasive procedures that a doctor can do in their office or in an ambulatory surgery center that typically doesnt require anesthesia or long recovery times. Some of these procedures include rubber band ligation, sclerotherapy injections, and laser/infrared coagulation treatments.
- Thrombectomy. For severe cases that develop blood clots and cause a lot of pain, your doctor can perform an external hemorrhoid thrombectomy to remove the hemorrhoid. Thrombectomies are most effective when performed no more than 72 hours after severe symptoms emerge.
- Surgery. There are several surgical options available when other treatments and procedures havent worked or if you have very large hemorrhoids. If youve struggled to find relief, talk to your doctor to learn if surgery is right for you.
Read Also: How To Get Rid Of Large External Hemorrhoids
Why Do I Get Hemorrhoids
Have you heard that hemorrhoids are caused by sitting on a cold, wet surface? Or that you got them because you ate too much spicy food? Or that its a condition only older populations have to worry about? False, false and false again, Schmaing says.
The truth is that the exact method of hemorrhoid formation is unknown, she explains.
All that said, the experts do have some pretty good hunches about what may be triggering your latest flare-up. The most likely causes are increased pressure in your abdomen and pelvis, as well as a natural weakening of the body tissue surrounding your veins, which allows them to bulge.
Thats why hemorrhoids often occur in pregnant women, people who lift heavy objects like weightlifters and those who repeatedly push or strain to do their business, often due to constipation or diarrhea.
It also explains why many people think that piles are only a concern as you age. While its most common between the ages of 45 and 65, unfortunately, the reality is that you can get hemorrhoids at any age.
Even though what you eat or dont eat doesnt directly cause hemorrhoids, your diet can also play a huge role. For example, if you dont consume enough water or fiber, youre more likely to become constipated. With all that increased straining, well, you see how this all flushes out.
Recommended Reading: How To Stop Bleeding Hemorrhoids On Blood Thinners
Can A Hemorrhoid Fall Off By Itself
A hemorrhoid will not fall off by itself. While the symptoms of small hemorrhoids may temporarily subside without treatment, the hemorrhoids can come back. Usually, if a hemorrhoid has progressed to cause noticeable symptoms, it wont fall off or go away on its own. If you have hemorrhoid symptoms, its best to talk to your doctor and determine the right treatment for your condition.
Read Also: How To Stop Hemorrhoids Hurting
What Natural Home Remedies Soothe Or Cure Hemorrhoids
Hemorrhoid symptoms of pain and itching can be treated at home by doing the following.
Warm Sitz Baths
- Sitting in a few inches of warm water three times a day for 15 to 20 minutes may help decrease the inflammation of the hemorrhoids.
- It is important to dry off the anal area completely after each Sitz bath to minimize irritation of the skin surrounding the anus.
- Increased fluid intake and dietary fiber will decrease the potential for constipation and lessen the pressure on the rectum and anus during a bowel movement, minimizing further swelling, discomfort, and bleeding. Dietary fiber supplements also may help bulk up the stools
- Stool softeners may help. A health-care professional or a pharmacist are good resources to discuss their use.
- Individuals with hemorrhoids should not sit for long periods of time and may benefit from sitting on an air or rubber donut available at most local pharmacies.
- Exercise is helpful in relieving constipation and in decreasing pressure on the hemorrhoidal veins. Individuals should be encouraged to have a bowel movement as soon as possible after the urge arises and not sit on the toilet for long periods of time. Once that urge passes, stools can become constipated and straining with a bowel movement may occur.
Consider Having A Clot Removed
External hemorrhoids can result in extremely painful blood clots, and while theyre not dangerous, they can take a couple of weeks to resolve on their own. If yours scores high on your personal pain scale, a doctor can remove a thrombosed hemorrhoid with a relatively simple in-office procedure under local anesthetic in about 10 minutes. Keep in mind: The first 24 to 48 hours are typically the most painfuland the best time to have a clot removed, says Dr. Ky.
Recommended Reading: How To Relieve Hemorrhoids At Home
Other Ways To Shrink Hemorrhoids
Some of the true and tested techniques for shrinking hemorrhoids include:
There are some foods that you should refrain from eating once you have an onset of hemorrhoids as well.
A list of those foods which should be avoided includes the following:
- Dairy products