Effective Strategies to Improve Internal Hemorrhoids and Prevent Bleeding

How to improve?

How to improve internal hemorrhoids and bleeding during bowel movements? I drink 2500 to 3000 ml of water daily and I tend to sweat a lot.

Cai Xiansheng, 30~39 year old female. Ask Date: 2016/07/03

Dr. Shi Guimei reply Nutrition

Dear Mr.
Tsai,
Hello! It is recommended that you seek medical attention for your internal hemorrhoids and rectal bleeding (you may consult a colorectal surgeon) so that the physician can identify the cause and provide appropriate treatment.
In terms of diet, in addition to ensuring adequate hydration, it is important to consume sufficient dietary fiber while avoiding fried, greasy, and irritating foods.
The main sources of dietary fiber include vegetables, fruits, and whole grains (such as brown rice, germinated rice, pumpkin, sweet potato, red beans, and mung beans, among others).
Wishing you health and happiness!
Sincerely,
Dietitian Shih Kuei-Mei
Director of Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2016/07/03

More Info

To effectively manage internal hemorrhoids and prevent bleeding, it's essential to adopt a multifaceted approach that includes dietary changes, lifestyle modifications, and potentially medical interventions. Internal hemorrhoids are swollen veins in the rectum that can cause discomfort and bleeding, especially during bowel movements. Here are some strategies to consider:

1. Dietary Adjustments
- Increase Fiber Intake: A high-fiber diet is crucial for softening stools and promoting regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Aim for at least 25-30 grams of fiber per day.

- Stay Hydrated: While you already consume a significant amount of water (2500 to 3000 ml daily), maintaining hydration is vital. Adequate fluid intake helps prevent constipation by softening stools, making them easier to pass.

- Limit Processed Foods: Reduce intake of processed foods, which often lack fiber and can contribute to constipation. Instead, focus on whole, unprocessed foods.

2. Lifestyle Modifications
- Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce the risk of constipation. Aim for at least 30 minutes of moderate exercise most days of the week.

- Avoid Straining: Straining during bowel movements can exacerbate hemorrhoids. If you feel the urge to go, don’t delay, and avoid sitting on the toilet for prolonged periods.

- Practice Good Bathroom Habits: When using the toilet, consider using a footstool to elevate your feet, which can help align the rectum for easier passage of stools.

3. Medical Interventions
- Topical Treatments: Over-the-counter creams and ointments can provide relief from itching and discomfort associated with hemorrhoids. Look for products containing hydrocortisone or witch hazel.

- Sitz Baths: Soaking in warm water for 10-15 minutes several times a day can help reduce swelling and relieve discomfort.

- Consult a Healthcare Provider: If bleeding persists or worsens, it’s essential to consult a healthcare provider. They may recommend procedures such as rubber band ligation, sclerotherapy, or in severe cases, surgical intervention.

4. Monitor Symptoms
- Keep track of your symptoms, including the frequency and severity of bleeding. If you notice significant changes, such as increased bleeding or pain, seek medical advice promptly.

5. Consideration of Underlying Conditions
- If you have a history of gastrointestinal issues or other health conditions, it’s important to address these with your healthcare provider, as they may contribute to hemorrhoid development or bleeding.

Conclusion
Managing internal hemorrhoids and preventing bleeding involves a combination of dietary changes, lifestyle adjustments, and possibly medical treatments. By focusing on a high-fiber diet, staying hydrated, exercising regularly, and practicing good bathroom habits, you can significantly reduce the risk of hemorrhoid-related issues. Always consult with a healthcare professional for personalized advice and treatment options, especially if symptoms persist or worsen.

Similar Q&A

Understanding Hemorrhoids and Rectal Cancer Concerns: What You Need to Know

Hello, doctor: About 20 days ago, I experienced bleeding from internal hemorrhoids (a small amount of blood dripping or bleeding when wiping). I bought hemorrhoid relief pills and ointment, which helped stop the bleeding. However, after each bowel movement, the internal hemorrhoi...

Dr. Ke Fangxu reply Surgery
1. Continuing the medication should help improve the condition of hemorrhoidal prolapse; however, achieving complete resolution of the hemorrhoids may be difficult. It is recommended to shorten the duration of bowel movements to avoid exacerbating the prolapse. 2. Internal hemorr...

Persistent Rectal Bleeding: Effective Solutions for Hemorrhoids

I have been experiencing constipation, and due to straining during bowel movements, I have been bleeding every time I use the restroom for over two months now. Ten days ago, I consulted a doctor who performed a physical examination and a colonoscopy. The doctor diagnosed me with ...

Dr. Ke Fangxu reply Surgery
If hemorrhoids continue to bleed persistently, you can consult a physician in an outpatient setting for rubber band ligation treatment. Some physicians also perform sclerotherapy, which can be effective in controlling bleeding. If bleeding still cannot be stopped, surgical interv...

Managing Prolapsed Internal Hemorrhoids: Tips for Relief

Dear Doctor: I have a problem with protruding internal hemorrhoids, but due to my work obligations abroad, I am unable to return to my home country for treatment at this time. I have been using an ointment, which has alleviated the pain, but the internal hemorrhoids are still pro...

Dr. Ke Fangxu reply Surgery
If medical attention is not available, the only thing that can be done is to take warm sitz baths along with applying topical ointments. Oral pain relievers can also help alleviate pain. If left untreated, bleeding is inevitable. However, if it is a severe thrombosed hemorrhoid, ...

Is Zhengji Hemorrhoid Pills Effective for Internal Hemorrhoids?

I have been troubled by internal hemorrhoid bleeding for many years and have visited the hospital for treatment 2-3 times. The last time I underwent a ligation procedure was so painful that I couldn't bear it, so for the past couple of years, whenever it flares up, I rely on...

Dr. Xu Kaixi reply Surgery
Internal hemorrhoids primarily cause bleeding due to poor local circulation leading to venous engorgement and inflammation. Dietary modifications should include avoiding spicy foods and excessive alcoholic beverages. Additionally, it is important to prevent constipation, avoid pr...