Continuous Bleeding from Hemorrhoids: Causes and Solutions

Hemorrhoidal bleeding

Hello, Dr.
Ke.
I would like to ask you a question amidst your busy schedule.
I have had hemorrhoids for many years and have a regular habit of using the bathroom once or twice a day.
However, recently, my stools have been yellow, and they come out together with gas.
After having a bowel movement, I notice bright red blood, and it feels like there is a wound inside my anus.
In the past, applying medication would stop the bleeding within a week, but this time it has been continuous for over ten days.
Is it common for hemorrhoids to bleed continuously like this?

Pipi, 50~59 year old female. Ask Date: 2017/01/17

Dr. Ke Fangxu reply Surgery

This situation likely indicates a higher possibility of hemorrhoidal bleeding.
Hemorrhoids can indeed cause such bleeding.
It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements.
Warm sitz baths should also help alleviate symptoms.
You can purchase hemorrhoid suppositories at the pharmacy, but it is best not to take stool softeners indiscriminately.
At this age, increasing dietary fiber and hydration should be sufficient.
If bleeding persists, it is advisable to consult a physician for evaluation.
If necessary, hemorrhoid ligation can be performed to stop the bleeding.

Reply Date: 2017/01/17

More Info

Continuous bleeding from hemorrhoids can be a concerning issue, especially when it persists for an extended period. Hemorrhoids, which are swollen veins in the lower rectum and anus, can cause discomfort, pain, and bleeding during bowel movements. The bright red blood you are experiencing is typically associated with hemorrhoids, especially if it appears on the toilet paper or in the toilet bowl after a bowel movement.

There are several potential causes for the continuous bleeding you are experiencing:
1. Internal Hemorrhoids: These are located inside the rectum and may not be visible. They can cause painless bleeding, especially during bowel movements. If they become thrombosed or inflamed, they can lead to more significant bleeding.

2. External Hemorrhoids: These are located under the skin around the anus and can cause pain and bleeding if they become irritated or thrombosed.

3. Anal Fissures: A tear in the lining of the anus can occur due to passing hard stools, leading to sharp pain and bleeding. The presence of a fissure can also cause a sensation of a wound inside the anus.

4. Infection or Inflammation: Conditions such as proctitis (inflammation of the rectum) or infections can also lead to bleeding and discomfort.

5. Other Conditions: While hemorrhoids are a common cause of rectal bleeding, other conditions such as diverticulosis, colorectal polyps, or even colorectal cancer can also cause similar symptoms. It is crucial to rule these out, especially if the bleeding is persistent.

Given that you have been experiencing continuous bleeding for over ten days, it is essential to seek medical attention. Here are some steps you can take to address the situation:
- Consult a Healthcare Provider: A thorough examination by a healthcare professional is necessary to determine the exact cause of the bleeding. They may perform a physical examination and possibly recommend a colonoscopy or sigmoidoscopy to visualize the rectum and colon.

- Dietary Changes: Increasing fiber intake can help soften stools and reduce straining during bowel movements, which can alleviate pressure on hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also crucial.

- Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide relief from symptoms. However, if these treatments do not resolve the bleeding, further medical intervention may be necessary.

- Sitz Baths: Soaking in warm water can help soothe the area and promote healing. This can be done several times a day, especially after bowel movements.

- Avoid Straining: Try to avoid straining during bowel movements, as this can exacerbate hemorrhoids and lead to further bleeding.

- Follow-Up Care: If you have previously used medication that provided relief, it may be worth discussing with your doctor why it is not effective this time. Continuous bleeding may indicate a more severe issue that requires different treatment.

In conclusion, while hemorrhoids can cause bleeding, persistent bleeding should not be ignored. It is crucial to consult with a healthcare provider to determine the underlying cause and appropriate treatment. Early intervention can prevent complications and improve your quality of life.

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