Bleeding Hemorrhoids: Causes and Treatment Options

Hemorrhoidal bleeding

Hello, I developed hemorrhoids during the late stage of my pregnancy, which went away after giving birth, but they have reappeared recently.
I cannot push them back in, and there is some swelling.
I bought an ointment for injection and used it, and the swelling decreased the next day, but I noticed some bleeding and a bit of blood clots.
Could it be that I accidentally ruptured something while applying the ointment? There was no pain during this process...
What could be happening? Thank you for your response.

Hemorrhoid Buddy, 20~29 year old female. Ask Date: 2019/11/15

Dr. Ke Fangxu reply Surgery

If there is no pain, it is likely not a rupture.
It is usually caused by a thrombosed hemorrhoid that has expelled the blood clot.
As long as there is no continuous heavy bleeding or severe pain, it should be fine.
You can continue applying the ointment and taking warm sitz baths, which can also be helpful.
If the symptoms persist without improvement, it is best to consult a physician for an examination.

Reply Date: 2019/11/15

More Info

Bleeding hemorrhoids, also known as piles, can be a common issue, especially during pregnancy and postpartum. They occur when the veins in the rectal area become swollen and inflamed, leading to discomfort, bleeding, and sometimes protrusion from the anal opening. Understanding the causes and treatment options for bleeding hemorrhoids is crucial for effective management and relief.

Causes of Bleeding Hemorrhoids
1. Increased Pressure: During pregnancy, the growing uterus exerts pressure on the pelvic veins, which can lead to the development of hemorrhoids. Additionally, the hormonal changes during pregnancy can cause the veins to relax and swell.

2. Constipation: Straining during bowel movements is a significant contributor to hemorrhoids. Constipation is common during pregnancy due to hormonal changes and dietary factors.

3. Prolonged Sitting: Sitting for extended periods, especially on the toilet, can increase pressure on the rectal veins.

4. Injury or Irritation: Using topical treatments, such as ointments or creams, can sometimes lead to irritation or even minor injuries to the hemorrhoids, especially if applied too vigorously.

5. Blood Clots: In some cases, hemorrhoids can form blood clots, leading to a painful condition known as thrombosed hemorrhoids, which can also cause bleeding.

Treatment Options
1. Topical Treatments: Over-the-counter creams and ointments can help reduce inflammation and provide relief from itching and discomfort. However, care should be taken to apply these products gently to avoid further irritation.

2. 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.

3. Dietary Changes: Increasing fiber intake through fruits, vegetables, and whole grains can help prevent constipation and reduce straining during bowel movements. Staying hydrated is also essential.

4. Pain Relief: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage discomfort associated with hemorrhoids.

5. Minimally Invasive Procedures: If conservative treatments fail, procedures such as rubber band ligation, sclerotherapy, or infrared coagulation may be recommended by a healthcare provider to treat more severe cases.

6. Surgery: In rare cases, surgical intervention may be necessary for large or persistent hemorrhoids that do not respond to other treatments.

When to Seek Medical Attention
If you experience significant bleeding, severe pain, or if the hemorrhoids do not improve with home treatment, it is essential to consult a healthcare provider. They can assess the situation and rule out other potential causes of rectal bleeding, such as anal fissures or more serious conditions.

Conclusion
In your case, it is possible that the bleeding you experienced after using the topical ointment could be due to irritation or minor injury to the hemorrhoids. Since you mentioned that the process was painless, it may not be a cause for alarm, but it is essential to monitor the situation. If the bleeding persists or worsens, or if you experience any new symptoms, it would be prudent to consult a healthcare professional for further evaluation and management. Remember, maintaining a healthy diet, staying hydrated, and practicing good bowel habits can significantly help in managing and preventing hemorrhoids.

Similar Q&A

Understanding Hemorrhoids: Treatment Options, Risks, and Benefits

Hello, Doctor. I have had hemorrhoids for several years. Previously, I visited a gastroenterologist due to rectal bleeding, and the doctor advised me to see a colorectal surgeon to consider treatment for my hemorrhoids. The colorectal surgeon initially prescribed an ointment for ...

Dr. Ke Fangxu reply Surgery
The management of hemorrhoids varies depending on the severity of symptoms. For mild cases, topical medications and improvement of bowel habits may suffice. If there is persistent bleeding, rubber band ligation can be performed. In cases of severe prolapse or recurrent bleeding, ...

Managing Internal Hemorrhoids: When to Consider Treatment Options

Hello Doctor, I have had hemorrhoids since my school days, but after turning 30, they started to prolapse without bleeding. This year, however, I began to experience bleeding. Earlier this year, I consulted a doctor who prescribed a hemorrhoid ointment and enteric-coated tablets...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Internal hemorrhoids will not resolve without active management. If there is frequent bleeding, it is advisable to discuss invasive treatment options with a surgeon, as the general risks are low.

Understanding Continuous Bleeding from Hemorrhoids: Causes and Solutions

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 ...

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 sympt...

Understanding Unpredictable Bleeding from Hemorrhoids: Causes and Solutions

Hello Dr. Ke, thank you for taking the time to address my concerns about my hemorrhoids. Here’s my story: I have been experiencing rectal bleeding intermittently for about six months. The blood in the toilet appears dark red, while the blood on the toilet paper is both bright red...

Dr. Ke Fangxu reply Surgery
This situation is likely indicative of a higher possibility of hemorrhoidal bleeding. As long as there is no further bleeding, it should not be a concern. It is recommended to avoid constipation during this period and to shorten the time spent on bowel movements. Warm sitz baths ...