Can Hemorrhoid Bleeding Heal on Its Own? Expert Insights

Will a bleeding ulcer heal on its own?

Hello, Doctor.
I am 37 years old, 175 cm tall, and weigh 66 kg.
I have never experienced constipation and usually go to the bathroom about 1-3 times a day.
I drink alcohol on weekends, but I pay attention to my diet and exercise four times a week, with two sessions of strength training and two sessions of cardio.
I have annual health check-ups, and my results are generally good, except for my prostate cancer marker, PSA, which has been around 7-10 for several years.
Since I have not had any urinary issues, I did not pay much attention to it until last weekend when I had drunken chicken and alcohol.
After using the bathroom, I noticed blood in the toilet.
There was no pain or skin breakage around the anus, but upon looking in the mirror, I realized that I might have hemorrhoids.
I discovered that I have hemorrhoids after researching related information.
I recalled that I usually spend at least half an hour in the bathroom, often getting distracted by reading or using my phone, and I only get up when my legs go numb.
Even though I don’t have constipation, I enjoy the feeling of straining during bowel movements.
The bleeding has been variable over the past week; since the first day of bleeding, I have been taking warm sitz baths.
I thought my condition was improving because I had two consecutive days without bleeding, and I have been trying to limit my bathroom time to under five minutes.
However, after a "comfortable" bowel movement today post-lunch, I experienced bleeding again.
This bleeding has been occurring for exactly one week now, but it does not happen every time I go to the bathroom.
I do not see blood when I go in the morning, but I do notice bleeding after lunch or dinner.
Therefore, I would like to ask if I should continue with warm sitz baths.
Since I do not have any issues with bowel movements, do I still need to see a doctor? Is there anything I can do on my own to stop the bleeding? Thank you.

Xiao Jie, 30~39 year old female. Ask Date: 2020/09/04

Dr. Ke Fangxu reply Surgery

This situation likely indicates 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.
Increasing dietary fiber intake can also be beneficial.
Warm sitz baths may help alleviate symptoms, and over-the-counter hemorrhoid suppositories can be used.
It is best to avoid taking stool softeners indiscriminately.
If bleeding persists, it is advisable to consult a physician.
If necessary, a colonoscopy can be arranged.

Reply Date: 2020/09/04

More Info

Hemorrhoids, or piles, are swollen veins in the lower rectum and anus that can cause discomfort, itching, and bleeding during bowel movements. In your case, it seems that you have been experiencing rectal bleeding, particularly after certain meals, and you suspect that it may be related to hemorrhoids.

To address your question about whether hemorrhoid bleeding can heal on its own, the answer is that it often can, especially in cases where the bleeding is mild and infrequent. Many individuals experience hemorrhoids at some point in their lives, and for some, the symptoms may resolve with conservative measures. However, there are several factors to consider regarding your situation.

1. Self-Care Measures: You mentioned that you have been using warm sitz baths, which can help soothe the area and promote healing. This is a good practice, as it can reduce inflammation and discomfort. Additionally, maintaining a high-fiber diet and staying well-hydrated can help prevent straining during bowel movements, which is crucial since straining can exacerbate hemorrhoids.

2. Monitoring Symptoms: It is important to monitor the frequency and severity of your symptoms. If the bleeding is minimal and occurs occasionally, it may resolve with continued self-care. However, if you notice an increase in bleeding, pain, or any changes in your bowel habits, it would be wise to seek medical attention.

3. When to See a Doctor: While many cases of hemorrhoids can be managed at home, there are situations where medical intervention is necessary. If you experience persistent bleeding, significant pain, or if the hemorrhoids protrude and do not return to their normal position, you should consult a healthcare professional. Additionally, given your history of elevated PSA levels, it is advisable to discuss any rectal bleeding with your doctor to rule out other potential causes.

4. Potential Treatments: If you do see a doctor, they may recommend treatments ranging from over-the-counter topical medications to more invasive procedures, depending on the severity of your hemorrhoids. Options include rubber band ligation, sclerotherapy, or even surgical removal in more severe cases.

5. Lifestyle Modifications: In addition to your current practices, consider adjusting your bathroom habits. Avoid prolonged sitting on the toilet, as this can increase pressure on the rectal veins. Instead, try to limit your time to five minutes, as you mentioned you are already doing. Regular exercise, which you are already engaged in, can also help improve bowel function and reduce the risk of constipation.

In conclusion, while hemorrhoid bleeding can often heal on its own, it is essential to remain vigilant about your symptoms. Continue with your self-care measures, and if the bleeding persists or worsens, do not hesitate to seek medical advice. It is always better to err on the side of caution, especially when it comes to any changes in your health.

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