Bleeding Hemorrhoids? Here’s What You Can Do to Find Relief

 

When you find blood down there, it’s never a good sign and should be a cause for alarm. But what can you do about bleeding hemorrhoids? Hemorrhoids are swollen veins in the rectum or anus that can cause discomfort and irritation. Hemorrhoids are made up of normal hemorrhoidal tissue, which includes connective tissue, blood vessels, and muscle. They can be internal, located inside the rectum, or external, forming under the skin around the anus.

While hemorrhoids aren’t life-threatening, they can cause pain and discomfort, especially when they bleed. Common hemorrhoid symptoms include bleeding, pain, and lumps around the anus. If you’ve noticed blood during or after a bowel movement, it’s understandable to feel concerned. Today, the Alabama Colon & Rectal Institute will discuss why hemorrhoids bleed, how swollen blood vessels are a key feature of hemorrhoids, and how to find relief from the condition.

Introduction to Hemorrhoid Conditions

Hemorrhoids, often called piles, are a common health issue that affects millions of people. They occur when the blood vessels in the anal canal become swollen and inflamed, leading to discomfort, pain, and sometimes rectal bleeding. Hemorrhoids can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids). Many people first notice symptoms during or after bowel movements, such as bleeding or irritation around the anus. Understanding what causes hemorrhoids, recognizing their symptoms, and knowing the available treatment options are key steps in managing this condition and finding relief from bleeding and discomfort.

Types of Hemorrhoids

There are two main types of hemorrhoids: internal hemorrhoids and external hemorrhoids. Internal hemorrhoids form inside the rectum and are usually not visible or felt, but they can cause symptoms like bright red blood on toilet paper, in the toilet bowl, or on stool after a bowel movement. External hemorrhoids develop under the skin around the anus and can lead to noticeable swelling, irritation, and sometimes severe pain. In some cases, a blood clot can form in an external hemorrhoid, resulting in a thrombosed external hemorrhoid. This condition can cause intense pain, swelling, and a hard lump near the anus. Recognizing the type of hemorrhoid you have can help guide the best approach to treatment and relief.

Why Do Hemorrhoids Bleed?

Hemorrhoids bleed when the swollen veins become irritated or ruptured. The pressure on these veins, caused by various factors, can lead to bleeding, especially when straining or experiencing discomfort during bowel movements. This bleeding is typically bright red and can be seen on toilet paper, in the toilet, or on stool. The bleeding may range from a few drops to a more noticeable amount. If you notice blood clots along with the bleeding, this may indicate a more serious issue and should prompt you to seek medical attention.

What Causes Hemorrhoids to Bleed?

Several factors can trigger hemorrhoid bleeding:

• Straining during bowel movements: This is one of the most common causes. When you strain due to constipation or diarrhea, the pressure on the veins in the rectum and anus increases, causing them to swell and bleed.

• Pregnancy: The added weight and pressure from a growing fetus can increase strain on the rectal veins, making hemorrhoids more likely to bleed.

• Aging: As we get older, the tissues supporting the veins in the rectum and anus weaken, which can lead to hemorrhoids.

• Obesity: Being overweight increases pressure on the veins, leading to hemorrhoids and bleeding.

• Chronic constipation or diarrhea: These conditions cause repeated straining, which irritates hemorrhoids and can cause them to bleed.

• Prolonged sitting or standing: Staying in one position for long periods puts pressure on the veins in the rectum and anus, contributing to the development and irritation of hemorrhoids.

It's important to monitor changes in your bowel habits, such as frequency or consistency of stool, as significant changes can sometimes indicate more serious conditions like colorectal or anal cancer.

How Much Bleeding is Normal for Hemorrhoids?

Some bleeding from hemorrhoids, especially during or after a bowel movement, is not uncommon. You might notice a few drops of bright red blood, but this is usually nothing to be alarmed about.

However, if you experience significant bleeding or severe bleeding, or if you notice blood in your stool regularly, it’s important to contact a doctor for urgent medical evaluation. While hemorrhoid bleeding is often harmless, it can sometimes signal more serious conditions, like colorectal cancer, that require medical attention. In cases of persistent or unexplained bleeding, your doctor may recommend examining the entire colon with procedures such as a colonoscopy to rule out other conditions.

Symptoms and Complications

The symptoms of hemorrhoids can range from mild to severe, depending on their type and how advanced they are. Internal hemorrhoids often cause minor rectal bleeding, especially during bowel movements, but they are usually painless. External hemorrhoids, however, can cause significant discomfort, swelling, and severe pain, particularly if a blood clot develops. In addition to pain and bleeding, hemorrhoids can sometimes lead to complications such as anal fissures (small tears in the skin), infections, or abscesses. While most hemorrhoids are not life-threatening, persistent or worsening symptoms should not be ignored, as they can sometimes indicate more serious conditions like colorectal cancer. If you experience ongoing rectal bleeding, severe pain, or other concerning symptoms, it’s important to see a doctor for a proper diagnosis and treatment.

Home Treatments for Bleeding Hemorrhoids

Most bleeding hemorrhoids can be treated at home using simple remedies. These treatments help reduce irritation and swelling, making the hemorrhoids less likely to bleed.

• Sitz bath: A sitz bath can help relieve discomfort and promote healing by soaking the affected area in warm water for 10-15 minutes a few times daily.

• Numbing medicine: Applying numbing medicine, such as topical anesthetics, can be used to relieve pain during flare-ups.

• Cold compresses: Applying a cold compress or ice pack to the hemorrhoids for 10-15 minutes can reduce swelling and relieve pain or itching.

• Stay hydrated: Drinking plenty of water prevents constipation and promotes bowel movements, which helps avoid the straining that can cause hemorrhoid bleeding.

Over-the-Counter Treatments for Bleeding Hemorrhoids

In addition to home remedies, several over-the-counter (OTC) treatments—examples of non-operative treatment for hemorrhoids—can help manage bleeding hemorrhoids. These include:

• Topical creams and ointments: OTC hemorrhoid creams and ointments containing ingredients like hydrocortisone, pramoxine, or witch hazel can temporarily relieve symptoms such as itching, burning, and swelling.

• Suppositories: Suppositories containing ingredients like hydrocortisone or lidocaine can be inserted into the rectum to provide relief from bleeding and discomfort.

• Pads and wipes: Medicated pads and wipes designed for hemorrhoid relief can help soothe and cleanse the affected area, reducing irritation and discomfort.

It’s essential to follow the instructions on OTC products carefully and seek medical advice if symptoms persist or worsen after using these treatments. These non-operative treatments can help treat hemorrhoids and manage symptoms effectively.

Prevention: How to Stop Hemorrhoids from Coming Back

Preventing hemorrhoids from returning often comes down to making a few simple but effective lifestyle changes. One of the best ways to prevent hemorrhoids is to eat more high fiber foods, such as fruits, vegetables, and whole grains. A high fiber diet helps soften stool and makes bowel movements easier, reducing the need to strain. Drinking plenty of water and staying hydrated also supports healthy digestion and softer stools. Good toilet habits, like not delaying bowel movements and avoiding straining, can make a big difference. Regular exercise, maintaining a healthy weight, and avoiding long periods of sitting or standing can further reduce your risk. If you struggle to get enough fiber from your diet alone, fiber supplements can be a helpful addition. By making these changes, you can help prevent hemorrhoids from coming back and support better digestive health overall.

When Should You See a Doctor?

While hemorrhoid bleeding is often manageable at home, there are times when medical attention is necessary. You should contact a doctor if:

• You experience heavy or persistent bleeding: If you’re losing more than just a few drops of blood or if you notice blood in your stool regularly, it’s vital to seek medical advice.

• You notice severe pain or discomfort: Significant pain, swelling, or discomfort could indicate that the hemorrhoids are more severe or that another issue needs attention. A thrombosed hemorrhoid, which occurs when a blood clot forms in an external hemorrhoid, can cause sudden, severe pain and may require urgent treatment.

• You experience other symptoms: If you develop a fever, chills, or feel unusually weak or fatigued, these could be signs of an infection or anemia caused by blood loss.

• Home treatments aren’t working: If your symptoms persist despite trying home remedies and over-the-counter treatments, it’s time to consult a healthcare professional.

It is important to seek advice from qualified health care providers for proper diagnosis and management, especially when symptoms are severe or do not improve.

Medical Treatments for Bleeding Hemorrhoids

A doctor may recommend medical treatments if home treatments aren’t enough to control bleeding or discomfort. Both office-based and surgical procedures are available for treating hemorrhoids. Some standard procedures include:

• Rubber band ligation: A doctor places a small rubber band around the base of the hemorrhoid, cutting off the hemorrhoid's blood supply. The hemorrhoid eventually shrinks and falls off within a few days.

• Sclerotherapy involves injecting a chemical solution into the hemorrhoid, which shrinks and scars over time.

• Infrared coagulation: This technique uses infrared light to create scar tissue, which reduces blood flow to the hemorrhoid and helps it shrink.

• Hemorrhoidectomy: In severe cases, surgical procedures may be necessary to remove the hemorrhoid. This is typically only done for large or recurring hemorrhoids that don’t respond to other treatments.

• Thrombosed external hemorrhoids: These are hemorrhoids in which a blood clot has formed, causing significant pain, swelling, and a bluish color. Thrombosed external hemorrhoids may require specific interventions, such as incision and removal of the clot, especially if treated soon after symptoms begin.

Talk to your doctor about the benefits and risks of each option to decide what’s best for you.

Expert Hemorrhoid Treatment from the Alabama Colon & Rectal Institute

If hemorrhoids are disrupting your life or causing persistent bleeding, you don’t have to suffer in silence.  At the Alabama Colon & Rectal Institute, we provide personalized care for patients with hemorrhoids. Our board-certified colorectal specialists will guide you through a treatment plan that suits your needs, from non-invasive options to advanced procedures. Don’t let hemorrhoids continue to cause discomfort—schedule a consultation today and take control of your health!

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 Don’t Suffer in Silence – Schedule Your Hemorrhoid Treatment Today with the Alabama Colon & Rectal Institute in Birmingham, AL

Are hemorrhoids causing you discomfort or disrupting your daily life? We specialize in providing effective, compassionate hemorrhoid treatment at the Alabama Colon & Rectal Institute in Birmingham, AL. Our experienced team uses the latest techniques to offer relief, whether you need non-invasive solutions or more advanced care. Don’t let hemorrhoids keep you from living comfortably—schedule a consultation today and take the first step toward lasting relief!

Contact us today online or by calling (205) 458-5000 to schedule a consultation and explore the best treatment options for your specific needs.

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