Bleeding Hemroids, Bleeding Hemorrhoids / Piles

Bleeding Hemroids: The Initial Scare

Bleeding hemroids can generate a great deal of concern, especially if it is your first case of bleeding hemroids.

This bright red blood of hemroids bleeding can scare you the first time you see it on a stool, on toilet paper, in your underwear or particularly in your toilet bowl.

The first thought a bleeding hemroid brings to mind is, I think, the fear that cancer has gained a hold.

Hemroid bleeding, which is normally is about bright red blood, is often one of the first hemorrhoid symptoms anyone notices, especially when it comes to internal hemorrhoids that normally don't cause much pain or discomfort, if any.

External hemorrhoids, on the other hand, usually start causing a great deal of discomfort the instant they start up and external hemroids can be bleeding hemroids as well.

Bleeding hemroids rarely bleed so much that they're dangerous, but blood dilutes in water rather well. Two tablespoons of blood from bleeding hemroids in toilet water can look like most of the blood in the body! Don't let this symptom of bleeding hemroids worry you too much.

Above is a picture of Grade 4 external bleeding hemroids. Photo of bleeding hemroids courtesy of Απόστολος Σταματιάδης. The two photos of external bleeding hemroids below were donated, and shows the bleeding hemroid becoming more damaged over a few days.

Rectal bleeding can be from a variety of different health issues, ranging from mild ones like bleeding hemroids to serious conditions such as colon cancer. If you don't already know why you're suffering from rectal bleeding, make a doctor's appointment to find out.

Causes of Bleeding Hemorrhoids

Hemorrhoids bleed easily due to the material they're made of and the conditions they endure.

External hemorrhoids have some very thin skin covering them, and internal hemorrhoids are made of mucus membrane. Both kinds of tissue do not react well to trauma even under normal circumstances.

When swollen with blood, as hemorrhoids are by their nature, they react even less well. Bleeding hemorrhoids can result from any excessive pressure, twisting, roughness or trauma can cause bleeding.

Do Bleeding Hemroids Require Treatment?

Hemroid bleeding is something to avoid if you can.

First off, bleeding hemroids tend to really muck up your day by causing both health anxiety and social anxiety. Is there something really wrong? Could you be in serious health trouble? Are the bleeding hemroids going to bleed through your clothes?

Second, chronic hemroid bleeding can contribute to eventual hemorrhoid thrombosis, a miserable hemorrhoid condition to be avoided if at all possible. Thrombosed hemorrhoids often require surgical intervention. Even if they don't, they bring on a whole new world of pain, discomfort, burning and itching.

Bleeding Hemroids Treatment

Treatment for bleeding hemroids is usually easy, though it may take a while to fully heal.

When you're trying to get bleeding hemroids to heal, remember to go easy on them at all times. Even if the bleeding hemroids don't hurt at the moment, they can rip open again under almost any irritation.

The first step for treating bleeding hemroids is to correct and prevent constipation.

Hard stools scraping past tender hemroids are just bleeding hemroids waiting to happen, after all.

Include lots of high-fiber food in your diet such as bran, beans, fresh fruits and vegetables and whole grains. Drink enough water for your weight every day to keep all that fiber from turning into intestinal cement. The idea here is soft, bulky stools. The fiber acts as a sponge and the water keeps the sponge soft, hence unlikely to cause bleeding hemroids.

In addition, never ignore the urge to have a bowel movement. Keeping it in too long can cause impaction and constipation as surely as a poor diet can, which can all too easily turn a hemroid into a bleeding hemroid.

To avoid bleeding hemroids, don't sit or strain on the toilet for long.

If a bowel movement hasn't happened in about five minutes, get up and walk around. Either you'll have to go again or you'll be able to get on with your day.

However, sitting and/or straining puts an immense amount of blood pressure on hemroids. If they're prone to bleeding, this sort of abdominal pressure is a surefire trigger to start off bleeding hemroids.

Sitz baths either in the bathtub or in a special sitz bath that fits over the toilet can help bleeding hemroids too.

In order to take a sitz bath, draw a few inches of water as hot as you can stand, and sit in it for fifteen to twenty minutes at a time. You can take these up to four times per day.

For general aching and misery, add Epsom salts to the sitz bath. If there is a prolapsed and or external hemroid bleeding, you can also add oatmeal powder to the bath for general soothing ability.

If you can stand the idea, wrap an ice pack in a towel and sit on it for about ten minutes after the bath. The alternation of heat and cold really helps with the inflammation of bleeding hemroids and the cool can help stop the bleeding from hemroids.

Other bleeding hemroids treatments include:

Before administering any medication or after a bowel movement, use soft moistened toilet paper to clean the bleeding hemroids area as well as possible. You can use either warm water on plain, unscented toilet paper or use a medicated tissue. Witch hazel or aloe vera moistened tissues are particularly soothing for bleeding hemroids.

Use an over-the-counter cream on external hemroids that are bleeding.

The best creams for bleeding hemroids for short term use have hydrocortisone in them. However, if you use hydrocortisone creams for too long, then the tissue starts getting thinner which makes bleeding hemroids more likely.

Creams containing vasoconstrictors such as ephedrine, epinephrine, or phenylephrine are also good for bleeding hemroid treatment. Use these creams for bleeding hemroids only if you don't suffer from cardiovascular problems, high blood pressure, diabetes, urinary problems or aren't taking anti-depressant medication. Vasoconstrictors interact badly with these other health issues and medications.

Over the counter creams that contain a lubricant such as cocoa butter can help protect bleeding hemroids. Most hemroid creams will contain some kind of moisturizer and lubricant, so check around to find the best one for your bleeding hemroids. In addition, a hemroid cream that contains calamine lotion can help stop external bleeding hemroids pretty fast.

Remember, though, you cannot use an stop bleeding hemroids cream made for external hemroids, on bleeding hemroids that originate from inside the anal canal. Even if they are safe and natural creams for external hemroids, or herbal hemroid creams, they still cant be used for internal or prolapsed bleeding hemroids if they are meant for external bleeding hemroids.

Internal and External Bleeding Hemroids Treatments

Over the counter creams don't work on internal hemroid bleeding, irrespective of whether the internal bleeding hemroids are prolapsed or not. Oral medications such as ibuprofen or oral herbal remedies do work on internal bleeding hemroids. Ibuprofen works by reducing both inflammation and pain, while herbal remedies act on various internal causes of the internal bleeding hemroids.

Don't eat or drink things that will make the hemorrhoids worse, including spicy food, nuts, alcohol or anything with caffeine in it. Spicy food can irritate the intestinal tract. Nuts may not be completely digested and scrape sharp edges along your hemorrhoids. Alcohol and caffeine both steal water from the body, which doesn't do constipation problems any good. However, the odd cup likely wont upset bleeding hemroids too much.

Be gentle with your bleeding hemroids. Don't wear tight or constricting clothing that may cause more trauma. Wear moisture-wicking cotton underwear and loose clothing instead. Don't scratch or scrub at your bleeding hemroids no matter how much they itch. Check your laundry detergents and bath soaps for sensitivity by trying a hypoallergenic variety for a few days. If the problem gets better, you know what's been irritating your bleeding hemroids.

Surgical Bleeding Hemroids Treatments

Bleeding hemroids treatment can usually be done at home. In fact, fixing your bleeding hemroids is usually best done at home.

All good medicine is founded on the "least invasive" philosophy. In other words, the less traumatic the solution, the better for you and your bleeding hemroids.

However, if bleeding hemorrhoids don't start to get better within a week, you may have to look at other bleeding hemroids treatment options.

Internal bleeding hemroids can be treated with a variety of methods, many of which aren't as invasive as full hemroid surgery. Infrared coagulation, injection sclerotherapy and banding all offer ways to make an internal hemroid stop bleeding pretty fast.

However, these bleeding hemroids surgeries are not risk or pain free, so discuss your preferences, health conditions and life circumstances with your doctor before undergoing any of them.

External bleeding hemroids usually require a full hemorrhoidectomy to surgically cure.

Like any surgical procedure, the risks are pretty weighty.

The surgery wouldn't be approved at all if it weren't relatively safe, but the potential risks can permanently affect your life.

They include permanent fecal incontinence, anal sphincter damage, deep scarring and infection.

You really want to make sure your external bleeding hemroids are severe enough to justify these risks before signing off on the surgery.

Bleeding Hemroids Treatment in Conclusion

Bleeding hemroids is one of the most common hemroid symptoms out there.

The vast majority of bleeding hemroids can be successfully treated at home.

In addition, all bleeding hemroids can only be prevented at home.

Take responsibility for your hemroids by getting all the information you can. By applying this information, your bleeding hemroids should vanish and your quality of life improve.

Bleeding Hemorrhoids Treatment References

Cocchiara, J.L. Hemorrhoids, a practical approach to an aggravating problem. Postgrad Med 1991;89(1):149-152.

Hodes B. Hemorrhoidal Products. in: Handbook of Nonprescription Drugs, 11th ed. American Pharmaceutical Association; Washington, D.C. 1996;261-271

Sause R.B. Self-treatment of hemorrhoids. US Pharm 1995;20(6)32-40.

Meade V. Dealing with hemorrhoids. Am Pharm 1992;NS32(3):64-5

Research and main write for "bleeding hemroids" by Loni L. Ice, editing and additional writing for "bleeding hemroids" by D. S. Urquhart.

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