What should I do if hemorrhoids bleed? If you suffer from hemorrhoids, hematochezia (blood in stool), prolapse, and pain are all very common. They are collectively referred to as the [three clinical symptoms of hemorrhoids]. So what should I do if hemorrhoids bleed?
If hemorrhoids bleed, it should be handled in three different situations because different types of hemorrhoids require somewhat different treatment methods when bleeding occurs.
1. What should I do if external hemorrhoids bleed?
(1) Non-surgical therapy is primarily recommended.
(2) Hot water sitz baths should be adhered to daily.
(3) Maintain smooth bowel movements and avoid constipation.
(4) When severe or accompanied by inflammation, bed rest is necessary, antibiotics should be administered, and Yulu ointment should be applied externally.
(5) For thrombosed external hemorrhoids with severe pain, a spindle-shaped incision (radiating) should be made under local anesthesia to remove the clot, followed by a sitz bath with a 1:5000 potassium permanganate solution once daily.
(6) Surgical excision should also be considered for connective tissue external hemorrhoids that frequently cause itching.
2. What should I do if internal hemorrhoids bleed?
(1) When constipated, take 15ml of liquid paraffin orally twice daily.
(2) Take Chinese medicineĉ§jiao pills, one pill each time, twice daily.
(3) When bleeding occurs, Vitamin K or Anluo blood can be given either orally or via intramuscular injection.
(4) Patients with anemia should take ferrous sulfate and Libron orally; blood transfusions may be required in severe cases.
(5) Use of hemorrhoid suppositories.
(6) Sitz baths with a 1:5000 potassium permanganate solution.
(7) Inject 0.5-1ml of 5% sodium cod liver oil acid or 5% phenol glycerin into the submucosal layer above the hemorrhoid once a week, suitable for first and second-stage internal hemorrhoids. Hemorrhoid spirit injection can also be used.
(8) Surgical ligation for individual removal or circular removal, suitable for second and third stages with polyps or anal fissures.
3. What should I do if mixed hemorrhoids bleed?
PPH surgery can be used for treatment. PPH surgery is a revolutionary method for treating hemorrhoids. Its treatment principle is to use a specially designed [PPH stapler] to "suspend" and "cut off" the prolapsed anal cushion, restoring its normal anatomical position, and performing a circular resection of the rectal mucosa prolapse above the hemorrhoids, effectively treating prolapsed hemorrhoids.
The American minimally invasive PPH surgery at Shenzhen Far East Anal Rectal Hospital is specifically used to treat Grade II-IV severe hemorrhoids without damaging the normal physiological function of the anal cushion. The surgery takes a short time, usually around 15 minutes, has few complications, and a short recovery period. The unique therapeutic advantages of PPH surgery include minimally invasive procedures, less pain, minimal bleeding, quick recovery, and no impact on work and study. It is currently one of the best choices for treating moderate to severe complex hemorrhoids!