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Bleeding Hemorrhoids Guide 101 - Discover How to Stop Hemorrhoid Bleeding

Posted on 09 January 2018

Do you have bleeding hemorrhoids? Do you want to stop hemorrhoid bleeding from internal and external hemorrhoids? In this guide we will discuss how to stop hemorrhoid bleeding from both internal and external hemorrhoids.

Hemorrhoids are a common occurrence that affect about 1 in 20 Americans. Nearly half of adults over the age of 30 have experienced hemorrhoids at some point in their lives. (1) Obesity, pregnancy, poor hygiene and diet habits, and genetics can all play a part in whether you have bothersome hemorrhoids. While bleeding hemorrhoids are common, many patients panic when they experience this symptom. Here's all you need to know about bleeding hemorrhoids.

Bleeding Hemorrhoids Treatment

Bleeding is one of the most common symptoms of hemorrhoids. While internal hemorrhoids do not display many symptoms, bleeding can be an indication of internal hemorrhoids. When it comes to bleeding hemorrhoids, you should always consult with your physician or hemorrhoid doctor. This is because rectal bleeding is also a sign of colorectal or anal cancer. Bleeding with pain can be a sign of an anal fissure or a tear in the skin at the opening of the anus. Once your doctor has determined that your rectal bleeding is caused by hemorrhoids, there are several hemorrhoid treatments available for bleeding hemorrhoids.

Some treatments include hemorrhoid supplements, wipes, creams, and pillows. See once of the links below for guides on the best hemorrhoid products for each category.

Hemorrhoid Supplement Reviews

Best Hemorrhoid Pillows

Best Hemorrhoid Cream

Best Hemorrhoid Products

Best Hemorrhoid Wipes

Most hemorrhoids can be treated at home with over-the-counter remedies. There are ways to change your daily habits that can treat bleeding hemorrhoids. Constipation is a common cause of hemorrhoids, so avoiding it at all costs can be an effective treatment for hemorrhoids. (2)

hemorrhoids constipation

Proper diet and hydration is very important for overall health (3). Plus, it's very helpful when dealing with hemorrhoids. The use of stool softeners can also be helpful in treating hemorrhoids (4). Make sure you follow proper hygiene practices and avoid straining during bowel movements.

Internal hemorrhoids that bleed can be treated with many different options. The rubber band ligation is one of the most common treatment options for bleeding internal hemorrhoids. Sclerotherapy, also used to treat internal bleeding hemorrhoids, involves injecting the problem area with a caustic agent. Staples and infrared heat are other options as well. Many people are curious about laser hemorrhoid surgery, which we cover in detail in the laser hemorrhoid surgery guide.

Do Hemorrhoids Bleed?

Many patients panic the first time they notice rectal bleeding. While you should always consult your physician, it is rarely a cause for serious concern (5). Bleeding is one of the most common symptoms of hemorrhoids. In fact, the only true symptom of internal hemorrhoids is the presence of blood during or after a bowel movement. Since internal hemorrhoids do not cause hemorrhoid pain or other symptoms, blood in the stool or on your toilet tissue paper after a bowel movement may be the only sign that you have internal hemorrhoids. If you experience bleeding hemorrhoids, consult your physician. But, do not panic. This is a normal and manageable symptom of hemorrhoids.

Internal Hemorrhoids Bleeding

Internal hemorrhoids often go undetected because they are in an area of the rectum that does not have pain-sensing nerves (6). Bleeding is the most common sign of internal hemorrhoids. Without the presence of this symptom, most internal hemorrhoids resolve on their own without the patient even realizing they have hemorrhoids.

Bleeding Hemorrhoids Pictures

Each case of hemorrhoids is different based on its severity, type, and the patient experiencing the symptoms. There are several causes of bleeding hemorrhoids. Below are some pictures of different types of bleeding hemorrhoids.

Here is an example of a stage 4 external hemorrhoid bleeding. This type of hemorrhoid can be very painful. Treatment often requires a change in lifestyle, such as changing your diet and increasing your hydration. In many cases, this stage of hemorrhoids will need to be treated with a medical procedure.

stage 4 external hemorrhoid bleeding

Internal hemorrhoids can cause bleeding. Although this type of hemorrhoids does not often cause symptoms, bleeding is common with internal hemorrhoids. Above is also a picture of internal hemorrhoids.

Prolapsed hemorrhoids bleed often. Prolapsed hemorrhoids are internal hemorrhoids that come out of the rectum and form fimbriae with hemorrhoids around the anus. Prolapsed hemorrhoids commonly result in surgery. Above is also example of a prolapsed hemorrhoid.

While thrombosed hemorrhoids do not visibly bleed, they often form into a solid blue pile. The blue color is caused by the blood clot that lies within these hemorrhoids. This type of hemorrhoid requires immediate medical attention. An example of a thrombosed hemorrhoid can be seen below.

thrombosed hemorrhoid 1

External Hemorrhoid Bleeding

When irritated, external hemorrhoids can cause bleeding. Bleeding during bowel movements is a common symptom and sign of hemorrhoids (7). Your doctor will do a physical exam to determine whether bleeding is a result of hemorrhoids or a more serious problem.

If your symptoms of bleeding with external hemorrhoids becomes bothersome, try making small changes to treat your hemorrhoids and avoid the irritation associate with bleeding. Do not strain during bowel movements. Eat a diet high in fiber and focus on hydration. Use a stool softener to reduce the effects of constipation on hemorrhoids. It is very important to determine your hemorrhoid causes and triggers. Once you do, you can work on fixing the issue before it starts, which is much less painful and better for you. 

What to Do for Bleeding Hemorrhoids

A hemorrhoid is a result of a dilated vein in the rectum or anus that becomes swollen with blood. If a hemorrhoid burst and bleeds, they can be very painful. If bleeding symptoms occur for the first time, or are persistent, it is imperative that you contact your physician. To treat the symptoms of bleeding, soak in a warm bath or sitz bath for 15 to 20 minutes. This can reduce irritation and help shrink the veins in your hemorrhoids. Once your hemorrhoids have been reduced, the bleeding should cease.

Placing a hemorrhoid ice pack like hemorrwedge on your hemorrhoids can be another effective treatment (8). Not only will this stop the pain and swelling associated with hemorrhoids, it will constrict the vessels and stop the bleeding. Use soft toilet paper and resist the urge to scratch. Scratching your itchy hemorrhoids can cause further bleeding and irritate the area even more. There are also many hemorrhoid supplements available that can help with your bleeding hemorrhoids. Always consult your physician or a hemorrhoid doctor before you begin using hemorrhoid supplements. Common hemorrhoid supplements include:

  • HemRid Max - Our top ranked hemorrhoid supplement you can purchase on Amazon. HemRid Max is thought to strengthen the veins and reduce hemorrhoid symptoms.

hemrid max

  • Oral Flavonoids which reduce the leaking of tiny blood vessels by increasing vascular tone. They have been known to reduce bleeding along with other symptoms.
  • Calcium dobesilate can be taken to decrease leaking of tiny vessels, prevent clots, and improve blood viscosity (9).
The worst-case scenario when worrying what to do about your bleeding hemorrhoids is to get a hemorrhoidectomy or other surgical treatment, like laser hemorrhoid surgery. Talk to your hemorrhoid doctor about the different treatment options available based on your situation. Check out the page for a look at the best hemorrhoid products.

Why Do Hemorrhoids Bleed?

Hemorrhoids are clumps of tissue that contain blood vessels. When hemorrhoidal cushions become enlarged, hemorrhoids become susceptible to trauma from every day habits such as bowel movements. Bleeding with hemorrhoids is general mild and does not cause serious issues. Did your hemorrhoid burst and bleed

Bleeding Hemorrhoids Home Remedies

There are many home remedies that can reduce the irritation and inflammation associated with hemorrhoids that cause them to bleed. The best way to treat bleeding associated with hemorrhoids is to ease their symptoms. Sitting in a tub of warm water for 10-15 minutes can help reduce the swelling and irritation cause by hemorrhoids (10). Some patients add Epsom salt or apple cider vinegar to their baths to help further reduce the hemorrhoids and their bleeding. Better Bath Better Body Hemorrhoid Soak is a good product to use for hemorrhoids. Just add a little of the product to a lukewarm bath.

hemorrhoids bath for bleeding hemorrhoids

Witch hazel is an astringent that can cause hemorrhoid tissue to shrink. The antioxidant and anti-inflammatory properties of witch hazel have been effective in providing relief for many symptoms of hemorrhoids, which is why using witch hazel for hemorrhoids is a great idea. Two products that use witch hazel, preparation h and tucks, cab be used.

Coconut oil for hemorrhoids can be used as it is a natural moisturizer that can help with the pain and itching that often causes hemorrhoids to become irritated and bleed. Aloe vera plant has an anti-inflammatory effect on the body that can help provide relief from itching, burning, and swelling. Ice packs, as mentioned earlier, can help relieve pain, reduce inflammation, and shrink the veins that cause bleeding hemorrhoids.

When these simple, natural remedies are not enough, over-the-counter and prescription medications may be used to treat hemorrhoids and reduce the symptoms of bleeding. Nonsteroidal anti-inflammatory drugs can help provide temporary relief as well. The best way to treat bleeding hemorrhoids with home remedies is to find ways to change your lifestyle. This can include:

  • Drinking plenty of water
  • Eating a diet rich in fiber (11)
  • Wearing loose-fitting, breathable, cotton underwear and pants
  • Correcting bathroom habits that can lead to severely irritated hemorrhoids-this can include avoiding constipation, sitting on the toilet for prolonger periods of time, and properly cleaning yourself after a bowel movement
  • Avoiding perfumed toilet paper and washing yourself after bowel movements, instead of wiping, can also help

While bleeding hemorrhoids can be irritating, they are often not a cause for a serious concern. Talk to your physician to be sure bleeding hemorrhoids are not a sign of a more serious problem. If it’s determined the bleeding is caused by hemorrhoids, try the different treatment methods to reduce the symptoms of hemorrhoids and stop the bleeding.

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