The human body is a complex network of arteries and veins. The arteries carry blood to different areas and the veins collect it to bring it back to the heart. The veins that bring blood to the rectum and anus can sometimes dilate and swell with blood, forming a hemorrhoid. Hemorrhoids can be painful and can lead to bleeding if they pierce. Understand what causes hemorrhoids and try to treat bleeding at home. If the bleeding and symptoms continue, know when to see a doctor.
Method 1 of 3: Treat bleeding hemorrhoids at home
Step 1. Soak in hot water or a sitz bath
To reduce irritation, relieve pain, and help your veins deflate, soak your hemorrhoids in warm (but not hot) water for 15 to 20 minutes, 3 times a day. If you don't want to run a bath, you can get a sitz bath, a plastic tub that sits over the toilet bowl. This allows you to soak your buttocks and hips while sitting. It can help reduce irritation, rectal muscle spasms, and itching.
- You can also put a quarter cup of sea salt in the sitz bath and sit there for 30 minutes. Salt is an excellent antibacterial product which is also used to help wounds heal and to stop infections.
- You can also add witch hazel, known for its calming and soothing properties in hemorrhoids. You should take a sitz bath at least once a day and last for 15-20 minutes.
Step 2. Apply an ice pack to the hemorrhoids
Place an ice pack straight out of the freezer, and wait until the ice cream is completely melted. Be careful not to apply the ice directly to the hemorrhoids. Instead, wrap the pouch in a clean towel or cloth before gently pressing it on your hemorrhoids. Do not leave it on for too long a time, as the ice could damage your skin. It is better that you apply it for a few minutes, remove it until your skin has come back to room temperature, and then reapply.
This will help you reduce pain and swelling by reducing inflammation. It will also constrict the blood vessels, which will help stop the bleeding
Step 3. Apply a topical cream
Try a topical cream that contains phenylephrine to constrict the vessels and reduce bleeding. You can also apply a cream to relieve pain, irritation and itching (which can cause bleeding). Be aware that this will not necessarily stop the bleeding. Soothing creams may contain cortisol, aloe vera, witch hazel (a plant extract), and vitamin E.
If you are using cortisol, apply it in the morning and evening, but don't use it for more than a week. Too much absorption of this substance can cause an imbalance in your hormones in the hypothalamus
Step 4. Use soft toilet paper and resist the urge to scratch
Toilet paper that is too rough can irritate the skin and damage it even more. To relieve pain and reduce irritation, use wet wipes. You can also use compresses soaked in witch hazel, cortisol, aloe vera, or vitamin E. Do not wipe yourself too hard, as this can irritate you and make the bleeding worse.
You will only increase the bleeding and irritation of the area by scratching it, which will make the hemorrhoids even more sensitive. It could lead to infection
Step 5. Take food supplements
They are used to reduce bleeding. Many of these supplements can be difficult to find in pharmacies, so you should try to find them on the Internet or in specialty stores. Always discuss this with your doctor before taking any dietary supplements, especially if you are already on medication. If you are pregnant or breastfeeding, you should also discuss this with your doctor, as most of these supplements have not been tested on pregnant or breastfeeding women. Here are a few examples.
- Extra Fargelin: Take the traditional Chinese medicine pills offered by this brand 3 to 4 times a day to strengthen your veins and reduce bleeding.
- Oral flavonoids: have been shown to reduce the onset of bleeding, pain and itching. They help increase vascular tone which reduces leakage in small blood vessels (capillaries).
- Calcium or doxium dobesilate lozenges: take for two weeks and follow the dosage indicated on the package. These drugs have been shown to be effective in reducing leakage from small blood vessels (capillaries), preventing blood clots and improving blood viscosity. All of these properties can help you reduce the swelling of the tissues that cause hemorrhoids.
Step 6. Reduce the pressure on the hemorrhoids
It can help you prevent or relieve hemorrhoids. Eat a high fiber diet to soften your faeces and reduce constipation. Try to eat fruits, vegetables and whole grains, or take dietary supplements (25g per day for women and 38g for men). You should also avoid sitting for long periods of time, as this can increase pressure on the hemorrhoid veins, which can lead to bleeding. Exercise and walk to relieve the pressure.
Use a round cushion to relieve your body weight on the affected area. To use it, position your anal region in the center of the pad above the hollow. This method could also put more pressure on the anal area, which is why you should stop using it if your symptoms get worse, or if the bleeding continues or starts again
Method 2 of 3: Take medication
Step 1. Have a hemorrhoidectomy
This operation helps to get rid of internal or external hemorrhoids. It is a common method of treating external hemorrhoids. The surgeon will remove the hemorrhoids using a variety of tools such as scissors, scalpels, or a LigaSure system (a device that sends an electric current to shut off bleeding hemorrhoids). Your doctor will give you a local anesthetic combined with a sedative, spinal anesthetic or general anesthesia.
- Hemorrhoidectomy is the most effective treatment for completely treating severe and recurring hemorrhoids. It can be painful, but it is also possible to use medicines, sitz baths and ointments.
- Compared to hemorrhoidectomy, staples carry a higher risk of hemorrhoids recurring and rectal prolapse, which causes part of the rectum to come out through the anus.
Step 2. For internal hemorrhoids, have a rubber band ligated
Your doctor will insert a probe through an anoscope (a plastic instrument inserted into the anus to view the rectum). He will tie a rubber band to the base of the hemorrhoid. This elastic will cut off blood circulation and will cause the hemorrhoid to heal.
You may feel uncomfortable after the operation. You can relieve it by taking a sitz bath, soaking yourself in hot water, or applying ointment
Step 3. Have an injection (sclerotherapy) for internal hemorrhoids
Your doctor will use a plastic device that he puts into the anus to view the rectum (an anoscope). The doctor will use it to insert a needle that will inject a chemical solution, for example 5% phenol oil, vegetable oil, quinine, urea hydrochloride or hypertonic salt., at the base of the hemorrhoid. These chemical solutions will cause the veins to narrow.
Sclerotherapy is considered to be less effective than ligation with a rubber band
Step 4. Undergo laser or radio wave treatment
These are treatments used to treat internal hemorrhoids (infrared coagulation). Your doctor might use infrared lasers or radio frequencies to clot the veins near the hemorrhoids. If he uses the infrared method, he will apply a probe to the base of the hemorrhoid for 1 second or less, depending on the intensity and wavelength of the infrared coagulator. If it uses a radio frequency, an electrode is connected to a radio frequency generator. He places it on the hemorrhoid, which causes it to clot and evaporate.
Compared to the rubber band ligation method, infrared treatments have a better chance of success on recurrent hemorrhoids
Step 5. Undergo cryotherapy for internal hemorrhoids
Your doctor will use a probe to apply a low temperature to the base of the hemorrhoid. This should cause tissue destruction. However, this method is not often used, because usually hemorrhoids reappear.
Step 6. Get the internal hemorrhoids stapled
Your surgeon will use a device to staple internal hemorrhoids that have slipped or descended into the anal canal. This will stop the blood supply to the hemorrhoids so that their tissues die off and the bleeding stops.
Healing usually occurs faster and is less painful than with a hemorrhoidectomy
Method 3 of 3: Understand and Examine Hemorrhoids
Step 1. Learn what causes hemorrhoids
Chronic constipation, stress, and long periods of sitting can cause hemorrhoids. These conditions can put more pressure on the rectum and anus and prevent proper circulation in these areas. Pregnancy can also put a lot of pressure on these veins, especially during childbirth where hemorrhoids can appear.
- Hemorrhoids are more common in obese people and the likelihood of having them increases with age.
- Hemorrhoids can be internal (inside the rectum) or external (around the anus). Internal hemorrhoids do not cause pain while external hemorrhoids are painful. Both of these types of hemorrhoids can cause bleeding if they pierce each other.
Step 2. Know the symptoms of hemorrhoids
If you have internal hemorrhoids, it might be difficult to see the symptoms and they usually won't cause pain. If you have external hemorrhoids, you see several symptoms, including the following:
- painless bleeding while having a bowel movement. There won't be a lot of blood and it will usually be bright red,
- itching or irritation in the anal area
- pain or discomfort
- swelling around the anus
- a tender or painful lump of tissue near the anus
- anal incontinence.
Step 3. Check to see if you have hemorrhoids
Look at your buttocks in a mirror and observe the presence of balls or masses around your anus. Their color could vary from your normal skin color to a dark red. These balls could be painful to the touch. If so, you probably have external hemorrhoids. Pay attention to the presence of blood on the toilet paper after having a bowel movement. Blood from hemorrhoids is usually bright red instead of dark red (this color could indicate bleeding that is occurring in another part of your digestive system).
It can be difficult to distinguish internal hemorrhoids in your home without having the right instruments. Make an appointment with your doctor. Your doctor will ask you for a complete medical history so that they can find the possible reason for your bleeding, such as colon cancer or polyps, since the masses they cause can also bleed
Step 4. Know when to see a doctor
If you are still suffering from symptoms or pain after a week of at-home treatments, you should be checked by your doctor. You should be concerned about bleeding, especially if you are at risk for a certain disease, for example chronic inflammatory bowel disease or colon cancer. You should also see a doctor if your blood is dark red or if your stools are darker in color or tarry in color. It could mean that there is bleeding higher up in your intestines.
Try to estimate how much blood you have lost. If you start to feel tired or anxious, if your complexion becomes paler, if your arms and legs are colder, if your heartbeat is faster than usual, or if you have dizziness with your bleeding, you should consult a doctor immediately. You should be checked to see if the amount of blood has increased
Step 5. Know what to expect at the time of the medical examination
Your doctor will determine the presence of hemorrhoids by looking outside your anus and performing a manual rectal exam. Your doctor will insert his lubricated finger into your rectum to feel its walls and to detect the presence of balls, masses or to find blood. If they suspect you have internal hemorrhoids, your doctor may insert an anoscope (a plastic tube) through your rectum through the anus. This allows the doctor to insert a light in it to check for the presence of swollen or bloody veins.
- Your doctor might perform a guaiac test, which involves taking a sample of feces on a strip of paper. This allows it to detect the presence of blood cells in the faeces, which can indicate severe conditions such as hemorrhoids, colon cancer or polyps.
- If you are to have a guaiac test, it is important not to eat raw red meats, turnips, radishes, horseradish, melons or broccoli 3 days before the test, as they could skew the results.