Doctor insights on:
Bleeding Internal Hemorrhoids
Long time: As long as they are untreated and as long as there may be constipation, irritation, damage or recurrent straining too long at the toilet. See a doctor for an exam to be sure of what you have. Avoid constipation, dink more water, eat more fiver, fruits ; vegetables, add metamucil. ...Read more
They are just veins: Internal hemorrhoids are simply veins underneath the lining of the anal canal starting about 5 cm up. Squeeziong during bm's or internal trauma can make them bulge and bleed. They have low pressure so bleeding should stop quickly though there may be some spotting. The best treatment is to minimize squeezing during bms by keeping them soft. Use medicines that reduce internal anal swelling. ...Read moreSee 1 more doctor answer
Few days: You are referring to ext. Hems. Which thrombose (clot) from blood slowing down as it traverses the hem. Vein it is going thru as you strain to have a bm or go too often with loose stools. Once the blood clots in the vein it swells and hurts and sometimes it bursts open and bleeds on its own or the doctor opens it to get the clot out and reduce the swelling and pain lasting a few days. ...Read moreSee 1 more doctor answer
Time works but...: Bleed usually resolves in a few days. Depends on what you have already tried. The first things are conservative including infcreasing fluid and fiber in diet to ensure that you bms are soft, losing weight, limiting the time sitting on the toilet. If still a problem you could try banding and finally excision/ligatiom. Surgery is really the only definitive treatment for this. ...Read more
How'd you get them?: "healing" depends on whether the original cause for hemorrhoids persists. Have you been straining at stool, have rectal dysfunction, perform an activity that increases pelvic engorgement with blood or increases pelvic pressure (heavy lifting, prolonged sitting, etc.)? Have your hemorrhoids been surgically or medically managed (& with otc or prescription drugs)? Too many variables here to know... ...Read more
Hemmorhoids: A thrombosed hem will usually hurt for a few days then gradually resolve, so the worst pain is likely a week or less then slowly better over another couple of weeks. It would hurt a lot less and resolve a lot quicker if you let a surgeon treat it very soon after the clot forms. Then get more fiber in your diet to prevent recurrence. ...Read moreSee 1 more doctor answer
A lot: Anal fissures can bleed a lot. Blood drips into the toilet and turns the water red. Treatment is stool softeners (like miralax). If stools are pudding-like consistency without chunks, it will heal. If not healing, it's important to make sure it's a normal fissure before seeing surgeon. See a gastroenterologist to make sure not fistula or other pathology from crohn's disease first. ...Read moreSee 1 more doctor answer
Variable: It really depends on maintaining bowel habit modifications.Good results can last several years if constipation is avoided.Those with familial tendencies may need retreatments sooner.Office methods have excellent long term results, avoiding surgical recovery time. ...Read moreSee 1 more doctor answer
Get Right Diagnosis: Not all rectal bleeding is hemorrhoids! most hemorrhoids (varicose veins of the anus) are soft, squishy tissue that may become more distended or protrude after straining or having a bowel movement. If torn with a bm or anal sex, they can bleed. But so can ulcerative colitis, crohns, benign tumors (polyps), or even cancer! you need to see a GI doc or colorectal surgeon for the right diagnosis. ...Read more
Conservatively: A very common problem that affects millions in your age bracket. Try conservative measures like stool softness on a regular basis, regular exercises and daily Sitz baths with Epson salt. There are some OTC hemorrhoid all creams you can also try. Get your GP examine these on your next check up for a proper assessment. ...Read more
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