Haemorrhoids are among the most common diseases of the 21st century: they are present in approximately 12% of adults. A flare-up of haemorrhoids significantly complicates a person’s life due to a multitude of unpleasant symptoms.
One of these is rectal bleeding. In most cases, blood loss is minor and can be easily managed through adequate treatment and lifestyle adjustments. However, frequent and heavy bleeding is also possible, which over time can lead to severe anemia and other serious complications. Sometimes, it may require emergency medical attention.
Symptoms of acute haemorrhoids with bleeding
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Bleeding from haemorrhoids usually occurs during defecation. The blood is bright red in color, most often appearing as drops or streaks on the stool. Blood discharge is much less commonly massive or clot-like. Bleeding is more often periodic, with varying intensity and volume of blood lost. The first sign of haemorrhoids is often the appearance of blood on toilet paper.
The danger of bleeding in the context of haemorrhoids consists of the inevitable development of anemia. In its chronic course, the symptoms will be mild, so anemia is often found incidentally during an examination. Heavy bleeding from pathologically changed haemorrhoids can be accompanied by collapse and can be life-threatening, as it disrupts the function of vital organs. In such a situation, it is important to seek professional help as soon as possible.
Features of treating acute haemorrhoids with bleeding
Medication therapy
Medication therapy for haemorrhoids depends on the symptoms of the disease. For pain syndrome, painkillers and anti-inflammatory agents in the form of suppositories, gels, and ointments are used. They are also actively used in the treatment of acute haemorrhoids. Venotonics (for example, Detralex, Venarus), antispasmodics, and drugs that improve microcirculation. For chronic constipation, laxatives are prescribed. To stop bleeding, hemostatic sponges are used. They are inserted into the anus, forming a thin invisible film to protect against bleeding. For minor blood loss during haemorrhoid flare-ups, suppositories with phenylephrine are used: this substance has a vasoconstrictive effect. For chronic anemia, iron supplements are added to the main haemorrhoid treatment. They are needed to normalize hemoglobin.
Effective and fast treatment of acute haemorrhoids with bleeding
Surgical treatment of haemorrhoids is carried out mainly using minimally invasive methods: cryodestruction, ligation of nodes, sclerotherapy, dearterialization, etc. Laser surgery for haemorrhoids is common. Laser thrombectomy does not involve making incisions, so there is no risk of blood loss. There is also no risk of secondary infection. Laser thrombectomy is performed under local anesthesia and takes no more than 10 minutes.
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The material clarifies the identified medical inaccuracies. Methods, contraindications, and recovery depend on the individual situation; the information helps prepare for a consultation.
ASCRS: Haemorrhoids Guidelines, 2024 · NIDDK: Haemorrhoidal Disease