I heard a joke that if you’re in the drugstore at 2 a.m., it’s because something got up in you or you got up in something. In the case of bleeding hemorrhoids, they’re definitely a big enough reason to have you in the drugstore any time of day.
Bleeding hemorrhoids can be external or internal and are caused irritated and swollen hemorrhoidal veins and anal tissue. Often, internal hemorrhoids go unnoticed until they start to bleed after a bowel movement.
The most common cause of bleeding hemorrhoids is too much pressure on the renal and anal veins. Constipation can cause straining, but poor diet, too much sitting, obesity, pregnancy, and inadequate exercise can all lead to bleeding hemorrhoids .
The inflamed tissue and veins around the anus can be treated at home if they aren’t too severe. You should treat a bleeding hemorrhoid as soon as it’s noticed to avoid enlargement and increased pain. However, if there is heavy bleeding, severe pain, or if the hemorrhoid is prolapsed (protruding through the anus), see a doctor for treatment.
Home remedies and self-care practiced on a regular basis will usually relieve the symptoms of bleeding hemorrhoids. Suppositories, creams, ointments, and pads can be purchased without prescription to treat bleeding hemorrhoids.
Products containing corticosteroids act as a vasoconstrictor to reduce bleeding and itching. Using home remedies such as witch hazel, petroleum jelly, or aloe vera applied directly with a cotton swab are also effective and soothing.
A word of caution – avoid spicy foods and increase fiber in the diet. Increase the amount of fresh fruits and vegetables and consider adding a fiber supplement. Drink no less than six glasses of water a day and avoid drinking alcohol, sodas, and other caffeinated beverages to promote regular and healthy bowel movements.
It’s important to keep the anal area dry and clean to reduce itching and irritation. Consider using pre-moistened toilet towelettes to make wiping after a bowel movement less painful — you can gently pat the area dry after wiping.
Sitz baths or regular soaks in warm water will help cleanse and soothe inflamed hemorrhoids. You can also use a hair dryer set on low after bathing to avoid direct contact with the raw area. Limit yourself to 100% cotton undergarments to promote dryness.
Even if the area is itchy, try not to scratch as this will exacerbate the bleeding and inflammation. Products containing perfume or alcohol such as lotions, scented toilet paper, and body spray are irritants that should be avoided.
Finally, opt for loose fitting clothing that does not chafe the affected area. A doughnut-shaped foam pillow to make sitting easier can be purchased where medical supplies are sold. If bleeding hemorrhoids persist past a few days of home self-care, seek help from a physician who can present medical alternatives.
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