Bleeding Hemorrhoids, Causes, Symptoms & Treatment

Causes of Bleeding Hemorrhoids

Bleeding (Piles) Hemorrhoids are a very common. Studies find that almost 75% of people suffer from hemorrhoids at least once in their lifetime. Hemorrhoid symptoms include difficulty while passing stool, rectum itching and irritation. Bleeding is one of the most commonly experienced symptom of piles. Blood may be seen in the toilet bowl, in the stools or on the tissue paper.


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Bleeding piles result from bleeding from the arteries that supply the hemorrhoidal tissues. The blood vessels get ruptured due to straining during bowel movements leading to bleeding. Bleeding can occur both from internal and external hemorrhoids. In some cases, a clot can develop. This condition is can be very painful and is known as ‘thrombosed hemorrhoids’. Immediate medical attention should be sought if thrombosed hemorrhoids are suspected. Neglect or improper medical attention can lead to complications.

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There are various causes of hemorrhoids. However, many of the underlying causes are not yet fully understood. In other words, it is not known why hemorrhoids develop in the first place. There is sufficient evidence to indicate that hemorrhoids are mostly caused due to a poor diet. It is essential to eat a diet rich in soluble fiber to prevent hemorrhoids. Genetic factors are also responsible. If the parents have hemorrhoids, the risk of children developing hemorrhoids is high.

Hemorrhoids are caused due to constipation or excessive straining during bowel movements. This causes the veins in the rectum to become enlarged. Eating fiber rich food adds bulk to the food and makes bowel movements easier. This prevents excessive straining during passing stools and reduces the chances of developing hemorrhoids.

There are also other causes of hemorrhoids. For example, leading a sedentary lifestyle, sitting or standing for prolonged periods of time, and obesity. Pregnant women are at a higher risk of developing hemorrhoids because of hormonal changes and increased pressure in the abdomen due to the fetus.

Bleeding hemorrhoids need medical attention. They can be painful and can cause further complications. However, they are not life-threatening and do not lead to other conditions such as anemia. The bleeding will stop within a few days. If proper measures are taken, the hemorrhoids may subside within a few weeks.

Bleeding may also be observed in other serious conditions such as colorectal cancer. For this reason, it is essential to visit a doctor as soon as possible to get the cause of the bleeding diagnosed properly.
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What Causes Hemorrhoid Bleeding?

A bleeding hemorrhoid can be detected when the toilet bowl has traces of blood in it. The toilet paper will also have blood on it. This goes to show that the bulging arteries that form hemorrhoids have burst and have started bleeding. Hemorrhoids can bleed both internally and externally. Both types of bleeding are detected at the time of passing stools. The blood sometimes pulls in external hemorrhoids forming a clot which is called a thrombosed hemorrhoid.

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It is said that causes range from dietary to hereditary. The main biological cause is that bleeding occurs when the walls and valves of the rectum become weak because of the pressure caused by hard stools the results of constipation. A bad diet that does not have enough fiber that comes from adequate intake of fresh fruit and vegetables causes constipation which in its turn causes bleeding.

Inadequate muscle movement caused by prolonged sitting or standing causes hemorrhoids. It is often considered a professional hazard for professions like judges and computer professionals. Using excessive salt, spices, caffeinated drinks, coffee and alcohol cause hemorrhoids to bleed.

Pregnant women suffer the condition because of the pressure on the abdomen caused by hormonal changes and the pressure caused by the growing fetus. Other reasons attributed for the bleeding of hemorrhoids are obesity, heredity and aging.

Bleeding hemorrhoids need immediate medical attention. This is because the patient suffers a lot of pain and as the saying goes it is better to kill the pain before it kills you. They are not known to cause anemia or severe hemorrhage. A bleeding hemorrhoid is uncomfortable and painful. They do not, however, pose a critical or fatal problem for the patient. The patient should see a doctor as soon as the bleeding is detected for a speedy cure for the condition.

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Alternative Treatment For Bleeding Hemorrhoids

Nearly about 75 million of the worldwide population including half the population in USA suffer from some kind of hemorrhoids that are not only bleeding but painful in most cases.

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Internal Hemorrhoids – Causes Bleeding but without any pain

If its internal hemorrhoids there is some bleeding that the patient notices when passing stools. The bleeding is quite daunting especially if it’s for the first time, as the person did not feel nay pain of any injury that he or she quite rightly guess is due to some form of internal injury.

There is no feeling of pain as long as the hemorrhoids are still internal, this is because there are no pain receptors, to send signals through nerves to the brain, to intimate of some form of injury, that has caused quite a few drops of blood to pass during defecation.

The bleeding is caused because of distended blood vessels especially the varicose like veins that feed the lower rectum down to the anus, that become distended due to excessive straining caused while pushing the hard obstinate stools down the rectum with all that huffing and puffing, which leaves you quite drained out at the end.

External Thrombosed Hemorrhoids – Cause of Severe Bleeding and Pain

Whereas if the hemorrhoids develop outside the distal end of the anal canal its referred to as the external hemorrhoids. These are most prone to thrombosis when there is a rupture of the varicose like veins and blood clot forms. In such circumstances they become exceedingly painful and irritating. Such hemorrhoids are then referred to as thrombosed hemorrhoids. They are very painful. It is often accompanied with lot of swelling and irritation.

They are painful because of thrombosis when blood clots that form inside the blood vessels obstruct proper flow of blood. This deprive the cells and tissues of oxygen making them cry out in pain thereby signalling that they are in trouble and dying.

The anal canal has a rich network of arteries that provides a good supply of arterial blood. That’s why you will notice that the bleeding hemorrhoids are bright red (arterial blood) instead of dark red (venous blood). This also explains why bleeding from hemorrhoids can be severe at times.

Common factors that are responsible for causing hemorrhoid are:

Excessive straining by tightening the abdominal muscles by holding the breath during difficult bowel movement such as during constipation.
Irregular bowel habits such as excessive constipation or diarrhea
Sitting or standing for too long at one position that cause excessive stress and strain of underlying blood vessels and connective tissues in the lower rectum and anus.
Trying to lift heavier objects by holding the breath.
Lack of adequate physical activity causing improper blood circulation.
Lack of good hygienic habits
Infection in the anal region.
Dehydration that makes the stool hard and difficult to excrete.
Cirrhosis of the liver.
Pregnancy and childbirth.
Dysfunctional or absence of valves within hemorrhoidal veins.
Diets lacking in high fibers.

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10 Ways to Stop Bleeding Hemorrhoids at Home.

Here are few remedies that anyone can take at home. These includes the following to prevent piles:

Drink adequate amount of water to keep yourself well hydrated that in turn helps the stool to remain soft and supple too and easy to excrete. At least eight glasses of plain water a day is recommended.

Include enough high fiber in the diet. High fiber are found in whole grains, leafy and green vegetables, raw fruits altogether with skin such as apples and pears, legumes, nuts etc.

Eat brown bread or whole-wheat breads instead of loaves made traditionally with white flour.

Avoid junk or fast processed food thats high on sugar and inadequate nutritive value and absolutely no fiber at all.

Don’t spend too long in the toilet and strain. Try not to feel desperate and strain yourself too hard that results in rupture of few arteries and veins in the lower rectum, when driving down the obstinate hard stools down the anal canal.


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Try to adopt a squatting position rather than simply sitting on a western kind of commode. Squatting helps the stools to pull down under gravity, without having to strain too hard to push it down.

Do not remain in the same place or position for hours, either sitting or standing. Take frequent breaks to move around, to restore proper blood circulation.

Do not strain yourself by trying to lift heavier objects and if it’s at all necessary, do it gently and breathe normally. Inhale enough air into the lungs and release it slowly as you lift the heavy object. Do not hold your breath as you do so, for that strains the varicose like veins and arteries in the anal canal.

Remain physically active by doing normal exercise and going out for a long and brisk walk.

Take warm bath that improves blood circulation and also have sitz bath by sitting in a specially made plastic basin or bowl filled with warm water. Do it frequently and sit in the warm water at least fifteen to twenty minutes in each session.

10 Herbal Remedies to Remove or Stop Bleeding Hemorrhoids

Witch Hazel is excellent in stopping bleeding hemorrhoids. Apply its extract from leaves or bark to apply it directly in the affected region.

Apple Cider helps to improve digestion and increase adequate blood flow, thereby preventing constipation. It’s best to have twice a day after each meals.

Pure Aloe Vera Juice is effective in relieving itching and swelling.

Cayenne or Red Hot Chili Pepper contain capsaicin. It provides nourishment to the heart and help cleanse the blood. It facilitates healing of the blood vessels. It helps to restore elasticity of the arteries and veins. Cayenne pepper will heal the inflammation of the veins in the lower rectum including the anus. Regular consumption removes hemorrhoids altogether.

Lesser celandine (pilewort) is best applied externally to the hemorrhoid to relief bleeding.

Bilberry extract are rich in bioflavonoid. It enhances blood circulation. It improves proper blood flow in varicose veins and hemorrhoids.

Horse Chestnut extract contains aescin. It helps strengthening and toning up of the inner walls of the veins. It thereby reduces swelling and painful hemorrhoids.

Butcher’s broom extract helps to constrict vessels. It helps to expand the vessel valves and also reduce inflammation and swelling.

Chamomile tea contain flavonoids. Drink several times a day. Some people find it relieves the pain from piles.

Mullein extracts from leaves and flowers contain astringent. It has soothing properties. It is a wonderful herbal cure for hemorrhoids.

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