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What Causes Hemorrhoidal Pain With Bleeding And Loose Bowels?

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Posted on Wed, 4 Oct 2017
Question: What causes severe hemorrhoidal painwith bright blood in loose bowels.
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Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
complications of hemorrhoids- clot, infection, ulceration

Detailed Answer:
Hi, thanks for using healthcare magic

Hemorrhoids are due to dilation of veins in the anal region.

Bleeding (particularly bright red blood)nand pain are the usual presentation of hemorrhoids but the pain can be intense if there are complications of the hemorrhoids.

Complications of hemorrhoids include: (1) infection (2) thrombosis- this refers to a formation of a clot in the hemorrhoid
(3) ulceration of the hemorrhoid

Diarrhea or loose stools can cause or worsen hemorrhoids.

If the pain associated with these hemorrhoids is worse than with previous episodes then you may need to be seen to rule out a complication

If this is not the case then treatment consists of: (1) avoiding prolonged standing or sitting
(2)anti inflammatory pain medication if these can be used eg naproxen or ibuprofen
(3)topical pain killers such as lidocaine cream and a short course of mild topical steroid to decrease the inflammation
eg hydrocortisone
(4)sitz baths, 2 to 4 times a day for 15 to 20 mins in warm water, this helps reduce swelling and pain
Salt or epsom salt can be placed in the water
(5)when cleaning after a bowel movement, dab, don't wipe, this reduces trauma to the area

I hope this helps, feel free to ask any other questions

I hope this helps, feel free to ask any other questions
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Hemorrhoidal Pain With Bleeding And Loose Bowels?

Brief Answer: complications of hemorrhoids- clot, infection, ulceration Detailed Answer: Hi, thanks for using healthcare magic Hemorrhoids are due to dilation of veins in the anal region. Bleeding (particularly bright red blood)nand pain are the usual presentation of hemorrhoids but the pain can be intense if there are complications of the hemorrhoids. Complications of hemorrhoids include: (1) infection (2) thrombosis- this refers to a formation of a clot in the hemorrhoid (3) ulceration of the hemorrhoid Diarrhea or loose stools can cause or worsen hemorrhoids. If the pain associated with these hemorrhoids is worse than with previous episodes then you may need to be seen to rule out a complication If this is not the case then treatment consists of: (1) avoiding prolonged standing or sitting (2)anti inflammatory pain medication if these can be used eg naproxen or ibuprofen (3)topical pain killers such as lidocaine cream and a short course of mild topical steroid to decrease the inflammation eg hydrocortisone (4)sitz baths, 2 to 4 times a day for 15 to 20 mins in warm water, this helps reduce swelling and pain Salt or epsom salt can be placed in the water (5)when cleaning after a bowel movement, dab, don't wipe, this reduces trauma to the area I hope this helps, feel free to ask any other questions I hope this helps, feel free to ask any other questions