Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: bleeding hemmorhoids dangerous?

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Gastroenterology - General


I had written to you before and just wanted to say that my problems as far as the pain on the left side of my stomach, finally just went away, i still have to watch what i eat because sometimes if i eat i have to run to the restroom, and you had told me it could be IBS, my doctor agrees, well the problem is that he says the rectal bleeding is from internal hemmorhoids and he gives me Cortifoam or Proctofoam, neither have helped, he says that most peoples internal hemmorhoids will bleed and that is not dangerous. he had talked about an operation but after they did my Cat scan he changed his mind because there was nothing "wrong in my stomach" and just gave me the foam, i still bleed after a BM or if i go and urinate and pass gas i will bleed is this normal for internal hemmorhoids? sometimes when i sit or just stand i feel pain inside the rectum, like i said the medicine does not help. What is your opinion (and i did go to a colon/rectal surgeon and he is the one that gave me the foam. Thank you for your last reply.

Dear Jessica,

Internal hemorrhoids can bleed. The bleeding is usually in small amounts, however, there are cases where significant bleeding has occurred. If bleeding is severe, it can lead to iron deficiency anemia.It is also important to be sure that the hemorrhoids are the sole cause of the bleeding. A flexible sigmoidoscopy or colonoscopy may be necessary to exclude proximal bleeding sources. The decision of whether to perform flexible sigmoidoscopy or colonoscopy depends upon the appropriate clinical setting and the index of suspicion for a proximal bleeding source. In addition to Proctofoam other conservative measures to treat hemorrhoidal disease include: sitz baths, high fiber diet (25-35 grams per day), avoid straining and maintain a good bowel routine. If your bleeding persists you should communicate this to your colorectal surgeon. He or she may want to present you with a number of surgical options as clinically appropriate. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.

If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians’ Office and make an appointment to see Dr. Szilagy, one of our expert Colorectal Surgeons.

HFHSM.D.-ym
*Keywords: rectal bleeding, internal hemorrhoids

 

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