Is Heavy Bleeding During Bowel Movements a Sign of Internal Hemorrhoids?

Hemorrhaging in Large Amounts of Stool: Causes and Treatments

Heavy bleeding during bowel movements can be indicative of internal hemorrhoids, but it may also stem from other causes such as anal fissures, rectal polyps, or ulcerative colitis. It is advised that patients promptly seek medical attention to determine the underlying cause and receive targeted treatment. Here are some possible conditions and their corresponding treatments:

1. Internal Hemorrhoids

Internal hemorrhoids are soft masses formed by the dilation of venous plexuses beneath the mucous membrane at the distal end of the rectum, above the dentate line of the anal canal. They are often triggered by factors like prolonged alcohol consumption, excessive intake of spicy and irritant foods, prolonged sitting or standing, etc. Due to their rich blood supply, internal hemorrhoids may rupture during bowel movements, resulting in heavy bleeding. Patients can use medications like Mayinglong Musk Hemorrhoids Ointment and Compound Carrageenan Ester Suppositories under medical supervision.

2. Anal Fissures

Anal fissures are typically caused by long-term constipation or diarrhea, leading to a full-thickness, longitudinal tear in the anal canal skin. They are characterized by severe pain, which intensifies during bowel movements and may be accompanied by minimal bleeding. Poor dietary habits, especially consuming too many spicy and irritant foods like chili peppers, can precipitate anal fissures. Straining during bowel movements can exacerbate the fissure, leading to heavy bleeding. Patients can manage this with medications like Lactulose Oral Solution and Maren Runchang Pill as prescribed by a doctor.

3. Rectal Polyps

Rectal polyps arise from abnormal proliferation of intestinal mucosal epithelial cells, often due to genetic factors or infections. When large, these polyps can rupture under pressure during bowel movements, causing heavy bleeding. Surgical removal is the typical treatment approach.

4. Ulcerative Colitis

Ulcerative colitis is a chronic, non-specific inflammation of the colon and rectum, often caused by genetic factors or immune dysfunction. Recurrent inflammation can lead to colonic mucosa erosion, ulceration, and bleeding, resulting in heavy bleeding during bowel movements. Medications like Mesalazine Enteric-coated Tablets and Sulfasalazine Enteric-coated Tablets can be prescribed for management.

Additionally, heavy bleeding during bowel movements may also be related to intestinal tumors. Should any discomfort arise, patients should promptly consult a gastroenterologist and undergo diagnostic tests such as abdominal B-scans and CT scans as advised.