Bleeding Piles (Hemorrhoids) Treatment - Blood in Stool

Bleeding piles (Bleeding Hemorrhoids) are characterized by swollen blood vessels in the rectal area and blood coming from the anus. You can get the best treatment for bleeding piles at Pristyn Care with top-grade medical technologies and equipment. To get rid of all proctological complications, book a consultation today with Pristyn Care.

Bleeding piles (Bleeding Hemorrhoids) are characterized by swollen blood vessels in the rectal ... area and blood coming from the anus. You can get the best treatment for bleeding piles at Pristyn Care with top-grade medical technologies and equipment. To get rid of all proctological complications, book a consultation today with Pristyn Care. Read More

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Dr. Vipin Nagpal

MBBS, MS-General Surgery

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Pristyn Care Elantis Hospital, Lajpat Nagar, Delhi

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Dr. Rakesh Shivhare

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Pristyn Care Sheetla Hospital, Sector 8, Gurgaon

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What Are Bleeding Piles?

Bleeding piles, also known as bleeding hemorrhoids, refer to swollen blood vessels in the rectal area that are accompanied by bleeding. Piles or hemorrhoids are swollen veins located in the lower part of the anus or rectum. They can be internal (inside the rectum) or external (under the skin around the anus).

When these blood vessels become inflamed, they can cause discomfort, pain, and bleeding. Bleeding piles occur when inflamed blood vessels rupture or get scratched during bowel movements, leading to bleeding. The blood may be visible on toilet paper, in the toilet bowl, or mixed with the stool.

Also, both internal and external piles can become thrombosed piles. This means that a blood clot forms inside the vein. Thrombosed piles aren’t dangerous but can cause severe pain and swelling. In rare cases, thrombosed piles can cause serious rectal bleeding due to ulceration and necrosis (cell death) of the surrounding skin.

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Diagnosis And Treatment Of Bleeding Piles

Diagnosis

An experienced proctologist can easily diagnose and treat bleeding piles. Diagnosing bleeding piles involves a medical evaluation by your proctologist. Here is an overview of the diagnostic process:

Medical History: Your doctor will begin by discussing your symptoms and medical history. In addition, they may ask about the frequency and severity of bleeding and any associated symptoms like pain, itching, or discomfort.
Physical Examination: A physical examination of the rectal area will be performed to assess the presence of external piles. For internal piles, the doctor may perform a digital rectal examination using a lubricated, gloved finger to feel for any abnormalities inside the rectum. The digital rectal exam will also help the doctor know if the piles are thrombosed.
Additional Tests: Further tests may be recommended depending on the severity and causes of bleeding piles. These can include:

- Flexible sigmoidoscopy or colonoscopy: These procedures involve using a thin, flexible tube with a camera to examine the entire colon and rectum for any other causes of bleeding or to rule out underlying medical conditions like rectal cancer.
- Anoscopy: It involves the use of an anoscope, a short tube-like instrument, to examine the lower part of the rectum and anus.
- Fecal occult blood test (FOBT): This test checks for occult (hidden) blood in the stool. A small sample of stool is placed in a special collection tube or on a special card and sent to a doctor or laboratory for testing.

Treatment

The treatment plan for bleeding piles depends on the severity of the symptoms. Some of the ways to treat bleeding piles include:

Laser Surgery- Laser surgery is an effective and popular treatment for bleeding piles. Laser piles surgery is an outpatient procedure that operates a narrow laser beam to shrink or remove the affected tissue. The surgeon can target the specific areas affected by bleeding piles while minimizing damage to surrounding healthy tissues. In addition, this surgery can effectively seal blood vessels, resulting in reduced bleeding compared to traditional surgical methods.
Stapler Surgery- Your doctor may suggest stapler surgery if your bleeding piles are larger or more severe. Stapler surgery, also known as stapled hemorrhoidectomy or stapled hemorrhoidopexy, is a surgical procedure commonly used to treat bleeding piles causing significant symptoms. During stapler surgery, the surgeon uses a circular stapling device to remove excess piles tissue and reposition the remaining tissues back into their normal position. This helps to reduce the symptoms associated with bleeding piles.

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Surgery Benefits For Bleeding Piles

Benefits Of Laser Surgery For Bleeding Piles

Laser surgery has the following benefits:

Non-invasive procedure
No need for general anesthesia, hence no risk of side effects associated with general anesthesia
Minimal blood loss
Minimal damage to the surrounding tissues
Minimal pain and discomfort
No requirement for a hospital stay
Safer treatment option
No open wounds and sutures
Quicker recovery
Better success rate
Fewer follow-up visits
Minimal risk of post-surgical infections
Lower risk of recurrence of bleeding piles

Benefits Of Stapler Surgery For Bleeding Piles

Stapler surgery for bleeding piles is an advanced surgical process, and it has many advantages, such as:

Minimal pain and bleeding
Minimally invasive
Faster recovery
Shorter hospital stay
High accuracy
Lower risk of anal stenosis
Reduced risk of wound complications

Post-Operative Care After Surgery For Bleeding Piles

After undergoing surgery for bleeding piles, following proper post-operative care instructions is crucial to ensure a smooth recovery. Some of the tips to follow after surgery include the following:

You may experience pain and discomfort after the surgery. Your doctor may prescribe pain medication to help control the pain. Take the medication as instructed and inform your doctor if the pain becomes severe.
Take a sitz bath with warm water and Epsom salt. A sitz bath can provide relief and help relieve discomfort in the affected area. In addition, it promotes relaxation and can help reduce pain and inflammation.
Wipe your anal area with moist towels rather than dry toilet paper.
Sit on ice packs wrapped in a towel to ease discomfort and reduce swelling.
Stay hydrated and add more high-fiber foods to your diet, like whole grains, vegetables, and fresh fruits, to help keep stools soft.
Stay physically active to reduce the chances of constipation.
If constipated, take an over-the-counter suppository or stool softener. However, if these don’t work, follow up with your doctor.
Avoid straining or sitting on the toilet for long periods. This can put more pressure on piles.
Attend follow-up appointments with your doctor to monitor your progress and ensure proper healing.
If you experience excessive pain, bleeding, or fever, or notice signs of infection such as redness, swelling, or discharge from the surgical area, contact your doctor instantly.

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How To Prevent Bleeding Piles?

Prevention of bleeding piles often involve a combination of diet and lifestyle changes. Some of the best ways to prevent bleeding piles include the following:

Maintain good personal hygiene – Keeping your rectal area clean is important to prevent bleeding piles, especially after a bowel movement. Hence, shower often and consider using a squirt bottle with warm water and wet toilet paper to wipe your anus.
Eat high-fiber diet – Include plenty of high-fiber foods in your diet, such as fruits, vegetables, whole grains, and legumes. Fiber adds bulk to the stool, making it easier to pass and relieving the strain on the anal region.
Avoid lifting heavy objects – Lifting things like heavy boxes or groceries puts pressure on your anal canal, increasing the chances of the piles getting thromosed an bleed. Therefore, to prevent bleeding piles, avoid lifting heavy objects.
Drink enough water – Along with eating a healthy diet full of fiber, adequate hydration is the key to having healthy bowel movements. Drinking enough water helps prevent constipation and decreases straining during bowel movements. Drinking 6 to 8 glasses of water each day doesn’t just keep your digestive system healthy but also benefits your entire body.
Avoid straining – Straining and putting pressure on the veins in your rectum is one of the most common causes of bleeding piles. This can happen due to pushing too hard when trying to have a bowel movement. Other situations that can cause straining include lifting heavy objects or pregnancy. Hence, avoid straining to prevent bleeding piles.
Exercise regularly – Engage in regular physical activity to enable proper bowel function and prevent constipation. Exercises enhance blood circulation and help maintain healthy bowel movements.
Maintain a healthy weight – Being overweight can raise the risk of bleeding piles. Therefore, maintain a healthy weight through a balanced diet and regular exercise.
Take breaks during prolonged sitting – If your work or lifestyle involves prolonged sitting, take frequent breaks to stand, stretch, and move around. Prolonged sitting can increase pressure on the rectal area and lead to bleeding piles.
Be mindful of your posture – Maintain good posture while sitting and avoid sitting on hard surfaces for longer durations. In addition, use a cushion or soft surface to sit on, if required, to reduce pressure on the rectal area.

What Are The Complications Of Bleeding Piles?

Bleeding piles can sometimes lead to complications, especially if untreated or severe symptoms persist. Some potential complications associated with bleeding piles include:

Anemia: Chronic or severe bleeding from piles can lead to anemia. Anemia happens when the body lacks enough red blood cells to carry oxygen to tissues and organs, causing fatigue, weakness, and shortness of breath.
Infection: Bleeding piles can be prone to infection, mainly if there is persistent bleeding, poor hygiene, or scratching of the affected area. Infections can result in symptoms like increased pain, swelling, and redness.
Anal fistula or fissure: In some cases, recurrent bleeding piles can lead to an anal fistula or fissure. An anal fistula is an abnormal tunnel connecting the anal canal to the skin near the anus, while an anal fissure is a tear in the lining of the anal canal. These conditions can cause pain, discomfort and may need medical intervention.

Common FAQs Around Bleeding Hemorrhoids

Are bleeding piles painful?

Bleeding piles can be painful. They are generally most painful immediately following a bowel movement or after lifting or straining.

Is it normal for piles to bleed?

Piles can bleed when they become damaged or irritated. Usually, this bleeding and irritation can resolve with home treatment. However, if you continue seeing bleeding after a week of home care, it is best to consult a doctor for further evaluation and treatment.

Do bleeding piles get bigger?

Bleeding piles might get worse and cause more severe symptoms. But they don’t get bigger.

Are bleeding piles cancerous?

Yes, bleeding piles can be cancerous. Rectal bleeding can signify serious gastrointestinal conditions, such as diverticular disease and colon cancer.

Can pregnancy contribute to bleeding piles?

Yes, pregnancy can contribute to the development or worsening of bleeding piles. The increased pressure on the veins due to the growing uterus can make women more susceptible to bleeding piles.

Can stress or anxiety worsen bleeding piles?

While stress and anxiety may not directly cause bleeding piles, they can contribute to specific factors that increase or worsen symptoms. Stress can lead to changes in bowel habits, such as constipation or diarrhea, which can strain the rectal area. Also, stress may cause tension and increased sensitivity in the pelvic floor muscles. Managing stress may help reduce the impact on bleeding piles.

When should I seek medical attention for bleeding piles?

It is advisable to seek medical attention if you experience persistent rectal bleeding, severe pain, or excessive swelling.

MEDICALLY REVIEWED CONTENT

🔍 REVIEWED BY

Dr. Pankaj Sareen

MBBS, MS - General Surgery

24 yrs experience

✍️ WRITTEN BY

Pristyn Care Team

Healthcare Expert

Updated On · September 03, 2026

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Dr. Rajesh Gandhi is a highly skilled specialist, but the clinic's management needs improvement. I had to wait a very long time past my appointment time while dealing with severe piles pain, which was highly uncomfortable. While the doctor's treatment was effective, the facility must find a way to prioritize patients in acute distress

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