Q. How to manage abnormal bowel movements with occasional bleeding without a surgery?

Answered by
Dr. Zulfiqar Ahmed
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Aug 18, 2022

Hi doctor,

I have occasional bleeding with abnormal bowel movements for the past three days because of changes in diet and travel to other countries. My doctor suggested colonoscopy. I did the same before ten months and was diagnosed with internal hemorrhoids. There is no pain. I do not want surgery. Please help.



Welcome to

Hemorrhoids can be removed by surgery or more minor procedures like band ligation in the clinic itself, but if you are not willing for it right now, there are many things you can do to manage it, like Hemorrhoid home care warm bath or Sitz Bath. It is a time-honored therapy: sit in about three inches of warm (not hot) water for 15 minutes or so, several times a day. This helps to reduce swelling in the area and relaxes your clenching sphincter muscle. It is especially good after pooping. Put a little petroleum jelly just inside your anus to make pooping hurt less and do not force it. Or use over-the-counter creams or ointments made for hemorrhoid symptoms. I suggest (consult with a specialist doctor, talk with him or her and take medicines with their consent) 1% hydrocortisone cream to apply on the skin outside the anus (not inside) to relieve itching. But do not use it for longer than a week unless your doctor suggests it. I suggest using Witch Hazel on irritated hemorrhoids. It is a natural anti-inflammatory toner that works against swelling and itching. After you poop, clean yourself gently with a baby wipe, a wet cloth, or a medicated pad. Use a cold compress. Try using a simple cold pack on the tender area for a few minutes to numb it and bring down the swelling. Wear loose clothes made of cotton. Consume a diet rich in high-fiber foods and avoid processed food. Consume vegetables, fruit, nuts, and whole grains to avoid constipation. If you cannot get enough fiber from food, your doctor may want you to take a fiber supplement or stool softener. Avoid laxatives because they can cause diarrhea that could irritate hemorrhoids. Drink at least a half-gallon total of seven to eight glasses of water each day. You may need even more if you are very active or live in a hot climate. Pain relievers, including Acetaminophen, Ibuprofen, and Aspirin, may help with your hemorrhoid symptoms (consult with a specialist doctor, talk with him or her and take medicines with their consent). You can also choose from various over-the-counter creams, ointments, suppositories, and medicated pads. They contain Lidocaine to numb the area. You can get an injection to treat internal hemorrhoids. Rubber band ligation helps to manage prolapsed hemorrhoids and internal hemorrhoids that can be seen or felt outside. Using a special tool, the doctor puts a tiny rubber band around hemorrhoid, which shuts off its blood supply almost instantly. Within a week, hemorrhoids will dry up, shrink, and fall off. Coagulation or cauterization is done with an electric probe, a laser beam, or an infrared light; your doctor will make a tiny burn to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. This works best for prolapsed hemorrhoids. For large internal and external hemorrhoids, your doctor may recommend surgery called hemorrhoidectomy. The most effective technique is to completely remove the hemorrhoids. But recovery is painful and can take several weeks. Hemorrhoid stapling is a technique that cuts blood flow to internal hemorrhoids and moves prolapsed tissue back in place. Recovery is easier, but there is a greater chance of hemorrhoid recurrence. Newer procedures use less invasive techniques to identify and cut off the blood supply of the affected tissues. Medical treatments are effective, but hemorrhoids may recur unless you change your diet and lifestyle.

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