How can I manage bleeding caused by external hemorrhoids?

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External hemorrhoid causes bleeding and pain when they get enlarged. It occurs secondary to constipation, producing abnormal pressure over the anus, causing swelling of the piles. The definitive therapy is surgery, and lifestyle modification helps to control hemorrhoids. I suggest you follow these measures to have some control. Avoid constipation by taking a fiber-rich diet daily. Take green leafy vegetables with fruits, or you can use commercially available fibers like Isabgol husk or Fibrocol. Take this daily, even with or without having constipation. The ideal time for defecation is during the morning or thirty minutes after taking meals. Reduce your weight.

If you have pain, you can apply Xylocaine gel or Diltiazem gel three times daily. Take an adequate amount of water daily. Take at least two to three liters of water daily. Do exercise regularly for at least 45 minutes. You can take the tablet Daflon 500 mg (Diosmin) twice daily for five days. You can use some laxatives such as Lactulose 15 ml at night or Polyethylene glycol sachet twice daily for some time while having bleeding. These measures help to solve your problem.