What medicine should I take if hemorrhoids bleed in the stool?
Recently, the discussion on the treatment of hemorrhoids has continued to rise across the Internet, especially the problem of stool bleeding caused by hemorrhoids has attracted much attention. Many patients are eager to learn about effective drug treatment options. This article will combine hot topics and authoritative medical advice in the past 10 days to provide you with detailed answers to the medication choices for hemorrhoids and stool bleeding, and provide structured data reference.
1. Common causes of hemorrhoids and stool bleeding

Blood in the stool caused by hemorrhoids is usually related to rupture of internal hemorrhoids or friction of external hemorrhoids. It is mainly manifested as bright red blood adhering to the surface of the stool or bleeding after defecation. The following are the related symptoms that netizens are most concerned about in the past 10 days:
| Symptom type | Proportion (discussion popularity) | Typical performance |
|---|---|---|
| Painless bloody stool | 42% | bright red blood during bowel movements |
| Anal itching | 28% | local discomfort associated with bleeding |
| Pain during defecation | 22% | Bleeding with tearing sensation |
| mucus secretion | 8% | blood mixed with mucus |
2. List of commonly used drugs for hemorrhoids and bloody stools
According to the latest diagnosis and treatment guidelines (August 2023 version) of the Anorectal Department of tertiary hospitals, the following drug treatment options are recommended:
| drug type | Representative medicine | Mechanism of action | life cycle | Things to note |
|---|---|---|---|---|
| Oral anti-swelling medication | Mai Zhiling tablets | Improve venous return | 2-4 weeks | Pregnant women should use with caution |
| Topical suppositories | Tainingshuan | Local hemostasis repair | 7-10 days | Use after defecation |
| Hemostatic Chinese patent medicines | Huaijiao Pill | Cool blood and stop bleeding | 1-2 weeks | Use with caution when the spleen and stomach are weak and cold |
| topical ointment | Mayinglong Hemorrhoids Cream | Anti-inflammatory and analgesic | Stop as soon as symptoms are relieved | Avoid contact with mucous membranes |
| Laxative | Lactulose oral liquid | Soften stool | Use as needed | No more than 3 days |
3. Medication plans for different degrees of bleeding
According to recent outpatient statistics from tertiary hospitals, it is recommended to adopt a layered treatment plan for different degrees of symptoms of blood in the stool:
| degree of bleeding | Daily blood loss | Recommended plan | joint measures |
|---|---|---|---|
| Mild | <5ml | Topical suppositories + oral anti-swelling drugs | Sitz bath + diet adjustment |
| Moderate | 5-20ml | Oral hemostatic drugs + topical ointments | Avoid sitting for long periods of time |
| Severe | >20ml | seek medical attention immediately | May require surgery |
4. Five medication issues that netizens are most concerned about
Based on the statistics of health forums in the past 10 days, we have sorted out the frequently asked questions and professional answers:
| Ranking | question | Professional answers |
|---|---|---|
| 1 | How long does it take for the medication to take effect? | Bleeding usually stops in 3-5 days, and complete relief takes 1-2 weeks. |
| 2 | Can I buy medicines on my own? | OTC drugs can be purchased by yourself, but you need to confirm that you have no other diseases |
| 3 | drug side effects | Local irritation or mild diarrhea may occur |
| 4 | Medication during lactation | It is recommended to use topical medication and avoid taking it orally |
| 5 | What to do if bleeding occurs repeatedly | Other intestinal diseases need to be ruled out, and colonoscopy is performed if necessary. |
5. Assisted treatment and life adjustment
Medication needs to be combined with lifestyle adjustments to achieve the best results:
1.Diet modification:Ensure 25-30g of dietary fiber every day. It is recommended to eat dragon fruit, oatmeal and other foods that soften stools.
2.Bowel habits:Limit it to 5 minutes and avoid playing with your phone while going to the toilet.
3.Physical therapy:Taking a sitz bath with warm water twice a day (10-15 minutes each time) can promote blood circulation
4.Exercise suggestions:Avoid sitting and standing for long periods of time and move for 5 minutes every hour
6. Warning symptoms that require immediate medical attention
When the following conditions occur, it indicates that there may be other serious diseases and you need to seek medical treatment immediately:
| Symptoms | possible disease | Urgency |
|---|---|---|
| Dark red or black bloody stool | upper gastrointestinal bleeding | ★★★★★ |
| Accompanied by weight loss and anemia | Intestinal tumors | ★★★★ |
| Fever + abdominal pain | infectious enteritis | ★★★ |
| persistent heavy bleeding | Acute attack of hemorrhoids | ★★★ |
Conclusion:Although hemorrhoids and blood in the stool are common, most of them can be effectively controlled with standard drug treatment and lifestyle adjustments. It is recommended to consult a professional physician to rule out other potential diseases before taking medication. Remember: Any bleeding symptoms that last longer than 2 weeks require professional medical evaluation.
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