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Bleeding Piles Treatment

This diagramic picture of piles shows internal piles, external piles and prolapsing piles.

This haemorrhoids picture clearly demonstrates the 3 major types of piles and all piles arise from veins, as can be seen in the background. Some treatments for bleeding piles depend on you knowing what sort you have.

For the most part, bleeding piles treatment is about finding the reason why your piles have become scratched and then prevent them from becoming scratched further, to allow your body the time to naturally heal the scratch and end the bleeding. Bleedng piles treatment therefore can be typically done at home, by just being gentler with them.

Causes of bleeding piles?

Although internal piles are swollen veins covered by mucus membrane, while external piles are swollen blood vessels covered by very thin skin, they are very similar in that both types of coverings are very easily damaged by any sort of trauma - twisting, excessive pressure, rough handling can damage the covering and tear the swollen vein. When the vein is scratched, bright red blood comes out of it, and you have bleeding piles.

Bleeding piles are mostly caused by the piles being scratched, such as from hard wiping or passing a hard stool. The blood loss from the scratch normally amounts to no more than a teaspoon of blood, but when mixed in the toilet water, it may look a heap more. Excessive blood loss from bleeding piles may occur that may lead to aenemia (lack of sufficient iron in the blood) or potentially become life threatening if the blood loss is quite severe. These latter types of bleeding is much much rarer.

Other causes of bleeding piles may be due to impact against a harder surface, such as a bicycle seat, which is effectively another way os saying the pile was rubbed too hard / subject to rough handling.

Do Bleeding Piles Require Treatment beyond being more gentler?

If you answer yes to one of these following questions:

Are you concerned you may have the piles bleeding through your clothing?

If you are, then chosing another line of bleeding piles treatment is obviously indicated, even if it is just using pads.

Is the piles bleeding an ongoing problem?

If this is the case, then other more intrusive treatment for bleeding piles needs to be considered. Chronic bleeding piles may lead to another type of pile called a thrombosed pile ( a pile with a blood clot in it ), and these are really painful and frequently require a surgeons hand - mine did. It is also obvious that if bleeeding is an ongoing problem with your piles, that the normal healing keeps being jeopardised.

Here are your options for treating bleeding piles - and there are quite a few options, to assist you in dealing with the causes of the bleeding:

The treatment of bleeding piles is normally quite easy, though it may take some time.

1. Toileting habits and constipation

Your first step treat bleeding piles should be to make sure your bowel motions / stools are soft

That basically means making sure you have enough fibre and water in your diet, and that you do some exercise ( about 30 mins a day walking for example ). The exercise helps keep the food moving through the digestive system, which means the it passes through you faster, which means the body has less time to pull water out of the stool and make it a harder stool as a result.

Also make sure that once the urge to for bowel motion occurs, that you answer nature, as the it is a weak urge that can easily pass, and again, the longer that motion stays inside you, the more water your body will remove from it.

Second step in your treatment for bleeding piles, is to make sure that you don't sit too long nor try pushing the bowel motion out.

If nothing has come out in five minutes, get up and move around. Sitting and straining puts a heck of pressure on piles, and if they are prone to bleeding, that pressure will certainly encourage them bleeding.

Third step clean the area well without harming the piles after each bowel motion

Soft moistened toilet paper should be used: Warm water on plain, unscented toilet paper or soft medicated wipes.

You can also use witch hazel or aloe vera wipes, as they soothe and reduce the piles inflamation, making bleeding less likely.

2. Another treatment for bleeding piles is sitz baths

Sit in a few inches of hottish water - NOT burning hot - for 15 to 20 minutes, about four times a day. You can add some epsom salts if symptoms of aching and pain are present, and or oatmeal for just general soothing.

The next step to this is to wrap ice into a towel and sit on it for 10 minutes.

It works by lowering the inflamation of the pile - helps the pile not to be so prone to bleeding.

3. Piles creams for external bleeding piles

Amoils has a treatment for piles
Buy Heal Bleeding Hemorrhoids
- also known as H-Bleeding Hemorrhoids

If active ingredient is hydrocortisone, short term use only as it will weaken the tissue after a while.

If active ingredient is a vasoconstrictor - eg ephedrine, epinephrine, phenylephrine - they are good as a bleeding piles treatment. BUT, cant use them if you have diabetes, high blood pressure or cardiovascular issues. Also not advisable to use if urinary problem present or if you are taking anti-depressants.

Also good for bleeding piles are cream that contain lubricants, such as cocoa butter, as they help prevent the pile from becoming damaged or scratched.

Calamine lotion in a piles cream can also help stop the bleeding very fast.

Unless specifically designed for internal use, it is suggested that you avoid external creams and lotions for internal bleeding piles treatment - it is a an issue with possible overdosing on an active ingredient, because the internal ones, made of mucous membrane, absorb far more of the active ingredients than an external pile would - so the right does for external bleeding piles, is possibly going to be a massive overdose for internal ones.

4. Piles pills and tablets

Venapro Piles treatment
Buy Venapro Piles treatment
Relieves constipation, reduces inflammation, counteracts pain, and its herbs are known for strengthening and repairing blood vessels.

Can treat bleeding piles. Ibuprofen reduces inflammation and pain, which helps reduce bleeding. Oral herbal remedies often treat bleeding piles.

5. Some simple lifestyle changes to consider

DIET: If you eat or drink anything that may cause your piles to flare, become more likely to bleed, then avoid them - common things often (not always) associated with this: Spicy food, hard nuts, caffeine products like coffee, and alcohol.

CLOTHING: Loose clothing made out of breathable material like cotton, help keep pile irritation to a minimum.

DON'T SCRATCH PILES: Even if they are itchy, no scratching, no scrubbing. Remember also, wounds often get itchy when they are healing, but scratching just opens the wound up again.

USE HYPOALLERGENIC: Laundry detergents, fabric softeners and soaps. Again reduces potential irritation that may lead to piles becoming itchy and scratched and bleeding.

Bleeding Piles Treatment in Conclusion

Bleeding piles is a very distressing, but common symptom of piles, but most bleeding piles can be healed at home, without having to resort to surgery and that is good news.

Bleeding Piles Treatment References

Cocchiara, J.L. Hemorrhoids, a practical approach to an aggravating problem. Postgrad Med 1991;89(1):149-152.

Hodes B. Hemorrhoidal Products. in: Handbook of Nonprescription Drugs, 11th ed. American Pharmaceutical Association; Washington, D.C. 1996;261-271

Sause R.B. Self-treatment of hemorrhoids. US Pharm 1995;20(6)32-40.

Meade V. Dealing with hemorrhoids. Am Pharm 1992;NS32(3):64-5

Author: Donald Urquhart, B.A., Dip.App. Psychol., Retired Psychologist - now non-practising. No Appts. Copyright 2011- present.

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