hemmorhoids - bleeding after ever bowel movement

Digestive health
1

I'm getting frustrated with internal piles that I can't get under control. I've had a colonosopy - bit over year ago - which found internal hemmorhoids but nothing else. I've had bleeding on and off for a couple of years. Over the last month or two, I can't manage a bowel movement without some bleeding and it's getting to me. I raised the issue on my last visit to see my gastro-enterologist and, as an ongoing issue, I tell my GP about it and ask if there's any more I can do. I've tried the obvious self help (diet full of fibre, don't get constipated, raise legs with stool on toilet, suppositories, creams) but can't get it under control. The response of the doctors is to listen then offer nothing more to what I've tried. Last junior consultant said she'd avoid any surgical intervention with 'that area' because of possible complications.

It's having a psychological impact too. I used to have 2 or 3 normal (ie not too loose) bowel movements a day. Now, I get so anxious at the prospect of going, i have one a day or one ever two days. I've tried intermittent fasting to 'take the strain' off the area and let it have a chance to heal - doesn't work. Also tried enemas to help me go without stress. They help, but the bleeding comes back. As I say, I'm not constipated anyway. I have to check the pan after going normally and always, now, the water is stained with blood. It doesn't seem like heavy amounts - I always spend only a couple of mins on the toilet, at most.

So, in a nutshell, what to do. I don't relish surgery at all, but I can't just accept blood with every bowel movement. I know the piles could progress to a fistula/fissure, perhaps. I also wonder what sort of risk there would be to system infection if it goes on and on without resolution.

Help would be appreciated on what more self help there might be (think I've tried most). I don't get much pain/any pain. Sometimes a slight sting with the bowel movement. Besides the blood and evidence of clot, my movements seem normal. I have a vascular liver disease of unknown original which is being monitored but not treated. Otherwise, reasonable health. Bloods normal. Male aged 60. Oh, and I am overweight. Would the simple act (not so simple!) of losing weight get it under control?

If not self help, are there any other safe procedures that could be employed.

Thanks for reading my post

2

Hi jtaytay I had a haemoroidectomy 8 weeks ago. If would recommend finding a way to manage your haemoroids rather than having surgery. It is an extremely painful operation and there can be problems. I would recommend you take an osmotic laxative such as Laxido. If you keep your stools soft you will not bleed. The fact that you bleed means that your stools are irritating the area where your piles are scratching the delicate skin causing bleeding. Laxido can be taken long term and does not cause cramping. I had internal piles for 50 Years but then one prolapsed and it was difficult to cope with. Surgery was the only option so I had the lot removed. If your stool is soft you won't bleed. You are probably eating too much insoluble fibre which can "scour" you. You need to eat soluble fibre. Look up soluble fibre on line . I hope this helps you.

3

My stool is soft. Why i am bleeding after piles surgery. By the way my doctor said it's normal for two month's. I am so confused..

4

Go to a Doctor. Stay calm because stress makes it worse.