When to Go to Emergency Room for Hemorrhoids

Hemorrhoids can turn ordinary tasks into challenging experiences, leaving you wondering when it’s time to seek urgent medical help. A study reveals that hemorrhoidal disease ranks as the fourth leading gastrointestinal diagnosis in the U.S., responsible for nearly 3.3 million scheduled or emergency visits yearly. Recognizing serious symptoms and knowing your options can help you take charge of your health.

This article explains how to:

Identify hemorrhoids
Understand when signs call for emergency attention
Adopt strategies to manage and prevent flare-ups

What Are Hemorrhoids?

Hemorrhoids are swollen veins located in the anal canal and rectum, similar to varicose veins that can occur elsewhere in the body. They manifest when the blood vessels in these areas become engorged, often resulting in noticeable discomfort. Recognizing hemorrhoids involves understanding the sensations they might cause and acknowledging that they are a common condition faced by many.

Though not always problematic, hemorrhoids can cause disruptions if they become aggravated or persist over time. Familiarity with this condition is essential for identifying when it might be time to seek professional advice or treatment.

Types of Hemorrhoids

Hemorrhoids come in different forms, each requiring specific attention and care:

Internal Hemorrhoids

Found inside the rectum, these hemorrhoids typically do not cause pain. However, they can lead to painless rectal bleeding. When internal hemorrhoids become prolapsed or push through the anal opening, they may become uncomfortable or painful and sometimes require medical interventions.

External Hemorrhoids

These are located beneath the skin around the anus. External hemorrhoids are more likely to cause pain and discomfort, particularly when they become swollen or irritated. Their visibility and sensitivity make them more bothersome during activities like sitting or walking.

Thrombosed Hemorrhoids

This type occurs when a blood clot forms within an external hemorrhoid, leading to severe pain and swelling. The condition can be very uncomfortable and may necessitate prompt medical evaluation to address the clots and relieve symptoms.

Strangulated Hemorrhoids

Occurring when the blood supply to an internal hemorrhoid is cut off, this condition can result in significant discomfort and potentially serious complications. Strangulated hemorrhoids require immediate medical care to restore blood flow and resolve the issue effectively.

Causes and Risk Factors

Understanding what leads to hemorrhoids can help address and manage them effectively. Here are some key causes and risk factors:

Chronic Straining during Bowel Movements. Regularly straining to pass stools can lead to increased pressure on the veins in the anal canal, causing them to swell. This is often associated with constipation, where bowel movements are infrequent, making passing stools more difficult.
Prolonged Sitting. Spending extended periods seated, especially in the toilet bowl, intensifies pressure on rectal veins. This habit can exacerbate hemorrhoid symptoms as it restricts proper blood flow and keeps the veins in a prolonged state of tension.
Pregnancy and Obesity. Both conditions put additional pressure on the pelvic blood vessels. During pregnancy, hormonal changes and the weight of the growing fetus contribute to the pressure in the pelvic region, increasing the likelihood of hemorrhoids.
Aging. With age, the tissues supporting rectal veins can weaken and lose elasticity, making them more susceptible to becoming enlarged. This natural aging process can contribute to the development of hemorrhoids over time.
Low-Fiber Diet. A diet lacking in dietary fiber can lead to constipation, where stools become hard and difficult to pass. This necessitates straining during bowel movements, which increases the risk of developing hemorrhoids and exacerbating existing ones.

Common Symptoms

Identifying the symptoms of hemorrhoids early can help in addressing them before they worsen. Here are some signs to watch for:

Pain and Discomfort. These symptoms are often experienced during bowel movements or after long periods of sitting. The discomfort can range from mild to severe, depending on the condition’s progression.
Itching or Irritation. External hemorrhoids frequently cause itching or irritation around the anal area. This can lead to further discomfort and may compel individuals to seek relief through various remedies.
Rectal Bleeding. Bright red blood noticed on toilet paper or in the toilet is a common symptom. This bleeding usually occurs with internal hemorrhoids and is a notable indicator that should not be ignored.
Swelling. The presence of lumps near the anus may indicate prolapsed hemorrhoids. These swollen veins become more noticeable externally, often leading to discomfort and a need for evaluation.
Severe Pain. This can be a result of thrombosed hemorrhoids, where clots form within the swollen tissues. The severe pain and inflammation require attention and possible medical intervention.

Over-the-Counter and Home Remedies

For those experiencing mild hemorrhoid symptoms, several remedies can offer relief and help manage the condition effectively:

Hemorrhoid Cream and Witch Hazel. These topical applications can help reduce inflammation, soothe irritation, and provide temporary relief from itching and discomfort. Witch hazel, a natural astringent, can be particularly effective in calming the affected area.
Warm Bath or Sitz Bath. Soaking in warm water, especially using a sitz bath, can ease pain and decrease swelling. This approach helps improve blood flow in the area, promoting healing and reducing discomfort.
High-Fiber Diet or Fiber Supplements. Increasing fiber intake aids in achieving smooth bowel movements and minimizing the need to strain. Fruits, vegetables, whole grains, or a fiber supplement can help maintain regularity and prevent constipation.
Stool Softeners. These can assist in softening the stool, making it easier to pass and reducing the strain on hemorrhoids. Incorporating stool softeners into your routine can help alleviate discomfort during bowel movements.
Counter Pain Relievers. Over-the-counter pain medications can help manage pain and discomfort associated with hemorrhoids. These remedies can offer temporary relief, particularly during flare-ups or discomfort.

When to See a Doctor

While many hemorrhoid symptoms can be managed at home, there are certain situations where professional medical evaluation is necessary:

Continued Symptoms or Severe Pain. If symptoms persist or severe pain occurs despite using over-the-counter and home remedies, seeking medical attention is important for appropriate diagnosis and treatment options.
Substantial or Recurrent Rectal Bleeding. Continuous or significant bleeding that is not associated with bowel movements should prompt an evaluation by a healthcare provider to rule out any underlying conditions.
Formation of Painful Lumps. The development of painful lumps may indicate thrombosed hemorrhoids, where clots have formed. This condition can require immediate medical intervention to alleviate symptoms and prevent further complications.
Frequent Recurrences. If hemorrhoids frequently recur and interfere with daily activities, it is important to obtain professional advice for long-term management and prevention strategies.

Doctors can offer a variety of advanced treatments such as sclerotherapy. This involves injecting a solution to shrink hemorrhoids or hemorrhoid stapling, a procedure used to remove or reposition the hemorrhoid tissue to block the blood supply, reducing its size.

Can I Go to the Emergency Room for Hemorrhoids? When Is It Necessary?

While many hemorrhoid cases can be managed with home care or outpatient treatment, certain severe symptoms warrant immediate emergency room attention:

Severe Pain Affecting Daily Activities

Debilitating pain that disrupts your ability to perform everyday tasks may indicate potential complications and requires prompt medical evaluation.

Heavy or Continuous Rectal Bleeding

Significant or ongoing bleeding is a serious concern that can lead to other health issues, necessitating immediate intervention to prevent further complications.

Signs of Infection

Symptoms such as fever, unusual discharge, or increased redness and warmth in the affected area suggest an infection, which needs urgent medical treatment to avoid further health risks.

Thrombosed or Strangulated Hemorrhoids

These conditions cause intense swelling and pain due to blood clots or restricted blood supply, requiring emergency intervention to relieve symptoms and restore proper blood flow.

Inability to Carry Out Normal Functions

If discomfort from hemorrhoids is so severe that it prevents you from completing usual activities, seeking emergency care is important for relief and further management.

What to Expect at the Emergency Room for Hemorrhoids

Here’s what to anticipate during your ER visit:

Condition Evaluation

The medical staff will assess your symptoms and determine the type of hemorrhoid you are experiencing, ensuring a proper understanding of your condition.

Diagnostic Tests

You may undergo tests to rule out other potential issues, such as anal cancer or other medical conditions that could be contributing to your symptoms.

Treatment Options

Depending on the severity, treatments may include medications to manage pain and reduce swelling, drainage of clots if thrombosed hemorrhoids are present, or emergency procedures to address more serious complications.

Long-term Care Guidance

The healthcare team will offer advice on managing hemorrhoids effectively beyond the immediate crisis, including strategies to prevent future occurrences and maintain overall rectal health.

Prevention and Management

To reduce your risk of developing hemorrhoids and manage existing symptoms, consider incorporating the following practices into your daily routine:

Regular Physical Activity. Consistent exercise helps maintain healthy blood flow and promotes general wellness, reducing the likelihood of developing hemorrhoids.
High-Fiber Diet. Consuming a diet rich in fiber from fruits, vegetables, and whole grains supports regular bowel movements and minimizes constipation, a common contributor to hemorrhoid formation.
Avoid Prolonged Sitting or Straining. Try to limit time sitting, especially on the toilet, as this can increase pressure on the veins in the anal area. Instead, stand, stretch, or walk periodically to alleviate pressure.
Proper Hygiene Practices. Use soft toilet paper or wipes to gently clean the anal area, reducing irritation and helping maintain cleanliness, which is vital for hemorrhoid management.
Consult a Healthcare Provider. For personalized advice tailored to your specific risk factors and conditions, a healthcare provider can offer additional guidance on preventing and managing hemorrhoids effectively.

Act Now: Expert Hemorrhoid Relief Awaits You

Recognizing when to seek professional medical help is key to confidently managing hemorrhoid symptoms. If you experience severe or unmanageable symptoms, our emergency room at Reliant Emergency Room is here to provide swift relief and prevent further complications. With 24/7 availability, our experienced personnel, and advanced treatment options, we are prepared to address your urgent needs effectively.

Don’t let discomfort hinder your daily life. Book a consultation with us today to prioritize your health and experience effective hemorrhoid management. Trust Reliant Emergency Room to deliver the expert care you need when you need it most.