What to Do if You Have a Ruptured Hemorrhoid

A ruptured hemorrhoid is exactly what it sounds like. When you have a hemorrhoid that fills up with too much blood, it bursts. Before we dive deeper into ruptured hemorrhoids, let’s do a quick refresher on hemorrhoids themselves. Hemorrhoids result from increased pressure in the veins of the anus, which causes them to bulge and expand. In particular, a thrombosed hemorrhoid happens when a blood clot forms inside a hemorrhoid. This clot then blocks blood flow, and sufferers often experience a great deal of pain (more external hemorrhoids than internal hemorrhoids), swelling, and even bleeding—the aftermath of a ruptured hemorrhoid.

The most common cause of hemorrhoids is constipation and straining during bowel movements, sitting for prolonged periods of time, pregnancy and childbirth, and/or anal intercourse. To learn more about the different types of hemorrhoids and how you can prevent and treat them, please visit our hemorrhoid treatment page.

How Do I Know if I Have a Ruptured Hemorrhoid?

The good news is: not all hemorrhoids rupture, and more than 90% of hemorrhoids heal without surgery. You may experience some mild discomfort or pressure in the area, but nothing that is unmanageable. However, you may have a ruptured hemorrhoid if you experience any of the following symptoms:

• Intense itchiness, burning sensations or pain,
• Bright red bleeding,
• Dark, old clotted blood,
• Lumps around or on the anus,
• Discomfort.

How to Stop a Popped Hemorrhoid From Bleeding

If you‘re experiencing bleeding from a burst hemorrhoid, you can stop the bleeding if you gently compress them with clean, soft cloths, cotton pads, gauze, or even sanitary napkins. You should wash your hands before attempting to touch the area and also once you‘re done applying the compress.

Another great remedy is spraying Afrin on a piece of gauze, especially if you‘re experiencing more bleeding than usual. Afrin, and other nasal decongestant sprays, help stop the bleeding by shrinking the blood vessels enough to allow a clot to form. Think of it like a styptic pencil, which barbers use to stop bleeding due to nicks that occur during shaving, but more hygienic since you‘re not reusing the same applicator over and over again.

When to See a Doctor for a Ruptured Hemorrhoid

There are times when a thrombosed hemorrhoid that continues to bleed may need medical attention. It’s time to see a doctor who specializes in hemorrhoids if any of the following symptoms are present:

• Continuous bleeding or large amounts of blood,
• Passing blood clots,
• Severe pain,
• Difficulty walking, sitting, etc,
• Black stools that indicate bleeding.

Unfortunately, people who experience recurring issues and/or enlargement of the same hemorrhoid may need surgery. Ruptured hemorrhoids can damage other tissue, and medical treatment should be sought out to prevent further complications. However, ruptured hemorrhoids are not a deadly condition and can often be treated with either at-home remedies or surgery.

After all is said and done, sometimes residual scar tissue and/or skin tags develop because the extra skin from the initial hemorrhoid doesn‘t retract fully. The initial course of treatment would be to apply steroid creams at home to see if they‘ll resolve on their own. However, if someone has been suffering from a recurring hemorrhoid, it may be more beneficial to remove not only the hemorrhoid, but also scar and skin tag to prevent repeat outbreaks. If it’s an isolated skin tag that still bothers someone and gets irritated during wiping, sex, etc., then it can also be surgically removed.

When a Ruptured Hemorrhoid Might Signal a More Serious Condition

Bright red blood from a ruptured hemorrhoid is common, but in some cases, it may indicate an underlying gastrointestinal condition such as Crohn’s disease, ulcerative colitis, or colon cancer. While occasional bleeding from a burst hemorrhoid is typically not a cause for concern, persistent or heavy bleeding, changes in stool consistency, or blood mixed with stool could signal a more serious issue.

Warning Signs That Require Medical Attention:

• Bleeding that persists for more than a few hours or increases over time.
• Blood that appears dark red, maroon, or black, indicating internal bleeding.
• Abdominal pain, weight loss, or changes in bowel habits accompanying rectal bleeding.
• Bleeding that occurs without an obvious cause, such as straining or external irritation.

Hemorrhoids Treatment

As mentioned above, hemorrhoid prevention is key. However, most hemorrhoids respond well to at-home treatment, such as over-the-counter stool softeners, fiber supplements, Sitz baths, steroid creams, and many others. However, when they can‘t, doctors may use the following procedures to help fix your hemorrhoids:

• Rubber band ligation
• Laser treatments
• Hemorrhoidectomies
• Anal Botox to help alleviate the pressures associated with hemorrhoids

Never Pop a Ruptured Hemorrhoid on Your Own

While popping hemorrhoids on your own is never recommended because it can create open wounds and complications like infections and scarring, popping hemorrhoids is an old school method that some doctors still perform. The intent is to remove pressure from the area, which would, in theory, also get rid of the hemorrhoid.

However, many times, people persistently bleed, and, more importantly, this method only removes the clot and not the hemorrhoid itself, which means that the hemorrhoid is likely to keep coming back. Popping hemorrhoids by yourself can be especially risky as this can lead to infection and create an open wound. However, you are very unlikely to die from popping a hemorrhoid.

NYC Hemorrhoid Treatment at Bespoke Surgical

We hope that after learning more about ruptured hemorrhoids, you feel confident that there are many treatment options to help you get back to living a hemorrhoid-free life. Bespoke Surgical is an elite anal practice with a focus on wellness, and we tailor our treatments to each patient’s needs to work towards a healthier, happier you. If you have any questions regarding ruptured hemorrhoids or would like a consultation, contact us here.

FAQs About Ruptured Hemorrhoids

What is a ruptured hemorrhoid?

A ruptured hemorrhoid occurs when a swollen hemorrhoidal vein bursts due to excessive pressure, leading to bleeding. While it can look alarming, it is usually not life-threatening and can often be managed with at-home care.

What are the symptoms of a ruptured hemorrhoid?

Common symptoms include bright red bleeding, pain or discomfort, swelling, itching, and the presence of clotted blood around the anus. Some people may also experience irritation or difficulty sitting.

How do I stop a ruptured hemorrhoid from bleeding?

To stop the bleeding, gently apply clean, soft cloths, gauze, or a sanitary pad to the area. You can also use over-the-counter nasal decongestant sprays (like Afrin) to constrict the blood vessels and help clot formation.

When should I see a doctor for a ruptured hemorrhoid?

You should seek medical attention if you experience persistent bleeding, severe pain, large blood clots, black stools, or difficulty sitting and walking. These symptoms may indicate complications that require professional treatment.

Can a ruptured hemorrhoid heal on its own?

Yes, in most cases, a ruptured hemorrhoid will heal naturally within a few days to a week with proper hygiene and care. However, if symptoms persist or worsen, consult a healthcare professional.

How can I prevent a hemorrhoid from rupturing?

To prevent hemorrhoid rupture, focus on a fiber-rich diet, staying hydrated, avoiding prolonged sitting, and practicing proper bowel habits. Using stool softeners and Sitz baths can also help reduce strain.

Is a ruptured hemorrhoid dangerous?

A ruptured hemorrhoid is generally not dangerous, but excessive or prolonged bleeding may lead to anemia or secondary infections. It’s essential to monitor symptoms and seek medical help if needed.