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Bleeding hemorrhoids

MedGen UID:
78529
•Concept ID:
C0265031
•
Pathologic Function
Synonyms: Bleeding hemorrhoid; Bleeding pile; Hemorrhoidal Hemorrhage
SNOMED CT: Bleeding hemorrhoid (51551000); Bleeding pile (51551000); Bleeding hemorrhoids (51551000)

Definition

Bleeding from the hemorrhoids. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVBleeding hemorrhoids

Professional guidelines

PubMed

Polyherbal formulation Anoac‑H suppresses the expression of RANTES and VEGF for the management of bleeding hemorrhoids and fistula.
Porwal A, Kundu GC, Bhagwat G, Butti R
Mol Med Rep 2021 Oct;24(4) Epub 2021 Aug 20 doi: 10.3892/mmr.2021.12376. PMID: 34414451Free PMC Article
Management of Hemorrhoidal Disease in Special Conditions: A Word of Caution.
Salusso P, Testa V, Mochet S, Arezzo A, Allaix ME, Salzano A, Morino M, Mistrangelo M
Rev Recent Clin Trials 2021;16(1):22-31. doi: 10.2174/1574887115666200406121308. PMID: 32250231
Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures.
Weingart SN, Stoffel EM, Chung DC, Sequist TD, Lederman RI, Pelletier SR, Shields HM
Jt Comm J Qual Patient Saf 2017 Jan;43(1):32-40. Epub 2016 Oct 13 doi: 10.1016/j.jcjq.2016.10.001. PMID: 28334584

Recent clinical studies

Etiology

Effectiveness and tolerability of rectal ointment and suppositories containing sucralfate for hemorrhoidal symptoms: a prospective, observational study.
Marik AR, Miklós I, Csukly G, Hársfalvi P, Novák A
Int J Colorectal Dis 2024 May 16;39(1):72. doi: 10.1007/s00384-024-04642-7. PMID: 38750150Free PMC Article
Catheter-directed hemorrhoidal embolization for rectal bleeding due to hemorrhoids (Goligher grade I-III): prospective outcomes from a Spanish emborrhoid registry.
De Gregorio MA, Guirola JA, Serrano-Casorran C, Urbano J, Gutiérrez C, Gregorio A, Sierre S, Ciampi-Dopazo JJ, Bernal R, Gil I, De Blas I, Sánchez-Ballestín M, Millera A
Eur Radiol 2023 Dec;33(12):8754-8763. Epub 2023 Jul 17 doi: 10.1007/s00330-023-09923-3. PMID: 37458757
Polyherbal formulation Anoac‑H suppresses the expression of RANTES and VEGF for the management of bleeding hemorrhoids and fistula.
Porwal A, Kundu GC, Bhagwat G, Butti R
Mol Med Rep 2021 Oct;24(4) Epub 2021 Aug 20 doi: 10.3892/mmr.2021.12376. PMID: 34414451Free PMC Article
Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper.
Gupta PJ
Rom J Gastroenterol 2005 Mar;14(1):37-41. PMID: 15800692
Effect of fiber supplements on internal bleeding hemorrhoids.
Perez-Miranda M, Gomez-Cedenilla A, León-Colombo T, Pajares J, Mate-Jimenez J
Hepatogastroenterology 1996 Nov-Dec;43(12):1504-7. PMID: 8975955

Diagnosis

Effectiveness and tolerability of rectal ointment and suppositories containing sucralfate for hemorrhoidal symptoms: a prospective, observational study.
Marik AR, Miklós I, Csukly G, Hársfalvi P, Novák A
Int J Colorectal Dis 2024 May 16;39(1):72. doi: 10.1007/s00384-024-04642-7. PMID: 38750150Free PMC Article
Management of Hemorrhoidal Disease in Special Conditions: A Word of Caution.
Salusso P, Testa V, Mochet S, Arezzo A, Allaix ME, Salzano A, Morino M, Mistrangelo M
Rev Recent Clin Trials 2021;16(1):22-31. doi: 10.2174/1574887115666200406121308. PMID: 32250231
Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures.
Weingart SN, Stoffel EM, Chung DC, Sequist TD, Lederman RI, Pelletier SR, Shields HM
Jt Comm J Qual Patient Saf 2017 Jan;43(1):32-40. Epub 2016 Oct 13 doi: 10.1016/j.jcjq.2016.10.001. PMID: 28334584
Gastrointestinal involvement in spinal cord injury: a clinical perspective.
Ebert E
J Gastrointestin Liver Dis 2012 Mar;21(1):75-82. PMID: 22457863
Prospective evaluation of gastrointestinal tract in patients with iron-deficiency anemia.
Kepczyk T, Kadakia SC
Dig Dis Sci 1995 Jun;40(6):1283-9. doi: 10.1007/BF02065539. PMID: 7781448

Therapy

Effectiveness and tolerability of rectal ointment and suppositories containing sucralfate for hemorrhoidal symptoms: a prospective, observational study.
Marik AR, Miklós I, Csukly G, Hársfalvi P, Novák A
Int J Colorectal Dis 2024 May 16;39(1):72. doi: 10.1007/s00384-024-04642-7. PMID: 38750150Free PMC Article
Gastrointestinal involvement in spinal cord injury: a clinical perspective.
Ebert E
J Gastrointestin Liver Dis 2012 Mar;21(1):75-82. PMID: 22457863
Ambulatory hemorrhoid therapy with radiofrequency coagulation. Clinical practice paper.
Gupta PJ
Rom J Gastroenterol 2005 Mar;14(1):37-41. PMID: 15800692
Effect of fiber supplements on internal bleeding hemorrhoids.
Perez-Miranda M, Gomez-Cedenilla A, León-Colombo T, Pajares J, Mate-Jimenez J
Hepatogastroenterology 1996 Nov-Dec;43(12):1504-7. PMID: 8975955
Treatment of bleeding hemorrhoids by injection sclerotherapy and rubber band ligation.
Rabau MY, Bat L
Isr J Med Sci 1985 Jul;21(7):569-71. PMID: 4044217

Prognosis

Endoscopic hemorrhoidal sclerotherapy using 50% dextrose water: a preliminary report.
Alatise OI, Arigbabu OA, Lawal OO, Adesunkanmi AK, Agbakwuru AE, Ndububa DA, Akinola DO
Indian J Gastroenterol 2009 Jan-Feb;28(1):31-2. Epub 2009 Jun 6 doi: 10.1007/s12664-009-0007-2. PMID: 19529900
Novel technique: radiofrequency coagulation--a treatment alternative for early-stage hemorrhoids.
Gupta PJ
MedGenMed 2002 Jul 31;4(3):1. PMID: 12466744
Injection treatment of hemorrhoids in patients with acquired immunodeficiency syndrome.
Scaglia M, Delaini GG, Destefano I, Hultén L
Dis Colon Rectum 2001 Mar;44(3):401-4. doi: 10.1007/BF02234740. PMID: 11289287
Micronized purified flavonidic fraction compared favorably with rubber band ligation and fiber alone in the management of bleeding hemorrhoids: randomized controlled trial.
Ho YH, Tan M, Seow-Choen F
Dis Colon Rectum 2000 Jan;43(1):66-9. doi: 10.1007/BF02237246. PMID: 10813126
The Whitehead hemorrhoidectomy. An unjustly maligned procedure.
Wolff BG, Culp CE
Dis Colon Rectum 1988 Aug;31(8):587-90. doi: 10.1007/BF02556790. PMID: 3042301

Clinical prediction guides

Catheter-directed hemorrhoidal embolization for rectal bleeding due to hemorrhoids (Goligher grade I-III): prospective outcomes from a Spanish emborrhoid registry.
De Gregorio MA, Guirola JA, Serrano-Casorran C, Urbano J, Gutiérrez C, Gregorio A, Sierre S, Ciampi-Dopazo JJ, Bernal R, Gil I, De Blas I, Sánchez-Ballestín M, Millera A
Eur Radiol 2023 Dec;33(12):8754-8763. Epub 2023 Jul 17 doi: 10.1007/s00330-023-09923-3. PMID: 37458757
Polyherbal formulation Anoac‑H suppresses the expression of RANTES and VEGF for the management of bleeding hemorrhoids and fistula.
Porwal A, Kundu GC, Bhagwat G, Butti R
Mol Med Rep 2021 Oct;24(4) Epub 2021 Aug 20 doi: 10.3892/mmr.2021.12376. PMID: 34414451Free PMC Article
Do We Have Another Option to Treat Bleeding Hemorrhoids? The Emborrhoid Technique: Experience in 16 Patients.
Moggia E, Talamo G, Gallo G, Bianco A, Barattini M, Salsano G, Zefiro D, Stefanini T, Berti S
Rev Recent Clin Trials 2021;16(1):81-86. doi: 10.2174/1574887115666200313102246. PMID: 32167429
Novel technique: radiofrequency coagulation--a treatment alternative for early-stage hemorrhoids.
Gupta PJ
MedGenMed 2002 Jul 31;4(3):1. PMID: 12466744
Effect of fiber supplements on internal bleeding hemorrhoids.
Perez-Miranda M, Gomez-Cedenilla A, León-Colombo T, Pajares J, Mate-Jimenez J
Hepatogastroenterology 1996 Nov-Dec;43(12):1504-7. PMID: 8975955

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