Download FREE Practo app
Get ₹200 HealthCash
External hemorrhoid
Hello doctor,
I was suffering from diarrhea for few days due to which I got external hemorrhoid.
Initially it was not bleeding was less pain.
Now it ruptured and bleeds like spoting.
How can I make it right?
Thank you.
Answers (21)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
ok...is it healed now??
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+200
Hello
According to you it is external hemorrhoids so which is bleeding according to me generally diarrhea do not cause hemorrhoids it is constipation in which chronic straining which eventually leads to hemorrhoids
Are you feeling some mass around anus? Or just bleeding?
Next Steps
better to visit general surgeon for DRE(Digital rectal examination)
Health Tips
sitz bath with betadine will help you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello i am dr yash goyal .follow up for consultation .
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hello, I am Dr. Romain Rajan, General Physician. Your case has been allotted to me.
I understand your concern. After a few days of diarrhea, it is common for an external hemorrhoid to swell and then rupture, causing mild bleeding and discomfort. The good news is that such ruptured piles usually heal on their own with proper local care and diet control.
1. Advices
Keep the anal area clean and dry. Wash gently with lukewarm water after passing stool, then pat dry.
Avoid straining, sitting for long on the toilet, and spicy or oily food.
Increase fibre and fluid intakeâdrink 8 to 10 glasses of water daily, and add papaya, banana, oats, and vegetables to meals.
2. What to Monitor
Amount and frequency of bleeding.
Any increase in swelling, severe pain, or fever.
Regularity of bowel movements.
3. Management
Apply PiloGo or Anovate cream twice daily over the external pile for 5 to 7 days.
Take Sitz bath â sit in a tub of comfortably warm water for 10â15 minutes twice daily to reduce pain and swelling.
You may take Daflon 500 mg tablet twice daily after meals for 5 days to improve venous tone and reduce bleeding.
If pain is more, take Chymoral Forte twice daily after food for 3 to 5 days.
Avoid constipation at all costs. If stool is hard, take Cremaffin syrup 15 ml at night for a few days.
Usually, mild ruptured external hemorrhoids heal within 7â10 days with this care.
4. When to Consult a Doctor Immediately
If bleeding becomes continuous or bright red with every stool.
If pain or swelling increases instead of reducing.
If you develop dizziness or black stool.
Every patientâs situation is unique. For accurate confirmation and faster healing, it is advisable to discuss your symptoms in detail and share a clear photo of the area privately if possible for medical review.
ð You can reach out to me directly for this case and also connect with me in future for any medical consultation.
I am available on Practo or on WhatsApp at 85271646 seven seven for a one on one consultation, where you will receive
⢠A personalized treatment plan
⢠Safe medicine adjustment if required
⢠Quick follow ups till complete healing
Take care, wishing you good health.
Best regards,
Dr. Romain Rajan
General Physician
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you want to discuss your problem in more detail, feel free to to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You can consult me directly on Practo, or reach out via WhatsApp:
Eight Seven Six Two Seven Four Nine Nine Seven Four
I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
Only whatsapp message no calls
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Take surgeon's opinion.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Sitz bath twice a day
Lactifibre powder twice a day
Fidonal ointment for local application if pain present
Avoid spicy food
Next Steps
If bleeding is not relieved consultant
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Refer to a Surgeon
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Need few more details
Kindly connect.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Looks like a enterogastritis that lead to an external fissure.
Not to worry, consult your nearest General Surgeon at the earliest convenience.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Hey, is the diarrhoea controlled? Can u really feel it or u have some pic to share? Kindly consult with me on 94 two six eight six 78 nine six.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Consult superspecialist like general surgeon.
Till than
Oz two times after food for five days.
Tab trenexa 500 three times for 5 day for bleeding if required.
Locally apply anovate ointment by index finger first on buthole than gently push inside the anus rotate the finger to cover anal mucosa completely with ointment before n after defication two times for two or three weeks
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Start
1. Tab zerodol sp theice daily for 3 days
2. Tab zenflox oz twice daily for 3 days
3. Sporlac satchet once daily for 3 days
4. Cap rabmac dsr before breakfast
Plenty of fluid and ors
Next Steps
Avoid tea coffe and fast food
Health Tips
Detail history of you needed for futher treatment with all reports done earlier
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
You need to visit a surgeon for proper examination.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Visit to general surgeon immediately
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Consult general surgeon
Take tab eldopar once
Apply annovate cream
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Shivam Mishra
General Physician
5 yrs exp
Mumbai
Hey 👋
This sounds like a ruptured external haemorrhoid with superficial oozing — unpleasant and scary, but usually not dangerous. Most cases settle with simple measures. Below is what to do right now, what to expect, and a ready-to-copy prescription and red-flag criteria. Read quickly, start conservative care, and book a focused consult if any red flags.
What this likely is
External hemorrhoids are varicose veins at the anal margin. They can thrombose and then rupture or ooze when the skin tears.
Spotting / light oozing after rupture is common. Pain may be less after rupture because the pressure from thrombosis is released.
Most will heal with local care, stool softening and pain control. Some need minor surgical treatment (evacuation/excision) if pain is severe or thrombosis is fresh and big.
Do now (first aid)
1. Apply direct pressure for a few minutes if active bleeding. Use clean gauze.
2. Sitz baths: soak in warm water for 10–15 minutes, 3 times daily and after stools — helps pain and clot clearance.
3. Ice pack (wrapped) for 10 minutes if very swollen/painful.
4. Keep area clean and dry after baths; pat dry gently.
5. Avoid straining — stop heavy lifting and modify diet immediately (below).
6. Don’t use NSAIDs if bleeding continues (they can increase bleeding). Use paracetamol for pain.
Medical steps (start now)
Constipation prevention: high-fibre + fluids. Add a bulk laxative and a stool softener.
Topical local anaesthetic for comfort after stools.
Analgesic for pain if needed.
If pain becomes severe or bleeding is heavy, present to emergency for assessment — you may need evacuation of a thrombosed haemorrhoid or hemostatic measures.
Copy-paste prescription (common, practical — adjust if allergic)
1) Tab. Paracetamol 500 mg — 1 tablet SOS for pain (max 3 g/day) — 5 days.
2) Tab. Docusate sodium 100 mg (or Lactulose 15 ml at night) — 1 bd x 7–10 days (stool softener).
3) Psyllium husk 5 g sachet — take 1 sachet twice daily with plenty of water — 2 weeks.
4) Lignocaine 5% ointment — apply a pea-sized amount to anus 2–3 times daily and after stools for 7 days.
5) Sitz bath 10–15 min TID and after every bowel movement — continue for 7 days.
6) Local antiseptic wash/povidone iodine — gentle cleaning once daily.
If you have severe pain in the first 72 hours and a painful, firm lump at the anal margin → surgical thrombectomy/excision may be needed (can be done under local).
When to come urgently / red flags
Bleeding that soaks more than a few pads or causes dizziness/faintness.
Rapid pulse, low blood pressure, or fainting.
Severe, uncontrolled pain not responding to simple analgesics.
Fever, spreading redness, or pus (suggests infection).
Blood mixed with black, tarry stools (different cause).
Practical lifestyle/diet advice
Increase water intake to 2–3 L/day.
Eat fiber-rich foods (fruits, vegetables, whole grains). Avoid hard stools.
Avoid straining; use a footstool to elevate knees while passing stool.
Avoid prolonged sitting — short walks help.
If you want me to examine the lesion, and give a tailored plan (conservative vs need for minor procedure) — book a focused consult at Nine Three Two Six Zero Two Zero Five Three Six on whatsapp and I’ll reply quickly with a clear plan and prescription you can use immediately.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.