Bleeding when urinating with external hemorrhoids

Bleeding during urination from external hemorrhoids may be related to inflammation, ulceration or surface damage of the hemorrhoids themselves, but it may also indicate other lesions in the perianal area. The treatment method should be determined according to the severity of the symptoms. If bleeding is frequent, heavy or accompanied by obvious pain, you should seek medical attention in time.

External hemorrhoids are varicose veins on the outside of the rectum. They are usually caused by local congestion and venous congestion due to long-term sitting, constipation or straining to defecate. The surface of the external hemorrhoids may form blood clots, rupture or rub and bleed. When urinating, the tension of the anal sphincter may aggravate the friction of the external hemorrhoids, further causing bleeding. Some people may also suffer from local inflammation due to infection, increasing the severity of symptoms. The action of urination may irritate the skin around the anus, aggravate ulceration or induce pain. If the bleeding is mild and short-term, you can try home care, such as warm water sitz baths (1-2 times a day, 15 minutes each time), and use topical ointments containing witch hazel or zinc oxide to reduce inflammation and pain; if necessary, oral non-steroidal anti-inflammatory drugs can relieve discomfort. In severe cases, surgical treatment may be required, such as external hemorrhoidectomy or laser treatment.

External hemorrhoids are varicose veins on the outside of the rectum. They are usually caused by local congestion and venous congestion due to long-term sitting, constipation or straining to defecate. The surface of the external hemorrhoids may form blood clots, rupture or rub and bleed. When urinating, the tension of the anal sphincter may aggravate the friction of the external hemorrhoids, further causing bleeding. Some people may also suffer from local inflammation due to infection, increasing the severity of symptoms. The action of urination may irritate the skin around the anus, aggravate ulceration or induce pain. If the bleeding is mild and short-term, you can try home care, such as warm water sitz baths (1-2 times a day, 15 minutes each time), and use topical ointments containing witch hazel or zinc oxide to reduce inflammation and pain; if necessary, oral non-steroidal anti-inflammatory drugs can relieve discomfort. In severe cases, surgical treatment may be required, such as external hemorrhoidectomy or laser treatment.

To prevent worsening of symptoms, keep the perianal area clean, avoid straining during bowel movements, eat a high-fiber diet (such as eating more vegetables, fruits, and whole grains), reduce long periods of sitting, and exercise appropriately. Drinking enough water every day can help prevent constipation. If home treatment does not improve, or if symptoms extend to perianal infection and long-term recurrent bleeding, consult an anorectal doctor as soon as possible to avoid worsening of the condition and rule out other underlying diseases.