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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

Comparison of different embolic particles for superior rectal arterial embolization of chronic hemorrhoidal bleeding: gelfoam versus microparticle.
Wang X, Sheng Y, Wang Z, Wang W, Xia F, Zhao M, Han X
BMC Gastroenterol 2021 Dec 14;21(1):465. doi: 10.1186/s12876-021-02046-3. PMID: 34906095Free PMC Article
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
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
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

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
Significance of endoscopy in asymptomatic premenopausal women with iron deficiency anemia.
Park DI, Ryu SH, Oh SJ, Yoo TW, Kim HJ, Cho YK, Sung IK, Sohn CI, Jeon WK, Kim BI
Dig Dis Sci 2006 Dec;51(12):2372-6. Epub 2006 Nov 1 doi: 10.1007/s10620-005-9069-x. PMID: 17078010
Colonoscopic findings in patients with hemorrhoids, rectal bleeding and normal rectoscopy.
Bat L, Pines A, Rabau M, Niv Y, Shemesh E
Isr J Med Sci 1985 Feb;21(2):139-41. PMID: 3872288

Therapy

Comparison of different embolic particles for superior rectal arterial embolization of chronic hemorrhoidal bleeding: gelfoam versus microparticle.
Wang X, Sheng Y, Wang Z, Wang W, Xia F, Zhao M, Han X
BMC Gastroenterol 2021 Dec 14;21(1):465. doi: 10.1186/s12876-021-02046-3. PMID: 34906095Free 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
Doppler sonographic diagnostics and treatment control of symptomatic first-degree hemorrhoids. Preliminary report and results.
Jaspersen D
Dig Dis Sci 1993 Jul;38(7):1329-32. doi: 10.1007/BF01296085. PMID: 8325192

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
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
Cryosurgery for life-threatening bleeding hemorrhoids in the elderly.
Mashiah A, Mashiah T
J Am Geriatr Soc 1984 Jan;32(1):62-3. doi: 10.1111/j.1532-5415.1984.tb05152.x. PMID: 6606660

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
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
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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