How can blood tests help in diagnosing complications of hemorrhoids?

May 7, 2025

The Hemorrhoids Healing Protocol The Hemorrhoids Healing Protocol™ by Scott Davis This healing protocol is a basic program that gives you natural ways and remedies to treat hemorrhoids diseases safely and securely. Moreover, this program is effective as well as efficient.While using this program, you can avoid using those prescription medicines, lotions, and creams, and keeps you away from the side effects.


How can blood tests help in diagnosing complications of hemorrhoids?

Blood tests are not usually utilized to directly diagnose hemorrhoids, but can be used in the determination of potential complications of hemorrhoids, especially if there are signs of more serious diseases. The following is how blood tests can contribute to the diagnosis of individuals with hemorrhoids:

1. Detection of Anemia
One of the severe hemorrhoid complications, namely chronic or severe bleeding hemorrhoids that occur on a recurrent basis, is anemia. Anemia occurs when there are fewer than adequate healthy red blood cells to supply adequate oxygen to the body tissues, and this can be the result of recurrent blood loss. If a person with hemorrhoids is experiencing severe or recurrent rectal bleeding, blood tests may reveal whether anemia has developed.

Complete Blood Count (CBC): It is the most common blood test to establish anemia. It measures hemoglobin and hematocrit (the proportion of red blood cells in blood). Decreased hemoglobin or hematocrit count can indicate anemia, and it can result from heavy bleeding caused by hemorrhoids.

Symptoms of anemia: Decreased hemoglobin or hematocrit levels indicate a reduction in red blood cells, which can be due to blood loss caused by hemorrhoids.

2. Evaluating Infection
Hemorrhoids, especially those that thrombose (blood clot within the hemorrhoid) or strangulate (circulatory compromise), can become infected. Hemorrhoidal infections may result in the following findings: pain, edema, and erythema of the region. Laboratory work is valuable to check for infection in cases where it is suspected that the hemorrhoids have become infected or in the patient who is seen with evidence of an infectious process.

White Blood Cell Count (WBC): An elevated white blood cell count can indicate an infection or inflammation in the body. The test might be employed to assist in confirming an infection in or near a hemorrhoid if one is suspected.

3. Inflammatory Markers Evaluation
Chronic inflammation associated with hemorrhoids, particularly severe ones, can also be monitored through blood tests. Occasionally, the inflammation can be so chronic that it contributes to other systemic effects.

Erythrocyte Sedimentation Rate (ESR) or C-reactive Protein (CRP): Both are markers of inflammation in the body. Though not hemorrhoid specific, an increased CRP or ESR would signify chronic inflammation, and this can be a marker for complication like infection or other inflammatory condition.

4. Exclusion of Other Conditions
Although hemorrhoids themselves rarely require a blood test for diagnosis, one must rule out other causes of rectal bleeding or similar symptoms. For example:

Colorectal Cancer: Rectal bleeding may also result from conditions like colorectal cancer or inflammatory bowel disorders (e.g., Crohn’s disease, ulcerative colitis). Blood tests can check for conditions that could cause similar bleeding.

A fecal occult blood test (FOBT) or fecal immunochemical test (FIT) may be advised along with blood tests to find occult blood in the stool.

Liver Disease: In cases where liver disease or cirrhosis develops, portal hypertension (venous pressure near the liver) irritates hemorrhoids, leading to congested veins in the rectum or anus. Blood tests can quantify liver function to exclude liver complications.

5. Coagulation Disorders
In a few cases, individuals with a clotting disorder can experience more profuse bleeding due to hemorrhoids. The function of clotting and any existing coagulation disorders can be identified by a blood test.

Prothrombin Time (PT) and International Normalized Ratio (INR): They are blood-clotting tests. In a case of severe bleeding due to hemorrhoids, these tests may be conducted to ensure that blood clotting is functioning properly.

6. Electrolyte Imbalances and Hydration
If bleeding is heavy or ongoing, the patient can become dehydrated or experience an electrolyte imbalance as well. Blood tests can be utilized to assess for dehydration and electrolyte imbalance, which can prove beneficial in the event of excessive blood loss.

Basic Metabolic Panel (BMP): This is a blood test that assesses electrolytes (like sodium and potassium) and the function of the kidneys. If one has been losing blood, it is important to measure their electrolyte level.
Even though blood tests are not commonly performed to diagnose hemorrhoids themselves, they are often needed in determining complications arising as a result of the disorder. Blood work is able to pick up on the state of chronic anemia by observing chronic blood loss, infections or inflammatory responses, and exclude other underlying disease processes like liver disease or colorectal cancer. It makes it simple for health staff to determine the level at which a hemorrhoid sufferer is recovering health-wise and assist in settling any resulting complications.

Treatment of hemorrhoids in the USA is determined by the severity and type (internal or external) of hemorrhoids, along with the symptoms. The objective of treatment is pain relief, cessation of bleeding, and avoidance of recurrence. The most common treatments for hemorrhoids are listed below:

✅ 1. Conservative (At-Home) Treatments
These are often the first-line management of mild or initial-stage hemorrhoids.

a. Dietary Changes
Increased Fiber Intake: A diet high in fiber avoids constipation, which is a major cause of hemorrhoids. Fruits, vegetables, whole grains, and legumes are all rich in fiber. Fiber makes the stool soft, allowing it to pass easily without causing too much strain on the anus during the act of passing stool.

Fiber supplements (e.g., psyllium husk or methylcellulose) may be recommended if dietary changes alone are not sufficient.

b. Adequate Hydration
Drinking plenty of water prevents constipation and softens stools, and thus flare-ups of hemorrhoids are less likely.

c. Sitz Baths
Soaking the affected area in warm water for 10 to 15 minutes, several times a day, especially after bowel movements, can ease pain and discomfort.

Epsom salt or baking soda may be added to the water for added calming effect.
d. Topical Treatments
Over-the-counter ointments and creams: Hydrocortisone creams, for instance, may ease inflammation, itching, and swelling due to hemorrhoids.

Topical treatments that are commonly used might also involve witch hazel, aloe vera, or hydrocortisone ointments to help reduce swelling and pain.
e. Cold Compresses
It is possible to ease swelling and achieve a certain relief from pain by applying a cold compress or ice pack to the affected area.

✅ 2. Medications
In cases where conservative management does not provide sufficient relief, medications may be prescribed.

a. Oral Pain Relievers
Nonsteroidal anti-inflammatory drugs (NSAIDs): Medications like ibuprofen or acetaminophen can be employed to manage pain and inflammation of hemorrhoids.

b. Stool Softeners
Stool softeners like docusate sodium can help make bowel movements easier, which reduces the chances of straining and further irritating hemorrhoids.
c. Topical Anesthetics
Over-the-counter topical anesthetics (e.g., lidocaine) can be applied to numb the area and reduce pain temporarily.

✅ 3. Minimally Invasive Procedures
Physicians can prescribe minimally invasive procedures if hemorrhoids are not responding to home treatment or are worse.

a. Rubber Band Ligation
This is one of the most common treatments of internal hemorrhoids. A small rubber band is placed around the base of the hemorrhoid to shut off blood supply. The hemorrhoid dehydrates and then drops off within a few days to one week.

Strengths: It is very easy, effective, and performed in a doctor’s office.

b. Sclerotherapy
In this, a chemical solution is injected in the hemorrhoid to shrink its size. It is useful in the case of small internal hemorrhoids.

It is minimally invasive and not required to take anesthesia.
c) Infrared Coagulation (IRC)
A special infrared light is used to kill off the hemorrhoid tissue by coagulating the tissue, and eventually shrinking it.

It is a short, minimally painful procedure.
d) Hemorrhoidal Artery Ligation
This is a process of detection and ligation of the arteries supplying blood to the hemorrhoid, leading it to contract.

Advantages: It can cure more developed hemorrhoids, with relatively little risk of complication.

✅ 4. Surgical Therapies
Surgical procedure is usually reserved for complicated or advanced hemorrhoids that do not respond to other treatment or complications that are severe.

a. Hemorrhoidectomy
This is the surgical removal of hemorrhoids and is usually performed when the hemorrhoids are large, prolapsed, or thrombosed (clotted). It is the most definitive treatment for severe hemorrhoids.

Advantages: It offers a complete cure for hemorrhoids.

Recovery: The recovery time can take weeks, and the procedure can be painful, which requires proper pain control during the recovery time.

b. Stapled Hemorrhoidopexy
A stapling procedure in which part of the hemorrhoid is removed and the rest of the tissue is stapled back into position. This procedure is less painful than hemorrhoidectomy and has a more rapid recovery.

Advantages: Less postoperative pain and faster recovery than hemorrhoidectomy.

Disadvantages: There is a minimal risk of recurrence and complications such as staple-line bleeding.

✅ 5. Preventive Measures
To avoid recurrence, lifestyle modifications are required along with treatment.

a. Regular Exercise
Participation in regular physical activity helps maintain bowel function and prevents constipation, which is a critical factor for the development of hemorrhoids.

b. Avoid Straining
The individual should not strain during stool passing. This can be managed by an appropriate diet, fluid consumption, and the use of stool softeners if necessary.

c. Proper Hygiene
Good bowel hygiene practices after bowel movements, such as wiping the area carefully with wet towelettes or sensitive skin wipes, can reduce irritation and discomfort.

Conclusion:
Hemorrhoids are treated depending on the severity of the condition. Mild hemorrhoids are usually treated with conservative treatment in the form of diet changes, hydration, sitz baths, and ointments. In severe conditions, conditions are treated with minimally invasive techniques like rubber band ligation or sclerotherapy. Surgery is indicated in case of severe hemorrhoids that cannot be controlled through other methods. Lifestyle changes also prevent the recurrence of hemorrhoids.

Would you prefer more information on any of these treatments, or do you have specific questions regarding the treatment of hemorrhoids?

The Hemorrhoids Healing Protocol The Hemorrhoids Healing Protocol™ by Scott Davis This healing protocol is a basic program that gives you natural ways and remedies to treat hemorrhoids diseases safely and securely. Moreover, this program is effective as well as efficient.While using this program, you can avoid using those prescription medicines, lotions, and creams, and keeps you away from the side effects.