Seek urgent medical care now if bleeding is heavy, persistent, or you feel faint, weak, short of breath, or have chest pain
Call emergency services if you pass large amounts of blood, black tarry stool, or have severe abdominal pain
Stop straining during bowel movements
Increase fiber intake with fruits, vegetables, whole grains, or a fiber supplement
Drink plenty of water
Use a stool softener if needed
Avoid constipation
Avoid heavy lifting and activities that worsen bleeding
Use warm sitz baths
Apply gentle pressure with clean gauze if there is external bleeding
Keep the area clean and dry
Avoid harsh wiping; use moist, unscented wipes or water
Avoid alcohol and spicy foods if they worsen symptoms
Do not take aspirin, ibuprofen, or other blood thinners unless prescribed
Use hemorrhoid treatments only as directed
See a doctor promptly to find and treat the cause
Get immediate evaluation if bleeding is new, recurrent, or occurs with weight loss, fever, or changes in bowel habits