Chongqing hospital reports endoscopic haemostasis after haemorrhoidal bleeding caused shock

The Affiliated People's Hospital of Chongqing Three Gorges Medical College has described the emergency treatment of a patient in their twenties whose internal-haemorrhoid bleeding led to haemorrhagic shock. The October 20, 2026 report also sets out a separate routine endoscopic treatment pathway at its Gaosuntang campus.

Resuscitation came before urgent colonoscopy

The patient had repeatedly noticed bright-red blood after bowel movements but no anal pain and had not sought examination. Bleeding increased during the preceding week. By admission, pallor, cold sweat, cold limbs, low blood pressure and a fast heart rate accompanied dizziness, weakness, palpitations and chest discomfort.

The team established intravenous access, gave fluids and red-cell transfusion and treated shock. Once circulation was somewhat stabilised, urgent colonoscopy identified internal haemorrhoids with active bleeding. Endoscopic haemostasis stopped further bleeding; afterwards, blood pressure and heart rate gradually stabilised, the shock resolved and symptoms improved. The report does not identify the exact haemostatic technique used in this emergency case.

A distinct routine injection service

Separately, the hospital says its Gaosuntang digestive endoscopy centre routinely offers anoscopy, investigation of intestinal disease and endoscopic sclerotherapy for internal haemorrhoids. Assessment first identifies the bleeding source and excludes causes such as polyps, inflammation or tumours. Repeated rectal bleeding should therefore be investigated rather than self-labelled as haemorrhoids.

The described sclerotherapy injects polidocanol into the haemorrhoidal vascular plexus under endoscopic vision. The hospital presents it as a minimally invasive outpatient option after assessment, particularly for recurrent bleeding from grade I, II and selected grade III internal haemorrhoids. It lists external haemorrhoids, strangulated necrotic internal haemorrhoids, acute perianal infection, severe coagulation disorders and rectal masses among unsuitable situations. These routine-service details should not be read as proof that the emergency patient received polidocanol.

Follow-up matters when planning care

People taking medicines that affect bleeding, such as aspirin or rivaroxaban, are asked to tell the doctor in advance so medication management and treatment timing can be assessed. The hospital recommends water and dietary fibre to avoid constipation, avoiding straining, and a return to the endoscopy unit for anoscopy one month after treatment. Heavy bleeding, severe anal pain, fever or difficulty urinating warrant immediate medical attention.

For a visiting patient, the practical information is a documented diagnostic and endoscopic care pathway with selection criteria and a one-month review. The emergency case also shows why painless bleeding can still require urgent hospital care.