Severe haemorrhoidal bleeding in the stool is mainly associated with prolonged and large amounts of blood in the stool. Patients experience recurrent blood in the stool, even dripping and spraying bleeding, and may develop varying degrees of anaemia. In severe cases of haemorrhoids, oral and topical haemostatic drugs can be used as a first conservative treatment, but if conservative medication does not work, surgery to stop the bleeding is recommended as soon as possible.