What to do inflamed hemorrhoids during pregnancy. Treatment of hemorrhoids during pregnancy at home: acceptable drugs and alternative methods

Hemorrhoids are a delicate problem that you do not want to talk about out loud! Therefore, you endure in the hope of a miraculous recovery, anonymously browse all kinds of forums and read articles about miracle drugs that will overcome this ailment. In the meantime, you are far from alone, and this illness is not something shameful. According to statistics, about 80% of the adult population of megacities suffer from hemorrhoids. Our way of life is sometimes very expensive for us. It is we who provoke our body with our “sedentary work”, irregular and unhealthy diet, uncontrolled medication, alcohol abuse, etc. Heredity also plays a significant role. Unfortunately, pregnancy and childbirth also significantly increase our chances of getting this disease.

However, everything is not so hopeless, because for a long time in the fight against hemorrhoids, medicine has accumulated a significant arsenal of drugs for its treatment.

What is hemorrhoids

Hemorrhoids are a disease that occurs as a result of overflow of blood in the venous plexuses (cavernous bodies) located in the anus. Such dilated, altered veins are called hemorrhoids.

Depending on the causes of occurrence, proctologists distinguish between primary and secondary hemorrhoids. Primary hemorrhoids occur due to improper lifestyle and heredity, as well as pregnancy and childbirth.

Pregnant women often become victims of this unpleasant disease in the second half of pregnancy and this is due to the pressure exerted by the enlarged uterus on the hemorrhoidal venous plexus. The appearance of hemorrhoids in the postpartum period is explained by strong attempts and pressure of the fetal head on the vessels during childbirth.

Secondary hemorrhoids can be the result of cirrhosis of the liver, some severe cardiovascular diseases, various tumor processes that disrupt blood flow in the veins of the small pelvis.

Signs of hemorrhoids during pregnancy

As a rule, hemorrhoids develop gradually. Doctors distinguish several stages of this disease. The first stage is characterized by:

manifestation of discomfort in the anus;
pain during bowel movements;
minor bleeding;
during the examination, hemorrhoids are visible, the rectal mucosa is inflamed.

In the second stage, the following symptoms are added to the above symptoms:

discharge;
drawing pains in the anal region (may radiate to the lower part and sacrum);
prolapse of hemorrhoids.

In the third stage, all the painful sensations that accompanied the first and second are intensified, and the prolapse of hemorrhoids requires manual reduction.

The fourth stage is the most dangerous and can cause complications in the form of thrombosis, severe pain in the anus and massive bleeding.

In order to prevent the development of the disease, a pregnant woman needs to monitor her well-being and immediately consult a doctor at the first manifestations of discomfort.

How to treat hemorrhoids during pregnancy?

The treatment of hemorrhoids should be approached individually, since in many respects it will depend on the stage of the disease and on its manifestation. On initial stage, when a woman, perhaps, does not even suspect the development of hemorrhoids in herself, one can get by with preventive methods: normalizing regular stools, correcting nutrition (aimed at improving intestinal motility), increasing physical activity (if a predominantly sedentary lifestyle is led). We must not forget about the hygiene of the anus: during pregnancy, this issue is of particular importance, including the prevention of inflammation in the veins of the anal area.

In general, the prevention of hemorrhoids should be dealt with by every pregnant woman, then, most likely, it will not come to treatment.

At the stage when a pregnant woman already feels obvious signs of hemorrhoids, it will not be possible to do without complex drug therapy. Treatment of hemorrhoids in pregnant women is carried out mainly locally, since it not only provides quick relief from the condition, but is also safe for the fetus. Combined ointments, creams, rectal suppositories are used, which act in several directions at once: they have analgesic, anti-inflammatory, vasoconstrictive, laxative effects.

All drugs for the treatment of hemorrhoids during pregnancy should be selected and prescribed by a specialist. And even more so, one cannot do without medical assistance at a late stage of the disease, when manual reduction of prolapsed hemorrhoids is necessary, and then surgical treatment. However, the decision on the timing of the operation is determined individually, depending on the severity of the disease and possible complications. Today, doctors have the opportunity to perform the so-called small or bloodless operations:

sclerotherapy - the introduction into the node of special sclerosing, "blinding" the walls of the node of drugs;
ligation - the node is pinched with a special latex ring, which causes rejection, the death of the node after 7-10 days;
infrared photocoagulation and laser coagulation (exposure to a laser or high temperature on the base of the hemorrhoid at 3-5 points, which causes a burn that causes necrosis of the node with its subsequent falling off within 7-10 days).

If the woman's condition allows her to avoid surgery during pregnancy, the doctor may decide to postpone the operation to the postpartum period.

In general, the treatment of hemorrhoids is not limited to the period of pregnancy. If a problem has arisen, then during the bearing of a child, doctors will try to stop its development and relieve symptoms, and after childbirth, you will have to take care of your health closely and undergo complex treatment for hemorrhoids, as it should be. However, often its insignificant manifestations with the birth of a child disappear by themselves, as they appeared.

Folk remedies for hemorrhoids during pregnancy

Traditional medicine offers its own remedies for the treatment of hemorrhoids. There are recipes that, according to "practitioners", can be used during pregnancy. Many of them have been successfully tested by various women during the period of bearing a child, but still, the choice of a folk remedy for hemorrhoids during pregnancy should be taken seriously.

We bring to your attention some folk recipes for the treatment of hemorrhoids:

To be taken in:

Swallow the peeled garlic cloves (without being digested, they will come out of the anus and cauterize the sores).
Mix until a homogeneous mixture of 300 g of prunes, raisins and dried apricots chopped in a meat grinder, as well as 200 g of natural honey. Take 1 tablespoon before main meals.
Pour 2 tablespoons of viburnum berries with 250 ml of water, bring to a boil and boil for half an hour over low heat. Then add water to the original amount, bring to a boil and remove from the stove. Take 1 tablespoon before main meals.
Pour 250 ml of boiling water over 1 tablespoon of crushed leaves of the stone fruit, boil over low heat for 10 minutes and remove from the stove. After cooling, strain and take 1 tablespoon 4 times a day.
Freshly squeezed juice of rowan berries take 100 g 3 times a day with cold water. Can be sweetened if necessary.

Trays:

Make a strong decoction of onion skins and take sitz baths for 5-8 days.
You can also make baths from a decoction of chamomile or a solution of potassium permanganate.

Gadgets:

Pour 2 tablespoons of flax seeds with half a liter of boiling water and boil under the lid for 20 minutes. Let it brew for an hour, strain and apply cotton compresses soaked in the decoction to the anus.
Washed and dried aspen leaves apply to hemorrhoidal cones, leaving for 2 hours. If any discomfort occurs, immediately remove the compress and rinse the anus.
12 egg-sized potatoes, thoroughly washed and dried. Cover the chair with cellophane, put a mixture of one grated potato on it and, spreading your buttocks, sit in it so that the potato fits as close as possible to the sore spot. After 15 minutes, change the lotion to a fresh one. The entire session lasts for three hours. With advanced hemorrhoids, treatment can be repeated no earlier than a week later.
Moisten a piece of cotton wool with sea buckthorn oil and apply to the anus.

Candles:

Dip a swab in freshly squeezed celandine juice and insert it into the anus daily before bedtime: first for 30 minutes, then for 45, then leave for 1 hour.
Lubricate the washed and dried geranium leaf with vegetable oil, roll it up and insert it into the anus, leaving it overnight. Repeat the procedure for 7 days.
Make a "suppository" out of raw potatoes and insert it into the anus, after making an enema from water.

Once again, we focus your attention on the fact that pregnancy is not the time for experiments. Even alternative methods of treatment may not be safe, therefore, they must first be agreed with the doctor.

For example, viburnum during pregnancy causes uterine tone, and baths can cause infection in the vagina. Cauterization with garlic generally sounds scary. So it's better to hang out here.

Prevention of hemorrhoids during pregnancy

And yet, back to the main thing: you will not need any treatment if you do not allow yourself to develop hemorrhoids.

A very important point in the prevention and treatment of hemorrhoids is to get rid of constipation and normalize bowel function. This is facilitated by a diet that includes fruits and vegetables (broccoli, corn, carrots, ripe apples, beets, cauliflower, potatoes, raisins, prunes, dried apricots), honey and cereals (barley and oatmeal). Eliminate fatty meats, high-calorie dairy products, buns, alcoholic beverages, spicy, spicy, salty, marinated dishes from the diet.

Thank you

The incidence of hemorrhoids among the adult population, according to various sources, is 10-20%. However, in pregnant women haemorrhoids occurs much more frequently. In this article, we will look at the most common causes of hemorrhoids, methods for its diagnosis and treatment.

Anatomical and physiological features of the rectum. What is hemorrhoids?
Hemorrhoids is a pathological increase in the venous plexus of the rectum.

The anatomical structure of the rectum is very peculiar. It is this feature that makes possible the occurrence of hemorrhoids. As you know, under the mucous membrane of the rectum is a rich network of blood vessels. The walls of these vessels are thin, and venous blood flows through the vessels themselves. The venous plexus of the rectum is called hemorrhoidal (by the name of the disease that occurs when they are damaged). This type of structure of the vascular network is very typical for the final sections of the blood supply to our body. With hemorrhoids, the veins that make up the hemorrhoidal plexus expand and lose elasticity - this leads to the appearance of hemorrhoids.

The physiological features of the rectum are as follows: during the act of defecation or with the accumulation of feces, the rectum undergoes significant stretching, which can lead to irreversible damage to the blood vessels of this organ. Also, due to the peculiarities of the location in the vessels of the rectum, venous blood constantly accumulates (blood stasis). Especially strong stagnation of blood in the rectum occurs in a sitting position or when standing still.

Causes

Reasons for development hemorrhoids in pregnant women
The main factors in the development of hemorrhoids are as follows:

Chronic constipation. In chronic constipation, the stretching and tension of the walls of the rectum increases during the act of defecation, which in turn leads to the formation of hemorrhoids. In pregnant women, the incidence of constipation is much higher, mainly due to the decrease in bowel tone during pregnancy.
Sedentary lifestyle. Physical inactivity (a sedentary lifestyle) contributes to stagnation of blood in the venous plexus of the rectum, which eventually leads to vein thrombosis and the formation of hemorrhoids. Pregnant women, due to their condition, are forced to lead a more or less sedentary lifestyle and therefore the risk of developing hemorrhoids is much higher than that of other people.
Violation of blood circulation in the lower half of the body is very typical for pregnant women. During pregnancy, the developing uterus compresses the inferior vena cava, which leads to stagnation of blood in the veins of the legs and rectum. During childbirth, intra-abdominal pressure in a woman rises very much - this can be the cause of hemorrhoids after childbirth.

How does hemorrhoids develop in pregnant women? Stages of development of hemorrhoids

Hemorrhoids in pregnant women develop under the influence of all the factors described above. The risk of developing hemorrhoids increases as the pregnancy progresses. Especially often hemorrhoids occur in the third trimester. pregnancy or after childbirth, however, the occurrence of hemorrhoids in the I or II trimester of pregnancy is not excluded.

The development of hemorrhoids occurs as follows: under the influence of the factors described above, there is a gradual expansion of the blood vessels of the hemorrhoidal (cavernous) plexus of the rectum. In this case, the stretching of the veins is the greater, the higher the period of development of pregnancy. Expanding, the walls of the veins of the rectum lose their elasticity - over time, this leads to the formation of protrusion of the veins under the mucous membrane. Hemorrhoids of the first stage are said when hemorrhoids protrude only into the lumen of the rectum and do not come out of the anus (anal) opening. As the disease progresses, hemorrhoids enlarge and begin to sag from the anus. The second stage of hemorrhoids is characterized by the sagging of hemorrhoids from the anus, which, however, are set back into the rectum when the position of the body changes.

In the third stage of hemorrhoids in pregnant women, hemorrhoids sag from the anus and do not retract into the rectum when changing the position of the body.

Symptoms of hemorrhoids in pregnant women

Symptoms of hemorrhoids depend on the stage of the disease. The stages described above can be divided into internal (first stage) and external hemorrhoids (second and third stages).

With internal hemorrhoids, the symptoms of the disease are not very pronounced, and the main symptom - sagging of the hemorrhoids from the anus, is absent. At this stage of hemorrhoids, pregnant women may experience pain during defecation, minor bleeding or traces of fresh blood on the stool, itching and discomfort in the anus.

With external hemorrhoids, the main symptom of the disease is sagging from the anus of purple-red nodes. Only one node can sag, or several nodes can sag. This feature helps to distinguish hemorrhoids from other diseases, the initial symptoms of which may resemble hemorrhoids (for example, anal fissure). Due to the sagging of the hemorrhoids, walking and sitting become extremely painful, severe pain occurs during defecation.

Especially strong symptoms of hemorrhoids in pregnant women occur during the infringement of the hemorrhoid: severe pain in the anus, fever. In such cases, it is strictly necessary to consult a surgeon.

Diagnosis of hemorrhoids in pregnant women

Diagnosis of hemorrhoids in pregnant women primarily involves the collection of data on the symptoms of the disease and its development. The appearance of pain, itching, discomfort and small bleeding from the rectum during pregnancy gives the doctor the right to suspect hemorrhoids. As mentioned above, hemorrhoids in pregnant women most often develop in the third trimester of pregnancy or after childbirth (postpartum hemorrhoids). The appearance of hemorrhoids that sag from the anus allows you to accurately establish the diagnosis of hemorrhoids, however, even in this case, an additional examination of a pregnant woman is necessary - this allows you to establish the stage of hemorrhoids and distinguish it from other diseases (or establish the presence of other diseases with similar symptoms).

To clarify the diagnosis, a digital examination of the rectum is performed. In this case, the doctor can feel the internal hemorrhoids, assess their location, size, number. A digital examination of the rectum allows you to determine the presence of a rectal fissure (this disease often accompanies hemorrhoids, has similar symptoms, but is treated differently).

An accurate diagnosis of hemorrhoids in pregnant women is important in the correct prescription of treatment, which, as we will show below, is strictly dependent on the form (stage of hemorrhoids).

Treatment of hemorrhoids in pregnant women

Hemorrhoids develop slowly. Along with the progression of the disease, its treatment becomes more complicated. If the initial asymptomatic stages of hemorrhoids can be treated only by correcting the diet and a special hygiene regimen, then the later stages of the disease require combined drug treatment, and severe cases of hemorrhoids can only be resolved with a surgical operation. Below we will consider the methods of treatment of hemorrhoids, depending on the severity of the disease.

Treatment of the initial stages of hemorrhoids ( asymptomatic hemorrhoids). General methods for the prevention of hemorrhoids.
Unfortunately, the diagnosis of asymptomatic hemorrhoids is extremely rare. Therefore, the treatment methods that will be described in this paragraph are more suitable for the prevention of hemorrhoids. Due to the fact that all pregnant women are at high risk of developing hemorrhoids, it is advisable to carry out preventive measures throughout pregnancy, without waiting for the onset of symptoms of the disease.

Measures to prevent hemorrhoids are extremely simple:

Normalization of the stool (elimination of constipation). Pregnant women often suffer from constipation, and constipation is known to be one of the main factors in the development of hemorrhoids. For the prevention and treatment of constipation, nutrition needs to be adjusted: more foods containing coarse vegetable fiber (vegetables, fruits, cereals, cereals, prunes) are added to food. Lactic acid products also have a beneficial effect on the digestion process. Meat and other protein-rich foods, on the other hand, predispose to constipation. You should also give up excess fats, coffee, hot spices.
Hygiene of the perineum. Hygiene care is an important measure for the prevention of hemorrhoids in pregnant women. In order to prevent hemorrhoids, it is recommended to wash the area of the perineum and anus after each act of defecation, once a day you can take sitz baths with antiseptics (chamomile infusion, a weak solution of potassium permanganate, etc.)

Treatment of hemorrhoids of the second stage in pregnant women
This group includes pregnant women who already have certain symptoms of hemorrhoids (itching and pain in the perineum, bleeding from the anus, etc.). Treatment of hemorrhoids in this category of patients begins with the preventive measures described above - this helps to stop the development of the disease. The second stage of treatment involves the appointment of drugs. In the treatment of hemorrhoids, two types of drug treatment can be used: local and systemic. In the case of pregnant women, local (topical treatment) is preferred to systemic. Local application of drugs reduces the risk of side effects, increases the effectiveness of treatment and reduces the negative impact of treatment on the fetus.

To date, there are a large number of different drugs for the local treatment of hemorrhoids. The final choice of the drug and the method of its application and treatment tactics is appointed by the attending physician observing the pregnant woman.

Usually antihemorrhoidal drugs are available in the form of suppositories or creams. The composition of these drugs (Hepatrombin G) includes the following components: a vasoconstrictor, a local anesthetic drug and an anti-inflammatory component.

Treatment of advanced stages of hemorrhoids
Treatment of late stages of hemorrhoids is prescribed in cases where a pregnant woman already has prolapsed hemorrhoids that cannot be set into the lumen of the rectum. Another indication for surgery is the presence of acute complications of hemorrhoids: infringement of the hemorrhoid, necrosis of the node, acute inflammation.

Surgical treatment of hemorrhoids is carried out using various surgical techniques. In the case of hemorrhoids in pregnant women, surgery can be postponed until after childbirth, and conservative treatment can be carried out during pregnancy.

Bibliography:

Vorobyov G.I., Hemorrhoids: Modern tactics of treatment. Consilium medicum, 2000, T 2, No. 4.
Rivkin V.L., Hemorrhoids. Constipation. M: Medpraktika, 2000, 160s.

Before use, you should consult with a specialist.

Reviews

The second pregnancy, 21 weeks, I go only with microlax, otherwise it’s a disaster.

Before pregnancy, I somehow treated hemorrhoids with Vishnevsky ointment, applied a disc with ointment during the day, everything went away ... now it’s been 4 months, a knot popped up, again I smear (only the beginning) xs will help or not, I really hope!

Hi all. I myself put Natalsid and my sister was helped after childbirth. None of them had side effects, and the effect was immediate. So there is nothing wrong with them.

I agree with your review of these candles. Also my salvation

And I didn’t feel worse, on the contrary, only thanks to Natalsid the pain went away and the stool appeared

Girls, I have 2 pregnancies, 30 weeks. It all started with the first one. But the old ways from my grandmother allowed me to forget about the problem until the next. let's take it ... helped home-made candles pre-frozen in the freezer for 10 minutes. Tobacco mixed with butter, at first there is a slight burning sensation, and then everything goes away, after 2 days it gets better, but I used this after giving birth. Now the same problem was saved by raw potatoes, grated on the smallest grater (lotions and rectally). All this, of course, is relative, it will help some, not others ... I was saved by this for a while, at least avoiding drugs ...

Good afternoon Thank God, the girls found a miraculous method, acupuncture plus homeopathy granules, homeopathic cream for a blood clot, after the first session it was as if reborn, did less than 10 sessions, the blood clot almost resolved, there was no pain progression of the disease, they also advised to put a leech on the remnants of the blood clot if not for a long time will leave. If possible, you will not regret this is a real help!

I was prescribed natalsid. The feeling that it only got worse ... Today I went and bought the simplest ichthyol suppositories and heparin ointment. She put a candle, ointment plentifully on a cotton pad, put it on a knot and put on swimming trunks. It seems to ease. For the first time in 4 days I feel at least some relief ... I have known about Ichthyol for a long time, but I read about the ointment on the same forum yesterday. All health!

Yes, dear girls, we have such a fate. We do not rejoice in pregnancy, but constantly endure some kind of inconvenience, pain, we are being treated for sometimes incomprehensible diseases, and those who are called to help us, for the most part, not only cannot help, but also talk like cattle. 36 weeks of acute hemorrhoids with thrombosis, methyluracil suppositories were prescribed, detrolex according to the scheme, 2 days have passed while I’m still climbing the walls from pain, my sides are numb from lying down, it seems the bones have all lain, sitting, standing, walking is not an option at all, almost a month more walk. Sea buckthorn, relief, novacaine suppositories, relief ointment, washing with cold water does not help. I have 3 c-sections and I don't know what to do. Has anyone been in the same situation and can you tell me what to do? Thanks a lot!

Moms and pregnant women with bellies, thank you very much for your advice, otherwise this bastard got out yesterday, it doesn’t bother much, but it’s unpleasant. :-)

I had hemorrhoids the size of a baby's head after my first delivery....it's hell. But they didn’t even recommend any operations to me, they managed with candles. 8 years have passed, 2 births are on the nose. It's scary to even imagine :(

Hello! I have 1 pregnancy. At the 35th week, a knot appeared near the anus, then in 2 days a large unfilled knot appeared. The pain is hellish, I can’t sleep for 3 days, I can’t walk, I can’t lie down, I can’t sit. (((.4 days ago I went to the gynecologist, sent me to the proctologist. The proctologist said that it was necessary to operate, but only after childbirth, so be patient. relief. everything is useless. Today the knot began to bleed. I don’t want to endure, tomorrow I’m going to the emergency room to the surgeon to give up.

I am 8 months pregnant, and I have this nightmare called hemorrhoids. I am very sick and unpleasant, I use relief suppositories, but the pain does not go away yet ..... I don’t know what to do ((

Yes, you are my good ones, how I feel sorry for you. I myself go to the toilet with tears and almost yell on the toilet in pain. clambered all over the Internet looking for what you can drink to insert. I was told to try glycerin suppositories - I tried nothing, it doesn’t help and I drank normal, but I still have constipation + terrible haemorrhoids already creepy. I want to go to the toilet normally, but at the 7th month I take all the medicines and I can’t use candles either. what to do? Tell me please! thank you in advance.

At the 8th month of pregnancy, chronic hemorrhoids complicated by thrombosis worsened. I want to say that the pains were hellish, it was almost impossible to sit or walk. Only thrombectomy helped, which is a piercing of a node to extract accumulated blood clots. In the future, about a week of treatment with heparin ointment and two weeks of taking Detralex. All this could have been avoided with timely treatment.

Candles with sea buckthorn did not help me, there were no baths with potassium permanganate and chamomile either, troxevasitis did not save me either. I went to the city consultative and diagnostic center No. 1 on Siqueiros 10, where the proctologist pierced this bump for me, otherwise this hemorrhoid thrombosis will not go away, prescribed ultraproct suppositories and ointment hepostrombin g and detralex tablets

Hemorrhoids have been tormenting me since the age of 10. I have two children and now I am expecting a third child. I have been suffering for 7 months and have been suffering for 4 days with diarrhea and bleeding from hemorrhoids. I don’t know what to do anymore, and I’ve tried sea buckthorn candles, but it doesn’t help.

This is my first pregnancy what should I do please tell me.

I read somewhere that after each time you go down the big one, you need to rinse with cold water, and repeat for 10 days. I tried and nothing bothers me for 3 months. After 2 days everything is hidden.

Hi all. My husband and I have a 2.9 year old son and we are expecting a second one in August. After the first birth, this is also a problem. I live in Holland. I'll tell you about it from here. it's like venous inflammation in the legs only in a difficult place. to strengthen the veins - Aesculaforce Tabletten A. Vogel the same with heaviness in the legs. absolutely homeopathic preparation without protivopak. and in any case. A. Vogel Aesculaforce forte can be used for extra support for tired, heavy legs and loaded and/or unsightly veins. ointments: HemoClin and theranal gel, and EpiAnal suppositories (special for pregnant women). The main thing is to follow the diet. refusal of coffee and black tea, spicy and sweet. it gives irritation. there is a lot of bran. I buy bran and crushed flax seeds and eat with yogurt or kefir 4-6 tablespoons per day. it gives a super soft stool. cabbage and prunes are also good. take care of yourself! carry bags, vacuum and any other. hard. let the husband do the work at least temporarily. bearing and feeding is already a lot of work. and also drink 2-3 liters of water only plain, and tea is best "fenkel" is a herb, so I gave the newborn from gas in the stomach. Good luck.

Hemorrhoids in literal translation from Latin means bleeding. With this disease in the rectum, the venous nodes increase in size and become inflamed. The picture is complemented by unpleasant sensations of acute attacks of pain. All social strata of the population are susceptible to the disease, and the fair sex suffers from it more often than men. Hemorrhoids are often found in women who are waiting for an addition. Therefore, let's take a closer look at how you can treat hemorrhoids during pregnancy.

Reasons for the formation of hemorrhoids

Pregnancy is a natural state for a woman and as such is not the cause of hemorrhoids. A number of physiological changes in the body create favorable conditions for influencing the rectum.

The reasons for the formation of hemorrhoids in pregnant women are predisposing and provoking.

Predisposing causes are:

the presence of such a disease in the next of kin;
women over 30 suffer from problems with the walls of the anus in half of the cases of pregnancy.

Causes

There are a lot of components in the list of causes that provoke inflammation of the rectal veins during pregnancy. Here are the main ones:

The rapidly growing uterus presses on the veins of the small pelvis. The vessels of the rectum expand, stagnation occurs due to a violation of the outflow of blood. 3rd semester is the main period of exacerbation of hemorrhoids, since growth is activated in the child's uterus.
The growing uterus puts pressure on the intestines, impairing their functioning and causing frequent bowel problems. Digested food stagnates, hardens, the rectum and blood vessels are often injured. The result of constipation is the formation of a venous node.
In the early stages of pregnancy, under the condition of its normal course, the woman remains active and she is not yet familiar with such a delicate problem. In the middle and closer to the term of childbirth, the expectant mother rests more and often faces stagnation in the circulatory system of the legs and the digestive system.
Changing food habits during pregnancy also affects bowel function. Foods with a spicy or salty taste provoke blood flow to the intestines, and their constant use leads to stagnation of the lymph and the formation of bumps in the rectum.

Types of hemorrhoids

There are several types of this disease. According to the location of the hemorrhoids, internal and external hemorrhoids are distinguished. When the expectant mother got out external hemorrhoids, its nodes are visible near the anus, bleeding occurs periodically. The enlargement of the veins inside the walls of the rectum is called internal hemorrhoids. It is problematic to determine the internal form of the disease due to vague symptoms.

Important! According to the course of the disease, hemorrhoids can be chronic or acute.

In its acute form, the disease causes great discomfort to the pregnant woman and can interfere with a normal pregnancy. The transition of hemorrhoids to an acute form is associated with prolapse and pinching of internal nodes. In this form, serious complications can appear, up to inflammation in the small pelvis. The overall picture is complemented by fever and swelling of the perineum.

In the chronic form, the symptoms of hemorrhoids are provoked by external factors, for example, eating strengthening foods or physical activity.

Symptoms of pregnant women with hemorrhoids

Hemorrhoids are a very delicate disease, but its symptoms cannot be confused with any other disease. In pregnant women, this problem manifests itself as follows:

Sensations that cause discomfort in the anus - pain, burning, itching. Sensations are aggravated in a sitting position, when walking or slight physical exertion.
The exit of hemorrhoids during defecation. Often, a pregnant woman feels severe pain during this.
External hemorrhoids during pregnancy are accompanied by the release of blood clots during bowel movements. In severe form, blood may leak from the anus in a thin stream.

A pregnant woman should in no case leave this disease unattended. If you suspect it is necessary to urgently consult a doctor. Diagnosis of the disease is painless and absolutely safe for mom and baby. As a rule, an experienced proctologist will determine the degree of the disease after a visual examination and according to the patient.

At the first problematic bowel movement, a pregnant woman should contact the nearest medical institution. During the period of bearing a child, the body of the expectant mother is very vulnerable.

The consequences of hemorrhoids for a pregnant woman

This disease does not pose a direct threat to the mother and fetus. Much more dangerous consequences.

frequent bleeding from the anus can result in anemia, therefore, insufficient supply of oxygen to the child's body;
during inflammatory processes, toxic substances enter the blood of the child and the mother has a high probability of giving birth to an infected baby.

Therefore, if a future mother has a hemorrhoid, it is necessary to start treating the problem by consulting a doctor on how to treat it. An experienced doctor will offer medical treatment, recommend home methods of struggle, select a diet and a set of exercises.

Medical treatment

The tactics of the attending physician and the means of treatment directly depend on the symptoms and form of hemorrhoids in pregnant women. Based on the examination, patients are divided into 3 groups:

The disease proceeds without pronounced symptoms.
Patients with exacerbation of hemorrhoids, with pronounced symptoms.
Future mothers with an external form of the disease, when the venous nodes fall out of the anus.

Treatment of hemorrhoids during pregnancy, patients of the first group are shown preventive measures (gymnastics, massage, diet) and pay increased attention to perineal hygiene.

Patients in the acute stage are prescribed conservative treatment. Therapy in this case is local - the doctor prescribes an ointment or suppositories to eliminate discomfort.

The most effective drugs for the treatment of hemorrhoids:

troxevasin - a universal remedy for the treatment of all types of varicose veins, an effective remedy for hemorrhoids for pregnant women;
relief - the product is available in the form of ointments and suppositories. The active components of the drug are extracted from the liver of a shark, and it can be safely used even in the last stages of pregnancy and during feeding;
sea buckthorn suppositories are prescribed for the speedy healing of damaged rectal walls and venous cones;
heparin ointment is a very affordable drug that relieves pain and eliminates blood clots in hemorrhoids.

Use only those drugs that your doctor has selected for you. Do not risk your health and the health of your unborn child.

The third group of patients who have a severe form with prolapse of venous nodes and frequent bleeding need to remove hemorrhoids. Modern medicine allows you to do this without surgery, using a laser or sclerotherapy. If the patient's condition is relieved by drugs, the operation is done after pregnancy.

Alternative medicine for the treatment of hemorrhoids

Many expectant mothers use a complex struggle with this delicate problem. Treatment at home is easier for a woman on a psychological level. Traditional medicine can be combined with medications.

Herbal preparations interact with the components of medicines, cause adverse reactions or be dangerous to the health of the child. Be sure to consult your doctor before preparing your favorite recipe.

There are the following types of herbal therapy for hemorrhoids - infusions and teas for oral administration, external agents, various baths.

Oral preparations

A tablespoon of lungwort is brewed with a glass of boiling water and insisted for half an hour. Strained drink is taken in a sip before meals.

Effectively fights the symptoms of hemorrhoids juice of ordinary mountain ash. For a month, you need to drink 100 grams of freshly squeezed juice daily, dividing the portion into 2 doses.

External funds

Can be applied:

sea buckthorn oil can be used to alleviate the manifestation of hemorrhoids. They can lubricate disturbing bumps;
candles made from ordinary potatoes are inserted into the anus during sleep;
cold packs are very effective to reduce discomfort and reduce venous nodes. To do this, a clean piece of cloth is moistened in cool water or an infusion of chamomile flowers and applied to the sore spot several times a day.

Sitz baths

Local baths well eliminate irritation in the perineum.

Before taking a bath, you must prepare an infusion based on medicinal herbs. To do this, chamomile, nettle and plantain must be mixed in equal proportions. 20 grams of the resulting mixture is kept in a thermos for at least 2 hours, pouring 2 liters of boiling water. The resulting infusion is filtered, diluted with 3 liters of warm water. The temperature of the water should not be very hot. The procedure is performed for 5-10 minutes throughout the week.

The effect of treatment with folk remedies does not occur immediately, but only after 2-4 weeks.

Prevention of hemorrhoids

To prevent the appearance of hemorrhoidal formations in the rectum during pregnancy, a gynecologist observing a woman can prescribe a set of preventive measures. Heredity and age cannot be changed. But, a special diet and an active lifestyle will do the job.

Pregnant diet for prevention

To prevent stagnation of blood and the formation of bumps in the rectum, first of all, it is necessary to normalize the functioning of the digestive system. The diet can easily cope with this task.

What foods should be consumed to normalize the stool:

broccoli, cauliflower, carrots, red beets, potatoes;
apples, raisins, dried apricots, prunes;
cereal cereals - pearl barley and oatmeal clean the intestines well;
honey is a natural antiseptic.

List of foods that cause constipation:

alcohol and fatty foods;
spicy and spicy foods, canned foods;
legumes and unripe fruits;
dairy products with high fat content and rich pastries.

Prevention of hemorrhoids in pregnant women is to add activity to your usual life. To do this, doctors advise to perform certain exercises.

Morning exercises for pregnant women for the prevention of hemorrhoids

Stand on the warm floor, put your feet shoulder-width apart, straighten your arms near your chest. As you inhale, alternately turn your torso to the right and left, trying to stretch the corresponding arm as far as possible. Exhale when returning to the starting position. Exercise to do 5 times in each direction.
Sit on the mat with your palms resting on the surface behind you. Bend your legs at the knee joints and straighten very smoothly, without lifting your heels from the floor. Repeat 5 times.
Do swaying to the side, sitting on the mat with your legs tightly pressed. The second hand can be placed on the stomach. Do at least 5 tilts. The 3rd trimester is not recommended for this exercise.
Lie on your right side on the floor with your head resting on your arm for comfort. Holding your bent left leg with your hand, gently pull it to your stomach and exhale. Repeat the movement at least 8 times. Roll over to your left side and repeat with the other leg. You can perform the exercise in the first and second trimester of pregnancy.
This element can be used in charging up to 39 weeks. Sit on a comfortable chair, put your right hand out to the side. Bend the opposite leg at the knee and gently lift, trying to touch the inner surface of the thigh to your tummy. Perform 5-10 times for each leg.

When exercising during pregnancy, pay attention to how you feel and feel. If discomfort or pain occurs, stop immediately and rest.

Formation of hemorrhoids after childbirth

Cases when venous cones form in a woman after childbirth are very common. They usually arise from strong attempts during the birth process or due to a weakening of intestinal tone against the background of changes in hormonal levels.

The stages of the disease, preventive measures and methods of treatment are the same as during pregnancy.

Pregnancy is a very important period in a woman's life. Physiological and hormonal processes in the body can present a nuisance in the form of hemorrhoids. What to do in such a situation? The main thing is not to give up and not self-medicate.

Hemorrhoids are not uncommon in pregnant women. They affect less than 8% of non-pregnant women, more than 25% of pregnant women and almost 50% of those who have just given birth. At the same time, popular rumor believes that hemorrhoids are almost a normal condition for a pregnant woman, and therefore many women are in no hurry to tell the doctor about their problem. However, a neglected disease can cause a decrease in the amount of hemoglobin (anemia), diseases of the musculoskeletal system such as arthritis, chronic inflammation of the genitourinary system. How is hemorrhoids treated during pregnancy?

The severity of the disease depends on its degree and progression only complicates the treatment. So, if the first asymptomatic in pregnant women can be cured only by adjusting the diet, regular exercise and hygiene regimen, then in the later stages, combined drug treatment, minimally invasive procedures, and even a real surgical operation are necessary.

Even if a woman is diagnosed with the initial degree of development of the disease, she does not need it yet. At an early stage, the same methods will be effective as in prevention: with the help of proper nutrition and anal hygiene.

This treatment is carried out at home and gives excellent results. In addition, a pregnant woman, especially those already on maternity leave, should not lie and sit a lot. A moderately active lifestyle is required: walking, gymnastics.

Treatment of hemorrhoids during pregnancy at the 2nd stage

You can not do without drugs that are used in a complex, that is, both outside and inside.

Outside, suppositories, ointments, gels, creams are most often used, which have anti-inflammatory, laxative, vasoconstrictive and analgesic properties. You can’t use them on your own, especially for a pregnant woman, therefore consultation and appointment of a doctor is necessary.

Pregnant women are primarily treated with topical medications, since they do not adversely affect the fetus, which increases the effectiveness of treatment.

They are made on the basis of cocoa butter or lanolin. Also, local anesthetics (novocaine, benzocaine, anestezin) are added to their composition for quick pain relief.

To relieve inflammation, glucocorticoid hormones, prednisolone, are used topically, which also reduces burning sensation and itching. However, such drugs are contraindicated if there are fungal, viral and other infectious lesions of the rectum.

Rectal suppositories are inserted into the rectum after a bowel movement. The candle is injected warm, lying on its side, holding it for a couple of minutes in the anal canal to dissolve. The ointment is applied after a hygienic shower with a thin layer 3-4 times a day.

Local agents containing heparin are widely used. They are especially preferred, but contraindicated in violation of the blood coagulation system.

With spasm of the sphincter of the anus, suppositories with diphenhydramine are used, and preparations of shark liver, vitamin A, and sea buckthorn oil are used to accelerate healing.

In many medicines, basic therapeutics are combined. So, the composition of ultraproct, anesthesol, procto-glivenol includes astringent and anti-inflammatory components and an anesthetic. Hepatrombin G contains prednisolone, anesthetic and heparin. Relief advance contains shark liver oil and benzocaine anesthetic.

During pregnancy, some local remedies are still contraindicated. These are anusole and bellatamine suppositories, which contain belladonna (belladonna) extract. Their use can provoke an abortion.

Systemic drugs are prescribed in the form of capsules and tablets. More often these are the so-called vetotonics - means that increase the tone and strengthen the wall of the vein. They are used in courses of 2-3 weeks. Detralex is considered the most effective.

Hemorrhoids are also treated with drugs of other pharmaceutical groups:

troxerutin (troxevasin),
ginkor forte,
chimes,
pentoxifylline and even aspirin.

All these drugs are allowed to be used during pregnancy. To facilitate bowel movements and reduce straining, laxatives are used:

forlax,
prelaks,
regulax,
duphalac.

During pregnancy, the use of such laxatives as drugs is contraindicated:

buckthorn,
senna,
bisacodyl,
phenolphthalein

These drugs can provoke an increase in the tone of the uterus.

late stage

Treatment of hemorrhoids during pregnancy at the last stage of the disease is already being carried out. However, for a pregnant woman, the operation will be postponed until childbirth, or rather, in a couple of months. Before that, drugs will be prescribed that will temporarily help reduce the manifestation of the disease and relieve pain symptoms.

Surgical treatment of hemorrhoids is prescribed only in cases where a woman already has prolapsed hemorrhoids, which can no longer be set into the lumen of the rectum. Also, the operation is necessary in the presence of acute complications: its infringement, acute inflammation.

Emergency hospitalization is necessary for necrosis and infringement of prolapsed hemorrhoids, heavy bleeding. Such patients undergo (bloodless) surgery or hemorrhoidectomy (excision of nodes).

The cost of such an operation in a paid clinic reaches 30 thousand rubles. It includes hospitalization for several days, the cost of disposable TGD instruments, anesthesia, standard examinations before surgery, medications, and the operation itself. More gentle procedures are:

sclerosing injections,
ligation,
and infrared photocoagulation.

Folk remedies for the treatment of hemorrhoids during pregnancy

There are times when medications do not help or there is no way to see a doctor on time. Then you can try treatment at home with folk methods.

A candle can be placed by carving it out of a raw potato. Such a candle is placed on the whole night. Also, aspen leaves are applied for a couple of hours.

Tampons soaked in celandine juice are also popular, which are placed in the anus and held for 30 minutes to an hour. One of the most popular remedies for hemorrhoids is sea buckthorn oil. You can buy it or make it yourself.

For treatment, gauze compresses soaked in oil are used, changing them 3-4 times a day and left overnight. You can also enhance the effect by using the oil inside. A tablespoon of oil on an empty stomach is taken half an hour before breakfast.

Prevention of hemorrhoids in pregnant women

This disease is much easier to prevent than to treat. And since all pregnant women are at risk for developing hemorrhoids, they need to take preventive measures throughout pregnancy, without waiting for the onset of symptoms of the disease.

The first preventive measure is the normalization of the stool. Pregnant women almost universally suffer from constipation, which leads to the development of hemorrhoids. Therefore, the elimination of constipation gives an almost one hundred percent guarantee that a woman will not get sick with hemorrhoids.

Constipation must be dealt with through proper nutrition. The diet should contain a lot of foods containing coarse vegetable fiber (cereals, fruits, vegetables, cereals, prunes). Fermented milk products also have a beneficial effect on the digestion process:

kefir,
curdled milk,
cottage cheese.

The development of constipation leads to food rich in protein and primarily meat, as well as excess fat, flour, spicy seasonings, coffee. It is also necessary to drink up to 1.5 liters of raw water per day.

The second important factor in the prevention of hemorrhoids in pregnant women is timely hygiene care. The area of the anus and perineum must be washed after each act of defecation. In addition, sitz baths with antiseptics (a weak solution of potassium permanganate, chamomile infusion, and others) will be useful once a day. It is important for a pregnant woman not to strain during bowel movements and to refuse prolonged work in a sitting and standing position, and if this is not possible, you need to take breaks more often and change your body position.

Exercises for prevention

There is also a special therapeutic gymnastics, which is aimed at increasing the tone of the muscles of the abdominal wall and the anal region, improving the function of the large intestine, and reducing congestion in the veins of the small pelvis. Two, and preferably three times a day for 5-7 minutes, you need to do the following exercises (of course, taking into account the state of health):

swing movements alternately left and right foot back, forward, to the side;
walking with high lifting of the legs bent at the knees;
side bends;
squats on toes with wide apart knees;
tension of the buttocks, in which it is necessary to retract the anus (this position must be held for up to 10 seconds).