Treatment of hemorrhoids of pregnancy 2nd trimester. What you need to know about hemorrhoids during pregnancy? The treatment plan also includes

Hemorrhoids often occur in people with a pronounced group of cavernous bodies. Other reasons why hemorrhoids develop are congenital functional insufficiency of connective tissues, a violation of the nervous regulation of the tone of the venous walls.

During Pregnancy Hemorrhoid Ointment
Folk method for problems with hemorrhoids
hemorrhoids

There are frequent cases when venous pressure rises due to constipation, hemorrhoids develop during pregnancy, or due to work that forces you to stand, sit for a long time, or involves hard physical labor.

Another cause of hemorrhoids is an unhealthy lifestyle - alcohol abuse, spicy food. These factors contribute to increased arterial inflow to the cavernous bodies in the rectum. With prolonged exposure to adverse factors, a hemorrhoid (modified veins) can form.

The main reason is the wrong lifestyle

Hemorrhoids occur due to the overflow of the venous plexus with blood, which is located in the anus. This development is facilitated by a sedentary lifestyle, malnutrition, excess weight, medication (eg, oral contraceptives, laxatives).

Hemorrhoids during pregnancy develop due to the fact that the growing uterus presses on the walls of the intestine, stagnation occurs in the portal vein system.

Experts distinguish several types of hemorrhoids - this is the primary and secondary type of the disease:

• the primary type of the disease develops due to some life situations, including during pregnancy or after childbirth;
• secondary hemorrhoids develop after a serious disease of the cardiovascular system, after tumor processes, sometimes it can be a consequence of cirrhosis of the liver, etc.

If the cause of hemorrhoids is the pregnancy of a woman, then usually its symptoms begin to appear in the second half of the term, childbirth can take place with complications. The age of the woman can also influence, the younger the expectant mother, the lower the risk of developing the disease.

The main symptoms of the disease

Symptoms of hemorrhoids at the beginning of the term may not appear in any way, the pregnant woman does not feel anything. At the next examination at the gynecologist, having learned about the hemorrhoid, the woman will be unpleasantly surprised. Even if a woman did not show any signs during gestation, childbirth leads to a sharp exacerbation of the disease, and the longer they last, the more the risk of exacerbation increases.

However, the signs of hemorrhoids during pregnancy are quite obvious. They cause a lot of discomfort, such as itching, burning. Some feel heaviness or a foreign body in the rectum. Such symptoms usually appear during movement, after physical exertion, or after stool.

Pain during bowel movements, blood from the anus, its increased humidity or discharge (watery, mucous) are all the main signs of hemorrhoids. Even during bowel movements, nodes may fall out - this is accompanied by pain.

Dangerous Enough

The disease develops in four stages.

1. The first is discomfort in the anus, pain during emptying, bleeding. The examination shows the presence of nodes, but they do not fall out, the intestinal lining is inflamed, the blood vessels are distinguished.
2. In the second stage of hemorrhoids, nodes fall out (as shown in the photo) when emptying the intestines, the pregnant woman begins itching, discharge, pain, which can radiate to the lower back or sacrum.
3. During the third stage, all symptoms intensify and the reduction of the nodes is carried out manually.
4. The fourth stage is the most dangerous. Nodes can no longer be set, everything is complicated by thrombosis, heavy bleeding.

Difficulties during gestation

It is not uncommon to develop hemorrhoids in the second half of pregnancy. When a woman bears a child, her uterus greatly increases in size, at the time of childbirth it occupies most of the abdominal cavity. The organ, with its size, presses on the rectum, which, in turn, changes its position. The venous vessels of the intestine are pinched, and this contributes to the fact that the blood stagnates.

During pregnancy, the intestinal musculature becomes more receptive to nerve impulses, substances that stimulate work. All this happens because the intestines and the uterus have a common innervation, they work at the expense of the same nerve plexuses, any excessive intensity can activate the contractile activity of the uterus. Such a protective reaction exists in order to maintain the pregnancy, but in connection with this, bowel movements are slightly difficult, the woman begins to become constipated, and against this background, hemorrhoids may develop, which must be treated.

During childbirth during contractions, attempts, abdominal pressure increases, the head of the fetus begins to come into close contact with the walls of the small pelvis. The vessels and veins of the rectum are compressed. Hemorrhoids increase, begin to acquire a denser consistency, during attempts they protrude, turn blue. In the intervals between them, the nodes decrease. Therefore, a long birth process increases the risk of developing the disease.

According to statistics, hemorrhoids occur more often in pregnant women, but many do not consider it necessary to contact specialists in order to find out how to treat it, believing that hemorrhoids are a common condition during pregnancy.

Using Hemorrhoid Remedies

Has anti-inflammatory action

Possible risks and complications

The danger of developing hemorrhoids for a woman in a position is not only that constant discomfort will be felt. At the beginning of the development of the disease, pain will be felt during defecation, the woman will visit the toilet more often. There may be constipation, microcracks on the intestinal mucosa, which are formed due to hard feces.

This contributes to the development of inflammatory processes, which, if not treated in time, affect other organs. Due to the fact that constipation occurs, toxic substances accumulate in the body of a woman, they, in turn, adversely affect the development and health of the fetus.

When hemorrhoids are detected in the early stages, a specialist will advise which candles a woman can use during pregnancy so as not to harm the unborn baby.

Another such problem can lead to pinching of hemorrhoids. In order to eliminate this pathology, surgery will be necessary, which can also be bad for the child. A woman's inaction is dangerous, as this can lead to a decrease in hemoglobin levels, anemia, skin disease, and a problem with the genitourinary system. Therefore, as soon as the first signs appear, it is necessary to contact a specialist.

The use of folk methods of treatment

In order to avoid the development of the disease, it is necessary to adhere to proper nutrition, a healthy lifestyle, but not always and not everyone succeeds.

When the signs are already beginning to appear, many use folk remedies for hemorrhoids during pregnancy. These recipes are used by more than one generation to treat a delicate problem. For the first recipe you will need:

• collect chamomile flowers, nettle grass, plantain leaves;
• mix the ingredients equally (the total should be at least 20 grams);
• crush them;
• pour the herbal collection with 2 liters of boiling water;
• insist in a warm place (or you can use a thermos) for at least 2 hours;
• after strain, dilute with warm water to a volume of 5 liters.

Mode of application.

1. Dilute in the bathroom, the water should be warm, but not scalding.
2. You need to sit in the bathroom for 7 minutes.
3. Such baths should be taken every day for 12 days.

Folk method of treatment

Before use, consult your gynecologist, such baths are contraindicated in case of increased uterine tone or other dangerous condition.

Another recipe that is suitable for pregnancy can be used to treat hemorrhoids at home:

• you will need potatoes (12 pieces) of medium size;
• grate one at a time with the peel on a fine grater;
• prepare a rag, cellophane.

Mode of application.

1. On the chair (it will be more convenient) put cellophane. Grated potatoes put in a rag.
2. You put the resulting mixture on a chair, you need to sit on top, spread your buttocks so that the contents come into contact with the hemorrhoids. Cover tightly.
3. The whole procedure takes about three hours.
4. After 15 minutes, change the contents of the rag and do the same with the remaining 12 pieces.

This method is suitable for the treatment of the initial stage of the disease.

In pregnant women, hemorrhoids often occur in late pregnancy. This is due to physiological reasons. The growing fetus puts pressure on the intestines, as a result of which the blood in the veins stagnates. A significant role is played by constipation, pestering women in the later stages. Many are afraid to treat hemorrhoids during pregnancy, believing that they can harm the baby. This is a misconception, it is quite possible to treat hemorrhoids and without harm to the child.

Symptoms of hemorrhoids

Hemorrhoids have several stages. At first, it is asymptomatic, the woman does not even suspect about this disease. Only slight discomfort and a feeling of a foreign body in the rectum may disturb. In the future, as the pathological process develops, pain and burning sensation during defecation begins to be felt. In the second stage, nodes are formed. If they are deep in the rectum, then such hemorrhoids are called internal. With external hemorrhoids, the bumps are, as the name suggests, on the outside. The nodes often bleed, and the bleeding can be quite severe. It is still possible to correct the drop-down nodes at this stage. In the third stage, the bumps acquire a purple-cyanotic hue, the pain is very strong, especially with internal hemorrhoids. There may be profuse bleeding. It is no longer possible to correct drop-down nodes. The fourth stage of hemorrhoids is treated exclusively by surgery.

Complications of hemorrhoids

Many people think that hemorrhoids are unpleasant, but not dangerous. This is wrong. A neglected disease can cause such serious complications as paraproctitis, anal fissures, anemia, intestinal inflammation.

Causes of hemorrhoids

The main cause of hemorrhoids during pregnancy is chronic constipation. The expectant mother should strictly follow the daily bowel relief. This is especially true for those who have been nursing for the last weeks, because the grown fetus puts a lot of pressure on the intestines. Even if hemorrhoids bypass a woman during pregnancy, constipation will lead to bumps appearing after childbirth.

Risk factors other than constipation are also:

• heredity;
• frequent pregnancies and childbirth;
• the age of the pregnant woman is over 35;
• poor hygiene.

It's always easier to warn

Pregnant women develop hemorrhoids faster than others. Therefore, from the very beginning of pregnancy, you need to walk more, do not sit for a long time in one position, monitor nutrition. If constipation still occurs, and the diet does not help, then you need to contact your gynecologist. The doctor will advise laxative suppositories suitable for expectant mothers.

Nutrition for constipation and hemorrhoids

For constipation and hemorrhoids, the following foods should be excluded from the diet of a pregnant woman:

• muffins and puff products, confectionery with cream;
• smoked sausages and canned meat;
• milk porridge and milk;
• hard boiled eggs;
• spicy vegetables such as horseradish, onion, radish, garlic, etc.;
• mustard;
• mushrooms;
• chocolate, cocoa, strong tea;
• blueberries;
• legumes;
• spices;
• fresh cabbage.

The diet of a pregnant woman should include foods rich in fiber, dairy products, cereals on the water with the addition of dried fruits. Limit potato dishes and fresh black bread. Be sure to have fats in the diet, such as butter, unrefined vegetable oils, you can have a little lard. Boiled beets, prunes, tomatoes, watermelons, cucumbers, apples, marmalade and marshmallow have a very good laxative effect.

Sometimes constipation with hemorrhoids are psychological in nature. It is painful for a woman to go to the toilet, and she is horrified by the next “torture session”. As a result, the intestines spasm, and constipation only intensifies. The longer the constipation, the faster the hemorrhoids develop. There is a vicious circle. It can be torn apart only by competent treatment, otherwise it will come to surgery.

Drinking regime

Often the cause of constipation is a chronic lack of water, and therefore the expectant mother needs to drink more, and not juices, kvass or compote, but pure unboiled water or table mineral water. The daily norm of water is at least one and a half liters. Tea, juices, compotes and other liquids are not included in the daily water intake.

Hygiene of the expectant mother with hemorrhoids

Hemorrhoids develop in a very specific place, which means that personal hygiene must be observed. It is better not to wait for the development of the disease and from the very beginning of pregnancy, follow simple rules for prevention. So, it is necessary:

• after defecation, use wet toilet paper or wet wipes for intimate hygiene;
• in the morning, in the evening, and also after a bowel movement, be sure to wash the anus with cold water. Make the pressure of the shower stronger, so that you get a kind of mini-massage of this delicate area. Cold water is the most effective remedy, in the initial stage, hemorrhoids can be cured by cold washing alone. As soon as discomfort begins to be felt in the rectum, you should immediately arrange a cold shower. The duration of irrigation is 1-2 minutes.

What not to do with hemorrhoids

1. Lift weights.
2. Push hard when defecation.
3. Overheat the lower body.
4. Take vasodilator medications.
5. Sitting for more than three hours without moving.

How to treat hemorrhoids

It is not easy to treat hemorrhoids in pregnant women, because many medicines and almost all herbs are forbidden to them. One rule to remember: Hemorrhoids need to be treated by a doctor. There is no need to make a diagnosis on your own, you can start the disease and harm the child's future. As for folk methods, they may not be useful either. Many drugs that have been successfully used in ordinary people can cause miscarriage in pregnant women.

In the early stages, hemorrhoids are treated with cold baths, ointments (external nodes) and suppositories. Candles and ointments have anti-inflammatory, hemostatic, analgesic and healing effects. In addition, suppositories soften the feces, preventing them from injuring the anus.

Not all candles sold in pharmacies are suitable for pregnant women. After all, the chemicals in them are absorbed through the intestines into the bloodstream and can affect the fetus. Therefore, only those candles and ointments that are made on a natural basis are suitable for pregnant women. For example, Natalsid candles have a good reputation. They are used 2 times a day after emptying the intestines and washing with cool water.

With external hemorrhoids, you can lubricate the bumps with heparin ointment. This drug is completely safe for the unborn child. The ointment eliminates pain, reduces inflammation and swelling. It can also be used during lactation.

Candles and Posterizan ointment are also very effective for internal and external hemorrhoids in pregnant women.

Pharmacies sell candles with sea buckthorn oil. This plant has no contraindications for pregnant women, so expectant mothers can safely use such candles for hemorrhoids.

Propolis is an excellent anti-inflammatory, analgesic, healing agent. Candles for hemorrhoids with propolis will help even with advanced cases. Propolis is not dangerous for a pregnant woman, but it would still be better if such candles are prescribed by the attending physician.

Folk remedies for hemorrhoids in pregnant women

There are many folk remedies against hemorrhoids, but few are suitable for pregnant women. Most plants increase the tone of the uterus which can cause miscarriage. For example, such strong antihemorrhoidal drugs as mountain ash and knotweed are unacceptable during pregnancy precisely for this reason.

Do not recommend gynecologists and sitz baths during pregnancy. They argue that pathogenic bacteria can get into the vagina. Therefore, from folk remedies for future mothers with hemorrhoids, only home-made candles and ointments remain.

Candles for hemorrhoids

potato candle

Potato suppositories help well at the onset of the disease. They can be inserted both at night and all day. Wash the potatoes thoroughly, peel and cut out the candle. Insert into the anus. After defecation, the candle should come out, and therefore, immediately after washing, a new one is inserted. If this remedy does not help, then you need to try something else.

honey candle

From the candied honey, make a candle and insert it into the right place. Honey is better to take buckwheat. To make the candle easier to form and insert, honey is placed in the freezer for a while. This remedy is quite effective, it copes well with pain and inflammation. It is better to use such candles before going to bed, by morning they will be safely absorbed. The drug is contraindicated for allergies.

garlic candle

Garlic has long been used for hemorrhoids. It heals cracks, kills bacteria, preventing the inflammatory process from spreading further. Garlic is absolutely safe during pregnancy. Garlic candles are made with butter. It is desirable to use them in the early stages of hemorrhoids, when there are no drop-down nodes.

For a candle, you will need a few peeled cloves of garlic and butter. Grind the garlic, mix with oil, make a candle and put it in the freezer for a while. As soon as it hardens to such an extent that it will be possible to insert it into the anus, immediately insert it as deep as possible. It is advisable to do this procedure before going to bed. For future use, candles do not need to be harvested, they quickly lose their properties.

Washing knots for hemorrhoids

beet juice

Grated raw beets will help relieve swelling from hemorrhoids. The root crop should be thoroughly washed, grated on a fine grater, squeezed out the juice. Moisten the cotton cloth with plenty of juice, put on the cones. Beets will relieve pain and swelling. This method must be combined with any candles.

Camomile tea

Brew a tablespoon of flowers in a thermos with a glass of boiling water, leave for an hour, cool. Wet a napkin with a cool infusion and apply to the cones. The same infusion can be washed after defecation. Instead of chamomile, you can use an infusion of wild strawberry leaves prepared in a similar way.

Decoction of oak bark

Oak bark has astringent, decongestant, analgesic, regenerating effect. The decoction helps stop bleeding. It is applied externally for hemorrhoids, since internal use leads to constipation. To prepare the drug, you need to pour 10 g with a glass of boiling water and keep in a water bath for 15 minutes. After 3 hours, insist, cool, apply for washing and lotions.

onion juice

Scroll the peeled onions in a meat grinder, squeeze out the juice. Mix half and half with water and apply to the bumps with external hemorrhoids. At the same time, several times a day, take a tablespoon of juice inside.

Folk remedies for constipation, suitable for pregnant women

1. Drink a glass of fresh (no more than 3 days) yogurt 3.2% before going to bed without bread, buns, gingerbread, etc. You need to drink slowly, in small sips, not in one gulp. Fresh yogurt has a strong laxative effect, and one that has been standing for more than three days, on the contrary, fixes. For medicinal purposes, use kefir, and not yogurt, fermented baked milk or any fermented milk drink. If a pregnant woman has a tendency to constipation, then you need to drink kefir every evening.

2. In the morning, dissolve a tablespoon of honey in a glass of lukewarm water. Drink on an empty stomach.

3. This remedy is prepared at night and drunk in the morning. Pour 100 g of prunes in a thermos with a glass of boiling water and insist all night. If there is no thermos, then the dishes should be wrapped with foil or film, and covered with something warm on top. Prunes are infused for 12 hours, no less. In the morning, half an hour before meals, drink the infusion and eat the berries. If the expectant mother does not want to eat one prunes, then you can cut it, mix it with nuts, honey, seeds, you get an excellent breakfast. With a tendency to constipation, prunes should be added to salads, compotes, cereals, meat dishes, in a word, wherever possible.

Any disease is easier to cure if caught at the very beginning. No need to succumb to false shame and be shy to see a doctor. Hemorrhoids are treated quite quickly at the initial stage, but the neglected disease causes real suffering. Don't expect hemorrhoids to go away on their own. Proper use of folk remedies and medical supervision will help the expectant mother to gain health.

Hemorrhoids are stagnation of blood in the veins located in the anus. In case of problems with blood flow in the small pelvis (decreased tone of the veins, impaired venous outflow, etc.), the vein plexuses overflow with blood and increase (in severe cases, they also become inflamed), causing pain and discomfort when sitting and walking. Enlarged (dilated) veins are called hemorrhoids.

Type, stages of development of hemorrhoids and their treatment

There are internal, external and combined types of hemorrhoids. External hemorrhoids are characterized by the appearance of small bumps around the anus with their subsequent increase. Many cannot find the inner one on their own. Only the presence of obvious symptoms of the disease can cause a consultation with a proctologist. The doctor will be able to accurately determine the diagnosis, stage of development of the disease and prescribe the correct treatment.

In the early stages of the disease, pregnant women complain of small bleeding from the anus, the appearance of soft painless bumps, itching and sweating in the anus. As a rule, there are no other unpleasant signs of hemorrhoids. A blood stain on a piece of toilet paper can also be seen with anal fissures.

At the first stage, proctologists usually do not prescribe medication, but only recommend improving digestion (eat more fiber and stick to a healthy diet), move more often (do physical exercises during sedentary work, walk slowly from work to home or get off the minibus a little earlier and go on foot) , practice a contrast shower to improve blood circulation and more.

In the second stage of the disease, there is pain during defecation, a feeling of fullness in the rectum, and hemorrhoids prolapse outward, which, after emptying the intestines, are independently reduced back.

In the second stage of the disease, remedies for hemorrhoids are prescribed in addition to following a therapeutic diet and a more active lifestyle.

The third stage is characterized by the prolapse of hemorrhoids from the anus, not only after going to the toilet, but also when walking, sneezing or lifting heavy bags of groceries. Knots at this stage do not self-reset, but only manually.

The doctor can only prescribe drugs to alleviate the patient's condition, and after giving birth, send for surgery. There is no other way to solve the problem.

The fourth stage of the disease is the most critical. The hemorrhoids have come out and can no longer be repositioned. The entrance to the anus looks like an inverted intestine, resembling an opened rose. This place is constantly bleeding and brings unbearable pain. In this case, irreplaceable surgical intervention is required.

Ointments for hemorrhoids during pregnancy

Heparin ointment is able to dissolve existing blood clots at the site of application, reduce inflammation and pain. With external hemorrhoids, a cotton pad is impregnated with ointment and tightly applied to enlarged nodes, fixing with adhesive tape. The cotton should be changed 2-3 times a day. It is recommended to alternate the compress with the usual application and rubbing a thin layer of ointment on the affected area.

Before using any ointment, you must first carry out an allergy test by applying a small amount of ointment to the skin of the wrist, rubbing it lightly and leaving it for 30 minutes.

Posterizan forte ointment / suppositories are prescribed at the first signs of hemorrhoids (burning, itching) and with anal fissures. The drug normalizes the tone of the veins, stimulates the restoration of damaged tissues of the rectum. The kit includes a special applicator for deep administration of the ointment into the rectal cavity.

Remember, it is better to apply any ointment in a fairly thin layer (rubbing lightly), but do it more often, for example, every 3-4 hours.

Troxevasin gel strengthens blood vessels (veins), relieves swelling and inflammation, and prevents the formation of blood clots. This remedy is prescribed only from the 2nd trimester of pregnancy, and if after 6-7 days of using the gel the symptoms of the disease do not subside, then you should stop using it and consult a doctor to change the drug to another one with a composition different from this gel.

Hepatrombin G ointment/suppositories is a combination drug with a wide spectrum of action. The drug has a strong thrombolytic, antithrombotic, wound healing and anti-inflammatory effect. In addition, he is able to relieve pain, burning and itching in the anus. Hepatrombin G is prescribed only from the second trimester of pregnancy.

Bezornil ointment during pregnancy is prescribed as a last resort, when other means do not bring the desired result. A small amount of ointment must be injected inside using a special tip included in the kit, and for external hemorrhoids, it is recommended to make a compress by applying the ointment to a cotton pad and fixing it with adhesive tape in the anus area.

Candles for hemorrhoids for pregnant women

Natalsid suppositories are allowed for pregnant women. Candles have anti-inflammatory, hemostatic and wound healing effects. They improve blood flow in tissues and stimulate metabolic processes in them.

Any rectal suppositories (anal suppositories) must be administered after each bowel movement. It is recommended to refuse to use toilet paper after each act of defecation, it is useful for hemorrhoids to wash the anus area with cold water, without affecting the female external genitalia.

Relief or Relief Advance suppositories / ointment during pregnancy are prescribed by proctologists with caution, because the drug increases blood pressure and constricts blood vessels, so women with hypertension or other diseases of the vascular system (for example, with problems with blood supply to the placenta) use it is contraindicated.
Relief ointment acts more gently, and in case of doubt, doctors prescribe this particular form of the drug.

The use of Relief Ultra during pregnancy is prohibited! It contains a hormonal component that adversely affects the health of the fetus.

Candles, when exposed to body temperature, melt and stain underwear. Therefore, women are advised to wear wide swimming trunks made of natural materials (for example, cotton fabric), which it is not a pity to throw away after the end of treatment. Or use a wide and sufficiently long sanitary napkin.

Posterizan candles are placed in the morning and evening before going to bed, as well as after each bowel movement. The course of treatment is 2-3 weeks.

Hepatrombin G suppositories are administered 1-2 times a day after defecation (preferably in the morning and evening before bedtime). The use of Gepatrombin G is allowed only from the second trimester and not exceeding the indicated doses.

With severe pain, Anestezol suppositories are prescribed, but with caution, and they are used only during the period of pain.

Folk remedies for hemorrhoids

Folk methods of treating hemorrhoids indirectly include the use of candles and oils of natural origin: sea buckthorn, ichthyol, castor, etc.

Sea buckthorn oil (and suppositories from it) accelerates the healing of anal fissures and relieves inflammation of hemorrhoids.

A cotton pad or a small cotton-gauze bandage moistened with medicated oil, with external hemorrhoids, should be applied to the hemorrhoidal bump 4-5 times a day (as a compress, fixing it with adhesive tape).

With internal hemorrhoids, it is necessary to use candles. They are injected deep into the anus after a bowel movement 2 times a day for 10-15 days. If necessary, after 1-1.5 months, the course of treatment is repeated.

Candles from sea buckthorn oil are recommended to be used as a preventive measure for women prone to hemorrhoids, starting from the first trimester, because during pregnancy all health problems make themselves felt and progress with greater force. This treatment is ideal in the early stages of the disease.

Ichthyol in suppositories is used to relieve inflammation and pain. In addition, ichthyol suppositories disinfect, restore blood circulation, and improve vascular tone.

Apply candles 1-2 times a day after emptying or cleansing enema.

Also, ichthyol suppositories are prescribed rectally and for problems in gynecology (endometritis, salpingoophoritis), therefore, when treating hemorrhoids, they simultaneously prevent (or treat) and “female” diseases.

If an allergic reaction occurs, stop using them.

Ichthyol in suppositories is administered only rectally, even in the treatment of vaginal diseases.

Castor oil, when used topically, acts as an anti-inflammatory, emollient, and wound healing agent.

With external, internal or combined hemorrhoids, a finger is dipped in oil and the anus area and / or the anus itself is treated with it, inserting an oiled finger into the anus.

Inside, castor oil should not be used during pregnancy, as it can provoke childbirth.

Traditional medicine also suggests using raw potatoes as a treatment for hemorrhoids, the juice of which has anti-inflammatory, vascular-strengthening, enveloping properties. Candles cut from raw potatoes are pre-cooled and inserted into the anus at bedtime. For a better introduction, you can lubricate the candle with olive, sea buckthorn, castor, camphor or other natural oil.

With external hemorrhoids, grated raw potatoes are applied to the hemorrhoidal bump.

A potato candle should have rounded edges and small dimensions (about 3 cm long and 1 cm in diameter). So that she can relieve the pain, she is frozen. For the same purpose, an ice cube is applied to the anus.

The success of any treatment lies in the regular and long-term use of the drug. But during pregnancy, it is recommended to use medications only as needed, and after the symptoms of the disease disappear, treatment should be continued for 3-4 days, and then adhere to disease prevention measures.

Treatment of hemorrhoids with pills

Phlebodia 600 tablets are allowed from the 2nd trimester of pregnancy. The components of the drug increase the tone of the veins, reduce their extensibility, improve microcirculation in tissues, relieve inflammation. Suitable for complex treatment of hemorrhoids, along with other medicines.

Method of application and dosage: inside, no more than 2-3 tablets per day during meals for 7 days.

Surgical treatment of hemorrhoids during pregnancy

If hemorrhoids cause unbearable pain and drug treatment does not bring the desired result, surgeons recommend performing a hemorrhoid thrombectomy - removal of a blood clot.

Thrombosis of nodes can provoke the death of adjacent tissues, and then urgent hospitalization and full treatment (and therefore dangerous for the fetus) cannot be avoided.

The operation itself is quick and easy in terms of technique, and after it the patient feels significant relief. After surgery, the treatment of hemorrhoids with topical drugs (suppositories and ointments) continues.

Disease prevention

A prerequisite for the development of hemorrhoids are frequent constipation. Therefore, first of all, it is necessary to pay attention to nutrition. Eat vinaigrette more often, oatmeal with raisins, dried apricots and prunes, ripe apples. Exclude from the diet sweet, flour, salty and spicy (including pickled and spicy), fatty and fried.

Every morning, do the usual physical exercises, and do not forget about the drinking regimen (drink 1.5 liters of clean water without gas per day). It is also useful to drink kefir or sourdough before going to bed.

Whenever possible, lie on your back and place your legs above head level. To do this, you can put pillows under the pelvis and legs or put your feet on the armrest of the sofa.

Slow walking should be every day and be about 30 minutes. And when sedentary work, try to get up and walk every 45 minutes (go to the toilet and back, you can do simple body tilts to the sides and turns of the body).

Avoid using toilet paper during pregnancy. It is recommended that after emptying the intestines, washing the anus area with cool water can be done with a weak infusion of chamomile, oak bark or a solution of potassium permanganate.

Every second woman who bears a child faces this delicate problem. Hemorrhoids during pregnancy can appear both at its beginning and at the end or after childbirth. The period of bearing a child is considered a provoking factor in this disease, due to changes in the body of the expectant mother.

Hemorrhoids are varicose veins in the rectum. During pregnancy, it is the vascular system that undergoes the greatest stress, since the volume of circulating blood increases by 30%. As a result, venous problems often appear, such as varicose veins and hemorrhoids.

The mechanism of formation of hemorrhoids during this period is as follows: the uterus, which has been growing for all 9 months, begins to put pressure on the colon and rectum, due to which local blood stagnation is formed, and overflowing veins are stretched, forming hemorrhoids. The latter protrude under the intestinal mucosa. This problem can be very disturbing for a woman, and sometimes it has an absolutely asymptomatic course.

note: the opinion that hemorrhoids first appear after childbirth is erroneous. If, after the birth of a child, he aggravated, then this means that he was still during pregnancy, but did not manifest himself in any way, because the hemorrhoids were internal.

Causes of hemorrhoids during pregnancy

There are a number of factors that provoke the appearance or exacerbation of this disease in expectant mothers:

• chronic constipation (the walls of the rectum stretch excessively during bowel movements);
• hypodynamia or life without a sufficient level of movement (if a woman moves little, lies or sits more, then as a result blood stagnation in the pelvis forms, which provokes hemorrhoids and thrombosis of hemorrhoidal veins);
• regular intake of hormonal origin before pregnancy (they negatively affect the state of the venous wall);
• an increase in intra-abdominal pressure is formed due to insufficient blood circulation in the small pelvis (due to a growing uterus);
• excess weight;
• a change in the hormonal background during pregnancy (an increase in progesterone causes relaxation of the smooth muscles in the body, which lines the walls of blood vessels and the intestines, and this in turn causes constipation).

Important: not everyone knows that hemorrhoids can worsen not only after natural childbirth, but also after a caesarean section.

Stages and types of hemorrhoids in pregnant women

Most often, the disease is diagnosed in the third trimester of pregnancy, but this does not mean that hemorrhoids cannot appear during the first three months. It can be internal, that is, not noticeable during visual inspection, and external, the bumps of which are clearly visible.

There are several stages of development of hemorrhoids:

• Stage 1 - hemorrhoids in the lumen of the rectum, not extending beyond its limits;
• Stage 2 - the nodes sag from the anus, but when changing the position of the body, they are reduced;
• Stage 3 - hemorrhoids sag from the anus and do not reduce when changing position;
• Stage 4 - non-reducible nodes are accompanied by complications in the form of thrombosis, heavy bleeding.

At the same time, two types of hemorrhoids can appear in pregnant women.:

• acute, in which the disease occurs suddenly. A woman complains of pain in the back hike, blood in the stool, foreign body sensation, sometimes a burning sensation;
• chronic. It occurs much more often, its attacks are stopped by pharmaceutical agents, but it is not completely cured, and after a while, due to provoking factors, it resumes.

Symptoms of hemorrhoids in pregnant women

The clinical picture depends on the stage at which the hemorrhoids are located, and may combine the following symptoms:

• sagging hemorrhoids from the rectum;
• pain during bowel movements;
• burning in the anus;
• stool with traces of fresh blood;
• itching and discomfort in the anus;
• pains of a pulling nature in the rectum, radiating to the lower back and sacrum.

note: symptoms of hemorrhoids may worsen with infringementhemorrhoidal node. This condition is manifested by severe pain in the rectum and fever. When such symptoms appear, it is important for a pregnant woman to immediately seek medical help from a surgeon.

Signs of hemorrhoids after childbirth

If during pregnancy this ailment did not manifest itself in any way, because the nodes were internal, then after childbirth the probability of its exacerbation is very high. A woman will be disturbed by such symptoms in the anal area:

Diagnosis of hemorrhoids during pregnancy

Confirmation and diagnosis of hemorrhoids requires a visit to the proctologist. The doctor will prescribe an examination program that will help determine the stage of the disease and select the most appropriate treatment for hemorrhoids during pregnancy.

Diagnosis of hemorrhoids includes:

• Inspection. During an objective examination in the anal area, the doctor will visually notice hemorrhoids that sag outward. The mucous membrane of the anus with hemorrhoids is inflamed, has a red tint and a pronounced venous pattern of small dilated capillaries. The presence of nodes is a differentiating feature that allows you to distinguish hemorrhoids from cancer of the rectum or anal fissures. Finger research helps to clarify the diagnosis and determine the presence of internal nodes, their location, size and number, and also helps to exclude or confirm the presence of anal fissures.
• Instrumental Research. Sigmoidoscopy - an optical examination of the rectum using a special apparatus - a sigmoidoscope, during pregnancy is carried out in exceptional cases.
• Laboratory research.

In laboratory diagnosis of hemorrhoidsa pregnant woman is prescribed:

• coprogram (qualitative study of feces);
• blood test (will confirm anemia due to regular bleeding from hemorrhoids);
• analysis of feces for the presence of occult blood.

How to treat hemorrhoids during pregnancy

The choice of method of therapy depends on the stage of the disease.

Stage I hemorrhoids during pregnancy are treated without the use of medications. Usually, the doctor recommends that the expectant mother change her diet, include enough fiber and sour-milk products (to normalize the stool), move more, do exercises for pregnant women, walk in the fresh air, and adhere to the rules of personal hygiene.

Stage II hemorrhoids require the appointment of drugs to eliminate unpleasant symptoms. The proctologist prescribes both tableted and ointment preparations that have a vasoconstrictive, anti-inflammatory, analgesic effect. Preference is given to local remedies (suppositories, ointments), since most of them do not have a systemic effect on the fetus.

Important: a pregnant woman cannot independently use certain remedies for hemorrhoids, because many of them can have a negative effect on the fetus (for example, Bellatamin and Anuzol - suppositories with belladonna extract provoke miscarriage or premature birth).

Among the suppositories, those that contain lanolin, cocoa butter, anesthetics (novocaine, benzocaine), heparin, vegetable and animal oils (vitamin A, shark liver oils, sea buckthorn), anti-inflammatory and astringent substances are used.

The treatment regimen also includes:

• Duphalac;
• Ginkor forte;
• Forlax;
• Curantyl;
• Prelaks;
• Troxerutin;
• Pentoxifylline.

note: during pregnancy, it is forbidden to treat hemorrhoids with drugs that containbisacodyl, buckthorn, phenolphthalein, etc., as they cause an increase in uterine tone.

Stage III and IV hemorrhoids are considered severe, and combined therapy is used in their treatment. In addition to changing the diet and daily regimen, suppositories, ointments, and tablets are prescribed. Surgical methods are resorted to if the protruding hemorrhoids do not retract into the rectum, but the operation is performed after childbirth.

It is also possible to use such modern methods as injections with sclerosing drugs, infrared coagulation and ligation with latex rings, laser coagulation, which involve the complete removal of nodes.

The indication for emergency hospitalization for hemorrhoids during pregnancy is profuse bleeding, infringement and necrosis of hemorrhoids. In this case, bloodless technologies are used.

Candles for hemorrhoids during pregnancy

These funds are always prescribed by the proctologist individually, taking into account the stage and form of the disease, the duration of pregnancy, and the course of the course.

Most often, pregnant women with hemorrhoids are prescribed suppositories from the list below:

• Hepatrombin - has an analgesic, anti-inflammatory and hemostatic effect.
• Proctoglivenol - normalizes the tone of the veins, reduces capillary permeability, has an anti-inflammatory effect, eliminates pain.
• Natalsid - plant-based suppositories (brown algae) that fight inflammation, effectively heal, soften feces and thereby facilitate bowel movements.
• Relief - suppositories that contain shark liver oil, well anesthetize, relieve inflammation, heal, soften.
• Proctosan – suppositories with a combined composition in the form of bufeksamak, lidocaine, bismuth subgallate, titanium dioxide, which perfectly disinfect, anesthetize, and dry.
• Candles with propolis - have an excellent healing effect, eliminate pain and itching in the anus, destroy pathogenic microorganisms.

In most cases, the treatment of hemorrhoids during pregnancy gives the expected result, and until the moment of delivery, its exacerbation is eliminated. It is also important to exclude heavy physical labor.

Childbirth with hemorrhoids

Hemorrhoids are not a contraindication to natural delivery. It can provoke some complications, but a planned caesarean section will not be performed because of it. An exception can only be severe hemorrhoids of the 4th degree, profuse bleeding from the nodes, vein thrombosis. The decision is always made exclusively by the attending physician individually in each case. It is important for a woman in labor to listen and do what the doctor and midwife say during childbirth, since the right tactics will allow the whole process to be carried out without unnecessary muscle tension, which means without node ruptures and complications. The prognosis of the disease depends on how the birth itself goes, what will be their duration.

In childbirth, when a woman has contractions and attempts, intra-abdominal pressure rises, due to the fact that the head of the fetus presses the pelvic vessels directly to the rectum itself. Hemorrhoids become larger, their consistency thickens. When the contraction builds up and the woman pushes, the veins protrude, turn blue, during the pause they decrease.

Important: in the question of the possibility of the appearance or not of the appearance of hemorrhoids, much depends on the speed of contraction of the anus sphincter after childbirth. If this process happens quickly, then there is a possibility of pinching the nodes, but this rarely happens. When the contraction occurs gradually, the nodes usually return to their place on their own.

Treatment of hemorrhoids after childbirth

Therapy of hemorrhoids, both during pregnancy and after childbirth, includes the following general prescriptions:

• lifestyle correction;
• elimination of constipation;
• normalization of water balance;
• meals by the hour;
• gymnastics to strengthen the muscles in the anus;
• daily walks;
• breastfeeding or watching TV is best while lying down to minimize pressure on the rectal veins;
• hygiene mode.

To activate the intestinal robots, it is important to consume more fiber, vegetables, bran bread, cereals, fruits, dried fruits, etc.

note: a woman should not ignore this problem after childbirth, thinking that everything will go away by itself. Contacting a proctologist will allow you to clarify the diagnosis and choose a treatment that will not harm the baby if the woman is breastfeeding the baby.

Drug therapy for hemorrhoids of a nursing mother after childbirth is the same as during pregnancy.

If the child is bottle-fed, then drugs from the list below are allowed:

• Candles with methyluracil. They include an antibiotic that has a regenerating effect, heals the mucous membrane, stops bleeding, activates the immune system, stops bleeding and relieves pain.
• Ginkor Procto. These are suppositories with Ginko Biloba extract - a venoprotector that normalizes the elasticity and tone of the veins, local blood circulation, and relieves inflammation.
• Beauty candles. Medicine with active substances in the form of phenol and belladonna extract. It relieves pain, has an antimicrobial effect, removes spasm, and eliminates the infectious process in the anus.
• Anestezol. Candles with a combined composition (menthol, benzocaine, zinc oxide), which perfectly stop bleeding, eliminate pain in the rectum, dry and have an antiseptic effect.

Hemorrhoids can occur before pregnancy, during childbearing and after childbirth. This diagnosis frightens many future mothers, and makes them think about whether it is possible to give birth on their own with hemorrhoids.

Experts say that childbirth and hemorrhoids are quite compatible.

To avoid the consequences of postpartum stress, which can aggravate the disease, it is worthwhile to treat and prevent hemorrhoids before and during pregnancy.

If there are hemorrhoids, and a woman is planning a pregnancy, then it would be advisable to contact a proctologist who will prescribe treatment to strengthen blood vessels.

Before pregnancy, it is much easier to cure the disease, since there are no restrictions on taking effective drugs.

Childbirth with stage 3 hemorrhoids is especially difficult and dangerous, and the doctor in this case may prescribe surgery. This procedure will facilitate the bearing of the child and the birth itself.

Is it dangerous to give birth with hemorrhoids?

At the time of natural childbirth, there is a significant increase in pressure in the pelvic area.

When the baby moves along the channel, the veins are compressed, pinched, blood is retained in them, and the hemorrhoids increase.

Due to pressure in a woman in labor, the mucous membrane of the rectum can be damaged, sometimes cracks appear in the anus area after childbirth.

Therefore, hemorrhoids in women who have given birth can worsen at times and move to a more dangerous stage.

Causes

It is not a fact that after removal of hemorrhoids, the disease will not manifest itself again during pregnancy.

Exacerbation of hemorrhoids during pregnancy is due to the following factors:

Prevention and treatment

If you get hemorrhoids during pregnancy, you should immediately contact a specialist.

A future mother who wants to give birth on her own naturally with hemorrhoids without consequences should take a comprehensive approach to solving the problem.

A woman during this period is limited in the means of treatment, since it is strictly forbidden to use many drugs for pregnant women, including some laxatives.

The easiest way to deal with external hemorrhoids. It can be regularly monitored using the following folk remedies:

• Warm infusion of nettle, dandelion or chamomile for washing.
• Grated potatoes and beets, decoctions of herbs for compresses and lotions.
• Sea buckthorn candles and oil.
• Aloe juice or warmed burdock oil.

The last point is especially suitable for stage 2 hemorrhoids, when the nodes bleed.

In case of any inflammation in the anus, you should immediately contact a proctologist. He will tell the expectant mother how to carry and give birth with hemorrhoids, select an individual course of drugs.

The doctor may prescribe harmless suppositories that will relieve pain and make bowel movements easier. A woman will increase the chances of giving birth with hemorrhoids without negative consequences if she sticks to a diet, eat more foods with fiber, monitor her stool, and do not give up an active lifestyle, walks and physical education.

The knee-elbow posture will help to avoid exacerbation of the disease. It contributes to the unloading of the venous system in the pelvis.

Natural birth or caesarean?

Experts say that you can give birth with hemorrhoids if the disease is not started before stage 4 and is not complicated by thrombosis or bleeding.

Therefore, it is better for the expectant mother to calmly and responsibly follow the recommendations of the doctor.

Sometimes hemorrhoids appear after natural childbirth in those women who were completely healthy. In this case, it is already much easier to treat the problem - the choice of drugs and procedures is greatly expanded.

According to indications after childbirth, you can resort to surgical intervention.