How to treat external hemorrhoids during pregnancy? Hemorrhoids during pregnancy what to do

Treating hemorrhoids during pregnancy is not an easy task. During this period, it is necessary not only to quickly cure the disease, but also not to harm either the mother or the child. Therefore, many women try to avoid therapy for hemorrhoids during pregnancy, additional intervention, both medical and surgical, allowing the disease to develop into severe forms. In this case, hemorrhoids complicated during pregnancy after the birth of a child will require a lot of time and effort to cure the disease at a more severe stage, and even before the stage of childbirth, hemorrhoids during pregnancy can significantly worsen the mother's well-being and affect the health of the baby. Why does hemorrhoids occur during pregnancy, what provokes the onset and development of the disease, can it be prevented and how are manifestations of hemorrhoids treated during pregnancy at different stages of gestation?

Hemorrhoids during pregnancy: causes of the disease

Hemorrhoids during pregnancy can appear both at the very beginning of the gestational period, and during gestation or after childbirth. It is a mistake to believe that it is childbirth that provokes the development of hemorrhoids, and few people know that after delivery by caesarean section, an exacerbation of the disease is also possible. However, there is a direct relationship between the development of hemorrhoids during pregnancy, since the bearing of a child is considered a provoking factor due to changes in the body of the expectant mother.
Hemorrhoids are varicose veins in the rectum. During pregnancy, the vascular system undergoes heavy loads, the volume of circulating blood increases by 30%. As a result, venous problems often appear, such as leg vein varicose veins and hemorrhoids.
The mechanism of the formation of the disease is as follows: the growing uterus presses on the colon and rectum, provoking local blood stasis. Veins overflowing with blood are stretched, forming hemorrhoids. The latter protrude under the intestinal mucosa.
There are a number of factors that provoke the occurrence and / or development of this disease in expectant mothers:

• constipation, especially chronic, as the walls of the rectum stretch excessively during bowel movements;
• hypodynamia, if the pregnant woman does not move much, then stagnation of blood in the pelvis is formed, which provokes hemorrhoids and thrombosis of hemorrhoidal veins;
• regular use of contraceptives of hormonal origin before pregnancy, since most of them negatively affect the condition of the venous walls;
• increased intra-abdominal pressure, which is physiological for pregnant women, but is also a risk factor for the development of hemorrhoids;
• excess weight;
• a change in the hormonal background (progesterone causes relaxation of the smooth muscles lining the walls of blood vessels and the intestines, which in turn causes constipation).

Is it necessary to treat hemorrhoids during pregnancy

Treatment of the disease, even sometimes severe stages, is often postponed for the postpartum period due to fears of harming the child. Specialists categorically do not support this approach to therapy, since with hemorrhoids, a successful pregnancy can be complicated by the serious consequences provoked by this disease.
The combination of pregnancy and hemorrhoids, especially in the acute stages, leads to a gradual deterioration in well-being. Constant discomfort, pain, the inability to go to the toilet normally exhaust the more, the more severe the stage of the disease. A woman will endure pregnancy worse, and this is reflected in the health of the baby.
Large hemorrhoids cause inflammation and tissue death, which "opens the way" for all possible infections. And during pregnancy, any infectious disease can be dangerous for the baby. In the most severe cases, the infection can enter the baby's bloodstream, causing intrauterine infection.
An even more severe consequence of neglected hemorrhoids is anemia or anemia, which is caused by constant bleeding from the anus. A lack of hemoglobin can lead to fetal hypoxia, oxygen starvation, which is extremely dangerous for a growing baby.
An unpleasant consequence of hemorrhoids not cured during pregnancy can be a sharp deterioration in the patient's condition immediately after childbirth, regardless of the method of delivery.

Why does hemorrhoids occur in women: we understand the reasons

hemorrhoids in women

It must be understood that during pregnancy, the development of hemorrhoids can proceed rapidly, so treatment should be started as early as possible. Modern drugs allow you to minimize the risk of complications and quickly cope with the disease, pharmacological companies offer a range of medications approved in the most sensitive first trimester of pregnancy. Hemorrhoids of the early stages of development are also successfully amenable to the prevention of exacerbations while observing the diet, physical activity and hygiene procedures.
If necessary, drug therapy for hemorrhoids during pregnancy, it is better to entrust the selection of the drug to a specialist.
Conservative treatment is the safest method for treating hemorrhoids during pregnancy for mother and child. Depending on the trimester and the stage of development of the disease, the proctologist prescribes drugs in the form of ointments, creams, anal suppositories with different effects. The most common medications for the treatment of hemorrhoids during pregnancies at different stages of development are the following:

• candles and ointment Relief. A preparation made on the basis of shark liver is used in monotherapy at the first stage; for stages 2 and 3 of the development of hemorrhoids, it should be used as part of complex therapy. It has no contraindications during pregnancy and lactation;
• suppositories with sea buckthorn can be used by pregnant women without restrictions, this is a mild but effective remedy that has no contraindications except for allergies. Sea buckthorn oil contributes well to the healing of tissues at the site of hemorrhoids;
• anal suppositories Neo-Anuzol belong to the list of drugs allowed during pregnancy. The restriction is made by patients with intolerance to iodine and diseases of the thyroid gland;
• Procto-glivenol is an effective drug for the treatment of hemorrhoids of all stages, not recommended for use in the first trimester;
• Hepatrombin in ointments and suppositories has a high coefficient of therapeutic effect, but is not prescribed in the first trimester of pregnancy. It is also used as part of the preparation for surgery for stage 3-4 hemorrhoids.

Operative methods of treatment during pregnancy

Non-surgical removal of hemorrhoids does not carry any particular risk for a pregnant woman, all procedures are performed under local anesthesia and do not require long-term hospitalization. In some cases, surgery to remove hemorrhoids is the only way to cure the disease, preventing it from developing into more severe forms.
Most often, during the gestation period, they resort to a conservative method, using invasive procedures only in extreme cases, although the removal of hemorrhoids is considered the best option for stage 2-3 hemorrhoids, when conservative treatment can only slow down the development of the disease, but not completely cure.
Among the operational methods are the following:

• sclerotherapy for 2-3 stages of the disease. The procedure is carried out permanently, after the introduction of the drug into the hemorrhoid, the initial stage of recovery takes only 1 hour;
• ligation with latex rings allows you to effectively treat internal hemorrhoids. At the base of the node, a ring is fixed that blocks the blood circulation in this area. This is a minimally invasive procedure that is not dangerous for pregnant women;
• coagulation (cauterization) with a laser or an apparatus with infrared rays is another method of treating stage 2 and 3 hemorrhoids, which is acceptable during pregnancy.

Diet and lifestyle for hemorrhoids

The same role as the correct selection of drug therapy is played by additional methods of dealing with hemorrhoids. They are not aimed at treating the symptoms, but at eliminating the causes of the disease.
A balanced daily diet should be divided into 3-5 meals, eating small portions so as not to overload the digestive system. A healthy diet contains a lot of fiber and a minimum of fried, spicy, fatty foods. Fast food, carbonated drinks, canned food, factory-made products should be excluded from the diet. During the day, you need to drink at least 1.5-2 liters of liquid, fermented milk products are very useful.
It is necessary to include in the menu products that help strengthen the walls of blood vessels - beets, cabbage, carrots, leafy salads, etc.
It helps well with hemorrhoids of stages 1 and 2, special exercises for pregnant women, which help improve overall blood circulation and keep muscles in good shape, as well as reduce the level of uterine pressure on internal organs.

The most common disease of the rectum is hemorrhoids. The disease occurs equally in men and women. During pregnancy, the appearance is not uncommon. The disease should be treated in a timely manner to avoid complications.
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Causes

Hemorrhoids in pregnant women can occur for various reasons. The main factors in the appearance of hemorrhoids: hereditary predisposition and age. The risk of hemorrhoids increases if a close relative has been diagnosed with hemorrhoids.

Hemorrhoids appear in every fifth woman under the age of 30 years. And having crossed this line, every second pregnant woman has this disease.
The following reasons can provoke the occurrence of hemorrhoids:

• Improper nutrition
• Overweight
• Little physical activity
• Passive lifestyle
• Hormonal changes
• Fetal pressure
• Increased blood volume during pregnancy
• Pressure

These reasons lead to the formation of hemorrhoids due to stagnation of blood.

The larger the uterus, the more pronounced the signs of hemorrhoids. The onset or exacerbation of the disease occurs in the second and third trimesters of pregnancy.

Violation of the stool during pregnancy is a common reason for a woman to see a doctor. This is associated with a decrease in intestinal tone. Fecal masses injure the intestinal wall and contribute to impaired blood flow.

In the first trimester of pregnancy, a woman leads an active lifestyle until she is visible. Already from the second trimester, the expectant mother moves less and rests more. In this case, the blood flow slows down and can lead to venous stasis, which provokes the appearance of nodes.

During pregnancy, a woman's taste preferences change, and she is drawn to salty, smoked and spicy. Such food activates blood flow to the pelvic organs and stagnates. As a result, hemorrhoids may form.

Many factors contribute to the development of chronic hemorrhoids: prolonged constipation and diarrhea, stress during bowel movements, insufficient fiber intake.

Signs that indicate the development of the disease:

Discomfort in the anus

• Burning and
• Feeling of incomplete bowel movement
• Dropping nodes
• Bloody discharge during bowel movements

Blood clots can be found at the end of a bowel movement on stool or toilet paper. The intestinal mucosa is inflamed, small blood vessels are observed. Pain in the anus, pulling, often radiates to the lower back or sacrum.

When knots fall out, they are set manually.

There are 2 forms of hemorrhoids: acute and chronic.

For acute hemorrhoids, 3 degrees of severity of the disease are characteristic:

• 1 degree. There are small painful knots, itching and burning. Non-purulent discharge may also be observed. These symptoms increase after a bowel movement and then subside.
• 2 degree. The area around the anus is inflamed. Large hemorrhoids. Due to the fact that the sphincters are clamped, it is impossible to conduct a digital examination and, when trying, the patient feels severe pain. This degree is characterized by constant pain in the anus, aggravated by movement.
• 3 degree. Redness and swelling are pronounced. From the anus, the nodes acquire a bluish-purple hue. At this stage of the development of the disease, necrosis of the nodes can be observed, on which black areas appear. Pain in the anus is sharp and worse with any movement.

In chronic hemorrhoids, a pregnant woman develops inflamed swollen veins around the anus. They can appear outwardly, but not manifest. Because of this, many people are unaware that they have hemorrhoids.

The chronic form of the disease indicates from the anus. Hemorrhoids appear later. The first sign of the disease is bleeding, which may appear once or be observed continuously.

It is necessary to prevent the development of necrosis, so it is important to consult a doctor at the first symptoms of hemorrhoids.

What is the danger of hemorrhoids during pregnancy

Hemorrhoids do not pose a threat to the fetus and mother, however, there are times when unpleasant consequences can be observed.

With constant bleeding of the bumps, anemia can occur. Low hemoglobin content in the blood can lead to oxygen starvation, and this affects the growth and development of the fetus.

The prolapse of the node outside and the attachment of infection can cause the development of a purulent-inflammatory process. Toxins that are formed during the purulent process enter the bloodstream, and then to. Intrauterine infection occurs, as a result of which an infection is diagnosed in a child at birth.

Hemorrhoids can lead to some diseases of the genitourinary system. Untimely treatment of hemorrhoids can provoke an exacerbation during childbirth. When the child passes through the birth canal, the inflamed nodes will begin to burst and bleed.

If hemorrhoids are not cured during pregnancy, then in the postpartum period the disease will again remind of itself. Treatment of hemorrhoids responds well in the initial stages and in the first trimester of pregnancy.

How to get rid of hemorrhoids

Treatment of hemorrhoids should be carried out under the constant supervision of a physician. Since the nodes with external hemorrhoids are located outside, this allows you to apply and lubricate with special anti-hemorrhoids.

• Relief, Troxevasin, Proctosedil, Hepatrombin and others are used to treat hemorrhoids. These drugs have anti-inflammatory, decongestant and analgesic effects.
• To alleviate the symptoms of the disease after a bowel movement, rectal suppositories containing anesthesin and novocaine, with lanolin oil, etc. are used. If spasms of the sphincter occur, then suppositories with diphenhydramine, A, etc. are used.
• With a complication of external hemorrhoids, treatment is carried out in a hospital. Self-medication is very dangerous, as it can lead to serious consequences.
• If conservative treatment does not lead to positive results, then resort to surgical intervention. Nodes are removed in case of recurrent course. Indications for surgery are: prolapse of nodes that cannot be reduced, their inflammation or infringement. During surgical treatment, minimally invasive operations are performed: sclerotherapy, laser coagulation, ligation, infrared coagulation.
• If there are contraindications to minimally invasive methods, then excision of the hemorrhoid is performed.
• To improve blood circulation in hemorrhoids, physiotherapeutic procedures help: laser therapy, magnetotherapy, etc.
• Treatment is selected for each patient individually, depending on the stage and course of the disease.
• With hemorrhoids, cracks may occur in the anus. In this case, conservative inpatient treatment will be required.

Many pregnant women may experience asymptomatic hemorrhoid treatment. In this case, only preventive measures are shown, which include adherence to a diet, a water toilet, and physiotherapy exercises.

Alternative treatment

You can eliminate discomfort with the help of traditional medicine methods. Many of the prescriptions are alternative medicines. Such treatment will not harm the fetus, and this is very important in the third trimester of pregnancy.

An excellent remedy for hemorrhoids is sea buckthorn oil. Vegetable can be used instead. It is mixed with honey and melted, and then the resulting ointment is applied to a cotton-gauze swab and applied to the nodes.

With external hemorrhoids, raw potatoes help well. Peel the tuber and cut into a small piece. Insert it into the anus. Potato "candle" will come out on its own with a chair.

You can perform warm baths with a decoction of calendula or onion peel. Thus, the symptoms of the disease can be eliminated.

Very good for hemorrhoids, a decoction of lungwort grass helps. Grind the dried grass of the plant and pour hot water (a glass of water per tablespoon). Let it brew a little, and then strain and take inside a tablespoon three times a day.

At night after the toilet, you can wash yourself with decoctions of chamomile or viburnum. These decoctions are effective not only for the treatment, but also for the prevention of hemorrhoids. Before using any method of treatment, you should consult your doctor, as many herbs may be contraindicated for other diseases.

It is impossible to cure hemorrhoids only by folk methods. Treatment should be complex with the use of local preparations and agents. Alternative methods of treatment are more often used to eliminate symptoms and alleviate the condition of the pregnant woman.

Exercise for hemorrhoids

Gymnastics and physiotherapy exercises help to restore blood circulation in the small pelvis, reduce pain and swelling of the nodes.

Exercise complexes have a positive effect on functioning and prevent the development of constipation, which is one of the causes of hemorrhoids.

• To achieve the result, diaphragmatic breathing should be included in the exercises.
• The muscles of the buttocks and the anus should be tensed and relaxed for several minutes. First you need to tighten the muscles for a few seconds, and then relax. This exercise can be performed in any position.
• Having taken a horizontal position, you should slowly raise and then lower the pelvis while relying on the shoulder girdle and feet.

For a good outflow of blood, stretch the legs, and then bring them to the stomach. Do the exercise several times.

• An exercise that simulates cycling will help to activate the blood supply to the small pelvis. This exercise also strengthens the abdominal muscles and trains the thigh muscles.
• In a standing position, perform squats on toes. Squats don't need to be deep. When performing the exercise, you need to monitor your back, it should be even.
• Sitting on the floor, spread your legs apart. You can't bend at the knees. Perform forward bends, trying to touch the feet. Doing inclinations is prohibited in the third trimester. Repeat the exercise 5-7 times.
• They also perform leg swings alternately in different directions. Movements should be smooth.
• Exercise is absolutely harmless for pregnant women, but it is important to follow the execution technique.
• Charging should be done regularly 2 times a day. Perform each exercise at least 10 times. In case of exacerbation or recurrence of the disease, therapeutic exercises are not recommended.

If any discomfort is felt during the performance of any exercise, then it should be stopped. The most important thing when exercising is not to overexert yourself.

A set of exercises helps to improve bowel function, increase the tone of the muscles of the anus and prevent congestion in the pelvis.

Preventive actions

To avoid the appearance of hemorrhoids during pregnancy, you should adhere to the following recommendations.

• After each bowel movement, wash the perineum with warm water. If necessary, you can use a decoction or calendula. These herbs are anti-inflammatory.
• Walking is very important during pregnancy. Walking helps restore blood circulation and reduce the chance of congestion.
• Blood microcirculation is aggravated by wearing tight underwear, trousers. This should not be allowed, as this can provoke an exacerbation of the disease.
• Prolonged straining should be avoided.

• Don't sit in one position for a long time.
• You need to drink at least 1.5 liters of water per day.
• Monitor bowel movements and avoid constipation.
• It is recommended to wear a bandage.

It is useful to lie on your back several times a day with a pillow under your pelvis. So you can relieve tension from the spine and improve blood circulation.

How to eat with hemorrhoids during pregnancy

Smoked, pickled foods, as well as spices should be excluded from the diet. You should eat more fruits and vegetables. They activate the contractile function.

• Exacerbation of proctological disease is promoted by alcohol and strong coffee.
• You should follow a laxative diet, which includes the use of prunes, beets, as well as foods high in fiber. Fiber will help cleanse the intestines of toxins.
• A huge amount of fiber is found in buckwheat and barley porridge, bran and rye bread, vegetables, fruits. The diet should contain cereals, dairy products. You should limit the use of grapes, sweet apples, persimmons.

Rice porridge and semolina contribute to the formation of stagnation in the intestines, so it is not recommended to use it for constipation and hemorrhoids.

• Overeating with hemorrhoids is impossible. Food should be consumed in small portions and at least 5 times a day. It is desirable to take food at a certain time. The intestines will get used to the regime, which will improve well-being.
• Food must be chewed thoroughly. Large pieces should be crushed with a blender. Strengthen the signs of hemorrhoids can coarse fibers that irritate the mucous membrane.
• Drink a glass of water on an empty stomach. It helps to soften the stool and when defecation will not need to strain much.
• Hard feces during bowel movements can lead to mechanical damage to the anus.

While watching the video, you will learn about hemorrhoids in women.

It is possible to minimize manifestations with timely access to a doctor, correct diagnosis and adequate treatment.

Hemorrhoids is an expansion and inflammation of the veins of the final section of the rectum. In most women, external hemorrhoids appear for the first time during pregnancy or its chronic form worsens.

There are many reasons that provoke an exacerbation or primary appearance:

• a woman stops moving a lot;
• an enlarged uterus presses on the blood vessels;
• the intestines are compressed, constipation appears;
• the pregnant period is characterized by an increase in the production of the hormone progesterone, which is necessary for the normal bearing of the fetus, but at the same time, the intestinal walls become weak (intestinal motility decreases);
• improper, unbalanced diet;
• not the last role is played by heredity.

The risk of knots during pregnancy subsequently increases. What can be done to reduce the likelihood of an exacerbation? From the first days of conception, it is recommended to take drugs that can improve blood flow and strengthen the walls of blood vessels.

Health Threat

The consequences of untreated hemorrhoids can be serious.

• If the hemorrhoid is constantly bleeding, anemia may develop. A decrease in hemoglobin in the blood leads to oxygen starvation. All internal organs begin to receive less nutrients. The condition negatively affects the growth and development of the fetus.
• If hemorrhoids come out, an infection may develop. A purulent-inflammatory process joins. Toxins, entering the bloodstream, penetrate the placenta into the body of the fetus. Intrauterine infection occurs.
• Treatment should begin before labor. Hemorrhoidal seals can cause even more pain and discomfort during attempts. If the nodes fall out, then bleeding may open during childbirth.

Emerging hemorrhoids are easier to cure at the initial stage. The disease is easier to treat in the first trimester. If you ignore the problem for all 9 months of pregnancy, then after childbirth the condition will only worsen.

Therapeutic measures

What to do if the disease appears during the period of bearing a child? External hemorrhoids during pregnancy should be treated with extreme caution. Many components of drugs can not be used during this period. Some of them are prohibited in the first or second trimester. Preference is given to natural composition. In any case, the decision must be made by the doctor.

Medicines allowed during the period of bearing a child:

• Candles or ointment Hepatrombin G. Narrows the area of ​​edema and inflammation, reduces itching and burning. Relieves pain and strengthens the walls of blood vessels. Prevents the formation of blood clots. Treatment of hemorrhoids is allowed only from the second trimester.
• Relief. Ointment or suppositories contribute to the rapid healing of wounds and cracks, dissolve seals. The tool quickly relieves pain.
• Natalsid. There is a rapid healing of damaged areas, spasm and pain are reduced, inflammation is eliminated. Increases local immunity of the rectal mucosa.
• Candles and ointment posterisan approved for use not only during pregnancy, but also during breastfeeding. They include cells of Escherichia coli and a hormonal component - hydrocortisone. The drug has not only an anti-inflammatory effect, but also increases the activity of the body's protective cells.
• Bezornil. The ointment has a natural base. Helps to reduce the area of ​​swelling, inflammation, stops bleeding and heals anal fissures.
• Fleming. The ointment reduces inflammation, eliminates itching and burning. Eliminates cracks in the anus.
• Detralex, Venarus, Phlebodia. If the condition is accompanied by severe pain, bleeding, then a decision may be made to take venotonic tablets. They give strength and elasticity to the walls of blood vessels, improve blood flow. But they should be taken with caution, as the drugs make changes to the entire circulatory system.
• Heparin ointment. The agent, penetrating into the inflamed area, relieves swelling and inflammation, dissolves bumps, eliminates itching and prevents the formation of blood clots. Benzacoin, which is part of the composition, perfectly copes with pain.
• Vishnevsky ointment. It does not allow the development of inflammation, improves local blood circulation. Relieves swelling and pain, disinfects the damaged surface.

How to treat hemorrhoids if suppositories, pills and ointments do not help? There are cases when conservative methods do not help get rid of the disease or alleviate the condition only for a short time.

In this case, surgery is indicated. The main indication is the prolapse of nodes or their thrombosis. The condition is dangerous because during childbirth there may be a rupture of the rectum or other serious complications.

Minimally invasive (sparing) ways to get rid of hemorrhoids, allowed during the period of bearing a child:

• Cryotherapy. During the procedure, the node is frozen with liquid nitrogen.
• Ligation. The leg of the cone is pulled with a special thin latex ring. As a result, the power to the node stops and it disappears.
• Sclerotherapy. A special substance is injected into the cavity of the hemorrhoidal node, which glues the plexuses and food stops.

Traditional medicine against hemorrhoids

What can be done at home? Medicinal herbs should be used with caution during pregnancy. Many of them can cause allergic diseases and complications during pregnancy.

• A decoction of yarrow will help with the first signs of the disease, stop bleeding and reduce pain.
• A decoction of buckthorn and nettle leaves will help relieve pain and stop the inflammatory process.
• A decoction of blueberries will help relieve bleeding and pain.
• Steam treatment from milk with onions helps to get rid of the unpleasant symptoms of the disease.
• A decoction of a kidney mountaineer is able to eliminate pain and inflammation, stop bleeding. In addition, the decoction has a mild laxative effect.
• Potato candles. The starch contained in the vegetable envelops the walls of the rectum, creating a protective film. As a result, pain and inflammation decrease in intensity.
• An ointment made from propolis, honey and melted butter can relieve inflammation and pain, quickly heals cracks and abrasions.
• Ice chamomile candles are prepared from a decoction of medicinal flowers. It is poured into molds and placed in the freezer. After the liquid hardens, it can be used for its intended purpose. Cold can constrict blood vessels. As a result, the pain goes away, bleeding stops, swelling subsides and relief comes.
• Candles made from candied honey have anti-inflammatory and bactericidal action.
• If there is a loss of knots, a compress of grated carrots and beets will help. The procedure promotes the natural resorption of nodes, pain is relieved.

A pregnant woman is responsible not only for her condition, but also for the health of her unborn child. Therefore, you should not self-medicate and select funds on your own. Only a gynecologist and a proctologist can outline a treatment plan based on the characteristics of the course of pregnancy and the severity of hemorrhoids.

How often do we hear complaints from women - expectant mothers: "I was tortured by hemorrhoids." And this is no coincidence, because the presence of hemorrhoids during pregnancy is not uncommon. 40% of calls to doctors are related to this problem. 80% of urban residents suffer from this disease. Who is most likely to get hemorrhoids? Hemorrhoids are especially common among pregnant women. You can talk about pregnancy and hemorrhoids as synonyms.

Hemorrhoids - what is it? Why do women develop hemorrhoids so often during pregnancy? How to deal with this disease? These questions are of concern to many, and we will try to reassure you by providing detailed information about the features of the disease and its treatment.

What is hemorrhoids?

Translated from Latin, this term means "bleeding." The disease itself occurs due to the fact that the venous plexuses in the anus are overflowing with blood, forming hemorrhoids, which cause a lot of inconvenience and discomfort. The development of hemorrhoids before pregnancy or after, requires treatment, depending on the degree of intensity of the disease.

Why are hemorrhoids so common?

When a woman, hiding behind her pregnancy, says: “I have no desire to move anymore, because I am pregnant, I get tired quickly, I don’t want to walk, I have a car for this ...” - it is not surprising that the period of pregnancy is overshadowed by hemorrhoids. The culprit of the disease is considered to be none other than a sedentary lifestyle. However, hemorrhoids may appear during pregnancy for other reasons. These can be, for example: problems with the pancreas and thyroid gland due to malnutrition, excess weight, frequent constipation. A hereditary factor cannot be excluded, congenital anomalies in the structure of the veins are possible. In some cases, some drugs and chemicals affect, as well as alcohol abuse and physical overload can cause the development of hemorrhoids in pregnant women and not only.

Why is there a high risk of developing hemorrhoids in pregnant women?

Of course, the appearance of hemorrhoids before pregnancy is also a common fact, but after pregnancy it is much more common. The fact is that pregnancy is accompanied by many physiological changes in the female body. Among the reasons for the development of hemorrhoids in a pregnant woman, the most important are the following:

• Influence of chronic constipation (intestinal tone in pregnant women is reduced);
• Decreased mobility (women in the “position” do not have such an active life);
• Violation of blood circulation in the lower parts of the body (developing, the uterus presses on the inferior vena cava, the blood stagnates, which leads to the formation of hemorrhoids in a pregnant woman);
• During childbirth, women increase pressure inside the peritoneum, which contributes to the development of this disease.

At what time do hemorrhoids occur more often?

Although the disease is usually discovered after childbirth or during the third trimester of pregnancy, the appearance in the first and second trimesters is not uncommon for him, so you need to be prepared for the fact that this can happen. If you have already had a chance to face the disease, know that it will not go away on its own, treatment is simply necessary. It is very important to start being treated for hemorrhoids on time, then it will be possible to quickly alleviate the symptoms and easily defeat the disease. With hemorrhoids, pregnant women do not need to self-medicate, you should consult a doctor before choosing medications, especially during pregnancy.

How do hemorrhoids develop?

Due to the fact that the mentioned factors affect the body of pregnant women, the blood vessels of the rectum expand. During pregnancy, the longer the period, the higher their expansion. The walls of the veins lose their former elasticity, protruding under the mucous membrane with hemorrhoids.

If the hemorrhoids do not come out of the lumen of the anus, remaining in the lumen of the rectum, then they speak of the first stage. If you do not start treating the signs of hemorrhoids in a pregnant woman in time, the disease will continue to develop, the nodes will begin to “fall out” of the anus, but if they are reduced when changing positions, this is only the second stage. In the third stage, practically no one succeeds in adjusting the hemorrhoids in this way. Quite often, hemorrhoids appear after the birth of a baby, because during childbirth a woman is forced to push, strain the pelvic organs, which means that blood pressure in this area also increases, these factors may well affect the onset of the disease.

There is an assumption that a caesarean section will eliminate the risk of hemorrhoids, because in this case, during childbirth, a woman will not have to strain, the doctor will do everything for her. However, this assumption cannot be correct. A caesarean section is not only a risk of getting various postoperative complications (including hemorrhoids), but also a strong psychological shock for a woman in labor, and this affects the decrease in the body's resistance to various diseases. Therefore, if there are no other contraindications, then you should give birth in the traditional way. Moreover, the development of hemorrhoids before pregnancy is a very common phenomenon.

What are the symptoms of hemorrhoids?

Hemorrhoids in pregnant women can be internal (first stage) or external (second and third stages). Symptoms depend on the degree of development of the disease.

Symptoms of internal hemorrhoids in pregnant women and those who gave birth are less pronounced. If a woman says to the doctor: “I have pain during stool, I have bloody discharge in the stool, I am tormented by constant itching and discomfort in the anus” - most likely, this can be defined as symptoms of internal hemorrhoids.

External hemorrhoids during pregnancy, as well as after childbirth, “scream” about itself - it’s hard not to notice the purple-red nodes sagging from the anus. Due to hemorrhoids, a woman experiences pain all the time when walking and in a sitting position. When emptying the bowels, the pain is the strongest.

If the hemorrhoidal node is infringed, the temperature will definitely rise, the pain in the anus will become unbearable. In such a situation - it's time to contact the surgeon.

What examinations will have to be done to confirm the diagnosis?

Diagnosis of hemorrhoids during pregnancy is based on the collection of anamnesis. The doctor pays attention to the symptoms of the disease, conducts an examination. To clarify the guesses, the doctor will use the digital method of examining the rectum:

• Internal hemorrhoids are felt;
• Their location, number, size are assessed;
• The presence of rectal fissures is determined.

How to deal with shame?

How to treat?

Treatment of hemorrhoids during pregnancy depends on the form of the disease. Yes, the development of hemorrhoids in a pregnant woman is slow, but it is difficult to determine the disease at an early stage of its development.

The initial degree, which is asymptomatic, is treated with a diet and a special hygiene regimen (enemas, herbal ointments, decoctions). With the onset of symptoms of a pregnant woman with hemorrhoids, a combined drug treatment is prescribed. In severe cases, surgical intervention is required.

The initial stages of hemorrhoids in women during pregnancy are rarely diagnosed, so the methods of treatment can be considered preventive (enemas, baths from decoctions, diet). Hemorrhoids during pregnancy: treatment will not affect you. if you follow these two simple rules. What influences the development of the disease?

• It is necessary to eliminate constipation, so the diet is adjusted. More plant fiber will benefit, it is found in vegetables, cereals, prunes, fruits and cereals. You can give preference to lactic acid products, they will also be useful. Limit your intake of meat and other protein-rich foods. Fats, spicy seasonings, coffee will also have to be removed from the diet.
• Careful hygienic care of the perineal area in women during pregnancy is very important. This area should be washed after each bowel movement. It is possible to carry out sitz baths once a day using antiseptics (a weak solution of potassium permanganate, chamomile infusion).

In the case of the second stage during pregnancy, hemorrhoids are cured in two stages. The first is the obligatory observance of the above rules of prevention. The second is the use of drugs: systemic and local. Since hemorrhoids in a pregnant woman require a special approach, preference can be given to systemic drugs, because their application is local, and therefore the risk of side effects is minimal. And nothing threatens the fetus, because the negative impact will decrease.

The modern drug market includes many suppositories and creams for hemorrhoids in pregnant women. The composition of these funds includes: vasoconstrictor, analgesic, anti-inflammatory component. You can select the drug only individually in each case, before treatment, you should consult with a specialist. If you take care of your health, then pregnancy will become a holiday, and not a period of struggle with hemorrhoids.

You can pay attention to recipes from traditional medicine that do not affect pregnancy. An enema, homemade suppositories for hemorrhoids during pregnancy, herbal ointments, sitz baths with decoctions will be a good help in the fight against hemorrhoids, but only before that you need to consult a doctor.

Treatment of late stages of hemorrhoids in women during pregnancy is complicated by their position. The operation is postponed for the postpartum period, and during pregnancy they resort to conservative treatment.

Ayurveda and hemorrhoids

Probably the most ancient system of helping the sick is Ayurveda. For about six thousand years, this medical system allows not only to rid a person of various diseases, but also gives practical advice on prevention. Ayurveda is engaged in healing the sick not by means of medicines, but by harmonizing the world around the woman. Oddly enough, the preventive system of Ayurveda in practice turns out to be much stronger than simple therapy. You can use the system during pregnancy.

How to treat: "Flebodia" or "Detralex"

For the treatment of varicose veins, the drug "Flebodia" is widely used. The main effect of the drug is aimed at combating the process of inflammation and improving blood circulation. By means of the drug "Flebodia" you can remove puffiness, anesthetize, and most importantly, strengthen the walls of the capillaries.

"Phlebodia" in its composition has substances such as diosmin 600, which is designed to tone up and fight congestion in the veins. The next substance in Phlebodia is Si dioxide, talc, microcrystalline cellulose, opaglos, dyes and stearic acid.

Phlebodia is used for heaviness in the legs, with venous insufficiency, eliminates burning in the lower extremities and treats chronic hemorrhoids. Exacerbation of hemorrhoids is treated by taking Phlebodia 2.3 tablets per day after meals. It is possible to alleviate the symptoms with the drug already on the third day of use.

It is necessary to mention the side effects of Phlebodia. The drug may be accompanied by headaches, allergic reactions, dyspepsia. Phlebodia can be used during pregnancy and lactation only under the strict supervision of a physician.

An analogue of the drug "Phlebodia" can be called the drug "Detralex", which includes: Mg stearate, diosmin, glycerol, taklk, red oxide, Ti dioxide, etc. You can use the drug, like "Phlebodia", with varicose veins, leg cramps and with chronic or acute hemorrhoids.

Just like Phlebodia, Detralex should be used with caution for hemorrhoids in pregnant and lactating women. Treatment and dosage should be prescribed only by a doctor.

The drug, like Phlebodia, can provoke allergies, digestive disorders, and headaches.

The conclusion suggests itself

So that a woman does not have to say unpleasant words: “I have a problem - I was tortured by hemorrhoids, help!” - due attention should be paid to the prevention of the disease. Of course, the appearance of hemorrhoids in pregnant women is not a sentence, but it is always easier to prevent the disease than to fight it.

Hemorrhoids during pregnancy: treatment and prevention

Many pregnant women experience pain and discomfort during the act of defecation - this is a sign of hemorrhoids.

Modifications of the venous plexuses located around the rectum, with poor blood circulation, are called hemorrhoids. Overflowing with blood, the veins expand and form knots. Very often hemorrhoids appear during pregnancy, when the load on the pelvic organs, under the influence of the growing uterus and the child, increases.

Reasons for the development of the disease

Bearing a child is a physiological process that is not the cause of the disease. But the changes that occur in the body during this period can provoke hemorrhoids during pregnancy, if there was a predisposition to it. Usually, the provocateurs of the disease are such factors:

• The growing uterus begins to put pressure on the interweaving of blood vessels, reducing the tone and stretching them.
• Constipation, they are provoked by the pressure of the uterus on the intestines.
• In the third trimester, hemorrhoids in pregnant women provoke an inactive lifestyle. With a lack of movement, the outflow of venous blood worsens, hemorrhoids appear.
• During pregnancy, tastes can change. Excessive absorption of salty, spicy and smoked irritates the intestinal epithelium. This provokes the formation of hemorrhoids.

It is worth considering these facts and leading a normal life without abusing culinary whims.

Symptoms of the disease

The symptoms of this disease in each person are manifested individually. Signs of hemorrhoids during pregnancy may vary in severity. Only a doctor can make a final diagnosis and prescribe treatment. You should pay attention to the following processes:

• Discomfort in the anus. At first, there is a feeling of incomplete emptying of the bowels after a bowel movement. Then there is tingling, burning, itching. These symptoms are characterized by the fact that they can disappear, creating the illusion of recovery. And after a while appear again.
• Bleeding. If blood appears on the stool or toilet paper after a bowel movement, you should immediately consult a doctor. The fact that hemorrhoids bleed during pregnancy can cause anemia. Pregnant women often suffer from a lack of iron in the blood, and given the additional blood loss, the indicators can become critical.
• Swelling of the mucosa around the anus indicates an acute form of the disease. As a result of inflammation, discomfort and pain may occur during prolonged immobile work.
• Prolapsed hemorrhoids are a clear sign of external hemorrhoids during pregnancy. At first, the nodes fall out after a bowel movement, and are drawn in by themselves. With the development of the disease, they need to be adjusted by hand. It is not uncommon for a hemorrhoid to fall out simply after standing for a long time.
• One of the causes of hemorrhoids is constipation. It is also a concomitant symptom of the disease. Growing hemorrhoids squeeze the feces, preventing their passage through the rectum.

When hemorrhoids are detected during pregnancy - its symptoms are clearly visible - urgent action must be taken.

Features of the treatment of the disease during pregnancy

When symptoms of hemorrhoids appear, you should visit a proctologist. He will determine the stage of the disease and prescribe a treatment that will not harm the baby.

Diet and its features

At the initial stage of treatment, it is enough to balance the diet. Include more vegetables, fruits, dried fruits in your diet. You can take fiber in the form of supplements in food (50 g / day). It softens the structure of feces, which facilitates its passage through the intestines.

In the treatment of hemorrhoids in pregnant women, it is necessary to consume up to 2.5 liters. liquids per day. Water, herbal teas, juices should be drunk 30 minutes before meals or 2 hours after eating. But with the appearance of late toxicosis, limit its amount to a maximum of 1.5 liters.

Eliminate sweets, rich pastries, meat, sausages, salt from the diet. And also forget about spicy foods and spicy foods.

Be sure to include fish, cabbage, potatoes, beets and prunes in your diet. This helps to normalize digestion and improve intestinal motility.

Ointments acceptable during pregnancy

Heparin ointment has no contraindications. The anticoagulant heparin, which is part of it, relieves inflammation and dissolves blood clots. Benzoin quickly relieves pain.

Hepatrombin G is an ointment for hemorrhoids for pregnant women, which has high anti-inflammatory properties. The tool works effectively: relieves itching, swelling, dissolves blood clots. But it should not be used in the 3rd trimester of pregnancy.

Relief ointment is made on the basis of shark liver extract. Having a beneficial effect on hemorrhoids, it will not harm either the child or the mother.

Strengthens the walls of blood vessels Troxevasin ointment. It eliminates swelling, burning sensation on the second day of applications. This ointment is prescribed if the nodes are inflamed, pinched and do not heal for a long time.

A good remedy for hemorrhoids during pregnancy is homeopathic ointments. They include extracts of medicinal plants (sea buckthorn, yarrow, calendula, St. John's wort, etc.) and trace elements. The most popular is Fleming's ointment, it contains zinc and menthol, which alleviates pain and helps to heal hemorrhoids faster.

Posterizan ointment is prescribed if the patient has reduced immunity. It anesthetizes, providing a regenerating effect.

In case of inflammation and suppuration of the external nodes, Vishnevsky ointment is prescribed. Before treating hemorrhoids during pregnancy with ointment, it is necessary to take a bath with a weak solution of potassium permanganate.

Candles - the first assistant in this disease

Preparations for hemorrhoids during pregnancy have a different form of release. For example, Hepatrombin G, Posterisan, Relief and many other medicines are available in suppositories and creams. A woman can already choose what is more convenient for her to use, depending on the type and stage of the disease. It is important to choose the most natural suppositories.

On the basis of seaweed, candles for hemorrhoids for pregnant women are produced Natalsid. They accelerate the regeneration of damaged tissue, stop bleeding, relieve inflammation.

Procto-Glivenol suppositories are very effective against hemorrhoids. They quickly anesthetize, strengthening the walls of blood vessels and reducing their permeability. But this drug should not be used in the 1st trimester of pregnancy. I recommend using it in the 3rd trimester.

Folk methods of treatment

Often, expectant mothers, fearing to harm the child, use folk remedies for hemorrhoids during pregnancy.

Raw potatoes relieve inflammation, itching, draw in hemorrhoids. A candle cut out of it is lubricated with oil (rosehip, olive, sea buckthorn) or honey and inserted overnight into the anus. You can make compresses from grated potatoes.

Honey heals damage in the rectum. External nodes are lubricated with liquid honey, and candles are made from candied honey.

A decoction of viburnum berries and bark is used as a hemostatic agent. In addition, it improves immunity, heals tissues and relieves pain. The broth is drunk, compresses are made from it.

Gymnastics for prevention and treatment

The best prevention of hemorrhoids during pregnancy is to perform special exercises. During the period of exacerbation, classes are stopped. Help prevent hemorrhoids daily complexes for 10-15 minutes:

• Stand with your legs crossed. Tighten the anus and gluteal muscles for 10 seconds.
• Sit up straight on a hard chair. Draw in the muscles of the anus.
• Lie on your back. Raise your hips up on your feet and shoulders.
• Simulate cycling by bending and unbending your knees.

Hemorrhoids are a fairly common companion of pregnancy. To prevent its occurrence and minimize symptoms, follow all the recommendations of the proctologist. So you can forget about the unpleasant sensations and the awkward problem.

Hemorrhoids in a pregnant woman, hemorrhoids in pregnant women

Hemorrhoids during pregnancy can significantly complicate a woman's life. The development of inflammatory processes, bleeding, constipation are complicated by the accumulation of toxins in the blood, which affects the health of the unborn baby. In addition, when choosing a treatment method, the condition of the woman carrying the child should be taken into account so as not to harm her. The reason for the onset of the disease in a woman preparing to become a mother is mostly due to the fact that the growing uterus puts more and more pressure on the veins through which blood flows from the rectum. In turn, stagnation of blood stretches the walls of blood vessels, and therefore hemorrhoids are formed during pregnancy. The manifestation of pathology during childbearing should most often be expected in women who are at risk for other reasons.

Stages of hemorrhoids during pregnancy

In expectant mothers, hemorrhoids can manifest themselves in an internal or external form. With an internal form, the bumps are located at the anus from the inside. At the same time, heaviness is felt, and there may be constipation. The external form is more unpleasant and painful when hemorrhoids come out in a pregnant woman. In addition to severe pain, the inflamed bumps crack, and the feces that clog in the cracks cause irritation and unbearable itching.

In total, there are 4 stages of the course of the disease, each of which is characterized by its own characteristics:

1. The bumps do not go beyond the anus and protrude into the lumen of the rectum.
2. The hemorrhoid comes out of the anus, but is reduced when the position of the body changes.
3. Formations sagging from the anus cannot be set.

The first stage is internal and the other two are external. The fourth stage of hemorrhoids during pregnancy is the most dangerous and is a combination of internal and external hemorrhoids.

What does hemorrhoids look like in a woman during pregnancy?

What hemorrhoids look like during pregnancy depends on the stage of the disease. With a disease of the 3rd degree, the possibility of falling out of cones is noted at any voltage, and not only during the act of defecation. It is enough to sneeze, or just speed up the step, as they can fall out, and it is possible to set them into the rectum only manually. What hemorrhoids look like in pregnant women can be seen not only in the third stage, but also when the second stage is reached, when a crimson-red node comes out with a strong tension in a pregnant woman. In appearance, the bumps that came out during pregnancy in the fourth stage resemble an opened rosette, which cannot be reversed. Constantly bleeding formation brings unbearable pain and the only cure is surgery.

Hemorrhoids during pregnancy come out gradually, and are characterized by the following symptoms:

• pain during defecation;
• itching and other signs of discomfort;
• traces of scarlet blood in the stool during defecation.

If the appearance of cones during pregnancy is fixed at the second stage, then the following are added to the initial signs:

• drawing pains in the rectal region, radiating to the lower back;
• protruding hemorrhoids.

All pregnant women who have prolapsed hemorrhoids can be divided into three groups depending on the stage of the disease. The first group consists of women with asymptomatic course of the disease, identified during a preventive examination. In the second group there are patients who are concerned about pain and bleeding during defecation, itching in the anus, stool retention. The third group includes women in whom severe hemorrhoids during pregnancy are manifested by profuse bleeding, thrombosis.

If before pregnancy a woman had hemorrhoids that were not treated, then the hemorrhoidal bumps in the first trimester will increase and the disease becomes chronic. If the disease manifests itself in the first weeks of pregnancy, urgent measures must be taken to minimize the risk of complications. In the first trimester, hemorrhoids can be eliminated only by adjusting the diet and a special hygiene regimen.

The disease in early pregnancy is treated with folk methods, such as sitz baths with medicinal herbs. The complexity of treating the disease in the first trimester of pregnancy lies in the fact that a woman may not even know about her presence. The symptoms that are noted at the same time, a woman can attribute to signs of the emergence of a new life in her body. Therefore, even for a period of 3-4 weeks, any unpleasant symptoms are a reason to see a doctor. Moreover, self-medication for a pregnant woman is unacceptable because of the risk of possible complications. For a pregnant woman in the 1st trimester, hemorrhoids are most dangerous for a period of three weeks, when hormonal changes in the body occur.

Hemorrhoids during pregnancy 2nd trimester

During childbirth, increased intra-abdominal pressure provokes an increased flow of blood into the small pelvis, hemorrhoidal bumps begin to swell and increase in size. The result is postpartum hemorrhoids. The ongoing changes in the body of a pregnant woman, if she was not disposed to varicose veins of the rectal region, can lead to bumps coming out in the 3rd trimester.

However, the occurrence of the disease cannot be excluded in the second trimester. The choice of treatment in this case depends on the stage of the disease. However, if surgery is necessary for medical reasons, it is better to postpone the operation until the postpartum period.

Hemorrhoids in the 3rd trimester of pregnancy

Most often, bumps during pregnancy come out in the later stages. If they got out of a pregnant woman, then measures are taken to prevent the further development of the disease. First of all, this concerns the establishment of the work of the intestines. By eliminating constipation, you can even completely get rid of the disease. In addition to proper nutrition, it is necessary to wash yourself with cool water at room temperature after each act of defecation.

During pregnancy in the 3rd trimester, hemorrhoids occur in very many women. This is due to a significant increase in the weight of the fetus and the activity of the unborn baby. Treatment of the disease in this case requires a careful and cautious approach, when standard therapy cannot always be applied.

At 34-36 weeks of gestation, hemorrhoids can be eliminated by taking medications that are allowed at this time, as well as rectal suppositories and ointments. It is much more difficult if hemorrhoids come out at 38 weeks of gestation. At 38 weeks, this is also a fairly common phenomenon and this is due to the process of fetal development. By this time, the baby is a fully formed child weighing about three kilograms.

With hemorrhoids at 38 weeks of gestation, due to the additional pressure on the internal organs that the weight of the child exerts, it becomes very painful not only to go to the toilet, but also to simply move around or even sit. When hemorrhoids come out at 38 weeks, you need to urgently seek medical help. Received advice and treatment tips will help avoid otherwise inevitable ruptures during childbirth. Removal of hemorrhoids at 38 weeks of gestation is not performed surgically, but invasive methods for treatment are possible.

Chronic hemorrhoids during pregnancy

When diagnosing a chronic form of the course of the disease, the process of childbirth is very complicated and brings great suffering to the woman in labor. Therefore, before the onset of childbirth, it is necessary to apply maximum efforts to minimize the negative consequences of the disease. If no measures are taken and the disease is left to chance, then the negative consequences will be aggravated by the following problems:

• anemia
• diseases of the genitourinary system;
• a decrease in the level of hemoglobin in the blood;
• skin diseases.

To reduce the risk of exacerbation of a chronic disease during the period of bearing a child, it is recommended to do special exercises and move more. In addition, local treatment is used (candles, creams, ointments) that do not have a harmful effect on the development of the baby. They are heading to:

• reduction of edema;
• instant anesthesia;
• restoration of normal blood circulation;
• sphincter relaxation;
• prevention of thrombosis.

In general, the third trimester is the period when hemorrhoids come out at 36, 37-39 weeks of pregnancy. Childbirth can also provoke a sharp exacerbation of the disease with the possibility of serious consequences.

Such an exacerbation is caused by the fact that when passing through the small pelvis, the baby's head is significantly squeezed by the organs and tissues located in the woman's small pelvis. As a result, there is a violation of the venous outflow, increasing the stagnation of blood in the veins of the rectal region. The contractions and attempts of the woman in labor cause protrusion of the nodes, which can fall out, be infringed, or even rupture.

In the case of severe prolonged labor, hemorrhoids can form inside the rectum. Located between the folds of the mucous membrane, blue-purple nodes irritate the skin near the anus with mucous secretions, and when infringed in the anus, they cause severe pain. During the bearing of a child, purulent hemorrhoids are quite rare, but, nevertheless, the possibility of such a complication exists.

It is more correct to talk about purulent paraproctitis, which is formed in the absence of treatment of hemorrhoids. The resulting abscess creates discomfort when walking, the body temperature may rise. The resulting pus is removed by surgery. Considering that if the bumps come out at 39 weeks, when the operation is prohibited, the problem becomes life-threatening for the child. Therefore, as soon as hemorrhoids came out during pregnancy, it is urgent to start treatment, without bringing the situation to a critical state.

Often, in the initial stage of the disease, a pregnant woman believes that she can be patient, and minor symptoms will go away on their own. Such an opinion is deeply erroneous. The development of such a delicate problem when carrying a child is directly related to age and occurs more often in women who have already given birth than in those who give birth for the first time. According to statistics, the disease in women who have given birth again occurs five times more often than in primiparas. Women over the age of thirty are more susceptible to the disease.

Do hemorrhoids go away after pregnancy?

If a woman during the period of bearing a child got rid of hemorrhoids, then after childbirth, most often the disease may not bother for a long time. However, an unpleasant feature of this problem is the fact that it does not disappear completely, but simply subsides for a while. As a rule, a relapse of the disease occurs in a woman after forty years under adverse circumstances. Whether the disease will pass after childbirth depends on the woman herself. Proper nutrition with a diet, an active lifestyle, playing sports will help not only delay the period of a possible relapse, but also completely eliminate this problem.

According to statistics, hemorrhoids very often affect women during pregnancy. Childbirth and this disease often accompany each other. Hemorrhoids before childbirth occurs for many reasons. The development of the disease is especially dangerous for those expectant mothers who have already encountered a similar problem of blood stagnation in the pelvic organs. Therapy and fight against the disease are serious and paramount tasks before childbirth. It is very important to prevent the development of the disease further from its first symptoms.

Doctors believe that hemorrhoids that have arisen during pregnancy are not an obstacle to natural childbirth. If hemorrhoids got out before childbirth, you need to know that hemorrhoidal formations (nodes) can complicate the process of childbirth. In addition, childbirth brings severe pain, and the presence of hemorrhoids will provoke even greater pain. At the same time, hemorrhoidal internal and external bumps can affect the duration of the process of childbirth.

When carrying a fetus, it is recommended to try to protect your health as much as possible. Especially before childbirth, you need to be attentive to all the signals of the body. At the first suspicion of hemorrhoids, it is necessary to begin timely treatment. A woman should completely eliminate the problem of hemorrhoids that has appeared. Exacerbations of hemorrhoids are possible both before and during childbirth, as well as in the postpartum period.

Causes

The culprits of external hemorrhoids during pregnancy can be frequent constipation and stool disorders. Therefore, it is important to eliminate this cause, that is, to normalize digestion and improve intestinal motility. Constipation provokes malnutrition! However, during pregnancy, the level of progesterone rises, which can lead to stagnation of blood in the vessels of the small pelvis. Constipation also occurs due to the pressure of the uterus, in which the fetus grows, on the digestive tract and intestines.

Strong hormonal surges and unstable hormonal levels also affect the development of hemorrhoids during childbearing. The fact is that in large quantities, progesterone significantly lowers the tone of the vascular walls and causes stretching of the veins. Vessels greatly lose their own elasticity and strength.

The fetus growing in the uterus begins to put pressure on the intestines, as a result of which the outflow of blood is disturbed in the veins, and its stagnation develops. For this reason, postpartum hemorrhoids appear.

Childbirth puts a huge burden on the female body. Often it is the birth process that causes exacerbation of hemorrhoids. Hemorrhoids begin to cause very severe pain to the woman in labor.

The reason for the appearance of hemorrhoidal cones in pregnant women can also be a sedentary lifestyle. If the expectant mother moves little, sits a lot, does not engage in physiotherapy exercises, then blood flow is disturbed in the pelvic veins. This is followed by the appearance of hemorrhoids. A pregnant woman needs to regularly perform special exercises that prevent the development of the disease and are an excellent preventive measure against hemorrhoids. Doctors allow many special exercises to be performed right up to the birth itself.

Symptoms

During pregnancy, hemorrhoids may disappear inside the rectum, but during childbirth, the disease aggravates and the hemorrhoids can be damaged. In such a situation, the exacerbation is manifested by characteristic symptoms - burning, itching, severe pain, severe discomfort.

There may be a sensation of the presence of a foreign body in the anal canal. When the disease is started as a result of lack of treatment, external hemorrhoids develop. Hemorrhoids thoroughly spoil the health of the expectant mother and give her a lot of pain and discomfort.

According to proctologists, if hemorrhoids occur during pregnancy and before childbirth, the expectant mother should not panic at all. What to do if hemorrhoids come out before childbirth? First of all, do not self-medicate, but consult a specialist doctor.

Now pharmacological companies produce a wide variety of natural medicines that are absolutely safe and can be prescribed against hemorrhoids during pregnancy. Modern new generation drugs do not cause danger to the female body and the body of the unborn child. After the examination, the doctor will select the safest drug, and prescribe the correct solution for hemorrhoids. Thus, it is possible to quickly and effectively cure hemorrhoids before childbirth.

How to treat hemorrhoids before childbirth?

Treatment of hemorrhoids before childbirth should be comprehensive. Therapy should be aimed at eliminating the inflammatory process in the rectum and anal area, as well as at eliminating the causes of blood stasis. During pregnancy, non-toxic and safe means are prescribed - rectal ointments and suppositories. These drugs have an effective effect on the focus of inflammation itself. Very effectively relieve pain and reduce hemorrhoids such means:

• ichthyol ointment;
• ointment Neo-Anuzol;
• Vishnevsky ointment;
• Fleming's ointment;
• heparin ointment;
• Gepatrambin G

These funds are absolutely safe for intrauterine development of the fetus. Treatment of nodes with ointments helps to relieve the inflammatory process, prevents the development of infection further. Also a highly effective remedy are candles Relief, Natalsid, which quickly and efficiently eliminate hemorrhoids. During pregnancy, no capsules and tablets for oral use are prescribed in the treatment of hemorrhoids.

It is best to use safe rectal ointments and suppositories. The candle is inserted into the anal canal at night or twice - in the morning and in the evening. After the introduction of a rectal suppository into the rectum, it is necessary not to get up for about an hour. Otherwise, the contents of the drug will spill out of the anus.

How to quickly cure hemorrhoids before childbirth - effective recipes of traditional medicine will also prompt.

Folk recipes in the treatment of hemorrhoids before childbirth are an excellent alternative to drug treatment.

For compresses on the anal area, you can use such decoctions and infusions from medicinal plants:

• Oak bark;
• nightshade leaves;
• yarrow;
• chamomile;
• chestnut fruits;
• sage;
• onion peel;
• Rowan;
• alum.
• Cocoa butter can be periodically lubricated with inflamed hemorrhoids. Cocoa contains a medicinal substance tannin, which quickly and efficiently heals wounds and restores the rectal mucosa.

Enemas

Sitz baths in the treatment of hemorrhoids during pregnancy are contraindicated! Many expectant mothers are interested in the question - is it possible to use an enema for hemorrhoids? Carrying out such a procedure depends on many factors: the course of pregnancy, its duration, symptoms of hemorrhoids, the well-being of a pregnant woman.

You can not do an enema too often. An enema does not completely solve the problem - the procedure only helps to alleviate the condition of a pregnant woman with hemorrhoids. After the enema, temporary relief comes, but the enema itself does not eliminate the cause of the disease.

It should be remembered that the enema causes uterine contractions. Enema can be given no more than once a week. Such a procedure is strictly prohibited for those future mothers who have previously had miscarriages. Also, an enema is contraindicated when the uterus is in good shape. If, nevertheless, the doctor prescribes an enema procedure, it is better to use a small rubber pear with a volume of 0.5 liters for its implementation. The composition for the procedure should not be dangerous for the unborn child.

Oil and herbal microclysters are not allowed for all pregnant women. Only a doctor can prescribe such a procedure, taking into account the risks to the fetus and the benefits to the mother. Be sure to take into account the individual well-being of the expectant mother.

Disease prevention

Prevention of hemorrhoids before childbirth includes several measures:

1. The most important component is the correct diet of a pregnant woman, which allows you to improve the functioning of the digestive system, normalize bowel activity, and eliminate constipation. In order to avoid the development of hemorrhoids during pregnancy, and the intestines worked like clockwork, it is required to exclude fried, spicy, smoked dishes, spices, marinades, salinity from the diet. White bread and pastries, strong tea are also excluded from the menu. Fatty foods are also not recommended for pregnant women. You can eat fresh vegetables and fruits, baked and steamed dishes, herbs, dairy products, low-fat varieties of fish and meat. A special diet will help improve digestion.
2. Hygiene of the anal area is an important component of the overall prevention of hemorrhoids during pregnancy. The anus and anal area must be washed with cold water after each bowel movement. It is good to wash the perineum with warm decoctions of chamomile, calendula. It is also necessary to monitor the regularity of the chair and prevent constipation.
3. An excellent preventive measure for hemorrhoids when carrying a child will be movement and special physical exercises. A pregnant woman should perform simple gymnastics daily, which prevents stagnation of blood in the pelvic organs. It is also necessary to take walks in the fresh air.

Only if absolutely all preventive measures are observed, it is possible to avoid the occurrence of hemorrhoids before childbirth. It is important to take good care of your own health during pregnancy. In the event of hemorrhoidal formations, you will need to consult a doctor who will prescribe a safe and proper treatment.

Why do hemorrhoids bleed during pregnancy?

Hemorrhoids is a painful and uncomfortable disease, it takes a long time to treat it, and everyone is subject to it, without exception - both women and men. And it is especially dangerous for women during pregnancy. It is not for nothing that even the very word "hemorrhoids" in folk slang means endless problems and worries, and all kinds of candles, ointments and other preparations from it have become a separate item of income for pharmacology.

This disease is caused by a deviation in the functioning or development of hemorrhoids. The presence of these formations in the human body is the norm: being in their usual form and condition, they perform a number of such vital functions as ensuring the normal functioning of the gastrointestinal tract. So, in particular, these nodes keep the contents of the intestine from excessively rapid patency, giving useful substances time to be absorbed into the walls after eating.

Hemorrhoids are made up of bundles of large and small blood vessels that clump together to support the intestines. Since each such node makes up not only venous vessels and capillaries, but also arterial connections, there is bright red blood with hemorrhoids, which scares many patients - it is impossible to stop it, like blood from a nose or from a scratch, what to do is unclear. There is no hemorrhoid without bleeding - the very word "hemo" in translation means blood, not a single stage of the disease is complete without damage to the nodes and, as a result, bleeding.

Even in women who are not predisposed to the occurrence of such diseases, pregnancy and childbirth can be the cause of the pathology. During pregnancy and after childbirth, muscles are rebuilt for new types of work, the load changes. If at the same time the ligamentous apparatus of the lower part of the rectum weakens, then the likelihood of developing hemorrhoids increases. The muscles can no longer hold the nodes in place, they gradually descend, squeeze out, appearing in the form of a bleeding clot. The result is the same - there is a lot of blood after a bowel movement, itching and severe discomfort in the anus are felt, various candles and ointments begin to be indiscriminately used, none of which heals, and worries about the health of not only one’s own, but also the child’s, exacerbate all these sensations .

What is the cause of hemorrhoids during pregnancy?

A predisposition to the disease can be a hereditary phenomenon that you have never even heard of before pregnancy. Hemorrhoids during pregnancy (treatment) occur in women much more often than in the normal state. During the formation and bearing of the fetus, many changes occur in the mother's body - including in the form of changes in the cells. Connective tissue fibers begin their restructuring and become much less plastic during this time.

The situation is also complicated by the special state of the body of pregnant women: for example, due to purely physiological changes in the pelvic organs, constipation of venous blood occurs, and because of this, the intestines do not work well, constipation occurs. This problem in itself is not fatal, but the fact that in the process of defecation during constipation you have to strain harder, saturates the hemorrhoids with blood and exacerbates the risk of detachment of the nodes.

If the blood goes strong enough, then the general condition of the mother worsens - weakness, dizziness, pressure drops are possible - because the body loses oxygenated blood. But if the knot does not bleed, it is by no means better. An increase in blood clotting can lead to thrombosis - then the blood will not be excreted along with the feces, but will clot directly in the intestine, eventually forming an obstruction. The result is inflammation, an infection that is difficult to treat.

What are the symptoms of hemorrhoids?

Pregnant women need to listen much more closely to their bodies in order to recognize a threat to their health or that of their baby. Hemorrhoids have quite distinguishable identifiable signs.

1. Bleeding hemorrhoids during bowel movements. This problem is one of the main signs of incipient hemorrhoids, by which it can be recognized at the initial stage. Of course, such bleeding is also observed in other diseases of the gastrointestinal tract and even in oncological pathologies in this area of ​​the body, but in any case, abnormal bleeding after defecation, even small ones, is a reason to start treatment. Hemorrhoids can be identified by the color of blood discharge - bright red.
2. Prolapse of hemorrhoids during the act of defecation is a sign of a progressive disease. Such a prolapse is quite noticeable, although it still does not cause severe pain. At the initial stage, the nodes return "in place", inside the intestines on their own, but over time, this will require effort and even physical impact. At an advanced stage of the disease, such prolapses not only cause severe discomfort and cause acute pain, but also occur much more often - when lifting even a small weight, coughing and other efforts. Such complications that fall on the last trimester of pregnancy are especially dangerous, so timely treatment is simply necessary.
3. Pain sensations gradually begin to appear already at the initial stage of the disease, and with its progression they only get worse. At first, it can be itching or slight discomfort when the bumps move inside, in the future it is a sharp pain when the nodes fall out, a constant burning sensation in the anus - you need to treat not only the consequences, but also the cause of these phenomena.

Consequences and diagnosis in pregnant women

Pregnant women with hemorrhoids should be afraid mainly not of pain and dirt, but of the consequences of this disease. Of course, a person loses blood daily, but even at the initial stage of development of hemorrhoids, the amount of blood released along with feces is quite large. If we take, for example, the amount of discharge per week, then 14-20 days will be quite enough for the development of anemia - alas, losing blood is much easier than restoring it. Untreated anemia during pregnancy leads to underdevelopment of the child's organs, low blood pressure and immunity. The last trimester, due to the processes associated with anemia, is characterized by the danger of premature birth, and the first - by the threat of miscarriage.

There is a possibility of inflammation: the rectum serves as a breeding ground for bacteria. The inflammatory process begins in the intestines, and then spreads to the internal organs, including the fetus.

How to treat hemorrhoids during pregnancy? If hemorrhoids are detected early enough, then surgery is not required: in the case of pregnant women, no action is taken before childbirth, except for regulating diet and stool. Hygiene procedures are prescribed, candles - that is, gentle treatment.

If the disease has passed into a progressive stage, more serious treatment may be required. To find out exactly what and how to treat, you should contact a specialist proctologist. A therapist or gynecologist can give a referral to him - and the proctologist's office is often also located within the walls of the antenatal clinic, where the pregnant woman is registered. Sometimes a gynecologist may prescribe a visit to a coloproctologist - a doctor who directly deals with diseases of the rectum.

How are hemorrhoids in pregnant women treated?

Treatment of hemorrhoids during pregnancy is carried out both by external methods (especially if one node or several fall out), and internal. Moreover, it will be a mistake to believe that for a complete recovery it is enough just to take medicines, put candles and use ointments - although these methods are also good. Hemorrhoids require an integrated approach, that is, it will also be necessary to use hemostatic drugs, hygiene procedures, maintain a diet, and so on.

Treatment of hemorrhoids requires compliance with several rules.

1. Established mode of fluid intake. Often, after complaints of pain in the stomach and rectum, even before the discovery of hemorrhoids, a truncated fluid intake is mistakenly prescribed. As a result, we get not only dehydration of the body and a failure in the metabolic system, but also constipation, which only leads to an aggravation of the situation and an even stronger development of the disease.
2. Medical treatment. With bleeding hemorrhoids, vasoconstrictor and anti-inflammatory drugs are prescribed. This class of drugs is also called venotonics - they act on the vascular wall of the intestine and reduce the progress of the disease. An ideal option would be a venotonic that has an analgesic effect for a long time (for example, such as Detralex). Preparations such as softening ointments and hemorrhoid suppositories are also prescribed by a doctor.
3. Diet - with a sufficient amount of liquid food, which should be eaten slowly and in several doses, as well as the use of natural carriers (beets, plums, etc.). If there is a risk of constipation, a laxative should be taken.
4. Hygiene procedures will be required if the hemorrhoids have already begun to fall out - they are necessary to prevent the inflammatory process. After cleaning, candles are used.

Hemorrhoids during pregnancy are not only unpleasant, but also dangerous - therefore, in no case do not postpone a visit to the doctor, even if the slightest symptoms are found. Moreover, it will not take much time - a proctologist can be found in the antenatal clinic.

How to stop bleeding with hemorrhoids, what to do to treat the disease?

Hemorrhoids can manifest themselves with different symptoms: inflammation of the nodes, pain, discomfort. But the most characteristic symptom of the disease is bleeding from the anus, which is present with varying degrees of intensity at any degree of development of the disease.

If at the initial stage the bleeding is insignificant, and only scarlet drops of blood can be found on the toilet paper, then as the hemorrhoids progress, the bleeding can become massive and pose a serious threat to the patient's health. The first manifestations of this symptom often frighten the patient and cause a feeling of panic and confusion. What to do if a similar situation arises, who to contact for help, how to stop bleeding with hemorrhoids, what remedies (ointments, suppositories, tablets) should be used to treat the disease?

Usually bleeding with hemorrhoids is not accompanied by pain and stops after defecation. Nevertheless, urgent and adequate treatment is necessary, since after such a symptom of hemorrhoids, complications of the disease can follow: rectal fistula, anal fissures, acute paraproctitis and even colon cancer. And then there will already be severe pain, pus and mucus in the stool, high fever.

Causes of hemorrhoidal bleeding

Hemorrhoids are formed as a result of a violation of the venous outflow in the rectum. The veins overflow with blood, increase in size and form nodes, which, as the disease progresses, increase in volume and periodically become inflamed. Internal hemorrhoidal cones reduce the lumen of the rectum and make it difficult to empty the bowel.

Symptoms

The development of bleeding in the initial stages is signaled by drops of scarlet blood released during bowel movements. They can be found on the surface of feces, toilet paper or underwear. Pain is usually absent, bleeding at first is negligible, and discharge quickly stops after defecation. In severe forms of hemorrhoids, blood loss can be significant and difficult to stop. In such cases, the patient needs emergency hospitalization.

If an alarming symptom occurs, the patient should seek qualified medical help as soon as possible, undergo an examination and receive adequate and timely treatment. Otherwise, bleeding is fraught with serious complications.

Possible Complications

Bleeding hemorrhoids, no matter how much blood is shed, must be treated. Otherwise, with further progression of the disease, serious complications may develop that threaten the health and life of the patient.

When bleeding from the anus occurs, it is necessary to get an appointment with a proctologist and undergo a full diagnostic examination to identify the cause of the alarming symptom. The doctor will prescribe a course of therapy aimed at eliminating adverse manifestations. But what to do if the bleeding caught the patient by surprise, what measures can be taken before the person gets to the doctor's office?

First aid: stop bleeding with internal and external hemorrhoids

If it is not possible to get an appointment with a proctologist soon, you can stop the bleeding yourself.

First of all, you should discard fears and calm down. Bleeding in the early stages of hemorrhoids is rarely severe and prolonged and does not pose a threat to life. In the vast majority of cases, blood appears only after a bowel movement or lifting excessive weights, and stopping its release is quite easy. To do this, take the following steps:

With these emergency measures, sudden bleeding can be managed. To prevent recurrence, careful diagnosis and high-quality medical treatment are necessary.

Diagnostic measures

To clarify the diagnosis and choose the right treatment tactics, you will need to undergo a comprehensive examination. First of all, the proctologist must make sure that the bleeding is caused by damaged hemorrhoids, and not by any serious internal pathology.

A proctological examination includes an external examination, in which the doctor can detect bleeding external nodes, and a digital examination, which allows you to detect internal nodes. In addition, instrumental types of examination are carried out:

These studies allow you to exclude other dangerous pathological conditions and choose the right tactics for the treatment of bleeding hemorrhoids.

Treatment of hemorrhoidal bleeding - necessary medicines: (suppositories, ointments, tablets)

Treatment of bleeding from hemorrhoids depends on its severity and the stage of the underlying disease. With minor bleeding, conservative drug therapy is used and the following drugs are used:

With frequent recurrences of bleeding and heavy blood loss, leading to the development of anemia, the patient is recommended surgery. With massive bleeding, an operation to remove hemorrhoids is carried out immediately. In other cases, the use of minimally invasive techniques (ligation of nodes, cryotherapy, sclerotherapy, laser coagulation) is recommended. In the postoperative period, the appointment of venotonics (Detralex, Phlebodia, Troxevasin), iron-containing drugs and agents that normalize blood properties is indicated.

Drug treatment of bleeding in hemorrhoids is often combined with physiotherapy and the use of traditional medicine.

At the first and second stages, when bleeding appears only during defecation and is still insignificant, conservative treatment is used. First of all, local preparations are prescribed in the form of suppositories, ointments, gels. They soften the stool and increase the overall tone of the rectum. This helps to avoid damage to the nodes by stool. Also, these drugs reduce pain during bowel movements. The most popular remedies for local treatment of hemorrhoids for bleeding are:

• hemostatic suppositories with propolis, adrenaline suppositories, methyluracil and homeopathic suppositories (with sea buckthorn oil, calendula, Relief-ultra);
• heparin ointments, Vishnevsky, Fleming, proctosan, troxevasin, relief, hepatrombin and others;
• hemorrhoid creams proctonis, boroderm, fitol-5, tianhe, proctoglivenol and others;
• gels mastocrel and others.

In any case, you should not treat yourself. The diagnosis of the disease should be made only by a doctor on the basis of additional studies. This is necessary in order to exclude other diseases that can also cause bleeding from the anus. It can be:

Folk remedies to stop and treat hemorrhoidal bleeding

In combination with drug therapy, bleeding with hemorrhoids can be treated with folk remedies. Such treatment involves the widespread use of a variety of decoctions and infusions of medicinal plants. Decoctions can be used as a lotion for external hemorrhoids and make microclysters with them for internal hemorrhoids.

With small bleeding, home-made candles with the addition of propolis, fir oil or candles cut from raw potatoes help. Traditional healers advise putting ice candles, but they should be kept for a short time, initially no more than 5-10 seconds.

All folk recipes can be used to treat hemorrhoidal bleeding only after consulting a doctor and under his supervision.

Treatment of bleeding hemorrhoids during pregnancy

It is during pregnancy that half of women develop hemorrhoids, which can be accompanied by bleeding. However, the difficulty of treating pregnant women lies in the fact that not all hemorrhoid medications can be safe for the unborn baby.

• aurobin,
• family of ointments relief for the treatment of hemorrhoids,
• proctosedyl,
• Vishnevsky,
• hepatrombin G,
• Fleming,
• proctoglivenol.

Suppositories are actively used, which soften the feces and contribute to its less traumatic passage through the intestine. Of the candles for pregnant women, almost any candles for hemorrhoids are shown, with the exception of those that are made based on belladonna (belladonna) extract. Of the means of traditional and medicinal medicine, pregnant women are contraindicated in drugs based on buckthorn and hay herbs.

Diet for bleeding hemorrhoids

Nutrition for hemorrhoids with bleeding involves the exclusion from the diet of foods that cause a rush of blood to the pelvic organs. As a result of the use of such dangerous products, the damaged vessels of the hemorrhoids cannot withstand pressure, and bleeding opens. These include:

The diet involves a complete rejection of the above products, especially strong alcoholic beverages are categorically excluded. In addition, it is necessary to exclude products that cause fermentation processes in the intestines and excessive gas formation. These are vegetables with coarse fiber (cabbage, corn, radish, radish), high-calorie flour products from yeast dough, sweets, kvass.

A diet for hemorrhoids with bleeding should improve intestinal motility, normalize the digestive tract and facilitate defecation, relieving constipation. A laxative milk and vegetable diet will help to subside adverse symptoms and eliminate bleeding.

Proper nutrition with bleeding hemorrhoids is based on the consumption of vegetables and fruits, berries and herbs. Undoubted benefits will bring apples, raw or boiled beets, carrots, cucumbers, zucchini, apricots. The diet should contain natural laxatives - raisins, prunes, dried apricots.

Include in your daily menu:

• porridge boiled in water
• low-fat meat and fish broths,
• bran bread,
• lean meats and fish.

Try to exclude sweet carbonated drinks, strong tea, coffee, they cause dehydration of the body and provoke the development of constipation. You should limit the consumption of starchy foods (potatoes, rice), pasta, fresh bread, muffins, confectionery and sweets.

On the table every day there should be salads seasoned with vegetable oil, to improve bowel function it is useful to drink 1 tablespoon of vegetable oil two to three times a day. The menu must include fresh fermented milk drinks (kefir, curdled milk, bifidok, yogurt), it is useful to drink a glass of any fermented milk drink at night. This will allow you to achieve easy bowel movements and soft stools that do not injure the inflamed intestines.

An important point is the correction of the drinking regime, it is necessary to drink at least eight glasses of liquid per day. It can be juices, compotes, fruit decoctions, herbal and green tea, mineral and ordinary drinking water. The lack of fluid in the body leads to the formation of hard feces and contributes to constipation, with sufficient consumption of it, the stool will be soft, and bowel movements will be easy, which is important in the presence of bleeding.

You should eat in small portions, five to six times a day with an interval of 2.5 - 3 hours. This will improve the functioning of the digestive tract and prevent overeating.

Prevention

As preventive measures to exclude bleeding in hemorrhoids, proctologists note the timely treatment of diarrhea and constipation, proper nutrition, which promotes regular defecation, the use of a large amount of vegetables, fruits, dairy products.

An important point is the timely appeal to a specialist when the first adverse symptoms of hemorrhoids appear and the treatment of the disease in compliance with all medical recommendations. An active and mobile lifestyle, sports, long walks, and therapeutic exercises will help to cope with the disease.

External hemorrhoids during pregnancy, the treatment of which must be carried out as early as possible, is a common disease in women. An increase in the mass of the fetus leads to the fact that the reproductive organ begins to put pressure on the internal organs and the result is the appearance of hemorrhoids. Often, patients do not rush to consult a doctor and resort to self-treatment, suffering from pain and discomfort.

Features of the disease

Experts divide hemorrhoids into two types:

• interior;
• outer.

Initially, the pathology develops without the appearance of characteristic symptoms and patients are unaware of their illness. Usually, the initial stage of the pathology is internal hemorrhoids, which can cause a burning sensation and itching in the anus during bowel movements. In fact, internal hemorrhoids during pregnancy are not diagnosed so often and predominantly women develop an external form of the disease.

External hemorrhoids during pregnancy causes the appearance of hemorrhoidal bumps, the localization of which becomes the anus. Such knots look like small seals, which are painted in burgundy color. Such formations in the anus can periodically become inflamed and give a woman a lot of discomfort and inconvenience.

In the event that an inflammatory process develops in the bumps, then during the act of defecation, blood may appear from the anus along with the rock. In fact, this condition poses a serious danger to the health of the expectant mother, since pathogenic microorganisms can enter the blood, and this can adversely affect the development of the child. It is for this reason that when the first signs of the disease appear, it is necessary to see a specialist as soon as possible.

What causes hemorrhoids during pregnancy?

• sedentary lifestyle;
• progression in the body of various infections;
• the appearance of tumors in the intestine or liver;
• eating a large number of spicy foods and coffee;
• severe stressful situations;
• extra pounds or obesity;
• frequent constipation.

Most often, hemorrhoids during pregnancy occur in the last months, as the expectant mother begins to move less and rest more. Gradually, the blood flow slows down and the result is venous congestion, which causes the appearance of hemorrhoids.

Degrees of pathology and characteristic signs

Hemorrhoids in acute form during pregnancy can go through the following stages of development:

1. The first degree of the disease is accompanied by the formation of painful nodes of a small size, and the appearance of such unpleasant symptoms as itching and burning. In addition, a woman may notice discharge from the anus without an admixture of pus. Most often, these symptoms increase after a bowel movement and gradually subside.
2. The second degree of pathology is characterized by the development of an inflammatory process in the area around the anus. Hemorrhoids increase in size and there are pain in the anus, which are even more intensified during movement. At the second stage, there is a stronger clamping of the sphincters, which makes it difficult to conduct a digital examination.
3. The third degree of hemorrhoids is accompanied by severe swelling of the tissues around the anus and staining of the mucosa in a bright red color. Hemorrhoids significantly increase in size and turn dark purple. At this stage of the disease, necrosis of the cones may occur, and this is manifested by the formation of black areas. A woman is worried about strong pain in the anus, which intensifies with any movement.

When the acute form of the disease becomes chronic during pregnancy, a woman may develop swollen, inflamed veins that are localized around the anus. They can both act outwardly and not appear at all. Given this factor, many women are unaware of the presence of such a pathology as hemorrhoids.

Features of the treatment of the disease during pregnancy

It is necessary to seek help from a specialist immediately if there is a suspicion of the development of a disease such as hemorrhoids. He will conduct a thorough diagnosis and select an individual treatment regimen for the woman, with the help of which it is possible to save the life of the child and save the mother from discomfort and pain.

In fact, hemorrhoids develop rather slowly, so the necessary measures should be taken even before the onset of unpleasant symptoms. What recommendations help get rid of hemorrhoids without medication and surgery?

• revision of the diet to normalize the stool;
• compliance with hygiene measures for body care;
• moderate physical activity on the body;
• drinking enough water throughout the day.

During pregnancy, a woman's diet should include a variety of foods, and to prevent problems with constipation, it is recommended to consume as many high-fiber foods as possible. Fermented milk products help to normalize bowel function and restore stools, and it is best to refuse to eat foods with a high protein content.

To prevent hemorrhoids during pregnancy, it is necessary to carry out hygienic body care procedures. It is important to remember that after each bowel movement, the perineum and anus should be washed with cold water. A good effect is given by daily taking baths with infusion of chamomile or a weak solution of potassium permanganate.

Treatment of external hemorrhoids during pregnancy also begins with the observance of such preventive measures, which makes it possible to prevent the progression of the disease in the future. After that, they resort to the help of drugs, and during pregnancy, preference is given to topical agents. Medicines are applied exclusively to the affected area, which avoids the appearance of side effects and reduces the negative effect of the drug on the fetus.

Medications in the fight against the disease

Treatment of external hemorrhoids during pregnancy should be carried out only under the supervision of a specialist, and especially if the pathology is diagnosed at 31-38 weeks. You should not delay a visit to the doctor, but apply immediately if unpleasant symptoms appear. In the event that bleeding and acute pain occur during pregnancy during an act of defecation, then calling an ambulance can no longer be avoided.

Many mothers are concerned about the question of how to treat the disease, being in an interesting position? Conventional antihemorrhoidal drugs are available in the form of creams, ointments and suppositories, which contain analgesic and anti-inflammatory components. The use of many drugs is contraindicated during pregnancy and especially during the first trimester. The most sparing among the whole variety of drugs is heparin ointment, Relief and Vishnevsky ointment.

To reduce pain, a small amount of ointment is applied to the affected area, which contains anestezin. With a gestational age of 31 to 38 weeks, the treatment of hemorrhoids can be carried out using a drug such as Hepatrombin B. Thanks to him, it is possible to get rid of tissue swelling and achieve an anti-inflammatory effect.

It is not recommended to treat external hemorrhoids during pregnancy with medications, but it is preferable to use topical agents. This is due to the fact that a woman and a child have one bloodstream, so medications can adversely affect the condition of the fetus. In fact, the treatment of external hemorrhoids is much easier than internal. With this form of pathology, all the bumps appear on the outside, so you can easily apply anti-hemorrhoidal agents on them in the form of ointments.

You can treat external hemorrhoids with the help of an ointment such as Relief, the constituent component of which is shark liver. Such a drug has a mild and delicate effect on the lesion and allows you to get rid of the disease for a long time.
In any pharmacy, you can buy such a drug as sea buckthorn oil, which should be in the first aid kit of every pregnant woman with external hemorrhoids. The main advantage of this drug is the presence in it of a large amount of vitamins. The oil can be used to treat hemorrhoids, because it has a wound healing effect.

In the event that hemorrhoids are accompanied not only by severe inflammation and itching, but also by bleeding from the anus, then experts recommend using Bezornil ointment. The composition of such a drug includes only natural ingredients, so their negative effect on the fetus is completely excluded. Such a tool is absorbed by the walls of the intestine, kills pathogenic microorganisms and thereby prevents them from entering the bloodstream.

An effective drug against external hemorrhoids is Fleming's ointment, which is completely harmless to the expectant mother and her child. The composition of the medicine includes various herbs, thanks to which it is possible to eliminate pain and itching in the region of the anus. In the event that hemorrhoids enter an advanced stage, then treatment only with the help of such a remedy will not bring the desired result.

Surgery for hemorrhoids during pregnancy

In some cases, the treatment of hemorrhoids during pregnancy is carried out using more serious measures than drug therapy. This usually happens with those patients who suffered from the disease even before the onset of pregnancy and did not carry out its timely treatment. The conception of a child only further increased the manifestation of unpleasant symptoms of the disease, and complicated the state of women's health.

How to treat pathology if it goes into a neglected form? Surgery is resorted to if hemorrhoidal bumps prolapse, or a blood clot forms in the area of ​​such nodes or right in their place. Such a pathological condition is especially dangerous immediately before childbirth, as it can lead to rupture of the rectum. It is for this reason that in some cases, to eliminate hemorrhoids, radical methods of dealing with the disease are resorted to.

When diagnosing advanced external hemorrhoids during pregnancy, treatment can be carried out using minimally invasive methods:

• laser coagulation involves exposing the node to too low or high temperature, which causes it to die;
• doping is the pinching of the hemorrhoidal bump with the help of a special mechanism, which leads to its death;
• Sclerotherapy involves the introduction of a special drug into the hemorrhoidal formations, and their subsequent removal.

It is extremely rare during pregnancy to resort to surgical intervention to remove the hemorrhoid, since the use of any anesthesia is not desirable.

External hemorrhoids is considered a complex pathology that often develops during pregnancy. A woman should immediately seek the advice of a specialist when unpleasant symptoms appear, which will avoid the development of many complications.