Internal hemorrhoids in pregnant women. Possible risks and complications. As a rule, topical hemorrhoid remedies for pregnant women are used to minimize the effect of drugs on the child's body.

Pregnancy greatly weakens a woman's body. All organs and systems are under tremendous stress, some of them can not cope with the assigned functions. During this period, chronic chronic diseases often make themselves felt. It is not uncommon for new ones to appear.

It cannot be said that pregnancy is the cause of the development of these diseases. However, it certainly increases the risk. One such problem is hemorrhoids.

What is hemorrhoids? Reasons for its development

Hemorrhoids are an extremely unpleasant and very delicate disease. It is still not customary to talk about him, and many are embarrassed to contact a doctor with complaints in this area. Hemorrhoids, by and large, are just varicose veins that are located in the rectum, as well as in the anus.

Strictly speaking, the cause of hemorrhoids is the stagnation of blood in the veins in the pelvic area. But the stagnation itself can begin for various reasons. First of all, this is facilitated by the modern lifestyle: a minimum of movement, most of the work is done while sitting. According to this point, as you understand, almost every inhabitant of the modern world falls into the risk zone. It is here that the reason for such a frightening spread of hemorrhoids is hidden. According to statistics, more than 50% of the population of our country suffers from this disease in one stage or another.

With no less inevitability, constipation leads to the development of hemorrhoids, which means malnutrition, an abundance of fatty and heavy foods. Unfortunately, more and more people eat unevenly, fast food dominates the menu. Naturally, this adversely affects digestion.

Physical activity, overexertion, heavy lifting can also cause the development of hemorrhoids. For this reason, professional athletes often suffer from the disease. Can be caused by illness and other diseases.

Symptoms

Symptoms of hemorrhoids during pregnancy are not much different from the manifestations of this disease at any other time: itching, burning in the anus, feeling of fullness in the intestines, pain during bowel movements, bleeding, liquid discharge. Depending on the type and degree of hemorrhoids, it is determined how pronounced the symptoms will be and in what combination they will be. Note that the signs of hemorrhoids during pregnancy are not very pronounced, which complicates the diagnosis.

Why is the disease dangerous?

Many people think that, minus the discomfort, hemorrhoids are a harmless disease. In fact, it is difficult to call it such. One of the possible complications is thrombosis and, as a result, tissue death.

But even hemorrhoids themselves can cause a lot of discomfort. So it's not worth it to start the disease. Where better to treat it in the early stages.

Types of hemorrhoids

Doctors distinguish between several types of hemorrhoids. First of all, it is worth talking about the classification according to the causes of occurrence. So hemorrhoids caused by constipation, a sedentary lifestyle or a high load, are called primary. This means that it develops on its own.

However, this disease can be a consequence or one of the complications of another disease. In this case, they talk about secondary hemorrhoids. That is, before proceeding with treatment, it is necessary to determine what provoked the complication and treat the primary disease.

Please note that hemorrhoids that begin during pregnancy are considered primary. That is, its development is not directly related to pregnancy.

There are also internal and external hemorrhoids. The first type is characterized by the development of hemorrhoids deep in the rectum. Outside, this type of disease is almost invisible, although it is very sensitive and more dangerous than external hemorrhoids.

The latter is characterized by the development of hemorrhoidal angles directly near the anus.

Also, this disease can occur in a chronic form and in an acute one.

chronic hemorrhoids

Pregnancy is most often characterized by chronic hemorrhoids. In the early stages, he often manifests himself extremely weakly. Many women learn about their illness only at a routine gynecological examination or remain in the dark until the very birth.

As hemorrhoids develop, discomfort may come and go. But in any case, at first they are quite insignificant. Often this calms the patients, they are sure that everything has passed or will pass by itself.

However, over time, hemorrhoids during pregnancy begin to bleed and hurt. And if in ordinary life the initial stage of the disease can last for several years, then pregnancy significantly accelerates its development.

Very quickly, the sensations become more painful, and the bleeding becomes constant. Over time, hemorrhoids can fall out of the anus due to intense tension. There are 3 different stages of prolapsed hemorrhoids:

1. At first they fall out strictly during defecation, with strong straining or during excessive physical exertion. When the tension passes, the nodes themselves are set into place;
2. At the next stage, for the knots to fall out, strong tension is no longer required, in addition, they themselves are no longer set in place, this has to be done by hand;
3. In the third stage, the slightest tension is enough for the knots to fall out.

If hemorrhoids are not treated, then sphincter tension increases over time. At a certain point, there comes a period when it is no longer possible to set the prolapsed hemorrhoids.

hemorrhoids and pregnancy

As already mentioned, internal or external hemorrhoids during pregnancy is an independent disease. However, these two processes cannot proceed separately from each other, their mutual influence is inevitable. The uterus squeezes the veins that are located in the pelvis, which provokes stagnation of blood in them. It also puts pressure on the intestines, which, coupled with some peculiarities of the hormonal background, has a negative effect on digestion, including causing constipation.

All this can both provoke the appearance of hemorrhoids and accelerate its development. Childbirth has a particularly significant effect on the rate of development of the disease, since during this period the tension in the pelvic region is very strong. Because of this, hemorrhoids often occur after pregnancy and childbirth.

In this case, hemorrhoids can significantly complicate childbirth. First of all, the fact that obstetricians will be forced to monitor the condition of hemorrhoids in the process. Due to the huge overvoltage, they can not only fall out, they can also burst, which is fraught with bleeding and blood loss.

Acute hemorrhoids

Acute hemorrhoids, as a rule, is a complication of the untreated chronic stage of the disease. That is why it is so necessary to treat hemorrhoids during pregnancy.

Usually, severe hemorrhoids during pregnancy begin to disturb women in the later stages, when the enlarged uterus compresses the vessels in the pelvic area.

Diagnosis of hemorrhoids

Hemorrhoids are diagnosed quite simply: according to characteristic complaints, the doctor will quickly assume a problem, after which he will examine and feel the anus. As a rule, this is enough to make an accurate diagnosis. Now it remains only to decide how to cure hemorrhoids in a particular case.

Prevention

Probably, absolutely everyone knows that it is much easier to prevent the development of a disease than to cure it. Doctors pay much attention to the prevention of hemorrhoids in expectant mothers. Given the huge risks and depressing statistics, this aspect cannot be neglected.

First of all, you must always monitor your diet and timely solve the problem of constipation. In addition, it is very important to move more, the benefits of hiking for pregnant women have also been mentioned more than once. Do not overexert yourself, carry heavy things, and so on.

It is equally important to carefully monitor your condition, and if you find any signs of hemorrhoids, do not hesitate and consult a doctor without hesitation. Timely treatment is no less important than prevention.

Hemorrhoids during pregnancy. Symptoms and prevention

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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 who have severe hemorrhoids during pregnancy manifested by heavy 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 control.

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.

- the most common disease characterized by impaired blood supply in the hemorrhoidal veins, which leads to their expansion, blockage (thrombosis) and causes bleeding. According to statistics, out of 80% of patients who complained of progressive hemorrhoids, 40% are pregnant women. At the same time, in women giving birth again, the risk of developing pathology after childbirth increases by 2 times.

Causes of the disease in pregnant women

The reasons for the development of hemorrhoids are due to global changes occurring in the body of the expectant mother. During pregnancy, the ever-increasing size of the uterus displaces the rest of the abdominal organs. At the same time, their blood supply is disrupted and blood stagnation occurs in the veins.

Very often, hemorrhoids in pregnant women become the result of chronic constipation. They arise due to a decrease in the susceptibility of the intestinal muscle tissue to nerve impulses, which stimulate its work. As a result, a pregnant woman experiences difficulties with bowel movements, suffers from difficult defecation acts that require strong straining, which can also provoke hemorrhoids.

Predisposing factors for the occurrence of pathology during pregnancy are:

• genetic predisposition;
• the age of the pregnant woman is over 35 years old (especially if this is the first birth);
• second and subsequent births;
• sudden changes in hormonal levels;
• disorders in the thyroid gland;
• chronic constipation;
• hypodynamia (insufficient physical activity);
• erratic eating, which is typical for pregnant women in the first trimester of pregnancy.

Symptoms of hemorrhoids during pregnancy

Hemorrhoids in pregnant women in the initial stages of their development may be asymptomatic. Its symptoms develop gradually in the following sequence:

• discomfort in the anus - often there is a feeling of a foreign body, itching, burning after an act of defecation;
• bleeding is the main symptom of hemorrhoids in pregnant women, which occurs during bowel movements. The blood is scarlet. It does not mix with feces, but is located on top of them. The intensity of bleeding can be different: from a few drops to profuse hemorrhage, especially in the presence of rectal ulcers.
• pain - appears after inflammation or prolapse of hemorrhoids, as well as when they are infringed. Pain occurs during bowel movements, their intensity persists for some time after the act of defecation.
• itching - appears as a result of irritation of the skin around the anus. Prolonged irritation increases the risk of eczema, increases the risk of tissue injury and the development of purulent diseases.

All symptoms can manifest in waves during the period of exacerbation of the disease. Hemorrhoids during pregnancy are complicated by the presence of many adverse factors: gestation in the last trimester, childbirth, in which intra-abdominal pressure increases several times. That is why you should consult a doctor when the first symptoms of the disease appear.

Stages and forms of manifestation

In modern medicine, there are two forms of hemorrhoids:

• primary, when problems arise due to hereditary predisposition, improper lifestyle, including nutrition, sudden changes in hormonal levels;
• secondary, when the pathology becomes a consequence of a disruption in the functioning of systems and organs: severe cardiovascular anomalies, diseases of the pelvic organs, tumor-like formations in the intestine that disrupt its normal blood supply.

According to the nature of localization, hemorrhoids are divided into:

• internal - the nodes are located under the mucous membrane inside the rectum, above the anal line;
• external (external) - the nodes are under a layer of skin, below the anal line;
• combined (mixed) - a combination of internal and external types of hemorrhoids.

The development of hemorrhoids in pregnant women, as well as in other cases, occurs in accordance with four stages, which reflect the degree of its complication:

• Stage I - enlarged nodes protrude into the intestinal duct, but do not fall out. During the passage of feces through the intestines, the nodes are injured, due to which blood is released from the anus.
• Stage II - during bowel movements. After the act of defecation, they self-adjust back.
• Stage III - nodes fall out during defecation, with slight straining and physical exertion. They are not removed on their own, it is required to set them inside the anal canal with your hands.
• Stage IV - prolapsed hemorrhoids fall out constantly, even in the absence of physical exertion. It is impossible to put them into the anal canal.

Diagnostics

The specific clinical picture, symptoms and complaints of a pregnant woman allow the specialist to quickly make the correct diagnosis. In some cases, to clarify it, the doctor may prescribe a number of additional procedures:

• - examination of the rectum with an anoscope, to a depth of 12 cm. The procedure is safe and painless, it is performed to detect any pathologies in the mucous tissue;
• rectoscopy - examination of the entire rectum using a rectoscope, which is immersed inward to a depth of 20-30 cm from the anus. Most often, the method is used to study the condition of the mucous tissue of the intestinal walls and to detect pathological neoplasms;
• complete blood count - prescribed for hemorrhoids, complicated by heavy hemorrhoidal bleeding, to detect anemia.

Features of the treatment of hemorrhoids during pregnancy

Hemorrhoids during pregnancy require mandatory treatment, as they can progress very quickly. The tactics of treatment depends on the degree of its development. So, if at the first stages it is possible to use only conservative therapy (nutrition correction, exercise therapy), then at later stages an integrated approach is needed, including minimally invasive procedures, drug treatment, in advanced cases, microsurgical operations (only after childbirth).

An approximate tactic for the treatment of hemorrhoids during pregnancy

Stage of development of hemorrhoids	Main clinical symptoms	Treatment tactics
1 stage	Discomfort during bowel movements, small amounts of blood in the stool.	Conservative treatment.
2 stage	Discomfort during bowel movements, blood in the stool, prolapsed nodes.	Conservative treatment. Minimally invasive methods: ligation; sclerotherapy; infrared coagulation.
3 stage	The same as in stage 2 + it is required to reposition the dropped knots by hand.	Conservative treatment. ligation; sclerotherapy; infrared coagulation.
4 stage	The same as in stage 3 + acute pain, with inflammation of the surrounding tissues.	Conservative treatment for inflammation: phlebotropic drugs; anesthesia; anti-inflammatory agents. During pregnancy, for further treatment after the removal of inflammation, methods of stage 2.3 are used.

During pregnancy, surgical treatment for the removal of external and internal hemorrhoids is not used, since it requires general anesthesia, which is an unjustified risk for the body of the developing fetus and expectant mother.

Conservative therapy

It is used in the detection of hemorrhoids in the initial stage of development. This includes dietary modifications and moderate physical activity.

Nutrition

Given that hemorrhoids during pregnancy most often develop against the background of occasional constipation, the menu should include foods that improve intestinal motility. The diet should be enriched with fermented milk products, fresh fruits, vegetables, which are best steamed. Meat and carbohydrates should be introduced into the menu in limited quantities, completely eliminate fatty pork, spicy and fatty foods.

The diet should be sustained (fractional meals in small portions at the same time).

Physiotherapy

A set of physical exercises for hemorrhoids in pregnant women stimulates the intestines well, eliminates blood stasis in the pelvic organs, normalizes blood circulation, strengthens the muscles of the pelvic floor and prevents the progression of the disease. Therapeutic exercise is contraindicated in case of threatened miscarriage and the risk of premature birth. It is also not recommended to perform these exercises at the end of the third trimester of pregnancy.

1. Body twists. Starting position: legs apart shoulder width apart, straight arms extended forward. As you inhale, turn your body to the side. As you exhale, return to the starting position. While inhaling, turn the torso again, but in the other direction and return to the starting position again. The recommended rate is 5 sets in each direction (1 set - 10 turns).
2. Squats. Starting position: legs are shoulder-width apart, arms are along the body. Slowly squat, stretching your arms forward, and then return to the starting position. Watch your breath. The recommended norm is 5 approaches (1 approach - 7 squats).
3. Sphincter muscle tension. This exercise helps to strengthen the muscles well and prevent the formation of hemorrhoids. It can be done standing or sitting. It is necessary to periodically strain for 5 minutes (holding them in this position for 30 seconds) and relax the muscles of the anal region. Exercise is desirable to perform 5 to 10 times a day.

Medications

Treatment of hemorrhoids during pregnancy allows the use of medications only after consulting a specialist, since any use of such drugs should be justified as much as possible. All drugs must be absolutely safe for the health of the woman and the fetus.

Natalsid, candles

Rectal suppositories with anti-inflammatory effect and hemostatic effect. The analogue of the drug are suppositories Alginatol.

Indications

Used to treat hemorrhoids and anal fissures during pregnancy.

Contraindications

• Allergy to the components of the drug.
• Children's age up to 14 years.

Dosage

The duration of the drug depends on the severity of hemorrhoids. Usually the course lasts 7 days, 1 suppository is injected into the rectum in the morning and evening. The drug can be used at any stage of pregnancy.

Candles with sea buckthorn oil

They have a pronounced anti-inflammatory effect. Suppositories relieve itching, swelling, irritation on the skin.

Indications

• Anus fissures.
• Ulcers of the sphincter and rectum.
• Hemorrhoids of any type.

Contraindications

Dosage

Apply 2 suppositories 2 times a day for 7 days. If the symptoms of hemorrhoids persist, treatment is extended for another 7 days. Suppositories can be used by women during pregnancy at any time.

Candles with propolis, Prostopin and others

They have a local anti-inflammatory effect, relieve itching, dissolve small hemorrhoids, normalizing blood circulation.

Indications

• Severe inflammatory processes in hemorrhoids of the internal type.
• Anal fissures.

Contraindications

Allergy to the components of the drug.

Dosage

Enter 1 suppository at bedtime.

Can be used throughout pregnancy.

Heparin ointment

It relieves pain, swelling, promotes the resorption of blood clots, restores blood circulation.

Indications

• External hemorrhoids, acute form.
• Prevention of thrombosis in the veins of the anus and rectum.

Contraindications

• Bleeding, bloody discharge from the rectum.
• Any damage to the mucous tissue and skin in the treatment area.
• Risk of miscarriage.
• Recent childbirth, last prenatal weeks.

Dosage

The amount of the drug and the mode of its use is prescribed by a specialist, depending on the symptoms and the clinical picture.

The drug should not be used in the last trimester of pregnancy. Heparin, which is part of the composition, thins the blood, which can contribute to severe uterine bleeding during childbirth. In all other cases, its use by a pregnant woman is possible only after approval by a doctor.

Ichthyol ointment

An agent with a strong disinfecting and antibacterial effect. It is advisable to use the ointment for the rapid healing of small wounds and sphincter cracks and for relieving inflammation in damaged tissues.

Indications

Inflammatory processes in external hemorrhoids.

Contraindications

Dosage

Ointment in the amount of 1 g is applied to the affected areas 2 times a day.

Given that the components of the drug do not enter the general circulation of the body, it can be used at any stage of pregnancy.

Hepatrombin G, suppositories and ointment

A series of drugs with anti-inflammatory and tonic effect. Means relieve inflammation, normalize blood flow in damaged tissues, restore the elasticity of venous vessels and prevent the formation of blood clots in the veins and their blockage by blood clots.

Indications

• Hemorrhoids in the acute or chronic stage.
• Ulcers, erosions in the anal region.
• Blood clots, inflammation caused by stasis of blood.

Contraindications

Ointment and suppositories must not be used if the damaged areas of the skin or mucous membrane are infected with bacteria or fungi. The composition of the preparations includes substances that promote the growth of cells of pathogenic microflora.

Dosage

Candles are injected into the rectum, 1 pc. morning and evening (before going to bed). Ointment in the acute course of hemorrhoids is applied in a thin layer from 2 to 4 times a day, after the patient's condition improves, the use of the ointment is reduced to 2 times a day.

During pregnancy, suppositories and ointment are allowed to be used only after 12-13 weeks of pregnancy.

Vishnevsky ointment

Anti-inflammatory drug, which is advisable to use for edema, inflammation, the development of purulent processes in damaged tissues.

Indications

• Hemorrhoids in acute form.
• Sphincter fissures.
• Inflamed external nodes.

Contraindications

Dosage

Apply by applying a thin layer of ointment to the damaged areas no more than 3 times a day.

During pregnancy, the drug can be used at any time.

Fleming's ointment

A remedy made on the basis of medicinal herbs (St. John's wort, chamomile, sea buckthorn). It has a strong anti-inflammatory effect. Kills pathogenic microorganisms that can cause severe irritation and the development of purulent processes in damaged tissues.

Indications

Contraindications

Individual intolerance to the components in the composition of the drug.

Dosage

On the inflamed external nodes, the ointment is applied 1 to 3 times a day. The total duration of treatment is usually 7 days. If the patient's condition does not improve, the specialist may recommend extending the course of treatment.

The ointment can be used by pregnant women at any stage of pregnancy.

Posterizan, suppositories and ointment

The drug has an anti-inflammatory effect, accelerates tissue regeneration, restores the permeability of damaged vessels and thereby normalizes blood circulation in inflamed hemorrhoids. Indications

• Discomfort in the anal region, expressed by itching, burning.
• Chronic form of hemorrhoids, prolapse of nodes.

Contraindications

• Infection of skin and mucous tissues with fungi or bacteria.
• Individual intolerance.

Dosage

Candles are injected into the rectum, 1 pc. in the morning and in the evening.

During pregnancy, Posterizan can be used only after the approval of a specialist. The components included in its composition do not affect the intrauterine development of the fetus, and the condition of the mother, but can provoke a severe allergic reaction.

Neo-Anuzole, suppositories

Rectal suppositories reduce pain in hemorrhoids and anal fissures, eliminate inflammation and itching, have an antibacterial effect, preventing infection of damaged mucous tissues.

Indications

• Discomfort in the anal region.
• Hemorrhoids of any type.

Contraindications

• Hypersensitivity to the components that make up the drug.

Dosage

1 candle 2 times a day.

The drug is approved for use in hemorrhoids during pregnancy, but strictly in recommended doses and under the supervision of a specialist.

Levomekol, ointment

Ointment with a strong antibacterial effect, a universal remedy for the treatment of damaged skin and mucous membranes. The ointment can also be used for hemorrhoids. It accelerates metabolic processes in cells, restores their functionality, and also kills pathogenic microflora that can cause the development of purulent processes in tissues.

Indications

• Anal fissures.
• Ulcers, erosions, non-healing wounds.
• Irritation of the anal canal.

Contraindications

Allergic reactions to the components of the drug are possible.

Dosage

The ointment is applied to damaged tissues 1 time per day, at bedtime.

The ointment has no contraindications for use during pregnancy. Despite this, before using it, you should consult a specialist, since the drug contains a strong antibiotic.

Relief, Relief Advance, suppositories and ointment

Rectal suppositories and ointment. Quickly relieve itching, irritation, pain during defecation due to vasoconstrictor and anti-inflammatory action. A series of drugs Relief Advance has a greater anesthetic effect, so it is advisable to use them in the acute course of hemorrhoids with severe pain.

Indications

• Hemorrhoids of any type.
• Cracks.
• Any manifestations of discomfort in the anal area (itching, burning).

Contraindications

• Tendency to form blood clots.
• High blood pressure.
• Allergic reactions to the components of the drug.

Dosage

In the acute form of hemorrhoids, up to 4 suppositories are used per day, in other cases the recommended dosage is 1 suppository in the morning and 1 suppository in the evening, respectively, the ointment is applied the same number of times.

Use during pregnancy is possible only on the recommendation of the attending physician, since there is evidence that the components that make up the drug can increase the tone of the uterus, which can be dangerous if there is a threat of miscarriage, in the first and last trimester of pregnancy.

Troxevasin, ointment

Gel (analogous to troxerutin) is used to relieve swelling, reduce hemorrhoids with external hemorrhoids. Normalizes blood circulation of damaged vessels, has an anti-inflammatory effect.

Indications

• Hemorrhoids of the weeping type.
• Inflammation of external hemorrhoids.

Contraindications

• Allergic reactions.
• Wounds or other skin lesions in the treatment area.
• Fungal or bacterial infection of the skin.

Dosage

Apply a thin layer of ointment directly to the affected area.

During pregnancy, you can use only as directed by a doctor and only after the first trimester of pregnancy.

Troxerutin, ointment

The drug, produced in the form of a gel for external use. The drug has a decongestant, partially analgesic and anti-inflammatory effect, well restores the elasticity of the vascular walls, normalizes blood circulation.

Indications

• Severe inflammation in the external hemorrhoids.
• Discomfort in the sphincter area.
• Postoperative complications.

Contraindications

• Any damage to the skin (wounds, abrasions).
• Possible allergic reactions.

Dosage

Apply no more than 4 g of ointment per day, applying 2 g in the morning and evening.

During pregnancy, it can be used only on the recommendation of a doctor, starting from the second trimester.

Procto-Glivenol, ointment and suppositories

Drugs that have anti-inflammatory and anesthetic effects. They reduce blood stasis in the veins, normalizing blood flow and restoring the elasticity of the vascular walls. In the acute form of hemorrhoids, they have an analgesic effect and relieve swelling of damaged tissues.

Indications

• Hemorrhoids of any type.

Contraindications

• Liver failure.

Dosage

In the acute form of hemorrhoids, suppositories are injected into the lower rectum in the morning and evening. With the disappearance of severe symptoms and a decrease in edema, use 1 suppository at bedtime.

The ointment is used to treat external hemorrhoids, applying to the affected area 2 times a day with a thin layer. For the treatment of internal nodes, it is administered orally in an amount of 2 g, also twice a day. With the disappearance of acute symptoms, the use of the ointment is reduced to 1 time per day, applying it to the damaged areas immediately before bedtime.

Candles and ointment during pregnancy can only be used after the first trimester, after consultation with a specialist.

A brief overview of drugs by trimester of pregnancy

A drug	Indications for use during pregnancy
	1 trimester	2nd trimester	3rd trimester
	Yes	Yes		Yes
	Yes	Yes		Yes
	Yes	Yes		Yes
	Yes	Yes		Yes
	No	by doctor's prescription		No
Ichthyol ointment	Yes	Yes		Yes
	No	Yes		Yes
	Yes	Yes	Yes

Hemorrhoids (literally translated from Latin - bleeding) is a disease resulting from overflow of blood in the venous plexuses (cavernous bodies) located in the anus. It is these dilated, altered veins that are called hemorrhoids.

Overflow of hemorrhoidal veins, stagnation of blood in them contributes to a sedentary lifestyle. A person sitting for a long time warms the seat with the heat of his body, forming something resembling a heating pad. In these "greenhouse" conditions, hemorrhoidal bumps begin to "ripen" at an increased rate. Add to this the wrong, irrational and irregular fast food diet of an average city dweller, leading to hidden and obvious problems with the pancreas and (or) thyroid glands. As well as extra pounds, which, combined with the same sedentary lifestyle, gives rise to chronic constipation. Hereditary congenital insufficiency of the structure of the veins also has a certain significance. Contribute to the stagnation of blood in the veins of the small pelvis also taking certain medications, oral contraceptives, excessive laxatives, alcohol abuse, some sports: equestrian, cycling, auto and motorcycling, rowing, weight lifting. However, the latter applies to a greater extent not to athletes, but to women with their eternal shopping grocery bags.

Types of disease

According to the causes of occurrence, proctologists distinguish primary and secondary hemorrhoids. Primary hemorrhoids develop against the background of all of the above life moments. Hemorrhoids, which first appeared in a woman during pregnancy or after childbirth, also belong to this group.

As for secondary hemorrhoids, it is of little interest to us at the moment - these are the consequences of cirrhosis of the liver, some severe cardiovascular diseases, various tumor processes that disrupt blood flow in the veins of the small pelvis.

If hemorrhoids owe their appearance to pregnancy, then more often its formation occurs in its second half, and the family can aggravate it. According to statistics, women who have given birth at least once suffer from this disease 5 times more often than women who have not given birth. This fact is explained by the pressure that the enlarged uterus exerts on the pelvic floor and, first of all, on the hemorrhoidal venous plexus, in combination with such frequent constipation during pregnancy. The number of pregnancies and, accordingly, childbirth, as well as the age of the pregnant woman affect the risk of developing hemorrhoids. In twenty-year-old women who are expecting their first child, this very unpleasant disease occurs 3 times less often than in the same category of women at thirty.

Geomrroy: why should I go to the doctor?

As statistics show, hemorrhoids occur in pregnant women quite often, but, firstly, this is an independent disease, and secondly, its development is by no means an inevitable "evil", a complication of pregnancy and childbirth, just as pregnancy is not essential cause of hemorrhoids. Therefore, if you have doubts about health in this delicate area, you should go to the doctor and start treatment. After all, hemorrhoids, in addition to discomfort more or less pronounced at first, can disrupt the normal course of pregnancy in the later stages, as well as affect the course of childbirth and the postpartum period.

Many are in no hurry to visit a doctor, mistakenly believing, especially in the early stages of the disease, that hemorrhoids are harmless. But that's not the case at all! Running, untreated hemorrhoids can cause anemia (a decrease in the amount of hemoglobin), diseases of the musculoskeletal system (eg, arthritis), genitourinary system, skin (various rashes, including acne, etc.).

Manifestations of hemorrhoids resemble some other diseases of the rectum, and sometimes even cancer.

According to the "depth of occurrence" distinguish between internal and external hemorrhoids. Internal are formed inside the rectum, so they are not visible with a simple examination. In a patient, such nodes cause a feeling of heat, itching, pain radiates to the back and sacrum. Bleeding from internal hemorrhoids is often more massive than from external ones. Internal hemorrhoids are more often complicated by anemia. External hemorrhoids are located directly inside the anus, fall out more often, make it more difficult to empty the intestines due to significant pain.

According to the rate of increase in painful manifestations, chronic and acute hemorrhoids are distinguished.

A set of exercises for hemorrhoids for pregnant women

1. Starting position (ip) - standing, stretch your arms in front of you, feet shoulder-width apart. Turn the body to the right, without taking your feet off the floor, and take your right hand as far back as possible - inhale. Return to starting position - exhale, turn to the left. Repeat 5 times on each side.

2.I.p. - standing, hands raised in front of you, fingers clasped into the castle. Perform body turns to the right and left, moving your arms as far back as possible. Repeat the exercise 5 times in each direction.

3.I.p. - sitting on the floor, resting his hands behind. Bend your knees, while moving the heels can not be torn off the floor. Slowly extend your legs. Repeat 5 times.

4.I.p. - sitting, spread your legs to the sides as much as possible, while the legs should be firmly pressed to the floor, do not bend your knees if possible. Lean forward and touch your right and left feet alternately with your hands as far as possible, then straighten up. Repeat the slopes 5-7 times (recommended for the first and second trimester only).

5.I.p. - sitting in the same way as in the previous exercise, but perform tilts to the sides; the opposite hand is on the belt. Repeat 5 times in each direction (recommended for the first and second trimester only).

6.I.p. - lying on your back, arms along the body. Pull the legs bent at the knees to the stomach and return to the starting position (recommended only for the first and second trimester). Repeat 7-10 times.

7.I.p. - lying on the right side, the right arm is bent at the elbow and lies under the head. Bend the left leg at the knee and press it to the stomach, you can help yourself with your left hand. Repeat 7-10 times. Then repeat the exercise, lying on your left side (recommended only for the first and second trimester).

8.I.p. - sitting on a chair. Extend the right arm to the side, lift the left leg, bent at the knee, forward and to the left, trying to bring it to the lateral surface of the abdomen, helping yourself with your left hand - exhale. Return to the starting position - inhale. Repeat for both legs 5 times. Recommended for third trimester.

Chronic hemorrhoids after childbirth

It begins gradually, a woman occasionally after a bowel movement has unpleasant sensations in the anus: a feeling of incomplete emptying of the intestine, soreness during the act of defecation, a small and rather quickly passing itching, increased humidity. With developing hemorrhoids, the pain may disappear on its own, and reappear after a few days. As a rule, at this stage of the disease, a doctor is not consulted. After some time, blood stains appear on the toilet paper. The duration of the initial period of the disease can range from several months to several years. Pregnancy, as mentioned above, helps speed up the process. With the further development of the disease, defecation becomes more and more painful and is constantly accompanied by more or less massive bleeding. The growing increase in internal hemorrhoids leads to their loss from the anus. When internal hemorrhoids prolapse from the anal canal, a woman experiences a feeling of fullness in the rectum and a desire to empty the intestines. Very often, itching is accompanied by scratching and bleeding. Due to the constant watery and mucous discharge on the skin around the anus, skin irritation may persist.

There are three stages of prolapse of hemorrhoidal cones. At the first, the knots fall out of the anus only during defecation with strong straining, and then they are set on their own, without the help of hands. In the second stage, the nodes fall out when visiting the toilet, but without pronounced straining, as well as when lifting weights. The nodes themselves are no longer set, but they can still be “returned” with their hands. In the third stage, the prolapse of nodes occurs at the slightest physical effort, for example, sneezing, coughing. Dropped knots can also be set by hand.

The disease goes through four stages in its development:

• The first stage is manifested by discomfort in the anus, bowel emptying is painful, often accompanied by more or less pronounced bleeding. During the examination, hemorrhoids are visible, but they do not fall out, the rectal mucosa is reddened, inflamed, dilated small blood vessels are visible.
• The second stage of the disease corresponds to the first stage of prolapsed nodes. The manifestations of the first stage of the disease are accompanied by itching, discharge, pulling pains in the anal region, which can radiate to the lower part of the lower back and sacrum.
• The third stage of the disease can be accompanied by both the second and third stages of hemorrhoid prolapse. You drop hemorrhoids require manual reduction. All painful manifestations are intensified.
• The fourth stage is the most dangerous. Prolapsed hemorrhoids cannot be repositioned. This stage of the disease is often complicated by thrombosis, severe pain in the anus and massive bleeding.

Acute hemorrhoids in pregnant women

This name means thrombosis of hemorrhoids, which most often occurs as a complication of long-term chronic hemorrhoids. Describe cases of isolated thrombosis of external nodes. At the same time, a single thrombosed node can not cause pain to a person for a long time.

According to the severity of painful manifestations, 3 degrees of severity of acute hemorrhoids are distinguished.

I degree. It is characterized by small, painful on palpation (palpation) nodes, itching and burning in the anus, discharge that is not purulent. All these manifestations increase after a bowel movement, and then gradually decrease.

II degree. Damaged nodes are larger - due to more pronounced inflammatory edema, which can spread to areas around the anus. And the nodes themselves, and the entire area of ​​​​edema is reddened. The sphincters of the anus are reflexively clamped, an attempt to conduct a digital examination of the anus causes severe pain. At this stage of thrombosis, there are almost constant pains of considerable intensity, which are aggravated when walking, in a sitting position, not to mention an attempt to defecate.

III degree. At this stage, swelling and redness are observed throughout the anus, from which large cyanotic-purple internal hemorrhoids protrude. Spasm of the anal sphincter is also more pronounced; moreover, it may be accompanied by a reflex spasm of the sphincter of the bladder, which is manifested by urinary retention. The disease in its development can even reach the stage of necrosis (death) of the nodes with the appearance of black areas on them. Complications of this stage can be paraproctitis (inflammation of tissues, including fatty ones, around the rectum, infringement of a thrombosed internal node with severe spasm of the sphincter.)

The effect of pregnancy and childbirth on hemorrhoids

As a rule, if a woman already has hemorrhoids against the background of pregnancy, then the disease does not manifest itself for quite a long time and nothing bothers the woman. Hemorrhoids become an unexpected and unpleasant finding during a routine preventive examination by a surgeon or gynecologist.

Even if during the entire pregnancy hemorrhoids “behaved decently”, without giving the woman any worries, then childbirth can provoke a sharp exacerbation of this disease. And the longer the birth process, the higher the risk of exacerbation, the more pronounced it can be.

According to statistics, exacerbation of hemorrhoids during pregnancy is observed in approximately 50% of women suffering from this disease. The reason is that when the child's head passes through the small pelvis, the maternal organs and tissues located in this area are compressed, and first of all, the venous plexuses. Venous outflow is disturbed, stagnation of blood in the veins of the small pelvis increases. The existing nodes increase, acquire a denser consistency. During contractions, and especially attempts, the nodes can bulge, turn red or even turn blue. In the period between attempts, when the intra-abdominal pressure decreases, the pressure on the venous plexus also decreases; knots become more relaxed. Thus, the very mechanism of childbirth can lead to a complication of pre-existing hemorrhoids, provoke the prolapse of internal nodes and even their rupture. Also described are cases of infringement of prolapsed nodes, their thrombosis.

Diagnosis of hemorrhoids

It is usually not difficult for a doctor to identify hemorrhoids. Specific complaints allow for a quick diagnosis. Mandatory is finger research. Sometimes, to clarify the diagnosis, it is possible to conduct sigmoidoscopy - a study in which a special optical device is inserted into the rectum. It allows you to see what is happening in the rectum.

Timely detection of pregnant women suffering from hemorrhoids, timely prescribed treatment makes it possible in many cases to prevent the further development of this disease, complications in childbirth and the postpartum period.

Prevention and treatment of hemorrhoids during pregnancy and after childbirth

First of all, the patient needs to get rid of constipation and improve bowel function without prolonged straining. A diet rich in fruits and vegetables can help. With hemorrhoids, any alcoholic beverages, salty, spicy, spicy, pickled, peppery dishes are strictly prohibited - these products increase blood supply to the veins of the pelvic floor and, first of all, hemorrhoidal venous plexuses. You should not eat fatty foods: it slows down the passage of food through the intestines, thereby creating prerequisites for the development of constipation. Try to eliminate fatty meats, high-calorie dairy products and buns from your diet. It is better to limit the use of onions, mustard, black bread, legumes, unripe fruits and berries. Broccoli, corn, carrots, ripe apples, beets, cauliflower, potatoes, raisins, prunes, dried apricots and honey are recommended. Porridge, especially barley or oatmeal, also prevents the development of constipation.

They help to improve the function of the large intestine, increase the tone of the muscles of the anal region and the abdominal wall, reduce congestion in the veins of the small pelvis, physiotherapy exercises, morning hygienic gymnastics, familiar to us from childhood. Recommend also 2 - 3 times a day for 15 minutes to lie on your back with an elevated position of the pelvis. for example, on a small pillow.

It is very important to avoid hypothermia (especially the lower part of the body), not to sit on * cold surfaces, to refuse long (more than an hour) walks and long work in a standing and sitting position.

Mandatory hygiene procedures after each bowel movement have a good preventive effect. It is necessary to wash yourself with cool, even cold water, you can arrange for yourself short (15-30-60 seconds) ascending cold irrigations of the anal area (just turn the shower over and direct its jets up like a fountain).

Determining the tactics of treatment, there are three groups of pregnant women with hemorrhoids.

The first group includes women with asymptomatic hemorrhoids. For them, only preventive measures are carried out - diet, physiotherapy exercises, walks, an anus water toilet after defecation, laxative herbs, laxatives.

The second group consists of patients with complaints of constipation, bleeding, pain during defecation, anal itching, that is, patients with the first or second stage of the disease. In this case, treatment is carried out with candles and ointments, warm sitz baths with a weak solution of potassium permanganate, infusions of medicinal herbs, drugs taken orally. After defecation, it is possible to use rectal suppositories containing anesthesin, novocaine, etc. (check with your doctor), based on lanolin or cocoa butter. With spasm of the sphincter of the anus, it is possible to add suppositories with diphenhydramine, an oil solution of vitamin A, sea buckthorn oil.

Given the variety of forms and stages of hemorrhoids, the course of the disease, the possibility of complications, the selection of treatment should be individual and carried out by a qualified proctologist.

We list some of the drugs commonly used to treat chronic and acute hemorrhoids.

To prevent complications of chronic hemorrhoids, ROXERUTIN (TROXEVAZIN, TROXERUTIN) is prescribed, which reduces capillary permeability and fragility, and has an anti-inflammatory effect.

GINKOR-FORTE contains, in addition to troxerutin, an extract of the gingo dicotyledonous tree. The drug strengthens the venous wall, has an anti-inflammatory effect.

Aescin derivatives (AESCIN, ESCUZAN, REPARIL) are obtained by processing horse chestnut seeds. They have an anti-inflammatory effect, increase the tone of the veins, improve blood circulation through the smallest blood vessels, reduce swelling of the inflamed node, blood viscosity and thrombosis.

Calcium dobesilate (DOXIUM) normalizes vascular permeability, improves microcirculation, reduces swelling of the inflamed node, blood viscosity and thrombosis. This drug is used for acute inflammation of hemorrhoids.

MISVENGAL (extract of a mixture of medicinal plants: wild chestnut seed husks, marigold flowers, larkspur root, yarrow herb, chamomile flowers, shepherd's purse herb, gentian root) strengthens the vascular wall, improves venous blood flow, has a local anesthetic effect, reduces swelling, promotes healing of erosions , sores and cracks, has an anti-inflammatory and disinfectant effect.

VENITAN (gel) - prescribed as an anesthetic and antipruritic drug.

PROCTOGLYVENOL is a combined preparation produced in the form of ointment bases and rectal suppositories. It reduces capillary permeability, improves microcirculation, increases vein tone, has anti-inflammatory activity, and has a pronounced analgesic effect.

HEPATHROMBIN is available in the form of ointments, gels and suppositories. It has a pronounced analgesic and anti-inflammatory effect.

When combining hemorrhoids with an anal fissure in acute hemorrhoids, one should try to get by with conservative inpatient treatment. It includes: complete rest, diet, cleansing enemas, laxatives, novocaine blockades in the anus, suppositories and dressings with HEPARIN, CHIMOPSIN, etc. operations. In almost all cases, patients can achieve a clear improvement in their condition and carry out childbirth without exacerbation of hemorrhoids. If there is a prolapse of internal nodes without acute inflammation, then you can limit yourself to careful reduction of the nodes after defecation (it is better to do this in a warm sitz bath). When urging to stool, small cleansing enemas are recommended. Such women are strictly prohibited from hard physical labor and certain types of domestic work (laundry, mopping). They are prescribed suppositories with novocaine and belladonna.

The tactics of surgical treatment of a pregnant woman is chosen strictly individually. If hemorrhoids are manifested mainly by bleeding with signs of severe anemia, then sclerosing injections can be performed (more on them below).

The third group includes pregnant women suffering from hemorrhoids, with prolapse of internal nodes and frequent exacerbations of the disease, that is, subject to hospitalization and surgical treatment. Terms of operation are worked out individually. Emergency hospitalization is prescribed for heavy hemorrhoidal bleeding, and of course, with infringement and necrosis of prolapsed hemorrhoids. Patients with similar complications of hemorrhoids should be treated surgically (they undergo hemorrhoidectomy - excision of nodes) or minimally invasive methods of treatment (small or bloodless operations). Such methods include sclerotherapy - the introduction into the node of special sclerosing, "blinding" the walls of the node of drugs; ligation - the node is pinched with a special latex ring, which causes rejection in 7-10 days, the death of the node; infrared photocoagulation and laser coagulation (exposure to a laser or high temperature on the base of the hemorrhoid at 3-5 points; in this case, a burn occurs, which subsequently causes necrosis of the node with its subsequent falling off; the process also takes 7-10 days). If the condition of the pregnant woman allows, then doctors try to postpone all these interventions for the period when the woman recovers from childbirth.

Careful attitude to your health, timely access to a doctor, examination, correct diagnosis and timely treatment will help to avoid or minimize hemorrhoidal problems.

Phytotherapy against hemorrhoids in pregnant women

For oral administration:

• An incomplete tablespoon of chopped dried herb lungwort officinalis brew a glass of boiling water and leave for half an hour. Strain and take 1 tablespoon 3 times a day before meals.

For topical use:

• Cold lotions will help to reduce the size of hemorrhoids, as well as get rid of discomfort. It is necessary to apply to the anus for 1-2 minutes moistened with cool water and slightly wrung out a gauze napkin (a wide bandage folded several times, etc.). If possible, repeat the procedure 3-4 times a day.
• For washing at night and after visiting the toilet, infusions of chamomile flowers, medicinal calendula flowers, flower shoots of St. John's wort, meadow clover flowers, common viburnum flowers, brewed separately are suitable. These infusions can be used both at various stages of the development of the disease, and for the prevention of hemorrhoids.

For sitz baths:

• Mix equally the flowers of chamomile, stinging nettle herb, plantain leaves. To prepare a bath, it is necessary to pour 20 g of herbal collection into 2 liters of boiling water, leave it warm (in a thermos) for 2 hours, strain, dilute with warm water to a total volume of 4-5 liters. The water in the finished bath should be hot, but not scalding. The duration of each procedure is 5-7 minutes, baths are taken daily for 10-12 days. Hot baths, especially sitz baths, are contraindicated in case of increased uterine tone and other "alarming" obstetric conditions.

Attention! Herbs should not be used if there is an allergic reaction to them or if you suffer from hay fever (allergy to plant pollen) in general. There are a number of other diseases in which certain plants are contraindicated. Therefore, if you want to use medicinal herbs, consult your doctor first. It should be noted that the use of medicinal herbs does not replace traditional methods of treatment.

However, women in an “interesting” position are more susceptible to it due to the restructuring of the maternal organism. The relevance of the question of how to treat hemorrhoids during pregnancy is not in doubt.

The danger of the disease lies in its chronicity and increased severity of clinical symptoms after childbirth.

Is it necessary to treat hemorrhoids in pregnant women?

Of course, the desire to protect the child as much as possible from the effects of drugs is very commendable, but such a decision is largely erroneous. It is important to understand the danger of hemorrhoids during pregnancy and the refusal to treat it.

1. The disease affects the well-being of a woman. Unpleasant and even painful sensations, problems with normal bowel movements only get worse. The expectant mother will begin to endure her situation worse, as a result of which the development of the child will also worsen.
2. An inflamed hemorrhoid gradually leads to damage and death of the mucosa, which is fraught with the penetration of infectious agents. For pregnant women, each infection is dangerous, because in especially difficult situations, pathogenic microbes can get to the child, eventually leading to intrauterine infection.
3. Another possible negative outcome of refusing therapy is anemia. A frequent manifestation of the disease is bleeding, leading to a deficiency of hemoglobin. Such a condition is fraught with the occurrence of hypoxia, which has an extremely negative effect on the growing child.
4. If you do not treat hemorrhoids in the 2nd or 3rd trimester, the disease can worsen sharply after labor. Moreover, the severity of the symptoms only increases, and the disease progresses significantly. That is why it is easier to cure hemorrhoids in the early stages of pregnancy than to spend a lot of time and effort on fighting this unpleasant sore after childbirth.

Thus, the question of whether hemorrhoids are dangerous during pregnancy can be answered in the affirmative. Inflammation and bleeding of hemorrhoids must be treated, and it is better to entrust the therapy to a proctologist, who will choose the optimal method of treatment.

Causes of hemorrhoids in expectant mothers

In pregnant women, hemorrhoids occur as a result of global changes that occur in the female body.

Moreover, in the early and late periods of gestation, the main causes of the disease are somewhat different.

In the first trimester of pregnancy, literally from conception, the hormonal background of pregnant women changes, which manifests itself in the form of relaxation of smooth muscles. The "purpose" of such a shift is obvious - to prevent uterine contractions.

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However, at the same time, the muscles of the intestine also relax, which leads to problems with its emptying. The result is constipation, prolonged straining, which provokes inflammation of the hemorrhoidal cones.

In the third trimester, the uterus, located in the pelvic girdle, actively increases in size, pressing on the lower intestines. As a result, venous blood flow slows down, stagnation begins, hemorrhoids grow.

In addition, the factors provoking the onset of the disease in expectant mothers include:

• heredity;
• the age of the expectant mother (the probability of "acquiring" hemorrhoids is higher in women over 30);
• second pregnancy;
• thyroid diseases;
• overweight;
• taking hormonal contraceptives that adversely affect the vascular walls (if the girl took drugs before conception);
• regular constipation;
• poor physical mobility;
• improper diet (for example, lack of fiber).

And yet, the development of pathology often occurs during late pregnancy, especially at 38 weeks. At this time, the baby and uterus reach their maximum size.

The disease can also appear after the birth process. The fact is that when passing through the birth canal, the child's head squeezes the venous plexuses of the small pelvis.

In addition, the outflow of blood from hemorrhoids can be disrupted during intense contractions, which increase pressure inside the peritoneum.

Types and stages of the disease

Depending on the provoking factors, experts distinguish two types of pathological process:

1. Primary - the disease may appear as a result of the development of the above provoking factors. Hemorrhoids in pregnant women are also classified as this type.
2. Secondary - the disease becomes the result of severe liver diseases, heart problems, tumors of the gastrointestinal tract, which disrupt venous blood flow in the rectum.

According to the concentration of the inflammatory process, the disease is divided into:

1. Internal hemorrhoids, when the affected bumps are inside the anus;
2. External hemorrhoids, when inflamed nodules are visible to the naked eye when examining the anus;
3. Mixed type, in which, respectively, inflamed hemorrhoids are located above and below the anus line.

During pregnancy, hemorrhoids develop in accordance with the "classic" variant of the disease and go through the following stages, characterizing its severity:

• Stage 1 - the nodules are enlarged, begin to protrude in the rectum, but have not yet come out. During bowel movements, hemorrhoidal cones are damaged, as a result of which feces are excreted with blood.
• Stage 2 - during defecation, nodes fall out, but then they independently return to their original place.
• Stage 3 - the nodules come out of the passage when emptying the intestines, attempts and normal loads. You can only remove them by hand.
• Stage 4 - inflamed nodes come out regularly, without any "reason". Repositioning is not possible.

In addition, expectant mothers distinguish between acute hemorrhoids and the chronic form of the disease.

In the first case, the symptoms appear suddenly. Chronic inflammation of hemorrhoids happens much more often, fading for a while and reappearing due to the above "provocateurs".

Signs of illness

Symptoms of hemorrhoids in expectant mothers "increase" gradually. At first, the disease can be generally asymptomatic, then periodically the pregnant woman begins to be disturbed by various unpleasant sensations that coincide with the act of defecation.

In general, the signs of hemorrhoids during pregnancy occur in the following order:

• discomfort in the rectal area after emptying the intestines - can manifest itself in the form of irritation, burning;
• bleeding - one of the main symptoms of hemorrhoids during pregnancy, occurs after a bowel movement. Depending on the severity of the disease, it is manifested by a few drops of blood on paper or massive bleeding;
• painful sensations - may appear during the act of defecation, and also remain for a certain period of time after bowel movement;
• itching is a consequence of damage to the skin around the anus. If skin irritation does not go away for a long time, cracks, eczema and infection may be connected to the inflammatory process;
• prolapse of nodes - enlarged bumps cannot fit in the anal canal, therefore they fall out. And this increases the risk of such a formidable consequence as thrombosis of the external hemorrhoid.

Some signs, for example, itching and irritation of the skin, may indicate the development of another pathological process - in particular, anal fissures.

In order for the treatment of hemorrhoids in pregnant women to be successful and without consequences, it is necessary to consult a doctor at the first unpleasant symptoms. The doctor will help you choose the optimal therapy that is as harmless as possible to the fetus.

Features of the treatment of hemorrhoids in women in position

Hemorrhoids during pregnancy involves treatment, and correct and immediate. However, the choice of the leading therapeutic method will depend on the severity of the disease.

• The first stages of proctological pathology are usually treated without the use of drugs. Most often, doctors advise pregnant women to change their diet, perform special exercises and take more walks in the fresh air.
• How to get rid of hemorrhoids of the second stage? Take systemic and local medicines prescribed by the doctor. Preference should be given to locally acting agents - rectal suppositories and ointments, which practically do not affect the development of the child.
• In the case of stages 3 and 4 of the disease, complex treatment is prescribed. Medicines and a new daily routine remain, but minimally invasive procedures can be added to them. For example, you can quickly cure inflamed nodes with the help of injections with sclerosing drugs, clamping with special latex rings or infrared radiation.

Treatment of hemorrhoids during pregnancy excludes surgery, which involves the use of systemic anesthesia. This method can harm the growing child and the woman herself.

Good to know! Expectant mothers are categorically not recommended to use any anti-hemorrhoidal medications on their own initiative. Some of them are potentially dangerous for embryos.

New daily routine

To get rid of hemorrhoids during pregnancy will help adjust the diet and certain physical exercises. Of course, these measures can be applied only in the initial stages of the development of the pathological process, when signs of internal hemorrhoids in pregnant women are not obvious.

1. Diet change

Since unpleasant symptoms can be exacerbated by difficulty with bowel movements, experts recommend including foods that improve digestion in the diet.

Constipation will prevent the use of "sour milk", fresh steamed fruits. Meat products and carbohydrate-rich foods are introduced into the diet in small quantities. Everything spicy, spicy, fatty and fried is banned.

Important! To eliminate constipation, experts advise splitting the daily menu into several small portions. If, before falling asleep, the expectant mother is tormented by severe hunger, it is better to drink a mug of kefir or eat yogurt.

1. Exercises for hemorrhoids

Moderate physical activity during the gestation period helps to improve the functioning of the gastrointestinal tract, eliminate congestion in the pelvis, and normalize blood circulation.

You can perform the following exercises:

1. Turns. The woman spreads her legs shoulder-width apart, stretches her arms forward. Inhaling, you need to turn the body to the side. Exhaling, the body is returned to the opposite position. Then the exercise is repeated, but in the other direction. The optimal number of turns is 25 in each direction.
2. Squats . The woman occupies the same position, but the upper limbs must be extended along the body. You should squat at a slow pace, while stretching your arms forward. The optimal number of squats is 35 (in several approaches).
3. Tension/relaxation of the sphincter muscles. This exercise strengthens the muscles and prevents inflammation of the nodules. To perform the exercise, a woman can stand up or sit down. The sphincter muscles are tense for about 20 seconds and then relaxed. One approach lasts 5 minutes, they can be done up to 10 times a day.

Such physical exercises are prohibited if there is a threat of spontaneous abortion or premature labor. The described complex is not recommended if a woman has hemorrhoids at 38 weeks of gestation.

Medical treatment

It is possible to cure hemorrhoids during pregnancy with the help of pharmaceutical preparations. However, before using them, the expectant mother should definitely consult a proctologist.

The attending physician will determine what hemorrhoids look like, determine the severity of the disease and prescribe the safest medication.

System tools

Antihemorrhoidal pills are an example of how to cure hemorrhoids in a rather short time.

However, many generic drugs are not recommended during childbearing because there is no reliable data on their safety for the fetus.

In such situations, doctors try to correlate the intended benefit and the likely risk to the baby. To minimize the threats, the fight against hemorrhoids with pills begins from the second trimester.

Usually, expectant mothers are prescribed Detralex for hemorrhoids - a combined remedy that has the properties of angioprotectors and venotonics.

Taking Detralex for hemorrhoids, pregnant women strengthen the venous walls, eliminate inflammation and restore optimal blood circulation.

In addition to Detralex, doctors often prescribe to expectant mothers such bioflavonoid preparations as:

• Vasoket;
• Venarus;
• Phlebodia 600.

Local preparations

However, most often hemorrhoids during normal pregnancy are preferred to be treated with locally acting medications that have a minimum number of contraindications and side effects.

The duration of therapy largely depends on the severity of the disease. A week - this is how much therapy most often takes, but it is better to check the treatment regimen with the doctor.

How to treat hemorrhoids during pregnancy? Candles and ointments allowed during the gestation period.

1. Candles Natalsid. A bleeding and inflamed hemorrhoid can be treated with these hemostatic rectal suppositories. The only limitation is the intolerance of the main and auxiliary components.
2. Sea buckthorn suppositories for hemorrhoids. Sea buckthorn contained in rectal suppositories helps to effectively relieve inflammation, itching, swelling and other unpleasant symptoms. In addition to inflamed hemorrhoids, such drugs are used if a crack appears, an ulcerative lesion of the sphincter. The main contraindication is diarrhea.
3. Suppositories with propolis. Propolis DN, Gemo-Pro and other suppositories containing honey and other waste products of bees reduce the severity of the inflammatory process, soften nodules, fight infectious pathogens and normalize blood circulation. In general, honey for hemorrhoids and bee products can be used during all trimesters if the patient is not allergic to them.
4. Heparin ointment. The main ingredient heparin prevents thrombosis of the hemorrhoid during pregnancy. In addition, the tool effectively relieves swelling, dissolves blood clots, and is designed to help restore blood circulation. The drug is prohibited for bleeding, the risk of spontaneous abortion, in the last weeks of gestation.
5. Ichthyol ointment. It is especially effective for external inflamed nodes. Disinfects, destroys pathogenic bacteria, promotes rapid healing of wounds and anal fissures. It has a minimum of restrictions - it is contraindicated in case of intolerance to ichthammol.
6. Hepatrombin G. Manufacturers produce suppositories and ointments under the name Gepatrombin. Medicines are anticoagulants - substances that reduce blood clotting. Hepatrombin reduces the intensity of inflammatory processes, improves blood flow in damaged areas, and prevents the formation of blood clots. Hepatrombin is prohibited when the anal canal is infected with pathogenic pathogens. In addition, Gepatrombin can be used only from the second trimester.
7. Vishnevsky ointment. A popular remedy used for inflammation, suppuration and damage to external hemorrhoids. A big plus is that you can use the drug in all periods of pregnancy, the only exception that the instruction says is the hypersensitivity of the body to the ingredients of the drug.
8. Fleming's ointment. This remedy is often prescribed if hemorrhoids have come out in a future mother. The drug includes plant extracts - chamomile and sea buckthorn extracts. The ingredients relieve inflammation, destroy microbes, preventing suppuration and the spread of the inflammatory process.
9. Levomekol. A drug with a pronounced antimicrobial effect, alleviates the condition if there is an exacerbation of hemorrhoids during pregnancy. The tool improves cellular metabolism, prevents the occurrence of a purulent process. Caution should be exercised because the medicine contains an antibiotic.
10. Relief. Suppositories and ointment medicines of the Relief series are used if hemorrhoids bleed during pregnancy. They are also designed to quickly relieve itching, pain due to vasoconstriction and anti-inflammatory effect. Pain will be able to pass in a fairly short time, however, Relief should be used with extreme caution, since some ingredients are hypothetically able to increase uterine tone.
11. Troxevasin. Gel-venotonic is used to relieve swelling, reduce inflamed bumps in case of external hemorrhoids. The drug helps to normalize the blood circulation of damaged veins, effectively relieves inflammation. But since the drug has not yet been studied, it can only be used after the full approval of the doctor and only from the second trimester.
12. Procto-Glivenol. Suppositories and ointments are prescribed if hemorrhoids have become aggravated or hurt. Medicines relieve inflammation, pain, relieve women of congestion, normalize venous blood flow. Self-use by expectant mothers is excluded, Procto-Glivenol is shown only from the second trimester.
13. Neo-Anuzol. Anti-inflammatory suppositories are used if hemorrhoids bleed, spasms of the sphincter are observed, pain in the anal canal is tormented. The drug has astringent and drying properties, is a good antiseptic. During the gestation period, it is allowed to use only under the supervision of a doctor.

Despite the quick effect of suppositories with an uncomplicated form of hemorrhoids, expectant mothers are forbidden to use suppositories on their own. You should contact a proctologist who will tell you what to do with inflamed nodes, how to deal with bleeding.

Minimally invasive procedures

How to quickly get rid of hemorrhoids for a future mother? If conservative therapy has shown inefficiency, medications cannot cope with inflamed hemorrhoidal bumps, proctologists prescribe non-surgical methods of treatment.

Minimally invasive procedures are performed under local anesthesia, so they have a minimum of contraindications. Of course, before the appointment, the proctologist calculates all the risks for the woman and the fetus.

There are 3 options for non-surgical interventions:

1. Sclerotherapy. The method of treatment, which consists in the introduction of special compounds into hemorrhoids. After a while, the vessels stick together, and the inflamed bump simply dies off. The procedure is gentle, so the expectant mother can leave the hospital in an hour or two.
2. Ligation. Hemorrhoids during a normal pregnancy can be cured with the help of special latex rings that pinch the base of the nodules. Damaged areas die off in a week. They stop getting sick immediately after the procedure.
3. Moxibustion. This procedure is carried out using a special infrared coagulator. The beam cauterizes the base of the nodule, after which it “falls off”. The method is effective in the case of stage 2-3 of the disease, but in 60% of the hemorrhoids return.

As noted above, operations under general anesthesia are strictly contraindicated during the period of childbearing. After childbirth, surgical intervention is performed according to indications.

Folk recipes

Alternative medicine offers a wide range of effective methods for the treatment of hemorrhoids. They relieve pain, inflammation, eliminate numerous inconveniences, reduce swelling of mucous membranes and stop bleeding.

During pregnancy, it is permissible:

• applying cold compresses to the anus for a few minutes (instead of cool water, you can use sea buckthorn berry oil, decoctions of medicinal plants or grated potatoes);
• taking warm baths with some medicinal plants (birch leaves, burdock, nettle leaves, oak bark, chamomile, etc.).

Despite the naturalness of the proposed recipes and ingredients, you should consult a doctor before using them in the future. This will help eliminate threats to the child.

Hemorrhoids during gestation should not be treated with herbal infusions intended for oral administration. Most plants have a huge number of adverse reactions that can adversely affect the baby.

Disease prevention

Answering the question of many pregnant women how to avoid hemorrhoids during pregnancy, proctologists advise to adhere to very specific recommendations, including hygiene, optimal physical activity and the improvement of the digestive tract.

1. A simple diet will help prevent the disease, in which constipation will become a rare or even impossible phenomenon. As noted above, with a tendency to problems with bowel movements, doctors strongly recommend eating fruits, vegetables, limiting yourself to eating muffins, rice, and legumes.
2. You should also include certain foods in your diet. , which help strengthen cell membranes - beets, cabbage, apples. In addition, doctors often prescribe special vitamin and mineral complexes for expectant mothers for this purpose.
3. To increase the tone of the anal muscles and prevent congestion in the pelvis, you can perform certain physical exercises. Of course, before classes, you need to consult a doctor.
4. Long walks are not recommended for the expectant mother, but no one forbids her to exercise reasonable physical activity. For example, do not stay too long in one place, walk in the park for 15-20 minutes, etc.
5. Another way to prevent is hygiene. . Expectant mothers are advised to wash after each visit to the restroom. It is permissible to “irrigate” the anal passage with cool water from an inverted shower.

The prevention of inflammation of hemorrhoids is especially important for pregnant women, since it is they who, due to the reasons voiced above, are faced with this pathological process more often than other categories of patients.

Pregnancy and exacerbated hemorrhoids - unfortunately, a common combination. This disease occurs in expectant mothers quite often due to regular changes occurring in the body.

It is impossible to dismiss such an unpleasant "sore", especially since modern medicine offers multiple methods for solving this problem. It is also not necessary to postpone a visit to the proctologist, because the sooner the disease is detected and cured, the less difficulties the expectant mother will have with hemorrhoids.