Exacerbation of hemorrhoids during pregnancy what to do. Hemorrhoids during pregnancy what to do. Relief, Relief Advance, candles and ointment

The most important information in the article: "hemorrhoids got out during pregnancy, what to do" and correct interpretation.

The prolapse of hemorrhoids is a common symptom of complications in proctological diseases. What to do if a hemorrhoid falls out?

Inflammation of hemorrhoids and their protrusion outward are the main signs of hemorrhoids. The nodes can hurt a lot, bleed, sometimes it is unbearable to endure such a condition. Therefore, every person who has this problem should know what the right measures to take to relieve pain and cure the ailment.

What to do if hemorrhoids come out unexpectedly

The main thing is not to fall into confusion, not to worry, as many people do. You need to stay calm, balanced. The sensations, of course, are not the most pleasant, nevertheless, you need to control yourself, think sensibly and logically. A person must necessarily:

1. See a doctor. The faster he does this, the easier and easier it will be to cure the ailment.
2. Relieve the condition before going to the proctologist. Read below how to do this.

First aid at home

If the hemorrhoids have crawled out, a person cannot sit, lie, stand normally, we open the secrets of how to alleviate the condition and relieve pain:

• Apply an ice pack wrapped in a soft natural cloth to the sore spot. You cannot simply apply ice to the anus, as you can freeze the tissues.
• Take baths with cold water: immerse the basin in water (temperature 18 degrees) for no more than 10 seconds.
• Make baths of chamomile, calendula, oak bark. Sit in such a bath (water temperature 38 degrees) for up to 20 minutes. Herbs will soothe, relieve pain, and relax muscles.

What not to do when the venous plexus falls out

Many people believe that it is imperative to move. Of course, movement is good, however, they are only a means of preventing hemorrhoids. But when the venous plexus has already crawled out, the movement must be limited. So, with dropped nodes, the patient is prohibited from:

1. Walk. The patient should lie on his back, this reduces the load on the muscles of the rectal region.
2. Use toilet paper. Only flushing with running water at room temperature is allowed.
3. Be in tight underwear, tight pants, shorts, as they will squeeze the pelvic organs.
4. Lie on a soft surface. The bed must be firm enough.
5. Sitting on the toilet for a long time. If you cannot empty yourself, you need to give a laxative enema.

Self-reduction of the knot

Drop of a node

If the hemorrhoids come out, then it must be corrected. If you don’t know how to do this, do not try. Initially, the procedure for reducing hemorrhoids should be performed by a doctor. Then the proctologist tells the person how he can help himself to straighten the nodes on his own:

1. Wash hands, wear sterile medical gloves.
2. Lubricate the knot with Heparin ointment or Troxevasin for pain relief.
3. Take a comfortable position, slightly tilt the torso forward, spread the buttocks, feel the hemorrhoid and gently press it into the rectum with your index finger. Shrink the soft spot.
4. Lie on the bed, do not get up for half an hour.

Important: When setting knots, do not use excessive force. And if, after two attempts to return the fallen out venous plexuses, it was not possible, stop, stop manipulating. See a proctologist or surgeon.

When a specialist has adjusted hemorrhoids, he must definitely give recommendations on how to prevent relapse:

• Eliminate constipation. You can cope with the obstruction of feces by eating herbal products. The patient's diet should contain vegetable salads, fresh fruits, dairy products, oatmeal. A person must control the amount of fluid they drink - drink at least 2 liters of water per day. The liquid normalizes intestinal motility, relieves constipation.
• Strengthening the muscles of the anus. Compress and unclench the sphincter, make a "birch", march, bend the pelvis, etc.
• Use of medicines. In order to prevent the recurrence of the problem, you need to regularly inject anti-inflammatory suppositories into the rectum, lubricate the problem area with antihemorrhoidal ointments, and drink venotonic drugs.
• Physical activity. After the nodes have been adjusted, over time it is possible and necessary to start physical education and sports.

The node got out during pregnancy: what to do

The prolapse of the venous plexus can occur in the early stages of gestation, but most often this pathological condition is found in the last months. This is due to the fact that the enlarging uterus disrupts the blood supply to the vessels.

When knots fall out, a woman in position should:

1. See a doctor immediately. If a woman does not do this, she risks getting complications during and after childbirth.
2. To eliminate pain, take drugs that contain lidocaine or anesthesin (in the first trimester). If the disease is caught by surprise in the second trimester, then you can use the drug "Hepatrombin G". And from the third trimester, you can take Detralex tablets.

Any medications for hemorrhoids during pregnancy should be taken only as directed by a doctor.

How the doctor can help

When the hemorrhoids come out, the proctologist can apply minimally invasive methods of therapy to the pregnant woman:

• Sclerotherapy.
• Doping with latex rings.
• Laser exposure.
• Cauterization with infrared radiation.

These methods are most effective in treating prolapsed hemorrhoids in pregnant women. Therefore, at the first signs of deterioration in health, contact a specialist. This is the first priority for a pregnant woman.

What to do for a pregnant woman before visiting a doctor

To alleviate the condition, a woman in a position must adhere to the following rules:

• Maintain hygiene of the anal area.
• Drink plenty of fluids.
• Try to move a little.
• Eat vegetables, fruits, oatmeal.
• Adjust the chair.
• Perform a cleansing enema.
• Take laxatives if necessary.

What is the danger of loss of nodes during pregnancy

If the nodes bleed, then the woman develops anemia. A lack of hemoglobin can lead to a delay in the growth and development of the fetus.

If an infection has got into the fallen out node, then a purulent-inflammatory process appears. It leads to the fact that toxins and harmful substances will be absorbed into the bloodstream, getting to the fetus. The baby will be infected while still in the womb.

Considering the consequences that external hemorrhoids can lead to, women should consult a specialist at the first symptoms of the disease.

If the nodes were not adjusted, and labor began

Childbirth and hemorrhoids are not uncommon. More often, the disease appears after childbirth. With an external problem, giving birth to a child is not contraindicated, but pathology can complicate the birth process. Caesarean section is allowed only with heavy bleeding. In other cases, a woman must prepare for painful and prolonged natural childbirth. After the birth of the baby, the fallen out nodes are adjusted by obstetricians, sometimes the help of a proctologist may be required.

It is very important not to confuse thrombosis of external hemorrhoids with prolapse of internal nodes.

FAQ

1. Question: "After childbirth, something bulges out of the anus, as if a tail has grown, or the intestine has protruded, there are pains and itching constantly, what is it?"

   Answer: "In most cases, after childbirth, a hemorrhoidal anal fold of skin (fringe) appears, which occurs after thrombosis of the external nodes."

2. Question: "Something has come out of the priests, something unusual is not being drawn back, I feel pain, will I live?"

   Answer: “Don't panic like that, contact your proctologist, this is a common manifestation of the acute phase of hemorrhoids. Most often it is hemorrhoidal thrombosis. "

3. Question: "After each trip to the toilet to empty the bowels, I get bumps or nodules, after 5 - 10 minutes they disappear, as if they are being pulled in."

   Answer: “This is a sign of internal hemorrhoids! If the nodes are pulled inward on their own, then it means that the disease is just beginning to develop. A competent treatment regimen from an experienced proctologist can get rid of the problem in the shortest possible time. "

4. Question: “My knots come out at any tension. Sometimes you just sneeze and feel that the problem has begun. Recently I took a bag of groceries and felt that they bulged out. What will help me? "

   Answer: “In such cases, you cannot do without an operation. Now such operations are called minimally invasive procedures, which are done in a few minutes, and the person continues to live a full life. But delaying treatment is fraught with serious complications. "

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

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

Hemorrhoids are a disease that results from the overflow of blood in the venous plexuses (cavernous bodies) located in the anus. Such enlarged, altered veins are called hemorrhoids.

Depending on the causes of the occurrence, proctologists distinguish primary and secondary hemorrhoids. Primary hemorrhoids arise from improper lifestyle and nutrition, heredity, and pregnancy and childbirth.

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

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

Signs of hemorrhoids during pregnancy

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

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

In the second stage, the symptoms listed above are added:

• discharge;
• pulling pains in the anal region (can be given to the lower part of the lower back and sacrum);
• prolapse of hemorrhoids.

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

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

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

How to treat hemorrhoids during pregnancy?

The treatment of hemorrhoids should be approached individually, since in many respects it will depend on the stage of the disease and on its manifestation. At the initial stage, when a woman, perhaps, is not even aware of the development of hemorrhoids in her, you can do with preventive methods: normalizing regular stools, correcting nutrition (aimed at improving intestinal motility), increasing physical activity (if a predominantly sedentary lifestyle is pursued) ... We must also not forget about the hygiene of the anus: during pregnancy, this issue is of particular importance, including in relation to the prevention of inflammatory processes in the veins of the anal region.

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

At the stage when a pregnant woman already feels clear signs of hemorrhoids, complex drug therapy will not be enough. Treatment of hemorrhoids in pregnant women is carried out mainly locally, since it not only provides quick relief of the condition, but is also safe for the fetus. Combined ointments, creams, rectal suppositories are used, which act in several directions at once: they have an analgesic, anti-inflammatory, vasoconstrictor, laxative effect.

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

• sclerotherapy - the introduction of special sclerosing drugs into the site;
• ligation - the knot is pinched with a special latex ring, which causes rejection, dying off of the knot after 7-10 days;
• infrared photocoagulation and laser coagulation (exposure to a laser or high temperature at the base of the hemorrhoidal node at 3 - 5 points, in which a burn occurs, causing a necrosis of the node with its subsequent fall off within 7-10 days).

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

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

Folk remedies for hemorrhoids during pregnancy

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

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

For ingestion:

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

Baths:

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

Lotions:

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

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

Once again, we draw your attention to the fact that pregnancy is not the time for experimentation. Even traditional methods of treatment may not be safe, therefore, they must first be agreed with a doctor.

For example, viburnum during pregnancy causes the tone of the uterus, and baths can cause an infection in the vagina. Garlic moxibustion sounds scary. So it’s better to keep an eye out here.

Prevention of hemorrhoids during pregnancy

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

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

The next stage in the prevention of the disease can be physiotherapy exercises (morning exercises), which helps to improve the function of the large intestine and reduce congestion in the veins of the small pelvis. It is also recommended to lie on your back with a raised pelvis (for example, on a low pillow) several times a day for 10-15 minutes.

Avoid long walks and prolonged sitting and standing work. Avoid hypothermia.

Especially for beremennost.net - Ksenia Dakhno

Hemorrhoids during pregnancy: reviews

In pregnant women, hemorrhoids often develop late in pregnancy. This is due to physiological reasons. The growing fetus presses on the intestines, causing the blood to stagnate in the veins. Constipation, which pesters women in later stages, also plays a significant role. Many are afraid to treat hemorrhoids during pregnancy, believing that they can harm the baby. This is a delusion, it is quite possible to treat hemorrhoids without harm to the child.

Hemorrhoid symptoms

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

Complications of hemorrhoids

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

Causes of hemorrhoids

The main cause of hemorrhoids during pregnancy is chronic constipation. The mom-to-be should strictly monitor the daily bowel relief. This is especially true for those who have been walking in the last weeks, because the grown fetus puts a lot of pressure on the intestines. Even if a woman passes the hemorrhoids during pregnancy, constipation will cause bumps to appear after childbirth.

Risk factors other than constipation are also:

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

It's always easier to warn

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

Nutrition for constipation and hemorrhoids

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

• baked goods and puff pastries, pastries with cream;
• smoked sausages and canned meat;
• milk porridge and milk;
• hard boiled eggs;
• spicy vegetables such as horseradish, onions, radishes, garlic, etc .;
• mustard;
• mushrooms;
• chocolate, cocoa, strong tea;
• blueberries;
• legumes;
• spices;
• fresh cabbage.

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

Sometimes constipation with hemorrhoids is of a psychological nature. It hurts a woman to go to the toilet, and she is terrified of waiting for the next "torture session." As a result, the intestines spasm, and the constipation only worsens. The longer the constipation, the faster the hemorrhoids develop. A vicious circle arises. You can break it only with competent treatment, otherwise it will come to an operation.

Drinking regimen

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

Hygiene of the expectant mother with hemorrhoids

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

• after defecation, use wet toilet paper or wet wipes for intimate hygiene;
• in the morning, in the evening, as well as after bowel movements, be sure to wash the anus with cold water. Make the shower pressure stronger, so that it turns out like a mini-massage of this delicate area. Cold water is the most effective remedy; in the initial stage, hemorrhoids can be cured with just one cold wash. As soon as discomfort in the rectum begins to be felt, you need to immediately arrange a cold shower. The duration of irrigation is 1-2 minutes.

What not to do with hemorrhoids

1. Lift weights.
2. Push hard during bowel movements.
3. Overheat the lower body.
4. Take vasodilator medications.
5. Sit for more than three hours without moving.

How to treat hemorrhoids

It is not easy to treat hemorrhoids in pregnant women, because many medicines and almost all herbs are prohibited. There is one rule to remember: it is necessary to treat hemorrhoids by a doctor... You do not need to diagnose yourself on your own, you can start the disease and harm the child's future. As for folk methods, they may also not be useful. Many remedies that are successfully used in ordinary people can cause miscarriage in pregnant women.

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

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

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

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

In pharmacies, candles with sea buckthorn oil are sold. This plant has no contraindications for pregnant women, so expectant mothers can safely use such candles for hemorrhoids.

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

Folk remedies for hemorrhoids in pregnant women

There are many folk remedies for hemorrhoids, but few are suitable for pregnant women. Most plants tone the uterus. which can cause miscarriage. For example, such strong anti-hemorrhoids as mountain ash and highlander are unacceptable during pregnancy for this very reason.

Gynecologists and sitz baths are not recommended during pregnancy. They argue that pathogenic bacteria can enter the vagina. Therefore, from folk remedies for expectant mothers with hemorrhoids, only homemade candles and ointments remain.

Suppositories for hemorrhoids

Potato candle

Potato candles are good for the onset of the disease. They can be inserted both overnight and all day. Wash potatoes thoroughly, peel and cut out a candle. Insert into the anus. After defecation, the candle should come out, and therefore immediately after washing, insert a new one. If this remedy does not help, then you need to try another.

Honey candle

Make a candle from candied honey and introduce it into the right place. It is better to take buckwheat honey. To make the candle easier to shape and insert, honey is placed in the freezer for a while. This remedy is quite effective and works well for pain and inflammation. It is better to use such candles before bedtime, by the morning they will be safely absorbed. The remedy is contraindicated for allergies.

Garlic candle

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

For a candle, you need a few peeled cloves of garlic and butter. Chop the garlic, mix with oil, mold a candle and put it in the freezer for a while. Once it has hardened to such an extent that it can be inserted into the anus, immediately insert it as deeply as possible. It is advisable to do this very procedure before bedtime. Candles do not need to be harvested for the future, they quickly lose their properties.

Washing nodes for hemorrhoids

Beet juice

Grated raw beets will help remove swelling from hemorrhoids. The root crop should be thoroughly washed, grated on a fine grater, squeezed out the juice. Moisten a cotton cloth abundantly with juice, put on the bumps. Beetroot relieves pain and swelling. This method should be combined with any candles.

Camomile tea

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

Decoction of oak bark

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

Onion juice

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

Folk remedies for constipation suitable for pregnant women

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

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

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

Any disease is easier to cure if captured at the very beginning. There is no need to give in to false shame and hesitate to see a doctor. Hemorrhoids are quickly treated at the initial stage, but a neglected disease causes real suffering. Do not hope that hemorrhoids will go away on their own. The competent use of folk remedies and medical supervision will help the expectant mother to gain health.

The content of the article: Hemorrhoids is a disease that is not openly discussed. This attitude is associated, first of all, with the specific location of the pathology. And due to their upbringing, many women prefer to remain silent about their problems. Therefore, many do not go to a doctor for advice, but prefer to look for information in a variety of sources, many of which contain inadequate information or simply provide incorrect information.

According to statistics, most of the population suffers from this pathology. Most often, a sedentary lifestyle is called the main cause of hemorrhoids. Poor diet, the use of large quantities of certain types of drugs, alcohol and smoking all lead to the onset of the disease. Heredity is also one of the factors in the development of hemorrhoids. In fact, if a close relative has suffered from this disease, the chances that the offspring will also develop the disease are incredibly high. Hemorrhoids are very common during pregnancy.

Causes of hemorrhoids in pregnant women

During pregnancy and childbirth, a number of changes occur in the female body, which in turn trigger the mechanism of the onset of the disease. During the 1st trimester, the uterus greatly increases in size and presses on the venous plexus. Because of this, the plexuses located in the pelvic region are overflowing with blood. The vein wall changes and stretches. These veins are called hemorrhoids. Hemorrhoids do not appear immediately, from the moment the conditions favorable for the development of the disease are created, some time passes. Doctors distinguish two forms of this pathology - primary and secondary. Hemorrhoids formed during pregnancy are referred to as the first form. The second group includes hemorrhoids, which are caused by cirrhosis of the liver, some severe cardiovascular diseases, and various tumor processes.

All of these diseases are also capable of disrupting blood flow in the veins of the pelvis. Another reason that causes hemorrhoids in the 2nd trimester is frequent constipation. Due to the difficulties that a woman experiences during bowel movements, the rectal mucosa is stretched, which in turn leads to varicose veins and the formation of hemorrhoids. If the emptying of the intestines, for a number of reasons, does not occur regularly, the feces become strongly compacted and injure the mucous membrane, which can also become one of the indirect causes of hemorrhoids. Most often, hemorrhoids manifest themselves in the 3rd trimester, when the unborn child reaches its maximum size.

The main signs of pathology

Depending on the stage of hemorrhoids, in pregnant women, the first signs of an incipient disease are: a feeling of discomfort in the anus, which later turns into mild soreness during the act of defecation. Each bowel movement may be accompanied by slight bleeding. On palpation or visual examination, hemorrhoids become noticeable. Patients begin to complain of itching, discharge, and nagging pain in the anus. In some cases, the pain experienced may radiate to the lower part of the lower back and sacrum.

As hemorrhoids develop before childbirth, they may be characterized by prolapse of the affected nodes. And if at the initial stages of the disease most of the symptoms are not pronounced, then as the pathology develops, the painful sensations become quite strong, and the prolapse of hemorrhoids requires treatment, since such a condition causes severe suffering. With an advanced form of the disease, serious complications begin, which are accompanied by pain, profuse bleeding. In the most severe stage, due to vein thrombosis, tissue death can begin. True, such a course of the disease is extremely rare. In most cases, a pregnant woman seeks a doctor and receives appropriate treatment.

Methods for the treatment of hemorrhoids in pregnant women

Currently, there are several methods for treating hemorrhoids, but due to the specific condition of a woman, not all can be applied without serious consequences for the health of the child and mother. Therefore, the treatment of hemorrhoids in pregnant women at 38 weeks occurs using the most gentle methods.

In each case, the method and method of treatment are determined by the attending physician on a strictly individual basis. Not the least role in the course of treatment is the time of a woman's seeking medical help. One type of treatment is carried out at the initial stages of the disease and a completely different one with advanced pathology. Very often, women are not aware of the presence of this disease, therefore, they do not report their problems to the doctor, hoping that the problem will be resolved by itself, or even resort to treatment at home. As a result of such self-medication, the doctor has to deal with more pronounced pathology in his practice.

Treatment of pathology at the initial stage

Meanwhile, if appropriate measures are taken on time, no serious treatment will be required to get rid of the problem. At this stage, the treatment of hemorrhoids can be carried out by applying some preventive measures.

First of all, a woman should take care of her nutrition. An appropriate diet will help eliminate constipation and eliminate one of the causes of the disease. Adequate nutrition should be aimed at enhancing intestinal motility. A slight increase in physical activity will help solve the problem. At the same time, when determining the level of physical activity, the woman's health status and the general course of pregnancy should be taken into account. Therefore, the amount of physical activity should be determined by the doctor, and not by the woman herself.

In the presence of hemorrhoids, it is very important to observe a special hygiene regime for this area, especially during pregnancy. Due to a decrease in the level of immunity during this period, the risk of a wide variety of inflammatory processes in the anus and places of formation of hemorrhoids increases significantly. If all these rules are strictly followed, the development of hemorrhoids will stop, and more serious treatment will not be required.

Treatment of more complex forms of the disease

The stage when clear signs of hemorrhoids appear requires a completely different approach. In this case, preventive measures alone are no longer enough. In this case, an integrated approach will be required with the obligatory use of drug therapy. Due to pregnancy, medical care for such women is provided only locally.

How to treat hemorrhoids during pregnancy at this stage? Combined ointments, creams, rectal suppositories are widely used. Each of these drugs works in several ways. First of all, all these funds have an analgesic effect, then they are able to relieve signs of inflammation, and for effective treatment they must have a vasoconstrictor effect. And, additionally, they should all have a laxative effect.

It is impossible to select and even more so to use each of these drugs for treatment on your own. The prescription of this or that drug should be justified, and only the attending physician can give appropriate recommendations.

Treatment of severe hemorrhoids in pregnant women

The most difficult thing is the treatment of advanced forms of hemorrhoids. At this stage, manual reduction of the prolapsed nodes is almost always required, and in some cases, direct surgical intervention, which is highly undesirable during pregnancy. However, if the doctor decides on the surgical treatment of the disease, it means that with the given development of the pathology, no other treatment will give a positive result.

The terms and methods of surgical treatment are determined by the surgeon taking into account the condition of the pregnant woman and with the direct participation of the gynecologist. At the same time, specialists must decide which of the methods will be the least traumatic and will not give serious complications. The preference, of course, is given to modern, almost bloodless methods of hemorrhoid treatment. These include sclerotherapy and ligation.

Sclerotherapy

In the first case, special substances are introduced into the node, which make the walls of the node stick together. This is a relatively new treatment for hemorrhoids. The therapeutic effect is achieved due to the elimination of the blood flow supplying the node. This method involves the introduction of a sclerosant into the lumen of the node, a substance that provokes the onset of an inflammatory process in a vein. It is he who becomes the reason for the sticking of the walls and their subsequent overgrowth. Further, the node disappears. This method of treatment has been used in the past, but was rejected due to the lack of suitable medications. Previously, substances that were extremely aggressive in their properties were used to destroy the nodes, which very often caused complications. These substances included ethyl alcohol and carbolic acid solution.

As a result, they decided to abandon this method of treatment. And this state of affairs existed until the creation of sclerosant. The modern drug is absolutely harmless, easily tolerated by the body and allows you to achieve excellent results in the treatment of the disease. During pregnancy, this method of treatment gives good results and does not in any way affect the general condition of the woman. But this treatment becomes impossible if doctors have to deal with large hemorrhoids. In this case, only direct surgical intervention is possible. The main advantage of this method is simplicity and safety. The procedure is completely painless, which is very important for a woman in position. The drug itself is injected into the node using a very thin needle. As a result, all a pregnant woman will feel is a slight burning sensation. No hospitalization is required for treatment. This is an outpatient surgery.

After a short period of time, a woman will be able to lead her usual lifestyle. In one operation, hardening of several nodes at once is possible without any consequences. This treatment, even if it is carried out for a fee, does not require large monetary costs. True, this method also has its drawbacks. It can be used only for internal hemorrhoids, in other cases it is ineffective. It is also impossible to treat nodes in a similar way in the presence of thrombosis, severe bleeding and the formation of anal fissures and fistulas.

Ligation

Another way to treat hemorrhoids is with latex rings. This method of surgical intervention is also painless, does not give relapses and is less traumatic. This procedure is also performed on an outpatient basis. The treatment itself consists in pulling the vascular pedicle with a special ring. Thus, the flow of blood to the hemorrhoid stops. The tissues that form it die off and are rejected. The whole procedure takes about ten minutes. The material from which the rings are made is elastic, durable and does not cause allergies.

With this method of treatment, only one node can be treated in one operation. Each node must be treated separately, so treatment must be carried out in several stages. The interval between operations should be at least two weeks. In the event that a pregnant woman has several nodes, this moment must be taken into account, since the risk from an operation for a long time always exists. Large nodes can be removed in a similar way, but in this case, the treatment takes place in several stages. After the end of the procedure, there may be some soreness in the place where the operation was performed. The unpleasant symptoms disappear the next day. Your doctor will usually prescribe a topical pain reliever that is approved for use in pregnancy.

Hemorrhoid treatment during pregnancy is always a challenge. In this difficult period for a woman's body, it is necessary not only to quickly cure the disease, but also not to harm the child. Therefore, many even refuse treatment, allowing the disease to develop during pregnancy into severe forms, the treatment of which after the birth of a child will take a lot of time and effort. Hemorrhoids - what is it?

Is it worth treating hemorrhoids during pregnancy?

Because of fears that treatment may harm the baby, women often postpone treatment for even serious cases of hemorrhoids until the postpartum period, without thinking about the consequences of this.

• Hemorrhoids lead to a gradual deterioration in well-being. Constant discomfort, pain, the inability to go to the toilet normally is exhausting the more, the more severe the stage of the disease. A woman will be less likely to tolerate pregnancy, and this is reflected in the health of the baby;
• Large nodes cause inflammation and tissue death, which opens the way for all possible infections. And during pregnancy, any infectious disease can be dangerous for the child. In the most severe cases, the infection can enter the baby's bloodstream, causing intrauterine infection;
• An even more severe consequence of advanced hemorrhoids is anemia (anemia), which is caused by constant bleeding. A lack of hemoglobin can lead to oxygen starvation, which is extremely dangerous for the developing fetus;
• An unpleasant consequence of hemorrhoids not cured during pregnancy can be a sharp deterioration in the patient's condition immediately after childbirth, the disease begins to progress rapidly. If this problem is not addressed in time, it can become really serious in the future.

It is necessary to understand that hemorrhoids during pregnancy can develop very quickly, so treatment should be started as early as possible. Modern drugs allow you to minimize the risk of complications and quickly cope with the disease; there are even drugs on the market that can be safely used in the 1st trimester.

Hemorrhoids during pregnancy: treatment should be performed without fail, even if the disease is at stage 1. It is better to entrust the choice of the drug to a specialist: it is extremely difficult to independently understand the variety of ointments, suppositories and tablets presented in pharmacies.

Drug therapy during pregnancy

Hemorrhoids - how to treat? Conservative treatment is the safest form of therapy for mothers and babies during pregnancy. There are many drugs on the market that can be used during this period, and on the Internet, on specialized forums, it is easy to find answers to all questions about the use of certain drugs. But when choosing a therapy, especially if we are treating stage 2 or 3 hemorrhoids during pregnancy, it is still better to follow the recommendations of your doctor. Otherwise, a lot of time can be spent on the selection of the drug.

• conservative treatment during pregnancy often includes suppositories or Relief ointment. It is a versatile preparation made on the basis of shark liver, known for its rich composition and good healing properties. The relief costs from 230 rubles per package, it can be used for a long time. For the treatment of hemorrhoids 2 and 3 degrees Relief should be used as part of complex therapy, its use is not limited to pregnancy and is a fairly effective remedy at all stages of the development of the disease;
• Neo-Anusole is a popular drug for treatment during pregnancy. These are inexpensive suppositories for hemorrhoids during pregnancy (from 100 rubles per package), which can be used to treat hemorrhoids with virtually no restrictions, the only exception is the intolerance of preparations containing iodine;
• with candles and Posterisan ointment, hemorrhoids are also treated during pregnancy, the cost of one package is from 150 rubles;
• It is better not to use proctoglyvenol in the first three months of pregnancy, otherwise it is an effective drug that can cure hemorrhoids even in advanced cases. The only disadvantage of treatment with this drug is the price, the cost of one package starts from 340 rubles;
• Hepatrombin can be bought for 120 rubles per pack, it is an effective drug for the treatment of hemorrhoids during pregnancy, excluding 1 trimester. It is also used as a preparatory stage if surgical treatment is planned;
• candles with sea buckthorn for pregnant women can be used without restrictions, this is a mild, but quite effective remedy. Sea buckthorn oil is good for tissue healing at the site of hemorrhoids. The cost of one package is from 80 rubles;
• heparin ointment is the most inexpensive drug, the cost of one package is from 30 rubles. It can be quite effective, especially in the early stages of the disease.

It should be borne in mind that it can be very difficult to cure hemorrhoids during pregnancy on your own due to the wide variety of drugs and the need to take into account all the features of the composition of each of them. Therefore, it is better to consult a doctor before starting the course: this will save time and health of the pregnant woman and her baby.

Removal of hemorrhoids during pregnancy

Non-surgical removal of hemorrhoids does not pose any particular risk for a pregnant woman; all procedures are performed under local anesthesia. In some cases, removing hemorrhoids is the only way to cure the disease without allowing it to develop into more severe forms. But most often hemorrhoids during pregnancy are treated with medicines, postponing the operation or the use of non-surgical methods for the postpartum period, since any even minimally invasive procedure is a risk of complications that are dangerous for pregnant women. will be the best option if we are treating stage 2 or 3 hemorrhoids during pregnancy, the size of the nodes makes conservative treatment ineffective.

• one of the most commonly used methods is sclerotherapy; hemorrhoids are treated with it at any stage except stage 4. During the procedure, the doctor injects a sclerosing drug into the node, under the action of which the vessels grow together, and the node dies off after 7-10 days. After sclerotherapy, in an hour you can return to your usual way of life;
• alloying with latex rings can effectively treat internal hemorrhoids. The node (its base) is clamped with a special ring that blocks blood access. It is also a minimally invasive procedure; it is not dangerous for pregnant women;
• coagulation (cauterization) with a laser or infrared machine is another method to treat stage 2 and 3 hemorrhoids during pregnancy.

Surgical intervention is carried out only in extreme cases with acute hemorrhoids, most often doctors prefer to treat the disease with other methods, avoiding surgery that is risky for pregnant women. However, if the size of the nodes is large, surgery may be the only option, although all alternative methods should be tried before agreeing to surgery.

Traditional medicine for the treatment of hemorrhoids

How to treat hemorrhoids? Traditional medicine recipes have allowed pregnant women to effectively treat hemorrhoids for hundreds of years. But before using any prescription, it is imperative to consult a doctor: traditional medicine often uses the same active substances as traditional medicines. They can interact with medicines prescribed by your doctor, or they can cause serious side effects if used incorrectly.

• in the initial stages, hemorrhoids can be very effectively treated with ordinary potatoes. This is an absolutely harmless method, which is very important for pregnant women. You need to make candles from potatoes, the same shape and size as traditional ones. It is necessary to insert candles before bedtime;
• effective against hemorrhoids and a good fortifying agent - rowan juice, it is easy to squeeze out of fresh rowan berries. It is necessary to take juice 3 times a day, 100 g;
• St. John's wort decoction also heals hemorrhoids. To prepare it, pour a tablespoon of dry herb with a glass of boiling water, let it brew for an hour. It is necessary to take the broth three times a day for a tablespoon for 10 days;
• local baths relieve inflammation well. To prepare the broth, mix 3 tablespoons of oak bark, flax seeds and chamomile, brew 4 tablespoons of this mixture with a glass of boiling water. The finished broth should be filtered and used every day, the duration of the procedure is 15-20 minutes, the course should last no more than a month;
• another effective bath recipe: a mixture of calendula, sage, nine-strength, nettle, chamomile, shepherd's purse and yarrow. Mix in a tablespoon of these herbs. To prepare the broth, take 4 tablespoons of the resulting herbal mixture, pour a glass of boiling water, let it brew for 4 hours. The resulting broth should be used for local baths in the same way as described above;
• The most effective ointment according to folk recipes is made from garlic and sunflower oil. Cover a head of garlic (not peeled) with oil and put on fire. Boil the garlic in oil until charred. To prepare the ointment, the garlic must be chopped and mixed with the rest of the oil.

Diet and lifestyle for hemorrhoids during pregnancy

The same role as the correct selection of drug therapy is played by additional methods of dealing with hemorrhoids in pregnant women. They are aimed not at treating symptoms, but at eliminating the cause that led to the appearance of varicose veins under increased stress during pregnancy.

1. ... It should be balanced, which is especially important for a pregnant woman and her baby, the diet should be divided into 3-5 meals, you need to eat in small portions, without overloading the digestive system. A healthy diet contains a lot of fiber and a minimum of fried, spicy, fatty foods. Fast food should be completely excluded from the diet. You should drink at least 1.5-2 liters of liquid per day, fermented milk products are very useful;
2. You also need to make sure that all the necessary vitamins are present in the diet. It is useful to include in the menu and products that strengthen the walls of blood vessels - beets, cabbage, carrots, apples and many others. If necessary, the doctor may prescribe a vitamin complex;
3. We should not forget about the observance of the correct lifestyle, if we treat hemorrhoids even mild during pregnancy. You should not avoid physical activity, on the contrary - constant moderate physical activity will help to transfer pregnancy much better. Special gymnastics for pregnant women helps well with hemorrhoids of stages 1 and 2, it helps to keep the muscles in good shape, this will greatly facilitate your life, both in the early stages and just before childbirth.

Pregnancy is a difficult period for the whole organism, all organs, including blood vessels, suffer from increased stress. Therefore, hemorrhoids are an extremely common problem among pregnant women. You can cope with it, modern methods of treating hemorrhoids can effectively treat this unpleasant disease at any stage. But you should not postpone the visit to the doctor: the earlier you start therapy, the less problems you will get hemorrhoids.

How to properly treat hemorrhoids at home

Have you ever tried to get rid of hemorrhoids at home by yourself? Judging by the fact that you are reading this article, the victory was not on your side. And of course you know firsthand what it is:

• once again see blood on paper
• wake up in the morning with the thought of how to reduce swollen sore bumps
• suffer every trip to the toilet from discomfort, itching or an unpleasant burning sensation
• Over and over again to hope for success, to expect results with impatience and to be frustrated by a new ineffective drug

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

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

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

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

Causes of hemorrhoids during pregnancy

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

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

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

Stages and types of hemorrhoids in pregnant women

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

There are several stages in the development of hemorrhoids:

• Stage 1 - hemorrhoids in the lumen of the rectum that do not go beyond its limits;
• Stage 2 - the nodes sag from the anus, but when the position of the body changes, they are adjusted;
• Stage 3 - hemorrhoids sag from the anus and cannot be adjusted when changing position;
• Stage 4 - non-reducible nodes are accompanied by complications in the form of thrombosis, profuse bleeding.

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

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

Symptoms of hemorrhoids in pregnant women

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

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

note: the symptoms of hemorrhoids can be exacerbated by infringementhemorrhoid. This condition is manifested by severe pain in the rectal area and an increase in body temperature. When such symptoms appear, it is important for a pregnant woman to immediately seek medical help from a surgeon.

Signs of hemorrhoids after childbirth

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

Diagnosis of hemorrhoids during pregnancy

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

Diagnosis of hemorrhoids includes:

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

In laboratory diagnosis of hemorrhoidsa pregnant woman is prescribed:

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

How to treat hemorrhoids during pregnancy

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

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

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

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

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

The treatment regimen also includes:

• Duphalac;
• Ginkor Forte;
• Forlax;
• Curantil;
• Prelax;
• Troxerutin;
• Pentoxifylline.

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

Stage III and IV hemorrhoids are considered severe, and combination therapy is used in their treatment. In addition to changing the diet and daily regimen, candles, ointments, tablets are prescribed. Operational methods are used if the prolapsed hemorrhoids do not fit into the rectum, but the operation is performed after childbirth.

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

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

Suppositories from hemorrhoids during pregnancy

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

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

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

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

Childbirth with hemorrhoids

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

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

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

Treatment of hemorrhoids after childbirth

Hemorrhoid therapy, both during pregnancy and after childbirth, includes the following general prescriptions:

• lifestyle correction;
• elimination of constipation;
• normalization of water balance;
• meals by the hour;
• gymnastics to strengthen the muscles in the anus;
• daily walks;
• It is better to breastfeed or watch TV while lying down to minimize pressure on the rectal veins;
• hygienic regime.

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

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

Medical therapy for hemorrhoids in a nursing mother after childbirth is the same as during pregnancy.

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

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

Among them, some are more at risk of inflammation of hemorrhoids (multiparous, after the age of 30, with a genetic predisposition), others are less (young primiparous healthy women). But after childbirth, this percentage rises to 80 - the risks increase for everyone.

Hemorrhoids do not just cause terrible discomfort to the expectant mother. He is constantly progressing, entailing a lot of trouble. Therefore, it is not only necessary to treat it, but it is also important to start as early as possible.

Early Hemorrhoid Treatment

The onset of the disease is usually asymptomatic, and this is the biggest challenge. The woman does not even suspect that troubles have begun, and therefore does not act. Nevertheless, if you take up prevention, you will be sure that the second stage will not come. Indeed, at an early stage of inflammation, drug treatment is not required. It is as follows:

• regular bowel movements. It all starts from afar - once they could not go to the toilet, the second, and then realized that it had begun. This is one of the pathways to inflammation of the hemorrhoids, so in any case, development should not be allowed. Every pregnant woman should know what to do for this: adhere to a diet (exclude flour, fatty, fried, spicy, strong and, and make a diet based on whole grains, fruits, vegetables, nuts, dairy products) and lead an active lifestyle, move a lot (if there are no contraindications to this). Don't forget about.
• hygiene of the anus. This is a good rule of thumb for all women, but especially during pregnancy. Perform anal hygiene after each bowel movement. If you are not able to shower or wash yourself at the moment, always carry wet wipes for intimate hygiene or special wet toilet paper with you.

These therapeutic measures are both preventive and recommended for all pregnant women.

The second stage of hemorrhoids in pregnant women

But if hemorrhoids have already made themselves felt by the manifestation of characteristic symptoms, then you need to act more actively. Modern doctors-proctologists treat hemorrhoids comprehensively: from the inside and outside.

In addition to the recommendations described above, most likely, someone will advise you to sit baths with the use of potassium permanganate, and other antiseptics. This is actually a good method, but not during the period of gestation, since there is a high risk of infection in the vagina.

You may also need medication. Usually, these are gels, ointments, creams that have laxative, anti-inflammatory, analgesic and vasoconstrictor properties. They are selected in each individual case, taking into account the complexity of the course of the disease and the site of inflammation of the hemorrhoids. Moreover, only a doctor can and should prescribe medicines! This is doubly important during pregnancy.

Hemorrhoids at a late stage during pregnancy

It is very bad if you allowed the disease to develop into a severe course. It is painful, uncomfortable, unpleasant. Why, let's call a spade a spade: it's unbearable! And in view of your position, it is also not harmless, because a suffering mother is not the best for a future baby.

At the last stage, hemorrhoids are treated promptly. Do not despair if this happens, but pull yourself together to have the operation as soon as possible. Until the baby is born, the surgeons will give the mother a reprieve. In the meantime, the proctologist will prescribe medications that are allowed during pregnancy, which will help relieve pain symptoms and temporarily reduce the manifestation of the disease.

We want to reassure you: in fact, it rarely comes to the operation. However, you cannot turn a blind eye to hemorrhoids during pregnancy. Do not think that this is a temporary phenomenon, it will not go away on its own. But also do not engage in amateur performances. Any actions must be agreed with the doctor after the examination.

Be healthy! And don't let such unpleasant things overshadow your pregnancy!

Specially for- Elena Kichak

A common disease of the rectum is hemorrhoids. Many are embarrassed to tell their loved ones about the illness or see a doctor. Don't be shy. After all, statistical figures show that eight out of ten people in their lives are faced with this scourge in one form or another.

Hemorrhoids - inflammation and further enlargement of the cavernous bodies of the rectum, provoking itching, bleeding, prolapse of venous nodes outward.

Most often, the disease occurs in people who lead a sedentary lifestyle, drink little liquid, eat poorly, and also, to a greater extent, in pregnant women. During pregnancy, 50% of women are prone to hemorrhoids.

You should be attentive to your health and consult a doctor at the first symptoms to avoid possible complications. During pregnancy, intra-abdominal pressure in women increases, the veins of the rectum are compressed, due to the enlargement of the uterus, the internal organs can be displaced. As a result of stagnation of venous blood in the pelvic area, pregnant women are characterized by constipation, which is another cause of hemorrhoids.

Hemorrhoids are accompanied by the following symptoms:

• the discomfort;
• bloody discharge from the anus;
• itching in the anal area;
• the occurrence of hemorrhoids;

There are 3 stages of prolapse of hemorrhoids. For the first and the second, it is typical during the act of defecation, the difference is that in the first stage the nodes are adjusted on their own, and in the second, with the help of the hands, it is possible to force the nodes to "return to their place." At the third stage, the knots fall out with any physical effort, but the ability to remove the knots with the help of the hands remains.

External hemorrhoids during pregnancy, which should be treated as early as possible, is a common disease in women. An increase in fetal mass leads to the fact that the genital organ begins to press on the internal organs and the result is the appearance of hemorrhoids. Often, patients are in no hurry to consult a doctor and resort to self-treatment, suffering from pain and discomfort.

Features of the disease

Specialists divide hemorrhoids into two types:

• interior;
• outer.

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

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

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

What are the reasons that can provoke hemorrhoids during pregnancy?

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

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

The degree of pathology and characteristic signs

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

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

With the transition of an acute form of the disease to a chronic one during pregnancy, a woman may develop swollen, inflamed veins that are localized around the anus. They can appear outwardly or not at all. Given this factor, many women do not even know about the presence of such a pathology as hemorrhoids.

Features of the treatment of the disease during pregnancy

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

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

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

During pregnancy, a woman should have a variety of foods in her diet, and to prevent constipation problems, it is recommended to consume as many high-fiber foods as possible. Fermented milk products help to normalize bowel function and restore stool, and it is best to refuse eating foods with a high protein content.

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

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

Medicines in the fight against the disease

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

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

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

It is not recommended to treat external hemorrhoids during pregnancy with medication, but it is preferable to use means of sweeping action. This is due to the fact that the woman and the child have the same blood flow, so medications can negatively affect the condition of the fetus. In fact, external hemorrhoids are much easier to treat than internal hemorrhoids. With this form of pathology, all the bumps appear on the outside, so you can easily apply anti-hemorrhoidal agents to them in the form of ointments.

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

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

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

Hemorrhoid surgery during pregnancy

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

How to treat pathology if it goes into a neglected form? The operation is resorted to if the hemorrhoidal cones have fallen out, or a blood clot has formed in the area of ​​such nodes or right in their place. This pathological condition is especially dangerous just before childbirth, as it can lead to a rupture of the rectum. It is for this reason that in some cases, to eliminate hemorrhoids, they resort to radical methods of dealing with the disease.

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

• laser coagulation involves exposure of the node to too low or high temperature, which causes its death;
• doping is a pinching of a hemorrhoidal lump using a special mechanism, which leads to its death;
• sclerotherapy involves the introduction of a special drug into the hemorrhoidal formations, and their subsequent removal.

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

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

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 visits to doctors are related to this problem. 80% of the inhabitants of megalopolises suffer from this disease. Who has the most common hemorrhoids? Hemorrhoids are especially common among pregnant women. You can talk about pregnancy and hemorrhoids as synonymous words.

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

What are hemorrhoids?

Translated from Latin, this term means "bleeding". The disease itself arises 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 or after pregnancy requires treatment, depending on the severity of the disease.

Why are hemorrhoids so common?

When a woman, hiding behind a 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. This can be, for example: problems with the pancreas and thyroid gland due to improper diet, excess weight, frequent constipation. A hereditary factor cannot be ruled out, congenital anomalies in the structure of the veins are possible. In some cases, certain drugs and chemicals are affected, 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 following are most important:

• Influence of chronic constipation (intestinal tone in pregnant women is reduced);
• Decreased mobility (women in "position" have less 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 have increased pressure inside the peritoneum, which contributes to the development of this disease.

How long does hemorrhoids occur more often?

Despite the fact that the disease is usually detected after childbirth or during the third trimester of pregnancy, the appearance in the first and second trimesters is not uncommon for it, so you need to be prepared for this to happen. If you have already encountered an illness, know that it will not go away on its own, treatment is simply necessary. It is very important to start treatment 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; before choosing medications, you should consult a doctor, especially during pregnancy.

How does hemorrhoids develop?

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

If hemorrhoids do not come out of the lumen of the anus, remaining in the lumen of the rectum, then they talk about the first stage. If you do not start to treat the signs of hemorrhoids in a pregnant woman on time, the disease will continue to develop, the nodes will begin to "fall out" from the anus, but if they are adjusted when changing the position, this is only the second stage. At the third stage, almost no one can correct 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 the blood pressure in this area also increases, these factors may well affect the appearance of the disease.

There is an assumption that the operation of a cesarean section will eliminate the risk of hemorrhoids, because in this case, during childbirth, the woman does not have to strain, the doctor will do everything for her. However, this assumption cannot be correct. Caesarean section is not only the risk of getting various postoperative complications (including hemorrhoids), but also the strongest psychological shock for the 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 have given birth are less pronounced. If a woman says to the doctor: "I have pain during stool, I have bloody discharge on the feces, I am tormented by constant itching and discomfort in the anal area" - most likely, this can be defined as symptoms of internal hemorrhoids.

External hemorrhoids during pregnancy, as well as after childbirth, he "screams" about himself - it is difficult not to notice the purple-red nodes hanging from the anus. Due to hemorrhoids, a woman constantly experiences pain when walking and in a sitting position. When emptying the intestines, the pain is severe.

If the hemorrhoid is pinched, the temperature will certainly rise, the pain in the anus will become unbearable. In such a situation, it's time to contact a surgeon.

What examinations do you need to undergo to confirm the diagnosis?

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

• Internal hemorrhoids are felt;
• Their location, number, size are assessed;
• The presence of cracks in the rectum is determined.

How to deal with shame?

How to treat?

Treatment for 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 (enema, herbal ointments, decoctions). With the onset of symptoms of a pregnant woman with hemorrhoids, combined drug treatment is prescribed. In severe cases, the intervention of a surgeon is required.

The initial stages of hemorrhoids in women during pregnancy are rarely diagnosed, so treatment methods can be considered prophylactic (enemas, decoction baths, 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, therefore, nutrition is adjusted. More vegetable fiber will be beneficial, it is found in vegetables, grains, prunes, fruits and cereals. You can give preference to lactic acid products, they will also be useful. Limit your intake of meat and other foods that contain protein. Fats, hot spices, coffee also have to be removed from the diet.
• Thorough hygienic care of the perineal area in women during pregnancy is very important. This area should be washed after each bowel movement. Sitting baths can be carried out 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 mandatory observance of the above prevention rules. 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: a vasoconstrictor, anesthetic, anti-inflammatory component. It is possible to select the drug only individually in each case; before treatment, you should consult with a specialist. If you monitor your health, then pregnancy will become a holiday, and not a period of fighting hemorrhoids.

You can pay attention to recipes from traditional medicine that do not affect pregnancy. Enema, homemade candles for hemorrhoids during pregnancy, herbal ointments, sedentary baths with decoctions will be a good help in the fight against hemorrhoids, but only before that a doctor's consultation is necessary.

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

Ayurveda and hemorrhoids

Probably the most ancient system of patient care is Ayurveda. For about six thousand years, this medical system allows not only to save a person from various diseases, but also gives practical advice on prevention. Ayurveda deals with the healing of patients not by means of medicines, but by harmonizing the world around a woman. Oddly enough, the preventive system of Ayurveda in practice turns out to be much stronger than simple therapy. The system can also be used during pregnancy.

How to treat: "Phlebodia" or "Detralex"

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

"Phlebodia" in its composition contains 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 sensation in the lower extremities and treats chronic hemorrhoids. Exacerbation of hemorrhoids is treated by taking "Phlebodia" 2.3 tablets a 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 can be accompanied by headaches, allergic reactions, dyspepsia. "Phlebodia" can be used during pregnancy and lactation only under the strict supervision of a doctor.

An analogue of the drug "Phlebodia" can be called the drug "Detralex", which includes: Mg stearate, diosmin, glycerol, taclc, red oxide, Ti dioxide, etc. chronic or acute hemorrhoids.

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

The drug, like "Phlebodia", can provoke allergies, disorders of the digestive system, headaches.

The conclusion suggests itself

So that the 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 the disease is always easier to prevent 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

Changes in the venous plexus around the rectum, with poor blood circulation, are called hemorrhoids. Overflowing with blood, the veins expand and form nodes. Hemorrhoids very often appear during pregnancy, when the load on the pelvic organs, under the influence of the growing uterus and the baby, increases.

The reasons for the development of the disease

Carrying a child is a physiological process that is not the cause of the disease. But the changes occurring in the body during this period can provoke hemorrhoids during pregnancy, if there was a predisposition to it. Usually, the following factors act as provocateurs of the disease:

• The enlarging uterus begins to put pressure on the interlacing of the 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.
• Tastes can change during pregnancy. Excessive absorption of salty, spicy and smoked products irritates the intestinal epithelium. This provokes the formation of hemorrhoids.

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

Symptoms of the disease

The symptoms of this ailment 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:

• Unpleasant sensations in the anus. At first, there is a feeling of incomplete emptying of the intestines after a bowel movement. Then tingling, burning, itching appears. These symptoms are characterized by the fact that they can disappear, creating the illusion of recovery. And after a while, appear again.
• Bleeding. If, after a bowel movement, blood appears on feces or toilet paper, you should immediately consult a doctor. The fact that hemorrhoids are bleeding during pregnancy can provoke 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 mucous membrane around the anus indicates an acute form of the disease. As a result of inflammation, discomfort and pain can appear with prolonged motionless work.
• The prolapse of hemorrhoids is a clear sign of external hemorrhoids during pregnancy. First, the nodes fall out after a bowel movement, and retract 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 just after a long standing.
• One of the reasons for the development 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 is needed.

Features of the treatment of ailment during pregnancy

If 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 sufficient to balance the diet. Include more vegetables, fruits, dried fruits in your diet. Fiber can be supplemented with food (50 g / day). It softens the structure of the stool, making it easier for it to pass through the intestines.

When treating 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 the amount to a maximum of 1.5 liters.

Eliminate sweets, baked goods, 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. It 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 resolves blood clots. Benzoin relieves pain quickly.

Hepatrombin G is an ointment for hemorrhoids for pregnant women with high anti-inflammatory properties. The tool works effectively: relieves itching, swelling, and dissolves blood clots. But it cannot 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 with Troxevasin ointment. It eliminates edema, burning sensation on the second day of application. 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, which contains zinc and menthol, which soothes pain and helps the quickest healing of hemorrhoids.

Ointment Posterisan is prescribed if the patient has reduced immunity. It relieves pain and has a regenerating effect.

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

Candles are the first helper for this ailment

Preparations for hemorrhoids during pregnancy have a different form of release. For example, Gepatrombin G, Posterisan, Relief and many other medicines are available in candles and creams. A woman herself can 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, Natalsid candles are produced for hemorrhoids for pregnant women. They accelerate the regeneration of damaged tissue, stop bleeding, relieve inflammation.

Procto-Glivenol suppositories are very effective against hemorrhoids. They quickly relieve pain, 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.

Traditional methods of treatment

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

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

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

A decoction of berries and viburnum bark is used as a hemostatic agent. In addition, it boosts immunity, heals tissues and relieves pain. They drink the broth, make compresses from it.

Gymnastics for prevention and treatment

The best prevention of hemorrhoids during pregnancy is the implementation of special exercises. During the period of exacerbation, classes stop. Daily complexes for 10-15 minutes will help prevent hemorrhoids:

• Stand with your legs crossed. Tighten your anus and gluteal muscles for 10 seconds.
• Sit upright in a hard chair. Pull in your anus muscles.
• Lie on your back. Lift your hips up using your feet and shoulders.
• Simulate cycling by flexing and unbending your knees.

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

Hemorrhoids in a pregnant woman, hemorrhoids in pregnant women

Hemorrhoids during pregnancy can make life difficult for a woman. 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 a woman carrying a 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 largely due to the fact that the enlarging 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 the carrying of a child should most often be expected in women at risk for other reasons.

Stages of hemorrhoids during pregnancy

In expectant mothers, hemorrhoids can manifest themselves in an internal or external form. With the internal shape, 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 of a pregnant woman. In addition to severe pain, inflamed bumps crack, and feces clogged in 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 rectal lumen.
2. The hemorrhoidal node crawls out of the anus, but is adjusted when the position of the body changes.
3. Formations sagging from the anus cannot be corrected.

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, there is a possibility of loss of cones at any stress, 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 put them into the rectum only manually. What hemorrhoids look like in pregnant women can be seen not only at the third stage, but also upon reaching the second, when, with strong tension, a purple-red knot crawls out in a pregnant woman. In appearance, the cones that have crawled out during pregnancy in the fourth stage resemble an opened rose, which does not lend itself to reverse reduction. Constantly bleeding formation brings unbearable pain and the only treatment is surgery.

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

• painful sensations during the act of defecation;
• itching and other signs of discomfort;
• traces of scarlet blood in the stool during bowel movements.

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

• pulling pains in the rectal region, radiating to the lower back;
• prolapsed hemorrhoids.

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

If a woman had hemorrhoids before pregnancy that was not treated, then hemorrhoids 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 hygienic regime.

The disease in early pregnancy is treated with alternative methods, such as sitz baths with medicinal herbs. The difficulty of treating the disease in the first trimester of pregnancy is that a woman may not even know about its presence. The symptoms that are noted in this case, a woman can attribute to signs of the birth of a new life in her body. Therefore, even for a period of 3-4 weeks, any unpleasant symptoms are a reason for contacting a doctor. Moreover, self-medication for a pregnant woman is unacceptable due to 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 take place.

Hemorrhoids during pregnancy 2 trimester

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

However, the onset of the disease cannot be ruled out in the second trimester. The choice of the method of treatment in this case depends on the stage of the disease. However, if, for medical reasons, surgery is necessary, then 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 at a later date. 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 improvement 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 off with cool water at room temperature after each act of defecation.

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

At 34-36 weeks of pregnancy, hemorrhoids can be eliminated by taking medications permitted for this period, 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 quite common and it is associated with the process of fetal development. By this time, the baby is a fully formed baby weighing about three kilograms.

With hemorrhoids at 38 weeks of gestation, due to the additional pressure on the internal organs, which is exerted by the weight of the child, it becomes very painful not only to go to the toilet, but also to just move or even sit. When hemorrhoids come out at 38 weeks, you need to urgently seek medical help. The advice and treatment you receive will help you avoid otherwise inevitable breaks during childbirth. Removal of hemorrhoids at 38 weeks of gestation is not performed surgically, but it is possible to use invasive methods for treatment.

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 labor, it is necessary to apply maximum effort to minimize the negative consequences of the disease. If you do not take any measures and let the disease take its course, 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, move more. In addition, they use local treatment (suppositories, creams, ointments) that do not have a harmful effect on the development of the baby. They are directed to:

• reduction of edema;
• instant pain relief;
• restoration of normal blood circulation;
• relaxation of the sphincter;
• 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 the baby's head passes through the small pelvis, the organs and tissues located in the small pelvis of the woman are significantly squeezed. As a result, there is a violation of 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, pinch, or even rupture.

In the case of severe, protracted labor, hemorrhoids may form inside the rectum. Located between the folds of the mucous membrane, the blue-purple nodes irritate the skin near the anus with mucous secretions, and when it is pinched in the anus, they cause severe pain. During the carrying 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 for hemorrhoids. The resulting abscess creates discomfort when walking, the body temperature may rise. The resulting pus is removed with 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 come out during pregnancy, it is necessary to urgently engage in treatment without bringing the situation to a critical state.

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

Do hemorrhoids go away after pregnancy?

If a woman got rid of hemorrhoids during the period of bearing a child, 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 dies down for a while. As a rule, a relapse of the disease manifests itself in a woman after forty years under unfavorable circumstances. Whether the disease goes away after childbirth depends on the woman herself. Proper nutrition with a diet, an active lifestyle, sports will help not only postpone 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 are often associated with each other. Hemorrhoids before childbirth occurs for many reasons. Especially dangerous is the development of the disease in those expectant mothers who have already encountered a similar problem of blood stagnation in the pelvic organs. Therapy and disease control are serious and paramount tasks before childbirth. It is very important to prevent the development of the disease further from its very first symptoms.

Doctors believe that hemorrhoids that occur during pregnancy are not an obstacle to natural childbirth. If hemorrhoids come out before childbirth, you need to know that hemorrhoids (nodes) can complicate the process of childbirth. In addition, childbirth brings severe pain, and the presence of hemorrhoids will provoke even greater painful sensations. In this case, hemorrhoidal internal and external bumps can affect the duration of the childbirth process.

When carrying a fetus, it is recommended to try to protect your health as much as possible. Especially before giving birth, 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 must completely eliminate the emerging problem of hemorrhoids. Exacerbations of hemorrhoids are possible both before and during childbirth, as well as in the postpartum period.

Causes of occurrence

Frequent constipation and stool disorders can be the culprits of external hemorrhoids during pregnancy. Therefore, it is important to eliminate this cause, that is, to normalize digestion and improve intestinal motility. Constipation provokes unhealthy diet! 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 distension of the veins. Vessels greatly lose their own elasticity and strength.

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

Childbirth has a tremendous burden on the female body. Often it is the generic process that is the cause of the 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 a little, sits a lot, does not engage in physiotherapy exercises, then the blood flow in the pelvic veins is disturbed. 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 worsens and the hemorrhoids may be damaged. In such a situation, an 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 fundamentally 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.

Pharmaceutical companies now produce a wide variety of natural medicines that are completely safe and can be prescribed against hemorrhoids during pregnancy. Modern medicines of the new generation do not pose a threat to the female body and the body of the unborn child. After examination, the doctor will select the safest drug and prescribe the correct solution for hemorrhoids. Thus, hemorrhoids can be quickly and effectively treated before childbirth.

How to treat hemorrhoids before childbirth?

Treatment for 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 stagnation. During pregnancy, non-toxic and safe remedies are prescribed - rectal ointments and suppositories. These drugs have an effective effect on the very focus of inflammation. Very effectively relieve pain and reduce hemorrhoids such means:

• ichthyol ointment;
• Neo-Anusol ointment;
• Vishnevsky ointment;
• Fleming's ointment;
• heparin ointment;
• Hepatrambin G

These funds are absolutely safe for the intrauterine development of the fetus. Treatment of nodes with ointments helps to relieve the inflammatory process, prevents the development of infection further. Relief and Natalsid candles are also highly effective remedies, which quickly and efficiently eliminate hemorrhoids. During pregnancy, no capsules or tablets for oral use are prescribed for 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 the following decoctions and infusions from medicinal plants:

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

Enemas

Sitting baths are contraindicated in the treatment of hemorrhoids during pregnancy! Many expectant mothers are interested in the question - can an enema be used 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.

Do not use an enema too often. 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 does not eliminate the very cause of the disease.

It should be remembered that an enema causes contractions of the uterus. Enema can be applied no more than one per week. Such a procedure is strictly prohibited for those expectant mothers who have had miscarriages before. 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 bulb with a volume of 0.5 liters for its implementation. The composition for the procedure should not be dangerous for the unborn child.

Oily and herbal microclysters are not allowed for all pregnant women. Such a procedure can only be prescribed by a doctor, taking into account the risks to the fetus and the benefits to the mother. The individual well-being of the expectant mother must be taken into account.

Disease prevention

Prevention of hemorrhoids before childbirth includes several measures:

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

Only by observing absolutely all preventive measures can the occurrence of hemorrhoids before childbirth be avoided. It is important to take good care of your own health during pregnancy. In the event of hemorrhoidal formations, a consultation with a doctor will be required, who will prescribe a safe and correct treatment.

Why does hemorrhoids bleed during pregnancy?

Hemorrhoids is a painful and inconvenient disease, it takes a long time to treat it, but everyone is susceptible 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 word "hemorrhoids" in the popular slang means endless problems and worries, and all kinds of candles, ointments and other drugs 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 fast passability, giving the beneficial substances after food time to be absorbed into the walls.

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 in hemorrhoids, which frightens many patients - it is impossible to stop it, like bleeding from a nose or from a scratch, what to do - it is not clear. Hemorrhoids do not happen without bleeding - the 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 is felt, various suppositories and ointments are applied indiscriminately, none of which heals, and worries about the health of not only one's own, but also the child's, aggravate 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, before pregnancy. Hemorrhoids during pregnancy (treatment) occurs in women much more often than in a 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. The fibers of the connective tissue begin their restructuring and become much less plastic during its 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, and 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 aggravates the risk of rupture of the nodes.

If the blood flows strongly enough, then the general condition of the mother also worsens - weakness, dizziness, pressure drops are possible - after all, the body loses blood saturated with oxygen. 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 right 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 carefully to their bodies in order to recognize a threat to health - theirs or their baby. Hemorrhoids have distinctly recognizable features.

1. Hemorrhoids bleed on stool. This problem is one of the main signs of incipient hemorrhoids, by which it can be recognized at the initial stage. Of course, similar bleeding is observed in other diseases of the gastrointestinal tract and even with 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. You can independently identify hemorrhoids by the color of the blood discharge - bright red.
2. The prolapse of hemorrhoids during the act of defecation is a sign of a progressive disease. Such a loss is quite noticeable, although it does not yet cause severe pain. At the initial stage, the nodes return "to their place", inside the intestine on their own, but over time this will require effort and even physical impact. At an advanced stage of the disease, such fallouts not only cause severe discomfort and cause acute pain, but also occur much more often - when lifting even a slight weight, coughing and other efforts. Such complications that occur in the last trimester of pregnancy are especially dangerous, so timely treatment is simply necessary.
3. Painful sensations gradually begin to manifest themselves already at the initial stage of the disease, and with its progression they only get worse. At first, it may be itching or slight discomfort when the bumps move inside, later on it is an acute pain when the nodes fall out, a constant burning sensation in the anus - not only the consequences, but also the cause of these phenomena need to be treated.

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 every day, but even at the initial stage of the development of hemorrhoids, the amount of blood excreted 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, it is much easier to lose blood than to restore it. Untreated anemia during pregnancy leads to underdevelopment of the baby'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 trimester is characterized by the threat of miscarriage.

There is a possibility of inflammation: the rectum serves as a congestion site 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 before childbirth, no action is taken other than regulating diet and stool. Hygiene procedures are prescribed, candles - that is, gentle treatment.

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

How is hemorrhoids treated in pregnant women?

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

Hemorrhoid treatment requires compliance with several rules.

1. Well-established regimen of fluid intake. Often, after the occurrence of complaints of pain in the stomach and rectum, even before the detection of hemorrhoids, a truncated fluid intake is mistakenly prescribed. As a result, we get not only dehydration of the body and a malfunction 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 must be 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. The ideal option would be venotonic, which has a long-term analgesic effect (for example, such as Detralex). Medications such as emollient ointments and hemorrhoid suppositories are also prescribed by your doctor.
3. Diet - with a sufficient amount of liquid food, which you need to eat slowly and in several doses, as well as the use of natural, unhealthy means (beets, plums, etc.). If there is a risk of constipation, a laxative should be taken.
4. Hygienic procedures will be required if hemorrhoids have already begun to fall out - they are necessary to prevent the inflammatory process. After cleaning, use candles.

Hemorrhoids during pregnancy, the disease is 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 either - 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 various 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 stage of development of the disease.

If at the initial stage the spotting is insignificant, and only scarlet drops of blood can be found on toilet paper, then as the hemorrhoids progresses, 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, to whom to seek help, how to stop bleeding in case of hemorrhoids, what means (ointments, suppositories, tablets) to use to treat the disease?

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

Causes of hemorrhoidal bleeding

Hemorrhoids are formed as a result of impaired 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 inflame. Internal hemorrhoids reduce the rectal lumen 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 stool, toilet paper, or underwear. Pain is usually absent, bleeding is insignificant at first, and the discharge quickly stops after a bowel movement. 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 released, must be treated. Otherwise, with further progression of the disease, serious complications may develop that threaten the patient's health and life.

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 if the bleeding took the patient by surprise, what measures can be taken before the person gets to the doctor's office?

First aid: stopping 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 drop your 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 overwhelming majority of cases, blood appears only after a bowel movement or lifting excessive weights, and it is quite easy to stop its secretion. To do this, you should take the following actions:

With these emergency measures, sudden bleeding can be managed. To prevent recurrent episodes, careful diagnosis and quality medical treatment is necessary.

Diagnostic measures

To clarify the diagnosis and choose the correct treatment tactics, you will need to undergo a comprehensive examination. First of all, the proctologist must make sure that bleeding is caused precisely 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 can detect internal nodes. In addition, instrumental types of examination are carried out:

These studies make it possible to exclude other dangerous pathological conditions and choose the correct tactics for treating bleeding hemorrhoids.

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

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

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

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

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

• hemostatic candles with propolis, candles with adrenaline, methyluracil and homeopathic candles (with sea buckthorn oil, calendula, Relief-ultra);
• heparin ointments, Vishnevsky, Fleming, proctosan, troxevasin, relif, hepatrombin and others;
• hemorrhoid creams proctonis, borough derm, fitol-5, tyanhe, proctoglyvenol and others;
• gels mastokrel and others.

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

Folk remedies for stopping and treating 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. Broths can be used as a lotion for external hemorrhoids and do microclysters with them for internal hemorrhoids.

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

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

Treatment of bleeding for hemorrhoids during pregnancy

It is during pregnancy that half of women develop hemorrhoids, which may 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,
• the Relief family of ointments for the treatment of hemorrhoids,
• proctosed,
• 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 made based on belladonna extract... From the means of traditional and medicinal medicine, preparations based on buckthorn and hay herbs are contraindicated for pregnant women.

Diet for bleeding hemorrhoids

Nutrition for hemorrhoids with bleeding involves the exclusion from the diet of foods that cause blood flow to the pelvic organs. As a result of the use of such dangerous products, the damaged vessels of the hemorrhoids cannot withstand the 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 fermentative processes in the intestines and excessive gas formation. These are vegetables with coarse fiber (cabbage, corn, radishes, radishes), high-calorie flour products made from yeast dough, sweets, and kvass.

A diet for hemorrhoids with bleeding should improve intestinal motility, normalize the digestive tract and facilitate bowel movements, relieving constipation. A laxative, dairy-based diet will help alleviate adverse symptoms and eliminate bleeding.

Proper nutrition for bleeding hemorrhoids is based on the consumption of vegetables and fruits, berries and herbs. Apples, raw or boiled beets, carrots, cucumbers, zucchini, apricots will bring undoubted benefits. 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 meat and fish.

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

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, yogurt, bifidok, yogurt), it is useful to drink a glass of any fermented milk drink at night. This will allow for easy bowel movement and soft stools that do not injure the inflamed intestines.

An important point is the correction of the drinking regime; at least eight glasses of liquid must be drunk per day. These can be juices, compotes, fruit decoctions, herbal and green tea, mineral and ordinary drinking water. Lack of fluid in the body leads to the formation of solid 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 to 3 hours. This will help to improve the work of the digestive tract and prevent overeating.

Prophylaxis

As a preventive measure to exclude bleeding in hemorrhoids, proctologists note the timely treatment of diarrhea and constipation, proper nutrition, contributing to regular bowel movements, the use of a large amount of vegetables, fruits, fermented milk products.

An important point is the timely access to a specialist when the first unfavorable 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.

Hemorrhoids are a common disease in the rectum. 40% of patients who come for a consultation with a proctologist complain of hemorrhoids. Women expecting a baby need to take good care of themselves, engage in prevention, and avoid the appearance of an unpleasant problem.

Due to the appearance of hemorrhoids in pregnant women, doctors distinguish between the classification.

The first type is primary. It manifests itself during gestation, after childbirth. Secondary hemorrhoids arise as a result of diseases - when the liver becomes inflamed, changes, with problems with the cardiovascular system, impaired blood flow in the pelvic organs due to tumors.

The stage of pregnancy plays a role in the onset of hemorrhoids. Signs of illness are more often recorded by doctors in the third trimester, after childbirth. Whether a woman has given birth before or not is taken into account - women with children are more susceptible to the disease. It is not complete without age - the risk of developing the disease in a young body is lower than in the body 10 years older.

Diagnosis of hemorrhoids

Hemorrhoids can be diagnosed quickly based on specific complaints. Finger examination becomes an obligatory measure. It is aimed at determining inflammation - in the anus or complaints of a woman are characteristic of a different base.

If there are suspicions of internal nodes, sigmoidoscopy is prescribed - an optical device is inserted into the anus, revealing what is happening inside the rectum. After it starts.

Treatment of the disease

There are many tools used to get rid of the problem. Hemorrhoid treatment during pregnancy is not a problem. The examining proctologist gives advice, puts the pregnant woman on record, and starts treatment.

Physiotherapy exercises, exercises in the morning are prescribed. The recommended exercises are determined by the attending proctologist. It is important to observe the lifestyle: do not sit on a surface that is too cold (hypothermia in the small pelvis must not be allowed), go for a walk for more than an hour.

Good effect in rinsing the anus after a bowel movement. Use cool water for an extended period of time, washing your anus, lifting the shower up and down.

Among the methods of conservative treatment, a greater effect is recognized for anal suppositories (with internal nodes), antihemorrhoid ointment prescribed by the attending physician - Troxevasin.

Three groups of pregnant women with hemorrhoids

Speaking about the final diagnosis, the appointment of the diagnosis, the patients are divided into three groups.

Group 1 includes women with hemorrhoids without unpleasant manifestations, severe symptoms. Treatment methods:

• physiotherapy;
• regulated diet;
• walking;
• water washing of the anus;
• drinking laxative herbs and drugs.

Group 2 includes women who have hemorrhoids with typical symptoms - constipation, bleeding. Preventive measures are prescribed:

• the use of anal suppositories, special ointments;
• warm baths with potassium permanganate;
• drinking infusions with medicinal herbs;
• rectal suppositories with the addition of additional medicinal substances - prescribed by a doctor.

Group 3 includes women whose hemorrhoids are developing violently - compulsory hospitalization, surgical intervention are required. The disease proceeds in an acute form, hemorrhoids fall out, create unpleasant sensations - up to problems in resolving pregnancy. The duration of the operation differs depending on the individual manifestations of the disease.

In case of profuse bleeding and the dying off of the prolapsed nodes, the operation is performed on an emergency basis.

Therapeutic diet

The first step in hemorrhoids is constipation. The problem is causing defecation problems. If you try too hard to empty your bowels, you are more likely to develop anal fissures. The effect is achieved by a special diet. Diet rules:

• more fruits and vegetables - preferably in heat treatment;
• no alcohol, salty, spicy food, canned food, pickles, pepper;
• refrain from fatty.

• Broccoli, cauliflower (not cabbage)
• pearl barley, oatmeal;
• apples (ripe);
• corn;
• raisin;
• potato;
• carrot;
• beet;
• prunes;
• dried apricots.

The resulting acute hemorrhoids veto food:

• mustard;
• legumes;
• black bread;
• dairy products with a high calorie content;
• unripe fruits, berries;
• buns.

It is better not to be interested in self-treatment of hemorrhoids. If you are afraid of development, contact a proctologist for prevention. The doctor will assess the degree of risk, advise a remedy for preventive measures. Treatment in the last month of pregnancy will help cure the problem.

Complications of hemorrhoids

If the problem is complicated in parallel with current diseases, they resort to surgical treatment. Removal of hemorrhoids is prescribed. It is used in the absence of results from other funds. Refers to mothers who are at the 9th, 8th and 7th months of pregnancy - when the term of labor is approaching, there is a suspicion of complications of labor with hemorrhoids. In clinics, a laser operation is performed, they can resort to conservative methods.

Methods for getting rid of hemorrhoids:

• scleropathy - the introduction of sclerotic agents that stick together the venous walls of the node. The node begins to dissolve;
• ligation - the knot is clamped with a special ring made of latex. Within a week, 10 days, the congestion of veins dissolves;
• photocoagulation, laser exposure - after the technique, burns occur, but the hemorrhoid is burned out, disappears.

The choice of technique depends on the degree of development of the disease, the duration of pregnancy, and the individual qualities of the patient. Operations after childbirth are more effective with the permission of the doctor to postpone the period of surgery.

After the operation, it is important to follow a diet, adhere to a certain lifestyle. Otherwise, the risk of non-recovery of the body after surgery remains - it will cause further complications.

The need to treat hemorrhoids

Women doubt the danger of hemorrhoids. Confused by the fact of independent development of the disease. Ladies believe that pathology is not associated with pregnancy, does not affect its course. The opinion is wrong! Inflamed hemorrhoids at first cause discomfort, in the later stages they become a problem, cause disturbances in childbirth, the postpartum period. At the first sign of illness, start treatment.

Complications of hemorrhoids:

• anemia (anemia);
• pathology of the musculoskeletal system (arthritis);
• inflammation of the genitourinary system, cystitis;
• other diseases of the rectum;
• dermatological pathologies (itching, rash, redness);
• cancerous tumors.

Regardless of the trimester, aggravated hemorrhoids need to be removed. An inflamed hemorrhoid seems harmless, but getting rid of it will help a pregnant woman and baby. Good luck and health!

It is very important to be a healthy mom in order to have a healthy baby. A delicate illness of a pregnant woman sometimes changes the course of pregnancy for the worse.

To overshadow the wonderful period of waiting for the birth of a little miracle for the expectant mother can occur due to the most common disease among pregnant women - hemorrhoids. How can the disease be prevented? How to recognize the first signs of illness? How to get rid of this problem with the least risk for mother and child? All these questions can be answered in this article.

Common symptoms of hemorrhoids during pregnancy

The initial symptoms of hemorrhoids are expressed as a feeling of discomfort, itching, heaviness, mild pain in the anus.

If timely measures are not taken, the disease progresses and the symptoms worsen.

The appearance of bleeding in the form of blood clots on the fecal formations, with the efforts accompanying the process of defecation, is the first sign of prolapse of hemorrhoids.

Why does hemorrhoids exacerbate during pregnancy?

• A woman in an “interesting position” changes her tastes. You don't always want to eat only healthy and natural foods. Therefore, the main cause of exacerbation of hemorrhoids in pregnant women is nutrition. Spicy and salty foods provoke blood flow to the rectum. The functioning of the intestines due to stagnation of blood is disrupted. Constipation occurs, which contributes to the formation of hemorrhoids
• The active growth of the unborn child enlarges the uterus. As a result of pressure on the large intestine, the vessels are compressed, blood stagnation is created. The inflammatory process starts provoking hemorrhoids
• If the expectant mother moves a little, she is most susceptible to this disease. Prolonged sitting position weakens the muscles, which contributes to the prolapse of knots

It must be understood that any treatment during pregnancy should be started only after consulting a doctor. Therefore, at the first sign of hemorrhoids, you should see a proctologist. And only after the diagnosis is made, apply the necessary treatment.

Treatment of internal hemorrhoids during pregnancy

• Internal hemorrhoids involve veins located under the mucous membrane inside the rectum. Therefore, such inflammation is not visible. The nodes inside cause pain, bleeding occurs during bowel movements
• Internal hemorrhoids are a prerequisite for external ones. At the first signs of internal hemorrhoids, we begin treatment without leading to the formation of external hemorrhoids. We apply the treatment only after consulting a doctor
• Treatment of internal hemorrhoids during pregnancy with drugs is contraindicated. Medicines can harm the baby as mother and baby are linked by the same bloodstream

We use local remedies

• Various rectal suppositories
• Folk remedies

We are reviewing the diet.

We apply a special diet

• We include soup in the food
• We accept more fruits, vegetables, products containing wheat bran
• We use kefir in combination with dried apricots and prunes Add vegetable or sea buckthorn oil
• We exclude flour products

We are doing medical gymnastics, yoga

Treatment of external hemorrhoids during pregnancy

With external hemorrhoids, the nodes are located outside the anus. Pain and itching occurs. Cracks form that bleed. The treatment is carried out similarly to the treatment with external formation of nodes.

How to treat pregnant hemorrhoids with suppositories? What candles are suitable for pregnant women with hemorrhoids?

Hemorrhoids respond well to treatment during the period of gestation. Rectal suppositories are especially effective. They are safe for the expectant mother and child, as they are introduced locally, painlessly. Candles heal cracks well, soften stool. Inflamed areas heal quickly.

• Relief - used to treat internal and external hemorrhoids. Suppositories heal wounds and cracks. Softens fecal matter in the rectum. Restore immunity
• Papaverine - tones the veins in the pelvic region. Relieve itching and pain, heal wounds, relieve swelling
• Natalsid - effective at the first symptoms of hemorrhoids, Instantly eliminate burning, itching, discomfort
• Suppositories with propolis are the most common drugs during pregnancy for hemorrhoids. Since already from the first application, pain relief comes. Large cracks heal quickly, itching disappears, edema and inflammation are relieved
• Proctosan - relieve inflammation, relieve pain. Suppositories are effective at the first sign of hemorrhoids
• Glycerin suppositories - dissolve feces inside the rectum, promote wound healing. Gained popularity for the properties of very mild action, rapid relief from pain
• Hepatrombin - hemostatic suppositories. Relieve inflammation and pain. We use it strictly according to the doctor's prescription. For hypertensive patients, these suppositories are contraindicated.
• Sea buckthorn candles are the most popular in the treatment of hemorrhoids in pregnant women. They are harmless, suitable for almost everyone, without exception. They have analgesic, wound healing, tonic, antioxidant properties. Relieve itching, discomfort

Folk remedies for hemorrhoids during pregnancy

Folk remedies for hemorrhoids for pregnant women are limited.

• We prepare infusions of viburnum or mountain ash in free proportion, to taste. Apply 1/3 cup 3 times a day
• Pour two teaspoons of dandelion root with a glass of cooled boiled water. We insist all night. Take two to three tablespoons before meals
• Carrot broth strengthens the walls of blood vessels well
• We mix honey and vegetable oil. We make a lotion for the night

• Cut out a candle from raw potatoes, dip in honey. We insert into the anus at night. If you have a bowel movement, the potatoes will come out in the stool. Starch envelops the rectal mucosa, protects against bacteria, relieves pain
• Making ice candles. Pour water into the foil-shaped forms of a candle and freeze. Insert into the anus until dissolving. Cold promotes blood circulation. This contributes to the effective treatment of hemorrhoids. Suppositories relieve pain, stop bleeding
• We take candied honey and prepare candles from it. Freeze. We insert into the anus. We apply it up to three times a day. Easily and quickly, honey, due to the natural properties of an antibiotic, eliminates inflammation and pain

Sea buckthorn oil for the treatment of hemorrhoids for pregnant women

Sea buckthorn oil can be called a panacea for many diseases for the expectant mother. Drugs are not recommended during pregnancy. Hemorrhoid treatment during pregnancy is more complicated. Almost the only harmless salvation from hemorrhoids is sea buckthorn berry oil. It can be used at different stages of pregnancy and after childbirth.

The special medicinal properties of sea buckthorn oil are very useful and effective in the treatment of hemorrhoids:

• Vitamin C - strengthens blood vessels, which contributes to the disappearance of hemorrhoids
• Tannins, organic acids - relieve inflammation due to their antibacterial properties
• The wound healing properties of the oil relieve puffiness, irritation, heal mucous membranes

Depending on the type of hemorrhoidal disease, sea buckthorn oil is used:

With external formation of hemorrhoids

• We make a compress for the night from gauze soaked in oil
• Take a bath: We brew ten small sea buckthorn brushes with boiled water, insist for two to three hours. Then add the solution to the bath and 2 tablespoons of sea buckthorn oil

Internal hemorrhoids are treated with

• Rectal sea buckthorn suppositories: soak a gauze swab overnight, insert into the rectum overnight
• Special microclysters: 2 tablespoons of warm oil is injected into the rectum.Leave for half an hour in a lying position on the left side

Before carrying out the procedures, it is necessary to empty the intestines. The course of treatment is ten to fifteen days. It is advisable to additionally take one teaspoon of oil orally, before meals

Prevention of hemorrhoids during pregnancy. Video

Surgery to remove hemorrhoids during pregnancy: pros and cons

Hemorrhoid surgery during pregnancy is contraindicated. And in most cases it is carried over to the postpartum period. In exceptional cases, when hemorrhoids are in a neglected state, mini-invasive operations are used.

How to treat hemorrhoids during pregnancy: advice and reviews

Julia: There was a problem even before pregnancy. I didn't think there would be such an aggravation during pregnancy. Sea buckthorn candles helped. I will not say that everything went away at once. But the pain relieves immediately. It took two months to apply. After giving birth, she was already treated with drugs. Fortunately, I did not breastfeed

Helena: In the third month I felt all the delights of this disease. Thanks granny. I advised potato candles. Then I put it out of propolis. On principle, I did not go to the doctors. They only need to heal. Thank God everything worked out. We are already three months old. I have long forgotten what these eternal pains and burning are

Ksenia: At 34 weeks of pregnancy, she discovered all the most terrible symptoms of this disease. I went to the proctologist. He said that an operation was needed. It doesn't matter if I'm pregnant. I went to the gynecologist. She talked me out of it. She advised me to do yoga for pregnant women. To relieve pain, apply Relief ointment, folk remedies. Go on a diet. I want to say thank you to my doctor. The son is a year and a half. I discovered yoga, avoided surgery, got rid of hemorrhoids completely. Rebuilding the whole way of life was not easy. But I want to tell everyone, with the advanced stage of hemorrhoids, there is no other way. For me, the fear of the operation and fear for the life of my beloved lapula turned out to be stronger than my laziness. Girls, the choice is yours.

Considering all of the above, let us dwell on the main points of the treatment of hemorrhoids during pregnancy:

• Proper nutrition, diet if necessary
• Thorough hygiene after every bowel movement. We give up toilet paper. We wash off only with cool water
• We protect our health, hypothermia or excessive physical activity can reduce the entire achieved result to zero
• We do physiotherapy exercises or yoga
• And most importantly, we turn our attention to health, lifestyle, nutrition in the process of planning a pregnancy. Only then can many unnecessary problems during pregnancy be avoided.

Video: Hemorrhoids during pregnancy how to treat. Hemorrhoids after childbirth treatment