Inflamed hemorrhoid during pregnancy what to do. The occurrence of external hemorrhoids during pregnancy - how to deal with? How to recognize anxiety symptoms

Hemorrhoids are one of the most annoying side effects of pregnancy. And what's worse - it's not customary to complain about it, unlike nausea and swollen legs! Fortunately, there are several simple and effective ways to treat hemorrhoids and, first of all, prevent them from occurring. Just start with Step 1 below to find out how to get started.

Steps

Part 1

Find out the symptoms of hemorrhoids. Hemorrhoids are swollen blood vessels in the rectum that are accompanied by discomfort or pain. If you are brave enough to risk looking at it, you will see that it looks like a bunch of grapes or small balls protruding from the anus. Hemorrhoids usually form during the first trimester of pregnancy or after the birth of a child. Its symptoms include:

• Anal itching.
• Anal pain, especially when sitting.
• Bright red blood in the stool.
• Pain during stool, very painful lumps in anus.

1. Find out the causes of hemorrhoids during pregnancy. Hemorrhoids are caused by high blood pressure in the veins in the lower half of the body. Too much pressure in these veins can cause the blood vessels to swell or dilate, resulting in hemorrhoids. Pregnant women are more prone to developing hemorrhoids for a variety of reasons:

   • As your pregnancy progresses, the growing uterus puts more and more pressure on the pelvic veins and the inferior vena cava (the large vein that receives blood from the lower body). The blood flow from these veins slows down, which leads to an increase in pressure and, consequently, to hemorrhoids.
   • Pregnant women tend to experience constipation. When you strain to have a heavy bowel movement, you put excess pressure on the rectal area. This can lead to the formation of hemorrhoids or aggravate an existing one.
   • Pregnant women also release elevated levels of a hormone known as progesterone. This hormone causes your blood vessel walls to relax, causing them to swell, resulting in hemorrhoids. Progesterone also has an effect on the digestive system, which again leads to constipation.

2. See your doctor to confirm the diagnosis. If you're still not sure if you have hemorrhoids, or if you're worried about how it might affect your pregnancy, you should see your doctor. A doctor can diagnose hemorrhoids with a simple rectal examination.

   • However, other tests can be done to rule out other diagnoses. Including fecal analysis (indicating the presence of fresh blood in the stool), sigmoidoscopy or anoscopy - both options include the use of a special device (anoscope or sigmoidoscope) to check for obstructions or malignancies that can mimic signs of hemorrhoids.

   Part 2

   Treatment of hemorrhoids during pregnancy

   1. Use patent medicines. There are many patented creams for treating hemorrhoids. They help relieve the pain and itching caused by hemorrhoids, but do not treat the underlying problem.

      • Use hemorrhoid relief creams according to package directions. Never use them for more than a week because they can aggravate inflammation.
      • Ask your doctor for a recommendation for the best cream. Two of the most common hemorrhoid creams are a corticosteroid, which helps reduce inflammation and pain, and a cream containing lidocaine, an anesthetic that helps numb the pain.

   2. Try sitz baths. A sitz bath is a small plastic basin that you can fill with water and attach to your toilet seat.

      • This allows you to soak your anal area in warm water to soothe the pain or discomfort caused by hemorrhoids. Sit in the bath for 10-15 minutes once or twice a day.
      • The same result can be achieved while sitting in an ordinary bathtub filled with hot water. But many pregnant women prefer the simplicity and convenience of a sitz bath.

   3. Relieve constipation. If you want to relieve constipation, ask your doctor about a prescription for emollient laxatives.

      • Since hemorrhoids are caused by increased pressure on the veins near the anus, an emollient laxative helps relieve pressure on these veins, thereby reducing pain.
      • Relaxing laxatives come in the form of tablets, capsules, liquids, or syrups that are usually taken at night.

   4. Reduce itching. Scratching can aggravate hemorrhoids by only irritating the swelling or even causing the area to bleed. To reduce itching, you need:

      • Wear cotton clothes. It won't irritate the hemorrhoids much and will also allow your skin to breathe, which speeds up healing.
      • Do not use scented toilet paper. Avoid scented or colored toilet paper because it contains chemicals that irritate hemorrhoids. Plain, white, two-layer paper is best.
      • Maintain your cleanliness. Dry yourself thoroughly after a bowel movement to reduce problems - just be careful, because too harsh movements increase irritation. Some women find that dampening the toilet paper with a little warm water helps. You can also buy medicated wipes (containing witch hazel) specifically for hemorrhoids.

   5. Use an ice pack. An ice pack or cold compress is applied directly to the hemorrhoids to soothe discomfort and reduce swelling. Apply a new clean ice pack several times a day.

      Call your doctor if necessary. See your doctor if home treatments don't help. Dizziness and continuous bleeding are a sign of blood loss. Seek help immediately.

   Part 3

   Prevention of hemorrhoids during pregnancy

   Prevent constipation. Constipation is the very first culprit of hemorrhoids. Therefore, by avoiding constipation, you can reduce your chances of developing hemorrhoids. To avoid constipation, you need:

   • Drink enough liquid. Try to drink at least eight glasses of water a day, as well as healthy herbal teas, juices, and smoothies.
   • Eat more fruits, vegetables, and whole grains with fiber. According to http:\\MedicineNet, the top five constipation-reducing foods are prunes, beans, kiwifruit, rye bread, and pears.
   • Among other things, to reduce constipation, you need to eat chocolate, dairy products, bananas, red meat and caffeine.

   1. Don't tense up when you go to the toilet. Stress can lead to the development of hemorrhoids, so try not to do this if possible.

      • If you can't defecate easily, get out of the toilet and try again later.
      • On the other hand, if you really need to go to the toilet, don't wait to ease your bowels, because holding on to stool can also cause tension.

   2. Try not to sit or stand for long periods of time. Both sitting and standing put pressure on the lower veins, so try not to do either for a long time.

      • If you work sitting, take regular breaks - get up and walk around. If you work standing up, then do the opposite.
      • While watching TV, reading or sleeping, lie on your left side because this allows you to increase blood flow in the lower half of the body

   3. Do Kegel exercises. Kegel exercises (which are designed to strengthen the pelvic floor muscles) also help increase blood flow to the rectal area and strengthen the muscles around the anus, preventing hemorrhoids from forming.

   • Remember that hemorrhoids are caused by stress, which in turn is caused by dehydration. During pregnancy and postpartum, the fluids you drink are critical to your level of hydration because your body needs the vitamin and mineral complex found in fluids to stay hydrated. Orange juice, lemonade, and coconut water (available in the natural foods section of any grocery store) are the best liquids. If you can't get these drinks, add a syringe of lemon or lime juice to the water. Go other juices. Only use Gatorade as a last resort, as it doesn't have the right kind of electrolytes for pregnant women and is high in sugar.
   • If you still have a lot of discomfort following a daily program consistently throughout the week, try soaking cotton pads in chilled witch hazel (available as an astringent in pharmacies) and applying it for 5 minutes at a time after each bowel movement when you dry yourself. . It is also on sale as Tucks, but much cheaper. Then repeat the steps above.

   Warnings

   • If there is no improvement after doing all of the above methods for a week, see your doctor. Your hemorrhoids may need more intensive treatment, such as a suppository, but only a doctor can prescribe the best treatment during pregnancy.
   • As always, if you have adverse reactions to any of these steps, please consult your physician.

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

Prolapsed hemorrhoids are a common symptom of complications in proctological diseases. What to do if a hemorrhoid fell out?

Inflammation of hemorrhoids and their outward protrusion 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 the pain and cure the disease.

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 and balanced. Feelings, of course, are not the most pleasant, however, you need to control yourself, think sensibly and logically. The person must:

1. Contact a doctor. The sooner he does this, the easier and easier it will be to cure the disease.
2. Relieve the condition before going to the proctologist. How to do this, read below.

First aid at home

If the hemorrhoids crawled out, a person cannot sit, lie down, stand normally, we reveal 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 can’t just apply ice to the anus, because you can freeze the tissues.
• Take baths with cold water: lower the basin into water (temperature 18 degrees) for no more than 10 seconds.
• Make baths from chamomile, calendula, oak bark. Sit in such a bath (water temperature 38 degrees) for up to 20 minutes. Herbs will soothe, reduce pain, relax muscles.

What not to do when the venous plexus fell 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 movements 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 washing with running water at room temperature is allowed.
3. Be in tight underwear, tight pants, shorts, as they will compress the pelvic organs.
4. Lie down on a soft surface. The bed should be hard enough.
5. Sitting on the toilet for a long time. If you can not empty it, you need to put a laxative enema.

Self-reduction of the node

Node drop

If hemorrhoids got out, then it must be set. If you don't know how to do this, don't try. Initially, the procedure for the reduction of hemorrhoids should be carried out by a doctor. Then the proctologist tells the person how he can help himself to straighten the knots on his own:

1. Wash your hands, put on 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, push the buttocks apart, feel for the hemorrhoid and gently press it into the rectum with your index finger. Squeeze the soft spot.
4. Lie on the bed, do not get up for half an hour.

Important: Do not apply excessive force when adjusting knots. And if after two attempts it was not possible to return the fallen venous plexuses, stop, stop the manipulation. Consult a proctologist or surgeon.

When the specialist has set the hemorrhoids, he must definitely give recommendations on how to prevent relapses:

• Elimination of constipation. You can cope with the obstruction of fecal masses by eating herbal products. The patient's diet should include vegetable salads, fresh fruits, dairy products, oatmeal. A person should 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 decompress the sphincter, make a "birch", march, bend the pelvis, etc.
• The use of medicines. In order to prevent the problem from reappearing, you need to regularly inject anti-inflammatory suppositories into the rectum, lubricate the problem area with antihemorrhoidal ointments, and drink venotonics.
• Physical activity. After the knots have been set, over time, you can and should start doing physical education and sports.

A node came out during pregnancy: what to do

Prolapse of the venous plexuses can occur in the early stages of gestation, but most often this pathological condition is detected in the last months. This is due to the fact that the growing uterus disrupts the blood supply to the vessels.

When knots fall out, a woman in position should:

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

Any medications for hemorrhoids during pregnancy should be taken only as prescribed by the doctor.

How can a doctor help

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

• Sclerotherapy.
• Alloying with latex rings.
• laser impact.
• Cauterization using infrared radiation.

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

What to do when pregnant before visiting a doctor

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

• Maintain hygiene in the anus.
• Drink enough liquid.
• Try to move a little.
• Eat vegetables, fruits, oatmeal.
• Adjust chair.
• Perform a cleansing enema.
• Take laxatives if necessary.

What is the danger of prolapsed 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 node, then a purulent-inflammatory process appears. It leads to the fact that toxins and harmful substances will be absorbed into the blood, getting to the fetus. The child will be infected while still in the womb.

Given the consequences that external hemorrhoids can lead to, women should contact specialists at the first symptoms of the disease.

If the nodes were not set, and childbirth 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 should prepare for painful and prolonged natural childbirth. After the birth of a baby, obstetricians correct the fallen nodes, 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 giving birth, something bulges out of my anus, as if a tail has grown, or the intestine has protruded, there are pains and it itches all the time, 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: “I got out of the priests, something unusual and is not pulled back, I feel pain, will I live?”

   Answer: “Do not panic like that, consult a proctologist, this is a common manifestation of the acute phase of hemorrhoids. Most often it is thrombosis of the hemorrhoidal node.

3. Question: "After every trip to the toilet for bowel movements, I get bumps or nodules, after 5 - 10 minutes they disappear, as if drawn in."

   Answer: “This is a sign of internal hemorrhoids! If the nodes are drawn in on their own, then 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 with any tension. Sometimes you just sneeze and you 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, surgery is indispensable. Now such operations are called minimally invasive procedures that 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 do not want to talk about out loud! Therefore, you endure in the hope of a miraculous recovery, anonymously browse all kinds of forums and read articles about miracle drugs that will overcome this ailment. In the meantime, you are far from alone, and this illness is not something shameful. According to statistics, about 80% of the adult population of megacities suffer from hemorrhoids. Our way of life is sometimes very expensive for us. It is we who provoke our body with our “sedentary work”, irregular and unhealthy diet, uncontrolled medication, alcohol abuse, etc. Heredity also plays a significant role. Unfortunately, pregnancy and childbirth also significantly increase our chances of getting this disease.

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

WHAT DO THE DOCTOR'S SAY?

“I have been treating hemorrhoids for many years. According to the statistics of the Ministry of Health, hemorrhoids can degenerate into a cancerous tumor within 2-4 years after the onset of the disease.

The main mistake is tightening! The sooner treatment for hemorrhoids is started, the better. There is a tool that the Ministry of Health officially recommends for self-treatment of hemorrhoids at home, as many patients do not seek help due to lack of time or shame. This is Zdorov cream-wax based on Propolis. It is extremely effective - it removes hemorrhoids in just a week, including even advanced cases (except for very critical ones). ”

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

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

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

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

Signs of hemorrhoids during pregnancy

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

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

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

• discharge;
• pulling pains in the anal region (may radiate to the lower back and sacrum);
• prolapse of hemorrhoids.

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

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

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

How to treat hemorrhoids during pregnancy?

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

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

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

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

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

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

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

Folk remedies for hemorrhoids during pregnancy

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

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

To be taken in:

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

Trays:

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

Gadgets:

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

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

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

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

Prevention of hemorrhoids during pregnancy

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

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

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

Refuse long walks and long work in a position of sitting and standing. Avoid hypothermia.

Especially for beremennost.net - Ksenia Dakhno

Hemorrhoids during pregnancy: reviews

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

Symptoms of hemorrhoids

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

Complications of hemorrhoids

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

Causes of hemorrhoids

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

Risk factors other than constipation are also:

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

It's always easier to warn

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

Nutrition for constipation and hemorrhoids

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

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

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

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

Drinking regime

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

Hygiene of the expectant mother with hemorrhoids

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

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

What not to do with hemorrhoids

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

How to treat hemorrhoids

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

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

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

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

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

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

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

Folk remedies for hemorrhoids in pregnant women

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

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

Candles for hemorrhoids

potato candle

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

honey candle

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

garlic candle

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

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

Washing knots for hemorrhoids

beet juice

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

Camomile tea

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

Decoction of oak bark

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

onion juice

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

Folk remedies for constipation, suitable for pregnant women

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

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

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

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

The content of the article: Hemorrhoids is a disease that is not usually talked about openly. This attitude is connected, first of all, with the specific location of the pathology. And because of 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 not quite adequate information or simply provide incorrect information.

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

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. The uterus during the 1st trimester greatly increases in size and presses on the venous plexus. Because of this, the plexuses located in the pelvic area are overflowing with blood. The wall of the vein changes and stretches. Such 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 classified as the first form. The second group includes hemorrhoids, caused by cirrhosis of the liver, some severe cardiovascular diseases, and various tumor processes.

All these diseases can also disrupt blood flow in the veins of the small pelvis. Another reason that causes hemorrhoids in the 2nd trimester is frequent constipation. Due to the difficulties that a woman experiences during a bowel movement, the rectal mucosa is stretched, which in turn leads to varicose veins and the formation of hemorrhoids. If bowel movements do not occur regularly for a number of reasons, the feces are 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 a nascent 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 minor bleeding. On palpation or visual inspection, hemorrhoids become noticeable. Patients begin to complain of itching, discharge, pulling pain in the anus. In some cases, the pain experienced may radiate to the lower back and sacrum.

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

Treatment methods for hemorrhoids in pregnant women

Currently, there are several methods of 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 week 38 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 last role in the course of treatment is the time a woman seeks 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 do not suspect that they have this disease, and therefore do not report their problems to the doctor, hoping that the problem will resolve itself, or even resort to treatment at home. As a result of such self-treatment, 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 in time, serious treatment will not 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 diet. An appropriate diet will help eliminate constipation and eliminate one of the causes of the disease. Appropriate 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 overall 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.

It is very important in the presence of hemorrhoids to observe a special hygiene regimen in this area, especially during pregnancy. Due to the 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 you strictly follow all these rules, 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 obvious signs of hemorrhoids appear requires a completely different approach. In this case, some preventive measures are no longer enough. In this case, an integrated approach with the mandatory use of drug therapy will be required. 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 directions. First of all, all these drugs have an analgesic effect, then they are able to relieve signs of inflammation, and for effective treatment they must have a vasoconstrictive effect. And, in addition, all of them should have a laxative effect.

It is impossible to select and even more so use each of these drugs for treatment on their own. The appointment of a particular drug must be justified, and only the attending physician can give appropriate recommendations.

Treatment of severe hemorrhoids in pregnant women

The most difficult is the treatment of advanced forms of hemorrhoids. At this stage, manual reduction of 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, then with this 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. Preference, of course, is given to modern, almost bloodless methods of treating hemorrhoids. These include sclerotherapy and ligation.

Sclerotherapy

In the first case, special substances are introduced into the node, which cause the walls of the node to stick together. This is a relatively new treatment for hemorrhoids. The therapeutic effect is achieved by eliminating 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 the inflammatory process in the vein. It is he who becomes the cause of the adhesion of the walls and their subsequent overgrowth. Further, the node disappears. This method of treatment was used before, but was rejected due to the lack of suitable medications. Previously, substances that were extremely aggressive in their properties were used to destroy nodes, which very often caused complications. These substances included ethyl alcohol and a solution of carbolic acid.

As a result, it was decided to abandon this method of treatment. And this state of affairs lasted until the creation of the 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 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 that a pregnant woman will feel is a slight burning sensation. Hospitalization is not required for treatment. This surgery is performed on an outpatient basis.

After a short period of time, a woman will be able to lead her usual lifestyle. In one operation, it is possible to scleroze several nodes at once without any consequences. This treatment, if carried out for a fee, does not require large monetary costs. However, this method also has its drawbacks. It can only be used for internal hemorrhoids, in other cases it is ineffective. It is also impossible to treat nodes in this 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 is stopped. The tissues that form it die 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 processed in one operation. Each node must be treated separately, so the treatment should be carried out in several stages. The interval between operations should be at least two weeks. If a pregnant woman has several knots, this point must be taken into account, since there is always a risk from an operation for a long time. 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. Unpleasant symptoms disappear the next day. Your doctor will usually prescribe a topical pain reliever that is approved for use during pregnancy.

Treating hemorrhoids during pregnancy is always a challenge. In this difficult period for the body of a woman, 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?

Due to fears that treatment could harm the baby, women often delay treatment for even serious cases of hemorrhoids until the postpartum period, without thinking about what consequences this may cause.

• Hemorrhoids lead to a gradual deterioration of well-being. Constant discomfort, pain, the inability to go to the toilet normally exhaust the more, the more severe the stage of the disease. A woman will endure pregnancy worse, and this also affects the health of the baby;
• Large nodes cause inflammation and tissue death, this opens the way for all possible infections. And during pregnancy, any infectious disease can be dangerous for the baby. In the most severe cases, the infection can enter the baby's bloodstream, causing intrauterine infection;
• An even more severe consequence of neglected hemorrhoids is anemia (anemia), which is caused by constant bleeding. A lack of hemoglobin can lead to oxygen starvation, which is extremely dangerous for a 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 sharply. If this problem is not addressed in time, it can become really serious in the future.

It must be understood that hemorrhoids during pregnancy can develop very quickly, so you need to start treatment 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 mandatory, 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 type of therapy for mother and child during pregnancy. There are many drugs on the market that can be used during this period, and on the Internet in 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 hemorrhoids of stage 2 or 3 during pregnancy, it is still better to follow the recommendations of the attending physician. Otherwise, the selection of the drug can be spent a lot of time.

• conservative treatment during pregnancy often includes suppositories or Relief ointment. This is a universal drug made on the basis of shark liver, known for its rich composition and good healing properties. Relief costs from 230 rubles per pack, it can be used for a long time. For the treatment of hemorrhoids of 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;
• a popular drug for treatment during pregnancy is Neo-Anuzole. These are inexpensive suppositories for hemorrhoids during pregnancy (from 100 rubles per pack), which can be used to treat hemorrhoids with virtually no restrictions, the only exception is intolerance to iodine-containing drugs;
• candles and Posterisan ointment also treat hemorrhoids during pregnancy, the cost of one package is from 150 rubles;
• It is better not to use Procto-glivenol 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 package, it is an effective drug for the treatment of hemorrhoids during pregnancy, excluding the 1st trimester. It is also used as a preparatory stage if surgical treatment is planned;
• Candles with sea buckthorn can be used by pregnant women without restrictions, this is a mild, but quite effective remedy. Sea buckthorn oil is good for healing tissues 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 initial 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 carry 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, preventing it from developing into more severe forms. But most often, hemorrhoids during pregnancy are treated with medications, postponing surgery or the use of non-surgical methods for the postpartum period, since any even minimally invasive procedure is the risk of complications that are dangerous for pregnant women. will be the best option if we are treating hemorrhoids of stage 2 or 3 during pregnancy, the size of the nodes makes conservative treatment ineffective.

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

Surgical intervention is performed 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. But with a large size of the nodes, surgical treatment may be the only option, although all alternative methods should be tried before agreeing to the operation.

Traditional medicine for the treatment of hemorrhoids

How to treat hemorrhoids? For many hundreds of years, traditional medicine recipes have allowed pregnant women to effectively treat hemorrhoids. But before using any prescription, you should definitely consult a doctor: traditional medicine often uses the same active substances as traditional medicine medicines. They can interact with prescription medications and 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. Candles should be made from potatoes, the same shape and size as traditional ones. It is necessary to insert candles before going to bed;
• effective against hemorrhoids and a good general tonic - rowan juice, it is easy to squeeze it out of fresh rowan berries. It is necessary to take juice 3 times a day, 100 g;
• St. John's wort decoction also treats hemorrhoids well. To prepare it, pour a tablespoon of dry grass with a glass of boiling water, let it brew for an hour. It is necessary to take a decoction three times a day for a tablespoon for 10 days;
• local baths relieve inflammation well. To prepare a decoction, 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, ninesil, nettle, chamomile, shepherd's purse and yarrow. Mix a tablespoon of these herbs. To prepare a decoction, take 4 tablespoons of the resulting herbal mixture, pour a glass of boiling water, let it brew for 4 hours. The resulting decoction 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. Pour the head of garlic (not peeled) with oil and put on fire. Garlic should be boiled in oil until it is charred. To prepare the ointment, garlic must be crushed and mixed with the remaining 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 not aimed at treating symptoms, but at eliminating the cause that led to the fact that varicose veins appeared 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 from the diet should be completely excluded. At least 1.5-2 liters of liquid should be drunk per day, sour-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. Do not avoid physical activity, on the contrary - constant moderate physical activity will help to endure pregnancy much better. It helps well with hemorrhoids of stages 1 and 2, special exercises for pregnant women, it helps to keep 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 body, all organs, including blood vessels, suffer from increased loads. 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 do not put off going to the doctor: the sooner you start therapy, the less problems you will have with hemorrhoids.

How to treat hemorrhoids at home

Have you ever tried to get rid of hemorrhoids at home on your own? 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:

• see blood on paper again
• wake up in the morning with the thought of how to reduce swollen painful bumps
• suffer every trip to the toilet from discomfort, itching or an unpleasant burning sensation
• Hoping for success again and again, looking forward to results, and getting frustrated by a new ineffective drug

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

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

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

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

Causes of hemorrhoids during pregnancy

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

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

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

Stages and types of hemorrhoids in pregnant women

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

There are several stages of development of hemorrhoids:

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

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

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

Symptoms of hemorrhoids in pregnant women

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

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

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

Signs of hemorrhoids after childbirth

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

Diagnosis of hemorrhoids during pregnancy

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

Diagnosis of hemorrhoids includes:

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

In laboratory diagnosis of hemorrhoidsa pregnant woman is prescribed:

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

How to treat hemorrhoids during pregnancy

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

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

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

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

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

The treatment regimen also includes:

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

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

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

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

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

Candles for hemorrhoids during pregnancy

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

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

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

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

Childbirth with hemorrhoids

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

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

Treatment of hemorrhoids after childbirth

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

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

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

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

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

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

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

Hemorrhoids do not just deliver 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.

Treatment of hemorrhoids at an early stage

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

• regular chair. It all starts from afar - once they could not go to the toilet, the second, and then they realized that it had begun. This is one of the ways to inflammation of hemorrhoids, so in any case development should not be allowed. Every pregnant woman should know what to do for this: stick 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.
• anal hygiene. This is a good rule for all women, but during pregnancy it is especially true. Perform anal hygiene after each bowel movement. If you can’t 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 proctologists treat hemorrhoids comprehensively: from the inside and outside.

In addition to the recommendations described above, you, most likely, will be advised by someone to sit baths using potassium permanganate and other antiseptics. This is actually a good method, but not during the period of bearing a child, 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 vasoconstrictive 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.

Late stage hemorrhoids during pregnancy

It is very bad if you allowed the disease to reach a severe course. It hurts, it's uncomfortable, it's 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 thing for a future baby.

At the last stage, hemorrhoids are already treated promptly. Don't be discouraged if this happens, but pull yourself together to get the surgery done as soon as possible. Until the baby is born, the surgeons will give the mother a reprieve. In the meantime, the proctologist will prescribe drugs 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 an operation. However, it is impossible to 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 don't be selfish. Any actions must be coordinated 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 feel embarrassed to tell their loved ones about the disease or consult a doctor. Don't be shy. After all, statistical figures indicate that eight out of ten people face this scourge in one form or another in their lives.

Hemorrhoids - inflammation and a further increase in the cavernous bodies of the rectum, provoking itching, bleeding, prolapse of venous nodes to the outside.

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

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

Hemorrhoids are accompanied by such symptoms:

• discomfort;
• bleeding from the anus;
• itching in the anus;
• the occurrence of hemorrhoids;

There are 3 stages of prolapsed hemorrhoids. For the first and second, it is typical during the act of defecation, the difference lies in the fact that during the first stage the nodes are independently reduced, and with the help of the hands it is possible to force the nodes to “return to their place”. At the third stage, the nodes fall out with any physical effort, but the ability to remove the nodes with the help of hands remains.

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

Causes

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

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

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

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

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

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

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

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

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

Signs that indicate the development of the disease:

Discomfort in the anus

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

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

When knots fall out, they are set manually.

There are 2 forms of hemorrhoids: acute and chronic.

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

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

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

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

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

What is the danger of hemorrhoids during pregnancy

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

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

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

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

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

How to get rid of hemorrhoids

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

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

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

Alternative treatment

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

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

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

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

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

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

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

Exercise for hemorrhoids

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

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

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

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

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

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

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

Preventive actions

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

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

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

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

How to eat with hemorrhoids during pregnancy

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

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

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

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

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

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

Hemorrhoids - varicose veins of the rectum, accompanied by overflowing with blood of the vascular plexuses. This causes the formation of hemorrhoids - the main manifestation of the disease.

One of the most common factors that provoke the development of hemorrhoids in women is pregnancy. According to statistics, more than 80% of expectant mothers develop pathology.

There are several classifications of hemorrhoids during pregnancy.

By localization.

• External - venous plexuses are formed in the perineum, behind the line of the anus.
• Internal - the nodes are located on the mucous membrane of the rectum and fall out only in the later stages of the disease.
• Combined - a combination of external and internal forms. The development of nodes is noted in the anus and inside the rectum.

By the nature of the flow.

• Chronic - the disease proceeds for a long time, the resulting venous nodes are small and in remission do not cause much discomfort. Symptoms increase dramatically during exacerbations.
• Acute - the disease develops abruptly, is characterized by severe pain and the appearance of external nodes.

Causes of hemorrhoids during pregnancy

There are many predisposing factors for the development of hemorrhoids during pregnancy. The main reasons include the following.

1. Increased blood flow to the pelvis. Due to the pressure of the uterus on the vessels, the outflow, on the contrary, worsens. This leads to overflow of the veins and the formation of stagnation in the pelvis, resulting in the formation of hemorrhoids.
2. Sedentary lifestyle. If at the beginning of pregnancy the expectant mother is still active, then in the third trimester her lifestyle changes - she rests more, moves less. An additional factor is the increase in body weight.
3. Chronic constipation. The growing uterus puts pressure on the intestines, impairing its work. Due to changes in taste preferences towards salty and spicy foods, irritation of the mucous membrane of the intestinal tract occurs, which can cause the development of chronic venous disease.

Very often, childbirth leads to the development of hemorrhoids. In the straining period, there is a sharp increase in intra-abdominal pressure, which leads to the formation and prolapse of hemorrhoids.

stages

There are several stages in the development of the disease.

Prevention of hemorrhoids during pregnancy includes, first of all, proper nutrition.

Chronic hemorrhoids during pregnancy.

1. In the anus, a slight swelling is formed and the vascular pattern is enhanced.
2. Venous nodes increase in size, during the act of defecation they go beyond the rectal mucosa, in a calm state they are drawn back. Patients complain of itching in the perineum.
3. Fallen hemorrhoids are reduced only manually or with the help of tools. Pregnant women suffer from pain in the anus. The first signs of bleeding appear.
4. The pains are permanent, prolapsed hemorrhoids are not reduced. Each act of defecation is accompanied by bleeding. This is the most severe stage of the disease. It develops rarely, only in the absence of the necessary treatment.

Acute hemorrhoids during pregnancy.

1. There is pain in the anus. Palpation examination reveals small subcutaneous formations in the idea of ​​nodes.
2. Hemorrhoidal nodes are formed, which fall out and do not go back. The pain intensifies, palpation examination is impossible. Venous plexus thrombosis may occur.
3. An inflammatory process develops. The tissues in the anus are edematous, the venous nodes are purple, tense.
4. There is a dense infiltrate. The nodes are almost black in color, tissue necrosis is possible.

III and IV stages of the disease are accompanied by severe pain in the anus and bleeding.

Symptoms of hemorrhoids during pregnancy

The disease begins with the appearance of a feeling of discomfort and itching in the anus. Unpleasant sensations intensify after the act of defecation and physical activity. With the further development of the pathology, the pain becomes constant, increases when walking long distances or, conversely, with a long sitting position.

The second important symptom of hemorrhoids during pregnancy is the occurrence of hemorrhoids. With the external variant of the course of the disease, they appear only after the act of defecation and physical activity. In the first stages, they are independently drawn back. In the future, these nodes increase significantly in size and begin to cause significant discomfort when walking.

With internal hemorrhoids at stage I of the disease, the nodes are located on the internal mucous membrane of the rectum. On palpation, they can be determined as small rounded formations. A characteristic feature of internal hemorrhoids is that the hemorrhoids are constantly squeezed and injured by feces. As a result, a chronic inflammatory process develops at the site of their formation, accompanied by the release of exudate. Irritating the mucous membrane and skin of the anus, it causes constant itching and burning of this area.

If the disease develops further, then the hemorrhoidal plexuses increase significantly in size and go beyond the anal sphincter. Pregnant women have a constant feeling of the presence of something foreign in the rectum.

Quite often, the disease is accompanied by bleeding. It begins with traces of blood on toilet paper and on linen after the act of defecation. Over time, bleeding increases and can cause the development of such a dangerous condition as anemia.

Signs of hemorrhoids during pregnancy in a chronic form develop gradually, the main symptoms are smoothed out, no great discomfort is noted. Strengthening of symptoms occurs during an exacerbation, and during this period a doctor's consultation is necessary.

Acute hemorrhoids appear in a few days. It begins with a pronounced pain syndrome and the formation of nodes. If treatment is not started on time, severe bleeding may occur.

Irrigoscopy during pregnancy is practically not used. The barium mixture used for contrast can harm the unborn baby, especially in the first trimester.

All data obtained during the examination is studied by a proctologist. In addition, he conducts a survey, visual and palpatory examination.

Differential diagnosis of hemorrhoids during pregnancy is carried out with the following diseases.

1. Rectal prolapse - displacement relative to the anal sphincter.
2. Rectal polyps are benign formations that appear on the mucous membrane of the anus and lower rectum.
3. Condylomas are viral warts that form in the anus.
4. Paraproctitis is an inflammation of the tissue around the rectum.

Treatment

Therapy of hemorrhoids in expectant mothers is complicated by the fact that during this period the intake of many drugs is contraindicated. Therefore, special exercises to strengthen the muscles of the anus, perineal hygiene and diet are of great importance.

Nutrition should be balanced and aimed at normalizing the stool. With hemorrhoids, both diarrhea and constipation are equally undesirable, since irritation of the hemorrhoids occurs. The appointment of laxatives for constipation during the period of bearing a child is undesirable.

Drug therapy is prescribed carefully and only by the attending physician. Treatment of hemorrhoids during pregnancy includes the use of rectal suppositories and ointments, including anti-inflammatory and anesthetic drugs. If there is a risk of thrombosis, heparin is prescribed. To prevent complications, it is necessary to take venotonic drugs.

Treatment of hemorrhoids during pregnancy is aimed at stopping the main symptoms and improving overall well-being. More intensive therapy is carried out after childbirth and the end of breastfeeding.

In addition to drug therapy, there are also minimally invasive methods of treatment. During pregnancy, they are carried out only in the case when the drugs do not give the desired effect, and the patient's condition does not improve.

This type of treatment includes:

1. Doping is the imposition of a special latex ring on the hemorrhoid, due to which the nutrition of the pathological plexus is blocked, and after a few days it disappears on its own.
2. Sclerotherapy is the introduction of a substance into the node that glues the walls of blood vessels.
3. Cryotherapy is the treatment of the venous plexus with a very low temperature, after which the damaged tissues die off.
4. Photocoagulation - treatment of the hemorrhoid with thermal energy from a special LED. This leads to thickening of the blood and subsequent gluing of the walls of blood vessels.

Minimally invasive therapy is performed on an outpatient basis under local anesthesia. Recovery after it happens quite quickly. But, despite this, the treatment of hemorrhoids during pregnancy is carried out by medication, and more intensive methods of exposure are postponed for the postpartum period.

Complications

One of the most common complications of hemorrhoids during pregnancy is bleeding. It leads to a deterioration in the woman's well-being and the development of anemia. The lack of hemoglobin is dangerous because the fetus begins to receive less of the nutrients it needs.

There is also the formation of blood clots in the vessels of the rectum. Blood clots interfere with normal blood flow, which leads to more serious consequences.

Another complication is weakening of the anal sphincter. This can cause incontinence of liquid feces and gases.

Forecast

If the treatment of hemorrhoids during pregnancy was started in a timely manner, the prognosis is favorable in most cases. With the implementation of all the recommendations of the doctor, there is a weakening of the symptoms and an improvement in the general well-being of the patient.

In the absence of the necessary therapy, there is a risk of transition from the acute stage of the disease to the chronic one. It is also possible to develop complications.

Signs of hemorrhoids during pregnancy in a chronic form develop gradually, the main symptoms are smoothed out, no great discomfort is noted.

Preventive measures

Prevention of hemorrhoids during pregnancy includes, first of all, proper nutrition. Spicy and salty foods should be excluded, as they irritate the intestinal mucosa, causing inflammation. Constipation must not be allowed. The chair is normalized with the help of a diet.

Physical activity is also of great importance in the prevention of hemorrhoids during pregnancy. A sedentary lifestyle leads to stagnation of blood in the pelvis, and, as a result, the formation of pathological venous plexuses. Regular walking is recommended. If possible, it is desirable to carry out daily exercises, which include a set of exercises for pregnant women.

Video from YouTube on the topic of the article:

During pregnancy at home. This is quite a normal phenomenon, because a woman in an interesting position already goes to the doctors a lot. And this is a huge stress for both the person and the body as a whole. Yes, and hemorrhoids during pregnancy itself appears very often. That is, this is not some kind of deviation, but the norm. Not the best, but it has its place. And given that a pregnant and lactating woman cannot take most drugs, then the issue of independent and non-drug treatment of the disease plays a huge role. So let's try to understand how exactly the situation can be improved.

Why?

Before pregnancy at home, you should pay attention to what actually caused this phenomenon. Sometimes even this moment helps to correct the situation. Pregnancy is not a disease. And it is foolish to believe that it was she who caused the appearance of hemorrhoids. Rather, it is the fault of the processes and changes taking place in the body of a girl who is in an interesting position. What can be included here?

For starters - the growth of the uterus. And as a result, its pressure on the veins of the pelvis. This is the norm. So, you should not be afraid. Usually this phenomenon is observed in the second and third trimester. That is, towards the end of pregnancy. Chair disorders are another reason, after which we will have to think about our topic today. With such a phenomenon, the load on the intestine increases, mechanical damage can be caused. They, in turn, cause hemorrhoids. Nothing amazing or weird!

Nutrition and a decrease in the activity of the girl also provoke the appearance of trouble and make you think about how hemorrhoids are treated during pregnancy at home. A sedentary lifestyle in itself clogs blood vessels and disrupts blood flow. Hence the inflammatory processes of hemorrhoids appear. But how to deal with it?

Whether to go to the doctor?

Self-medication is a very serious thing. In general, it is sometimes dangerous to engage in them. Only pregnant women often choose this method to maintain their health. Remember: everything is good in moderation. You caught up at home - this is the best solution. True, not always.

In general, many people think about whether it is worth running to the doctor in such a situation. Someone says yes. Just keep in mind: proctologists do not recommend folk methods. Most often, either a course of antibiotics, or surgery, or some kind of medication is prescribed. And they are not recommended during pregnancy. In addition, doctors usually treat chronic hemorrhoids. Or with a predisposition due to heredity.

Thus, you should not immediately run to the proctologist if you notice an unpleasant disease in yourself. An exception is an acute manifestation of hemorrhoids, which is accompanied by profuse bleeding and discomfort (at stages 3-4 of development). In other cases, you can try to self-medicate.

Ointments

Are you interested in the treatment of hemorrhoids during pregnancy at home? Alternative methods offer a lot of therapy options. But first, it is recommended to try more or less familiar methods. Not exactly medicinal, but having proven medical effectiveness. For example, you can use anti-hemorrhoid ointments. A very good way to help during pregnancy. True, this approach is relevant only at the initial stages of the development of the disease.

Troxevasin gel is well suited for use. It is necessary to lubricate the anus and hemorrhoids after emptying the intestines with this ointment 2-3 times a day. The course of treatment is about two weeks. Or you can make a compress with Troxevasin at night. You will notice results in most cases.

Decoctions

But not only with the help of ointments, hemorrhoids are treated during pregnancy at home. A variety of decoctions and baths help to quickly get rid of this ailment. These are not the most popular, but effective methods. For example, you can recommend infusions of bone berries, rowan juice, decoctions of viburnum or carrots. These fluids can be taken orally. Only with caution if you are not allergic to the components. Or, as an alternative (most often this option takes place), apply compresses and make baths with these tinctures. You will see results very quickly. The course of treatment is the same in all cases - about two weeks. Usually progress is noticeable earlier.

Vegetables

Are you interested in how hemorrhoids are treated during pregnancy at home? The means that can be used to bring ideas to life are varied. It is clear that decoctions and tinctures are most often advised. Just like with any disease. But there is one amazing trick - this is the use of vegetables for hemorrhoids!

What is this about? Treatment of hemorrhoids during pregnancy at home is a rather confusing process. There is no exact recipe. It will have to be selected individually. Sometimes it makes sense to use some vegetables for treatment. It is enough to apply them for a while to the affected areas to see the result.

What should be done? Prepare candles that will be inserted into the anus. For example, from raw potatoes. Only the middle is required - it has more starch. Cut out smooth candles, then dip them in honey (you can do without it), and then insert them rectally all night.

Onions can help too. To do this, you need to clean the onion, get its core. She's the one we need. Now you should soak it in warm water, scald it with boiling water several times and cool slightly. Next, insert the bulb into the rectum at night. Thus, you will have to act for 10 days in a row. This is how non-standard treatment of hemorrhoids during pregnancy is carried out at home. The causes of the appearance of the disease can be different, but the ways to eliminate it are almost always the same. The choice of what to try is up to you!

Juices

This does not end the treatment of hemorrhoids during pregnancy at home. Folk councils also often offer the manufacture of rectal suppositories from natural ingredients. Moreover, this option is the most effective, albeit unpopular.

For example, juices are suitable as improvised material: carrot, potato. Starch, for example, has a beneficial effect on the intestines and restores it. Plantain juice is also recommended. What needs to be done?

Squeeze out the juice and then freeze it in the form of small rectal suppositories. Products must be stored in the freezer. it is better if they are wrapped in foil. Insert them into the intestines once a day, before going to bed. The duration of treatment varies, but most often it is about 10-14 days. Doubtful, but effective. This method is rarely taken into account, because making candles from juice can be too troublesome.

Help pharmacies

Treatment of hemorrhoids during pregnancy at home may also involve the unauthorized use of certain medications. Yes, pregnant women should stay away from such drugs. But only there are special candles that are really designed for girls in an interesting position. They need to pay attention.

Most often, rectal suppositories "Relief" are distinguished among the most effective means. Insert them into the rectum twice a day. And after a while, hemorrhoids were gone! They help even at advanced stages. Very good, albeit pricey.

Also, women are often recommended to use candles called "Natalsid". Also suitable for use during breastfeeding. It is used similarly to "Relief". Pay attention also to "Nigepan" and "Betiol". Also good rectal suppositories. On average, the duration of the course is 7-14 days. As soon as the hemorrhoids leave you, it is recommended to use candles for a few more days. To fix the result.

Cold

What else can be offered? What are the options for treating hemorrhoids during pregnancy at home? In addition to the listed means and techniques, you can try to agree to a risky occupation. Namely, the use of ice compresses. Cold on the blood flow has a beneficial effect, restores it. This is exactly what you should do with hemorrhoids.

For 5-10 minutes, it is recommended to apply ice to the rectum. Or do cold compresses. An alternative is to wash with cool water after a bowel movement. Moreover, it is desirable to use this option in combination with any other method. For example, with candles. Then you can make quick progress.

Conclusion

So we learned what treatment options for hemorrhoids during pregnancy take place. It is up to you to choose the direct course. Candles and cool compresses are especially effective.

You should consult a doctor only when you have acute hemorrhoids, which, after self-treatment, do not go away, but only intensify. Otherwise, medical intervention is superfluous. Often hemorrhoids appear and disappear on their own. So, this arrangement is also possible. Now it’s clear how hemorrhoids are treated during pregnancy. At home, folk remedies very often turn out to be extremely effective. Don't neglect them!