Hemorrhoids during pregnancy treatment. Why does hemorrhoids worsen during pregnancy? The mechanism of occurrence of this pathology is as follows:

More and more people today suffer from diseases such as hemorrhoids. And it doesn’t matter whether it’s a man or a woman. After all, hemorrhoids during pregnancy are also not uncommon. It is not for nothing that it is often used in the lexicon to denote an extremely unpleasant problem that constantly appears.

What are hemorrhoids?

Hemorrhoids are a problem for office workers and professional drivers. Restriction of movement and poor nutrition inevitably lead to inflammation of the hemorrhoids of the large intestine. This disease is unpleasant precisely because when the nodes become inflamed, going to the toilet turns into hellish pain and a heroic act.

The disease does not manifest itself suddenly, but gradually. This may include frequent constipation, discomfort in the anus, itching, tingling. Also, all symptoms can intensify after physical activity, spicy and salty foods, and sometimes alcohol.

Very often the disease is accompanied by bleeding when going to the toilet. This occurs because stool does not pass freely, and excessive strain leads to rupture. thin fabric intestines. It must be said that symptoms such as burning and itching also occur due to microcracks that arise as a result of tension. Feces get into them, thereby causing irritation and discomfort.

Hemorrhoids can occur regardless of age. There are several factors that directly influence the increased risk of the disease.

1. Sedentary or sedentary lifestyle. It turns out that due to the lack of physical activity, the muscles and walls of blood vessels become sluggish and inelastic.
2. Poor nutrition. This factor greatly influences both the risk of the disease and treatment, especially its speed.
3. An infection that can cause vein thrombosis.
4. Pregnancy. During this period, women experience a weak outflow of blood in the pelvic area, this is due to fetal pressure. Therefore, hemorrhoids occur in pregnant women in approximately 40% of cases.

Causes of hemorrhoids during pregnancy

Separately, it is worth taking the period of pregnancy to consider the disease of hemorrhoids. It is most often caused by fetal pressure. But there are other reasons.

1. Chronic constipation. Due to hormonal changes, peristalsis during this period may work completely differently. Which may well cause constipation, even in chronic form. The result will be inflammation of the large intestine and the appearance of hemorrhoids.
2. Just as in the usual case, a sedentary lifestyle. Moreover, due to the increasing severity, a pregnant woman is more susceptible. Therefore, doctors recommend walking more so that the blood continues to circulate naturally.

As for the pregnancy itself, everything is simple. The uterus is located in the pelvic area. During the stage of active fetal development, the uterus quickly and greatly increases, thereby putting pressure on the large intestine. This reduces blood flow through the veins and leads to their inflammation.

The worst thing is that during pregnancy traditional ways treatments are generally prohibited, and the body's reaction to drugs can be unpredictable. Most often, all healing processes proceed slowly and in order to relieve symptoms, their intensity must be increased.

The onset of the disease most often occurs in the third trimester, when the uterus reaches its maximum size. Sometimes the disease can also appear after childbirth. But this is purely individual, just like the manifestation on early stages pregnancy.

Types of disease and its forms

Hemorrhoids are divided into several types with their own characteristics. Depending on this, treatment or prevention of recurrence is also prescribed.

• Acute hemorrhoids are accompanied by pain during bowel movements, the release of blood into the stool, and, less commonly, mucus particles. There is a feeling foreign body in the anus, less often - burning.

It is possible that hemorrhoids may fall out during defecation, which creates additional pain and discomfort.

• Chronic. This type is the most common, since the disease of hemorrhoids is rather a pathology of the veins of the large intestine. Various medications help relieve inflammation and improve stool, but they cannot cure or completely get rid of the disease. With certain types of actions, hemorrhoids will recur.

Therefore, it is very important to prevent the disease. Namely, to harden your body, and also to lead active image life, which will accompany greater elasticity of the walls of blood vessels, respectively, proper blood circulation, preventing its stagnation. In the case of hemorrhoids, remissions and exacerbations cannot be ruled out, so in home medicine cabinet, especially during pregnancy, there should be means that can have a quick effect, reducing unpleasant symptoms.

Forms of manifestation of hemorrhoids:

• Interior. This is the most common form of hemorrhoids. With internal manifestations, hemorrhoids are located at the anus from the inside. There is a feeling of heaviness in the anus, which may be accompanied by constipation. But internal hemorrhoids are less painful.
• External. This form of hemorrhoids is not only unpleasant, but is also accompanied by severe pain that constantly accompanies a person. When externally manifested, hemorrhoids are so inflamed that they cannot be retracted inward, and are constantly on the outside. In this case, due to the very thin tissue covering the nodes, cracks often appear, causing constant itching and unpleasant pain. Because when feces get into these cracks, severe irritation appears.

Why is it important to treat hemorrhoids during pregnancy?

During pregnancy, hemorrhoids should be treated without hoping that they will go away on their own. This disease is often accompanied by the development of inflammation, bleeding, and constipation. Delayed bowel movements cause the accumulation of toxins in the blood, which negatively affects the health of a pregnant woman. Therefore, to prevent the development of hemorrhoids, nutrition should be normalized. Smoked, spicy and fatty foods should be excluded. You need to consume more foods that contain plant fiber. In this case, it is better to replace sweets with dried fruits, and butter with vegetable oil.

Signs and symptoms of hemorrhoids during pregnancy

Hemorrhoids often develop gradually. In the initial stages, patients may feel discomfort, heaviness in the anus, and itching. Such sensations may appear after eating spicy food or alcohol, or overexertion. Over time, the disease may manifest itself in the form of bleeding that occurs during bowel movements. Bleeding may appear as traces of blood in the stool or in the form of scarlet blood spatters that appear when straining.

Another sign of hemorrhoids is dark-colored blood clots. This is possible if the bleeding continued after the last bowel movement, some of the blood remained in the rectum.

Bleeding is the first important symptom, after which prolapse of hemorrhoids may begin. At first they can be reduced independently, but then manual reduction is required. As a result, thrombosis of external nodes and necrosis may develop, which can already be a threat to the life of the pregnant woman. There are cases when the first symptom is prolapse of the node, and bleeding is not noticed.

It is especially important to identify hemorrhoids initial stage during pregnancy, in order to prevent the development of the disease in time, since during childbirth there may be a significant deterioration in the condition as a result of the passage of the fetus through the birth canal.

How dangerous is the disease during pregnancy?

Prolonged compression of the node can lead to tissue death, which as a result is an excellent breeding ground for various microorganisms. As a result, an infectious inflammatory process is observed, which can cause a deterioration in the well-being of the pregnant woman. Therefore, symptoms may include increased temperature and swelling in the perineal area. Then the ambulance health care needed as soon as possible.

Many pregnant women who suffer from this disease wonder whether the disease is dangerous during pregnancy. Hemorrhoids are not life-threatening, but can have adverse consequences not only for the expectant mother, but also for the child.

If bleeding occurs frequently, anemia may occur. With a lack of hemoglobin, oxygen starvation of the mother and fetus is possible, which can affect its development.

If the node becomes infected, purulent-inflammatory processes appear, accompanied by toxic substances and microorganisms. They are absorbed into the blood and reach the fetus. This can cause intrauterine infection, so the baby may be born with signs of infection. Therefore, treatment for hemorrhoids during pregnancy is mandatory.

Treatment of hemorrhoids during pregnancy

Considering that hemorrhoids often occur in pregnant women, they need to be treated effectively. But the problem is that very often this disease long time may not show itself at all. A pregnant woman may not feel any discomfort until she sees a doctor for a routine examination. If the first signs of hemorrhoids (itching in the anus and painful bowel movements) were not detected during pregnancy, then very often the disease manifests itself during childbirth (in 50% of women). The fact is that when a child passes through the pelvis, the woman’s tissues and organs are compressed, so the venous plexus suffers.

The expectant mother must improve her bowel function. To do this, you need to eat foods rich in fiber, take dairy products, vegetables and fruits. The enemies will be alcoholic drinks, pickled foods, peppered, spicy, hot and salty.

To combat hemorrhoids you need to do exercises. Lying on your back with your pelvis elevated will be helpful. You can use a pillow for this. The procedure is repeated up to three times a day and lasts about 15 minutes.

Hypothermia should not be allowed, so you should not sit on cold surfaces. Long periods of sitting or standing should be avoided.

You need to wash yourself with cool water after each bowel movement. You can carry out small procedures, lasting up to a minute, by turning the shower jets upside down, directing them to the anal area.

If a complication occurs, the doctor may prescribe topical medications that can be used during pregnancy and lactation. Such drugs can not only relieve the symptoms of hemorrhoids, but also soften the contents of the intestines.

Suppositories and ointments for hemorrhoids for pregnant women

Before choosing ointment or suppositories, you should consult your doctor. Here's a list the best means, which have proven themselves for use during pregnancy:

1. Heparin ointment. Used to treat diseases of the rectum in pregnant women. Perfectly relieves all inflammatory processes, promotes the separation of formed hematomas. It can also be used after childbirth - during lactation. After all, it does not penetrate the blood, so it cannot harm the newborn.
2. Vishnevskaya ointment. Relieves inflammatory processes. However, this ointment should be used correctly. To begin with, you should use baths with the addition of potassium permanganate for three days. And after this you can lubricate the anus with Vishnevsky ointment.
3. Homeopathic ointments. The most famous remedy is Fleming's ointment. It is based on plant components: oil of millennium, St. John's wort, sea buckthorn and others.
4. Posterized. This ointment has regenerating properties. Therefore, using this remedy, you can speed up the healing process of cracks and wounds in the anus, increasing immunity.

There are also many folk remedies for the treatment of hemorrhoids, but the use of any of them requires consultation with a doctor.

As for suppositories for hemorrhoids for pregnant women, they are designed to relieve a woman of pain, constant itching, and discomfort in the anal area. In addition, they can soften stool and have a healing effect.

These candles consist of natural ingredients. Sea buckthorn suppositories for hemorrhoids are the most popular because they are the safest for the health of a pregnant woman. Preparations based on seaweed. Suppositories are used only after the intestines have been completely emptied. A great option is to do this in the evening to leave the candle until the morning.

Hemorrhoids after pregnancy

After childbirth, hemorrhoids are often combined with anal fissures. This is manifested by the presence of blood in the stool. Cracks are treated with healing rosehip or sea buckthorn oils. It is very important to carry out proper hygiene anus. It is recommended to use damp toilet paper and wash with cool water so that the blood vessels contract. But we must not forget that the condition should be maintained constantly. You also need to monitor the condition of the veins of the extremities. Pronounced hemorrhoids can be surgically treated. But you should not be afraid of the operation, since it is not traumatic and is carried out quickly.

Folk remedies for hemorrhoids during pregnancy

Folk remedies can also be used to treat hemorrhoids: suppositories made from potatoes, carrots or various ointments.

During pregnancy, you can use vegetable oil and garlic. To do this, pour sunflower oil over a head of unpeeled garlic and put it on fire. You need to boil the mixture until the garlic is charred. After this, the resulting mixture should be crushed. This will be the most effective remedy.

You can also use honey and cinnamon. Take one tablespoon of honey and the same amount of laundry soap. Before use, wash with laundry soap. Use before bedtime. You can wash it off in the morning. The procedure can be repeated until the hemorrhoids recede.

Another folk remedy for hemorrhoids is an infusion of St. John's wort with celandine and chamomile flowers. One tablespoon of the mixture is poured with one tablespoon of boiling water. Let it sit for an hour and then strain. In the morning, you can make lotions from this solution and apply ointment to the anus.

Prevention of hemorrhoids during pregnancy

Of course, it is better not to wait until the disease appears, but to start preventing it from the moment you learn about a new addition to the family. After all, some factors that lead to the appearance of hemorrhoids can be controlled.

1. After each bowel movement, you can wash yourself with cool water. Instead of water, you can use a decoction of calendula or chamomile, which have an anti-inflammatory effect.
2. It is necessary to control the stool and normalize it. Therefore, every day your diet should include fruits and vegetables, vegetable oil and dairy products. You should also remove salty, pickled foods, smoked foods and spices from your diet. You can eat wholemeal bread and rolled oats or buckwheat porridge.
3. Activity. Yes, movement for a pregnant woman is the prevention of hemorrhoids. It's better to start every day with exercise. Regular walking will also help.

If you have any of the symptoms, you should immediately consult a doctor and do not self-medicate.

Haemorrhoids is a disease associated with expansion, increase in size, changes in anatomy and dysfunction of hemorrhoidal vessels.

Hemorrhoidal vessels are located in the anal canal and perianal area. Normally, every person has hemorrhoids, but they are very small and invisible.

Hemorrhoidal vessels begin to change pathologically for certain reasons.

Basic:

1. Low physical activity.
2. Prolonged sitting or standing.
3. Excessive tension during constipation (causes of constipation: lack of fluid and fiber in the diet, alcohol abuse).

The reasons for the manifestation of hemorrhoids during pregnancy are increased intra-abdominal pressure and hormonal factors.

Main symptoms: bleeding, prolapse of internal nodes, pain, tightness and discomfort in the anus, itching, discharge from the anus.

There are 4 stages of chronic hemorrhoids

1. Discomfort and bleeding during defecation are episodic, there is no prolapse of nodes.
2. The symptoms are the same as in stage 1, but periodic loss of nodes appears. In this case, the nodes are reduced on their own, mucous discharge, weeping, and itching appear.
3. The symptoms are the same as in stage 2, but the prolapsed nodes cannot be reduced on their own - manual reduction is required.
4. Increased bleeding, pain, occasionally - insufficiency of the anal sphincter, severe weeping and itching, constant loss of nodes, repositioning of nodes is impossible.

As a rule, the enlargement of hemorrhoids is a rather lengthy process. Sometimes it takes 5-10 years, or even more, for hemorrhoids to reach stage 3 or 4. IN special group Can be attributed to hemorrhoids in pregnant women.

Most often, hemorrhoids occur in the second half of pregnancy among full health, and in women initially suffering from hemorrhoids, the symptoms noticeably worsen. The reasons for the manifestation of hemorrhoids during pregnancy are increased intra-abdominal pressure and hormonal factors.

According to statistics, during pregnancy hemorrhoids worsen in almost half of women suffering from this disease. The reason is that as the fetus grows, the uterus enlarges and compression occurs on the maternal organs and tissues located in this area, mainly the venous plexuses and iliac veins, most maximally when the baby’s head passes through the pelvis during childbirth.

Venous outflow from the legs and hemorrhoidal plexuses is disrupted, and blood stagnation in the pelvic veins increases. Hemorrhoids swell and become denser.

During the birth itself, the nodes emerge from the anal canal and become red or bluish in color. In the postpartum period, intra-abdominal pressure decreases, the pressure on the venous plexuses decreases, and the amount of blood inside the hemorrhoids decreases sharply.

With rapid labor or excessive pushing, there is rupture of hemorrhoids with significant bleeding or multiple thromboses, often turning into necrosis.

Acute hemorrhoids in pregnant women

If the bowel movement is disrupted (usually constipation), heavy lifting or prolonged sitting, an exacerbation may occur, which is understood as the rupture of small hemorrhoidal vessels inside the node with the subsequent formation of a blood clot. Depending on the caliber of the vessel and the associated inflammation, 3 degrees are distinguished:

I degree. The appearance of a limited isolated node, small up to 1.5 cm in diameter, little or no pain, sometimes accompanied by itching and burning in the anus, a feeling of a foreign body.

II degree. Hemorrhoids have larger size, hyperemic, thickened, edematous, significantly painful to the touch. Often the swelling spreads to areas around the anus. Sitting and defecation are painful.

III degree. Swelling and redness are pronounced and extend to the entire area of ​​the anus, from which large bluish internal hemorrhoids protrude. Anal sphincter spasm is often present. Because of pain syndrome there are difficulties when urinating. Inflammation can turn into necrosis, blackening of hemorrhoidal tissue, followed by rejection and bleeding; during this period, infection can occur with the formation of paraproctitis - inflammation of the peri-rectal subcutaneous fat.

Simple rules for relieving symptoms of hemorrhoids

1. Drink more water at least 1.5-2 liters per day.
2. Follow a diet, avoid foods that can cause local irritation (spicy foods, alcohol, coffee), eat less flour. Vegetables and fruits should be in the diet daily.
3. Go to the toilet at the same time, for example, after drinking a large glass of water in the morning after sleep.
4. Achieve regular soft stools, avoid prolonged excessive straining during bowel movements.
5. Beware of prolonged overheating (in the sun, in a bathhouse, sauna).
6. Wash with cool water, avoiding products that may cause irritation.
7. Avoid long stays in sitting position, move regularly, do gymnastics, walking, swimming. Try not to lift heavy objects.

Medicines for hemorrhoids during pregnancy

There are quite a lot of drugs for the prevention and treatment of hemorrhoids, I present those that have proven their effectiveness in practice, any side effects never observed.

DETRALEX- has venotonic and angioprotective properties. The drug reduces the distensibility of veins and venous stagnation, reduces capillary permeability and increases their resistance. Prophylactic dose: 1, or better yet, 2 tablets per day. For acute hemorrhoids, up to 6 tablets per day (according to the scheme). The only drawback is that the drug is not cheap.

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

GEPATROMBIN-G Available in the form of ointments, gels and suppositories. It has a pronounced analgesic and anti-inflammatory effect. Effectively participates in the lysis of blood clots in hemorrhoids during an acute process.

When any qualitative changes in your health state appear for the first time, be it the discharge of blood or mucus from the anus, painful defecation, the presence of strange formations, a feeling of incomplete emptying, and the like, you need to see a specialist. Because similar symptoms of hemorrhoids can lead to more serious diseases, including rectal cancer.

Pregnant women often have hemorrhoids and their symptoms are transient due to changes in anatomy and physiology, that is, after childbirth, after some time required for the mother’s body to recover, all symptoms disappear. Therefore, there is no need to worry too much, enjoy motherhood. Any reliable conclusions and diagnosis will become valid when at least 6 months, or even a year, have passed after childbirth.

Surgical treatment for pregnant or lactating women is carried out in exceptional cases, only in cases of life-threatening or serious complications.

Stage 3 hemorrhoidal thrombosis is a contraindication for natural delivery.

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Hemorrhoids often appear in pregnant women. Usually its symptoms worsen in the last stages (36–39 weeks), but the first signs are noticeable already in the 2nd or 3rd month. The disease significantly complicates the life of the expectant mother. In addition, the inflammatory process in the intestines can also harm the child, since toxic substances enter his body. Exacerbation of hemorrhoids at 38 weeks of pregnancy often leads to the impossibility of having a child. naturally. To avoid complications and cesarean section, treatment must be started early.

Causes of hemorrhoids in pregnant women

Hemorrhoids are a serious illness that is localized in the vessels of the rectum and sphincter. Occurs due to poor circulation in the pelvis. The disease develops gradually, the onset of pregnancy becomes the impetus for its manifestation. As a rule, the first symptoms appear in the 2nd month, but expectant mothers do not pay attention to them, considering them a consequence of hormonal changes in the body.

Hemorrhoids occur in women at risk. These include:

• working in a sedentary job for several years;
• leading a sedentary lifestyle;
• expectant mothers aged 35 to 39 years;
• women who experience prolonged physical activity (salespeople, hairdressers) or frequently lift heavy objects.

The disease develops due to weakening of the walls of blood vessels and their clogging. This can happen due to the following factors:

• unhealthy diet, consumption of alcohol and foods high in cholesterol;
• hereditary varicose veins or other vascular diseases.

During pregnancy, women's hormonal levels change. Increased levels of progesterone cause the intestinal muscles to relax, causing constipation (especially after 35 weeks). The growing fetus puts a lot of pressure on the pelvic floor, pinching the vessels, which very often provokes the prolapse of the nodes from the anus.

Stages of development of hemorrhoids and its symptoms

In pregnant women, hemorrhoids can be external or internal. At 2–6 months, the disease develops inside the rectum, nodes appear there, which move closer to the anus as the child grows. In the last trimester of pregnancy, especially from the 9th month, the risk of rectal leakage increases several times. This is due to the fact that by this time the baby has reached sufficient big size, his head drops lower, the pressure on the vessels increases. At 38 weeks, many women may go into labor, by which time all the baby's organ systems are fully formed.

Delivery at 38–39 weeks is common. This process provokes an exacerbation of the disease, because the woman has to strain the muscles of the perineum. Natural childbirth are prohibited if thrombosis and inflammation of hemorrhoids begins after 36 weeks. To prevent complications it is prescribed C-section.

Symptoms of hemorrhoids in pregnant women are the same as in other patients:

• discomfort (burning, heaviness) and pain in the anus;
• the appearance of blood or mucus in the stool;
• prolapse of hemorrhoids outwards.

During pregnancy, hemorrhoids progress through stage 4 development.

The fourth stage of the disease is the most dangerous; during pregnancy, it is better not to let the problem go so deep and start treatment long before birth.

Features of hemorrhoids in the first trimester

If before conception a woman had problems with the pelvic vessels, then at 1–3 months of pregnancy hemorrhoids begin to manifest themselves with signs that many confuse with physiological changes in organism. During this period, you need to focus your efforts on minimizing harm to the child. Self-medication can lead to abnormalities in the future person or result in a miscarriage.

Hemorrhoids in the first trimester should be treated under the supervision of a doctor. At this stage, any medications affect the development of the child, so you need to fight the disease using folk methods or means for external use.

At this stage, changing your diet and increasing physical activity is very effective (of course, if there are no contraindications). The expectant mother's menu should include cereals, dairy products, vegetables and fruits. You should avoid foods that cause constipation and gas formation. The composition of the diet should be selected individually, since due to hormonal changes, intolerance to some familiar dishes may appear.

In the second trimester, the disease can occur in a latent form or very acutely. At 4–6 months of fetal development, treatment should be carried out very carefully, but it is advisable to get rid of hemorrhoids by the beginning of the 9th month. Surgery is contraindicated; only gentle treatment is possible.

Features of hemorrhoids in the third trimester

In the last three months of pregnancy, the child is actively growing, during which time its weight can increase 2-3 times, which causes hemorrhoids to become open and very painful. At this stage, especially after 36 weeks, any treatment other than preventive measures and conservative therapy is contraindicated. It is necessary to prevent the development of the disease until at least 39 weeks (at this period a woman can give birth to a healthy child).

An exacerbation of the disease provokes severe muscle tension when visiting the toilet, so at 36–39 weeks you should try to eliminate constipation. To do this, it is recommended to consume liquid food or fresh vegetables, rich in fiber. IN last month swelling of the mother's entire body increases, so the amount of salt should be limited.

Oil enemas can also help ease the process of defecation. Before going to bed, you need to inject 70–100 ml of any vegetable oil (preferably sea buckthorn or olive) into the anus, heated in a water bath. In the morning, bowel movements will pass without effort.

Hardening of stool can be caused by vitamin-mineral complexes, in particular the iron they contain, so after 36 weeks you should stop taking them. This will not harm the child; all vital organs are formed by this time. In a woman, excess minerals by 39 weeks can lead to difficulty diverging the pelvic bones.

In the average woman, the body begins to prepare for childbirth at 38-39 weeks, the stomach drops, the baby’s head puts strong pressure on the intestines. Exacerbation of hemorrhoids during this period is a common occurrence. If this happens, a caesarean section is performed at 39-40 weeks.

Hemorrhoids can also pop out during childbirth; this happens even more often than at 37–39 weeks. Its treatment (including removal) at this time can be carried out with virtually no restrictions.

Hemorrhoids during pregnancy or after childbirth are diagnosed in every fifth woman. It is difficult to prevent it, but possible. To do this, you need to reconsider your diet and move more (if there are no contraindications).

Pregnancy greatly weakens a woman's body. All organs and systems are under enormous stress, some of them cannot cope with their assigned functions. During this period, long-standing chronic diseases often make themselves felt. New ones often arise.

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

What are hemorrhoids? Reasons for its development

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

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

With no less inevitability, constipation leads to the development of hemorrhoids, which means poor nutrition, an abundance of fatty and heavy foods. Unfortunately, more and more people are eating unevenly; fast food predominates on the menu. Naturally, this has a detrimental effect on digestion.

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

Symptoms

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

How dangerous is the disease?

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

But neglected hemorrhoids themselves can cause a lot of discomfort. So there is no point in starting the disease. It is much better to treat it in the initial stage.

Types of hemorrhoids

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

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

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

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

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

Also, this disease can occur in a chronic or acute form.

Chronic hemorrhoids

Pregnancy is most often characterized by chronic hemorrhoids. In the early stages, it often manifests itself extremely weakly. Many women find out about their illness only when scheduled inspection gynecologist or remain in the dark until the birth.

As hemorrhoids develop, discomfort may come and go. But in any case, at first they are quite insignificant. This often reassures patients; they are confident that everything has passed or will pass on its own.

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

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

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

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

Hemorrhoids and pregnancy

As already mentioned, internal or external hemorrhoids during pregnancy are an independent disease. However, these two processes cannot occur separately from each other; their mutual influence is inevitable. The uterus compresses the veins that are located in the pelvis, which provokes stagnation of blood in them. It puts pressure on the intestines, which coupled with some peculiarities hormonal levels, renders Negative influence on digestion: including causing constipation.

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

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

Acute hemorrhoids

Acute hemorrhoids, as a rule, are a complication of the untreated chronic stage of the disease. This is why treatment of hemorrhoids during pregnancy is so necessary.

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

Diagnosis of hemorrhoids

Diagnosing hemorrhoids is quite simple: based on characteristic complaints, the doctor will quickly guess the problem, after which he will examine and feel the anus. As a rule, this is enough to make an accurate diagnosis. Now all that remains is to decide how to cure hemorrhoids in a particular case.

Prevention

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

First of all, you must always monitor your diet and promptly solve the problem of constipation. In addition, it is very important to move more; the benefits of walking for pregnant women have also been discussed more than once. Don't strain yourself too much, don't carry heavy loads, and so on.

It is equally important to carefully monitor your condition, and if you find any signs of hemorrhoids, do not hesitate to consult a doctor. Timely treatment has no less important than prevention.

Hemorrhoids during pregnancy. Symptoms and prevention

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In pregnant women, hemorrhoids often occur in late pregnancy. This is due physiological reasons. The growing fetus puts pressure on the intestines, causing blood to stagnate in the veins. Constipation, which plagues women in later pregnancy, also plays a significant role. Many people 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 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 minor discomfort and a feeling of a foreign body in the rectum may bother you. Later, as the pathological process develops, pain and burning sensations begin to be felt during bowel movements. At the second stage, nodes are formed. If they are located 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 dropped nodes at this stage. At the third stage, the bumps acquire a purplish-bluish tint, the pain is very strong, especially when internal hemorrhoids. Heavy bleeding may occur. It is no longer possible to correct dropped nodes. The fourth stage of hemorrhoids can be treated exclusively by surgery.

Complications of hemorrhoids

Many people believe that hemorrhoids are an unpleasant thing, but not dangerous. This is wrong. An advanced disease can cause such serious complications as paraproctitis, anal fissures, anemia, and intestinal inflammation.

Causes of hemorrhoids

The main cause of hemorrhoids during pregnancy is chronic constipation. The expectant mother should strictly monitor the daily bowel relief. This is especially true for those who are nursing last weeks, because the grown fetus puts a lot of pressure on the intestines. Even if a woman does not have hemorrhoids during pregnancy, constipation will lead to the appearance of bumps after childbirth.

Risk factors, in addition to constipation, also include:

• heredity;
• frequent pregnancies and childbirths;
• the age of the pregnant woman is over 35 years;
• 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, not sit in one position for a long time, and watch your diet. If constipation still occurs and diet does not help, then you need to contact your gynecologist. The doctor will recommend laxative suppositories suitable for expectant mothers.

Nutrition for constipation and hemorrhoids

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

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

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

Sometimes constipation with hemorrhoids is psychological in nature. It’s painful for a woman to go to the toilet, and she’s waiting in horror for the next “torture session.” As a result, the intestines spasm, and constipation only gets worse. The longer the constipation, the faster hemorrhoids develop. A vicious circle arises. It can only be broken with competent treatment, otherwise it will come to surgery.

Drinking regime

Constipation is often caused by chronic lack of water, and therefore to the expectant mother you need to drink more, and not juices, kvass or compote, but pure unboiled water or table mineral water. The daily water intake is at least one and a half liters. Tea, juices, compotes and other liquids are not included in the daily water intake.

Hygiene for the expectant mother with hemorrhoids

Hemorrhoids develop in a very specific location, which means you need to maintain personal hygiene. It is better not to wait for the disease to develop and to follow simple rules for prevention from the very beginning of pregnancy. So, you need:

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

What not to do with hemorrhoids

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

How to treat hemorrhoids

Treating hemorrhoids in pregnant women is not easy, because many medications and almost all herbs are prohibited for them. You need to remember one rule: hemorrhoids need to be treated by a doctor. You don’t need to diagnose yourself; you can trigger the disease and harm your child’s future. Concerning traditional methods, then they may not be useful either. Many drugs that are successfully used by ordinary people can cause miscarriage in pregnant women.

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

Not all suppositories sold in pharmacies are suitable for pregnant women. After all, the chemicals in them are absorbed through the intestines into the blood and can affect the fetus. Therefore, only those suppositories 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.

For 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.

Posterizan suppositories and 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 suppositories for hemorrhoids.

Propolis is an excellent anti-inflammatory, analgesic, and healing agent. Suppositories for hemorrhoids with propolis will help even in advanced cases. Propolis is not dangerous for a pregnant woman, but it will still be better if such suppositories 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 uterine tone, which can cause miscarriage. For example, such strong antihemorrhoidal drugs as mountain ash and knotweed are unacceptable during pregnancy for precisely this reason.

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

Suppositories for hemorrhoids

Potato candle

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

Honey candle

Make a candle from the candied honey and place it in the desired place. It is better to take buckwheat honey. 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 bed; by the morning they will be safely absorbed. The product 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 advisable to use them in the early stages of hemorrhoids, when there are no prolapsed nodes.

For the candle you will need several peeled cloves of garlic and butter. Chop the garlic, mix with oil, make a candle and put it in the freezer for a while. As soon as it hardens to the point that it can be inserted into the anus, immediately insert it as deeply as possible. It is advisable to do this procedure before going to bed. There is no need to prepare candles for future use; they quickly lose their properties.

Washing nodes for hemorrhoids

Beet juice

Grated raw beets will help relieve swelling from hemorrhoids. The root vegetable should be washed thoroughly, grated on a fine grater, and squeezed out the juice. Moisten a cotton cloth generously with juice and place it on the pine 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. Moisten a napkin with the cool infusion and apply to the cones. You can wash yourself with the same infusion after bowel movements. Instead of chamomile, you can use an infusion of wild strawberry leaves prepared in a similar way.

Oak bark decoction

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

Onion juice

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

Folk remedies for constipation suitable for pregnant women

1. Drink a glass of fresh (no more than 3 days) kefir 3.2% before bed without bread, buns, gingerbread, etc. You need to drink slowly, in small sips, not in one gulp. Fresh kefir has a strong laxative effect, while kefir that has been standing for more than three days, on the contrary, has a strengthening effect. 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 she should 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 into a thermos with a glass of boiling water and leave overnight. If there is no thermos, then the dishes need to be wrapped in foil or film, and covered with something warm on top. Prunes are infused for 12 hours, no less. In the morning, half an hour before meals, drink the infusion and eat the berries. If the expectant mother does not want to eat just prunes, then you can chop them, mix them with nuts, honey, seeds, you will get an excellent breakfast. If you are prone to constipation, prunes should be added to salads, compotes, porridges, meat dishes, in a word, wherever possible.

Any disease is easier to cure if it is caught at the very beginning. There is no need to succumb to false shame and be embarrassed to see a doctor. Hemorrhoids can be treated fairly quickly at the initial stage, but advanced disease causes real suffering. You should not hope that hemorrhoids will go away on their own. Proper application folk remedies and medical supervision will help the expectant mother find health.