Can a pregnant woman have hemorrhoids? Causes of hemorrhoids in pregnant women. Surgical methods for treating hemorrhoids during pregnancy

Rectal diseases in pregnant women are very common! And this is not surprising. The pressure on the vessels doubles during this period. What treatment for hemorrhoids during pregnancy is considered safe for the fetus?

Proctologists identify several risk groups for hemorrhoids. One of them is pregnant women and mothers who have given birth.

The formation of such a specific group is not accidental and is dictated by medical practice. Hemorrhoids are detected in 25–40% of pregnant girls, as well as in 30–70% of postpartum women. The older the woman, the higher the likelihood of diagnosing pathology.

Symptoms of the disease occur suddenly, and the lump may come out after 1 bowel movement session

Hemorrhoids during pregnancy must be treated in the first stages of development. The ideal option is therapy and prevention before pregnancy!

Why is this happening

Varicose veins are the most common ailment in pregnant women

Pregnancy and childbirth are a powerful provoking factor.

While the fetus is growing, the uterus is constantly increasing in size. Her pressure on internal organs and the blood vessels of various organs are constantly increasing. It is the hemorrhoids that are most adversely affected.

The main causes of hemorrhoids during pregnancy

• Uterine enlargement
• Sedentary lifestyle
• Poor blood flow in the lower body
• Frequent constipation
• Chronic diseases: varicose veins and blood vessels, atherosclerosis, etc.

Constipation makes the disease worse

Signs of manifestation

Symptoms of hemorrhoids during pregnancy, which indicate the development of pathology:

1. Itching and burning after defecation;
2. Traces of blood on underwear, toilet rim;
3. Feeling of incomplete bowel movement;
4. Pain when walking, sitting for a long time;
5. Appearance.

What does the pathology look like? In most cases, dense red and blue hemorrhoidal bumps appear, which may burst over time.

Complication of hemorrhoids during pregnancy

Thrombosis of external hemorrhoids. They greatly increase in size, become dense and painful. Thrombosis occurs suddenly, even without a long mention of itself.

Expectant mothers often experience internal hemorrhoids falling out after a bowel movement after going to the toilet. They can become injured, causing bleeding.

Hard stools often become a source of blood discharge after bowel movements. It is necessary to avoid constipation and prolonged sitting in the toilet. Pregnant women often complain of the appearance of anal fimbria. It does not alarm, but creates an alarming signal about the acute course of the disease.

At the first symptoms of hemorrhoidal disease, you should consult your doctor.

The specialist should refer the woman, who will conduct a thorough diagnosis and choose individual treatment tactics.

Should hemorrhoids be treated during pregnancy? Depends on the stage of development and duration of pregnancy. In the early months of gestation, conservative therapy is required. On later treatment can be carried out immediately after childbirth.

Effective treatment

How to get rid of inflammation? If hemorrhoids are diagnosed during pregnancy, treatment is prescribed by a proctologist. During the period of fetal formation, therapeutic therapy is selected on an individual basis. This depends on the general condition of the patient and the duration of pregnancy.

Only a doctor can choose effective drugs that won't harm

What treatment tactics for pregnant women are considered the best today?

Research shows that a three-pronged approach produces optimal results:

• Use of local remedies. These are rectal suppositories, anti-inflammatory cream and ointment, anesthetic gel.
• Prescribing phlebotonic medications that improve blood flow.
• A diet based on high fiber foods.

This complex treatment of hemorrhoids gives excellent results on initial stages its development.

When a pregnant woman becomes a patient of a proctologist, the doctor is obliged to exercise maximum caution when prescribing medications taken orally. A thorough check of the effect of any drug on the fetus is necessary. After all, even medicinal herbs may be harmful in such a situation.

Until now, natural local remedies predominate in the treatment of diseases in pregnant women. As a rule, these are suppositories based on sea buckthorn oil. However, there are also proven medications for internal and external use.

All medications for hemorrhoids during pregnancy should be used strictly after consultation with a gynecologist and proctologist.

More often, to stop the inflammatory process and the development of the disease, the following are prescribed:

Ointments approved for use by pregnant women are necessary if hemorrhoids are detected in their external form. Usually doctors prescribe, as well as Posterizan, Bezornil or.

All of these remedies are considered safe for the fetus and therefore can be successfully used in the treatment of hemorrhoids in pregnant women. However, each remedy must be prescribed by a doctor. It is possible that the doctor recommends a certain combination of drugs to achieve the best effect.

Traditional medicine for expectant mothers

How to treat hemorrhoids during pregnancy if medications are contraindicated? Folk remedies will come to the rescue.

For minor pain and itching in the anus, it is recommended to wash with cool water. It’s even better if you do the washing with infusions/decoctions of dandelion, chamomile, wormwood, nettle or snakeweed. If possible, you should make lotions with the listed herbs.

It is better to discuss water procedures with your doctor.

Quickly relieve itching and pain in the anus.

Compresses from raw potatoes or beets. Vegetables must be coarsely grated, wrapped in gauze and applied to the anal area.

You can also make your own rectal suppositories. They are cut from raw peeled potatoes or sculpted from crystallized honey. In the second case, the homemade suppository must be kept in the refrigerator before administration.

Prevention of pathology

Daily prevention will reduce the disease to a minimum

Proctologists and obstetricians-gynecologists now and then have to team up to treat pregnant patients.

And yet, timely preventive measures are the ideal option:

• preventive examination by a proctologist at the stage of pregnancy planning;
• if hemorrhoids are detected before pregnancy, use effective measures, including minimally invasive surgical interventions;
• as much as possible early treatment thrombosis detected during pregnancy;
• taking venotonic drugs at 35–36 weeks of pregnancy (to prevent thrombosis);
• taking a set of measures to prevent blood flow disorders and the development of the disease in the early postpartum period.

A responsible attitude towards their own health among pregnant and postpartum women themselves can significantly reduce the risk of not only the development, but also the occurrence of pathology. Timely treatment of hemorrhoids during pregnancy will help avoid the development of serious complications that threaten childbirth.

This form of drugs acts locally, which significantly reduces the risk negative impact on developing fetus. Modern proctology offers several safe and effective ointments for the treatment of hemorrhoids in pregnant women.

Why do hemorrhoids occur during pregnancy?

Experts count several factors that provoke the appearance of proctological diseases in expectant mothers, and they affect the female body sequentially - depending on the trimester of pregnancy.

• First trimester. In the first weeks, the threat of developing a pathological process increases due to the hormonal substance progesterone. After fertilization of the egg, it is produced in large quantities and affects muscle tone, relaxing both the uterine walls and the smooth muscles of the intestines. As a result, the expectant mother suffers from constipation.
• Second trimester. From about 13-14 weeks, for quite objective reasons, the mobility of the expectant mother is limited. Swelling, toxicosis, dyspeptic symptoms, headache, high blood pressure - all this limits a woman’s activity and leads to frequent lying or sitting. As a result, stagnant processes begin in the pelvic veins, which causes expansion of the existing cavernous formations.
• Third trimester. Towards the end of pregnancy, the uterus, which has increased in size, begins to compress the venous vessels in the rectal canal, which disrupts blood flow in the pelvic and rectal area. Also, by this time, the frequency of constipation increases significantly due to low mobility.

At any stage of pregnancy, the development of hemorrhoidal disease is facilitated by congenital venous insufficiency.

Hereditary weakness of vascular walls, coupled with predisposing factors, increases the risk of a pathological process several times.

Symptoms of hemorrhoids in pregnant women

The appearance of pronounced symptoms usually begins in the second half of pregnancy. The consequence of congestion is the expansion and protrusion of varicose hemorrhoidal veins.

In addition, the muscle structures that support the cavernous “sacs” change pathologically, stretching and weakening. By the end of the third trimester, blood vessels and muscles significantly lose tone, which leads to protrusion and even prolapse of nodes.

At the onset of the disease, hemorrhoids can be identified by burning and itching sensations in the rectal canal. The pain is usually mild. When defecating, you may find blood on toilet paper.

As the disease worsens, the symptoms increase. TO old signs presence is added foreign object in the rectum, bleeding, pain during and after bowel movements.

If hemorrhoids are not treated, then soon an enlarged hemorrhoid will begin to emerge from the anus. At first, it still returns to the rectum on its own, but then it will be possible to straighten it only with some effort.

Such nodules are painful, inflamed, and dark red in color. Their protrusion leads to discomfort and pain when visiting the restroom, moving, resting and working.

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In the final stages of the disease, the nodes can no longer be reduced, significantly worsening the quality of life, well-being and health of the expectant mother. In such cases, emergency measures are required, since labor can only worsen the situation.

On early stage The pathological process of hemorrhoids during pregnancy can be slowed down with the help of ointments.

They effectively combat the manifestations of the disease, allowing the expectant mother to think not about pain, but about upcoming motherhood.

Ointments against inflammation and infection

Ichthyol ointment

This preparation is made from processed peat containing fish remains. The active ingredient is ichthammol, a substance containing sulfur.

The active component gives ichthyol ointment multiple beneficial functions, including pain relief, inflammation relief, disinfection, tissue drying and suppuration prevention, and improvement of local blood circulation.

Ichthyol ointment prescribed at any stage of gestation helps:

• from external hemorrhoids;
• from rectal fissures;
• from ulcers in the rectum.

Contraindications. The medication is prohibited for use only if a pregnant woman has intolerance to the active or auxiliary ingredients.

Application. A small amount of ointment is applied to the skin of the anus before going to sleep for 2 weeks. In the morning, excess drug can be removed with a napkin and the perineum can be washed with water. Before lubrication, hygiene procedures should be carried out.

It relieves inflammation and accelerates healing, but is not able to cure the disease, so it is used as part of a complex treatment of hemorrhoids with other medications.

Price. You can purchase the product at any pharmacy for 70-90 rubles.

Heparin ointment

The main ingredient responsible for the effect of the drug is the anticoagulant heparin. It is thanks to this substance that it effectively and quickly relieves inflammation, prevents the formation of blood clots and resolves existing blood clots.

Other active components - benzocaine and benzyl nicotinate - additionally anesthetize hemorrhoids and increase the penetration of heparin into tissues.

Heparin ointment for hemorrhoids is indicated for:

• inflammatory processes;
• enlarged external nodules;
• high risk of thrombosis formation.

Contraindications. Heparin ointment is prohibited for use if a pregnant woman has:

• increased bleeding (the drug reduces blood clotting, which leads to bleeding);
• rectal fissures;
• erosive damage to the anus;
• risk of spontaneous abortion.

Application. Since the medication has limitations and side effects, expectant mothers are allowed to use it only after consulting with their doctor. And in the first trimester it is better to avoid using it altogether.

The dosage and duration of treatment is determined by a specialist; usually the product is applied to the external nodules twice a day for 10-14 days. For internal hemorrhoids, the drug is applied to a bath tampon, which is inserted into the rectum.

Price. The average cost of a medicine in Russian pharmacies is 50 rubles.

Gepatrombin G

This is a combination drug that, in addition to heparin, also contains prednisolone and lauromacrogol 600. The combination of these ingredients allows you to dissolve and prevent the formation of blood clots in the veins, relieve swelling and stop inflammation.

In addition, the drug relieves pain, glues blood vessels together, which promotes the collapse and reduction of cavernous dilated veins.

In addition to external hemorrhoids during pregnancy, Hepatrombin G is indicated in the diagnosis of:

• internal hemorrhoids;
• thrombophlebitis of the anal veins;
• itchy sensations;
• eczematous lesions of the anus;
• anal fissures.

Contraindications. The drug is prohibited for use if the main or additional ingredients are intolerant.

You should also stop using the product if the skin or mucous membrane of the anorectal area is affected by bacteria, viruses or fungal organisms.

Due to the presence of heparin, the ointment is prohibited if there is a predisposition to bleeding and tumor formations skin.

Application. Hepatrombin G during pregnancy can be used only from the second trimester due to the content of a hormonal substance. Using the product is very simple - you need to apply it to the affected area 2-4 times a day. For internal hemorrhoids, the drug is administered into the intestine using an applicator.

Price. The ointment can be purchased without a prescription for about 170-190 rubles in any pharmacy chain.

Vishnevsky ointment

The composition of the ointment, or rather balsamic liniment, includes 3 main ingredients: xeroform, Birch tar and castor oil.

It is their combination that determines unique properties medicine.

Disinfects, relieves inflammation, kills pathogens, and also strengthens local immunity.

In addition, the ointment has an irritating effect on tissue, activating blood circulation in damaged areas and thereby accelerating regeneration.

Liniment balsamic is universal remedy against many pathologies of the skin, purulent processes in the deep layers of tissue.

It can be prescribed to pregnant women for:

• acute external hemorrhoids;
• inflammation of the anorectal area;
• anal fissures.

Contraindications. The drug has a very short list of contraindications - it cannot be used only if you are hypersensitive to one or more ingredients.

Application. Expectant mothers can use the drug in any trimester; it is also allowed during breastfeeding. The product should be applied to the nodules and surrounding tissues in a thin layer, the procedure is carried out 2-3 times a day.

Price. Another advantage of balsamic liniment is its low cost. The ointment is sold in pharmacies for 30-40 rubles per package.

Levomekol

This is a combination drug, which is also called “the surgeon’s favorite drug.”

It received this name for its pronounced antibacterial, anti-inflammatory and wound-healing qualities.

The combination of active substances (chloramphenicol and methyluracil) ensures rapid penetration of the product into the affected tissues and acceleration of recovery processes in the deep layers.

The drug is indicated for use when detecting:

• rectal fissures;
• external hemorrhoids;
• erosive and ulcerative damage to the anorectal area;
• inflammation of the anus.

Contraindications. Levomekol has a minimum of contraindications. The product is prohibited for use only in case of hypersensitivity to its ingredients.

Application. During the period of bearing a child, the drug is allowed, but it must be agreed with the gynecologist, since the ointment contains a local antibacterial ingredient.

For hemorrhoids, apply a small amount of ointment to the affected areas in the evening after hygiene procedures.

Price . You can buy Levomekol at any pharmacy at a very reasonable price - 100-110 rubles.

Fleming's ointment

This is a homeopathic medicine that contains extracts of medicinal plants such as calendula, witch hazel, and horse chestnut. The drug also contains zinc compounds and menthol.

The natural components of Fleming's ointment can quickly and effectively relieve inflammation, destroy pathogenic bacteria, relieve pain, dry damaged areas, and strengthen the walls of blood vessels.

The drug is used for mild external hemorrhoids, which are accompanied by inflammatory processes and the release of venous exudate (the so-called weeping hemorrhoids).

Contraindications. Due to its naturalness, the drug has virtually no contraindications, with the exception of hypersensitivity to the components of the drug. Expectant mothers are prescribed this ointment in any trimester of pregnancy.

Application. The product is used in a short course – up to 7 days.

If symptoms do not go away, the doctor may extend treatment or prescribe a different drug. Apply the ointment 1-3 times a day, applying a thin layer to the inflamed areas.

Price. The price for a 25-gram tube is approximately 300-320 rubles. The drug is available without a prescription.

Posterisan

The drug, which is based on inactivated bacterial cells, has pronounced anti-inflammatory properties. Its use allows you to remove swelling, restore damaged tissue, accelerate the healing of cracks, and increase local immunity.

In addition, the ointment has a positive effect on the condition of veins and capillaries, increasing their tone, eliminating congestion, as a result of which itching and burning sensations in the perianal area disappear.

Hemorrhoid cream can also be used for problems such as:

• eczematous lesions of the anus;
• rectal fissures;
• itching in the anal area;
• perianal dermatitis.

Contraindications. The main contraindication for use is intolerance to the phenolic compound present in the composition. In other situations, the drug is approved for all categories of patients, including pregnant women.

Application. The drug should be applied to the affected area of ​​the skin or mucous membrane in a thin layer in the morning or in the evening. For internal hemorrhoids, the product is injected into the rectal canal using the applicator included in the package.

Price. Prices for the drug vary, but the average cost of a 25-gram tube is 480 rubles.

Ointments with vasoconstrictor and venotonic properties

Prescribed to improve blood circulation in cavernous formations. Venotonic drugs are designed to restore the elasticity of the walls of blood vessels and improve venous blood flow.

Also used are agents with a vasoconstrictor effect, which are intended to stop bleeding and relieve swelling of hemorrhoids.

Troxevasin

The drug, classified as a venotonic and angioprotector, increases the tone of the venous walls, increases their elasticity and reduces fragility, relieves inflammation and swelling.

In addition, Troxevasin reduces the severity of pain and prevents the formation of blood clots in the venous ducts. At the initial stages, the gel is able to completely restore blood circulation in the veins.

The drug not only relieves hemorrhoids during pregnancy, but also effectively fights such conditions as:

• venous insufficiency;
• varicose veins;
• spasms of the rectal valve.

Contraindications. The gel is prohibited for use if you are intolerant to the active or additional ingredients. Also, the product should not be applied to deep wounds and infectious processes in the anorectal area.

Application. Venotonic can be used at any stage of gestation with the permission of the treating doctor. The drug is applied to the damaged area or a compress soaked in the product is applied to the external hemorrhoids.

Price. The drug can be purchased without a prescription for 180-210 rubles.

Troxerutin

The drug acts similarly to Troxevasin, since it contains the same active ingredients. This venotonic helps normalize blood circulation, prevent the formation of blood clots, eliminate congestion in the anal veins and relieve inflammation and swelling.

Among the indications of the medicine are:

• external hemorrhoids;
• swelling of the anorectal area after hemorrhoidectomy;
• venous insufficiency.

Contraindications. The list of contraindications coincides with the restrictions that the previous venotonic agent has.

Application. But on this point there are some discrepancies. Troxerutin is prohibited in the first 12 weeks of gestation; its use can only be started from the third trimester. Apply the gel to the damaged external nodules in the morning and evening.

Price. The expectant mother may be pleasantly surprised by the price of the medicine. In pharmacy chains it costs approximately 35-40 rubles for a 40-gram tube.

Relief

The product contains a unique ingredient - shark liver oil, which helps stop bleeding, accelerate tissue regeneration, relieve inflammation and itching.

The second active component, phenylephrine, is a pronounced vasoconstrictor that prevents bleeding and relieves swelling of tissues.

In addition to external hemorrhoids, the drug is used to treat:

• internal hemorrhoids;
• rectal fissures;
• itching in the anus.

Contraindications. The ointment is prohibited for use in cases of intolerance to the constituent elements of the product, blockage of blood vessels with blood clots, or a blood disease in which the number of granulocytes is reduced. Due to the vasoconstrictor effect, the drug is prescribed with caution to hypertensive patients.

Application. The product is approved for use during pregnancy, but only under strict indications. Apply the ointment twice a day to the affected areas or inject it into the rectum using an applicator.

Price. The medicine can be purchased for 390 rubles per tube.

Ointments with anesthetic effect

Ointments for hemorrhoids during pregnancy with an analgesic effect are usually prescribed in case of exacerbation of hemorrhoidal disease or severe pain syndrome which accompanies bowel movement.

Bezornil

A combined medicine produced according to the recipes of healers from China. The ointment fights almost all the main symptoms of hemorrhoids, but most often it is prescribed for pain in the last stages of the disease.

Pearls and bezoar contained in the ointment have a pronounced analgesic effect.

Other components provide relief from inflammation and healing of damaged areas.

The drug is used for complex treatment of hemorrhoidal disease, anal fissures and eczematous lesions of the anorectal area.

Contraindications. Women with intolerance to one or more ingredients should avoid Bezornil. In addition, some pregnant patients find it difficult to tolerate nice smell drug.

Application. The drug is prescribed during pregnancy after balancing the risk and benefit for the fetus. The drug is applied twice a day and after each bowel movement.

For rectal nodes, the ointment is administered using a tip.

Price. The ointment is sold in pharmacy chains without a prescription at a price of 350 rubles per 10-gram tube.

Procto-Glivenol

The drug acts comprehensively, relieving pain, relieving inflammation and reducing bleeding. In addition, the cream has a venotonic effect, that is, it allows you to restore blood circulation in the affected areas and restore the elasticity of blood vessels.

The cream is intended for the treatment of chronic and acute varicose veins hemorrhoidal veins of external or internal form.

Contraindications. The medication is prohibited if there is intolerance to the ingredients, as well as with severe liver failure.

Application. Procto-Glivenol is allowed to be used only from the 2nd trimester according to strict medical indications. Apply the cream in a thin layer to the external nodules; for rectal hemorrhoids, the drug is injected into the rectal canal using a tip.

Price. The drug can be purchased at any pharmacy for 370-390 rubles.

Relief Advance

The drug, in addition to shark liver oil, contains the anesthetic benzocaine, which provides analgesic properties. The ointment will also help get rid of itching, inflammation, bleeding, and will also speed up the healing of affected tissues.

The drug for hemorrhoids can also be used for therapy:

• erosive damage to the anus;
• anal itching;
• ulcerative lesions of the rectal mucosa.

The ointment is used as an anesthetic during diagnostic procedures - for example, during sigmoidoscopy.

Contraindications. Relief Advance is prohibited for use if the patient is hypersensitive to its components. The drug is also avoided in thromboembolic conditions.

Application. The drug is prescribed to expectant mothers with caution and only according to strict indications. For severe pain, the ointment is applied up to 4 times a day; if necessary, you can use a special applicator.

Price. The drug is not cheap - the price for a small tube starts at 400 rubles.

Table of antihemorrhoidal ointments allowed during pregnancy

For the convenience of pregnant women, all the ointments presented above are summarized in a table that will help you understand in which trimester of pregnancy this or that medication is allowed.

Homemade ointments for hemorrhoids for pregnant women

If a pregnant woman is afraid to use pharmaceuticals or wants to enhance the effect of medications, the doctor may suggest homemade anti-hemorrhoidal ointments.

Most often, homemade preparations contain active ingredients such as:

• tincture of calendula;
• propolis;
• vegetable raw materials.

Preparing the products is quite simple, it is only important to find the necessary components. Creamy or vegetable oil, visceral fat. Traditional healers offer the following ointment recipes.

1. With calendula. The product fights inflammatory processes and pathogenic bacteria, and also promotes rapid healing of wound surfaces. To prepare the drug, 5 parts of butter are mixed with 1 part of calendula tincture. After cooling, apply to the external nodules.
2. With propolis. The waste product of bees promotes rapid regeneration and relieves swelling. The crushed product is mixed with vegetable oil in a ratio of 1 to 10 and placed in a water bath until dissolved. The ointment is applied to the affected areas; suppositories can also be made from propolis for hemorrhoids during pregnancy.
3. With herbs. Take equal parts of crushed powder of St. John's wort, kidney grass, toadflax and oak bark. Vegetable raw materials are added to the interior fat and melted in a water bath. After a few hours, the drug will be ready for application to the inflamed areas.
4. With onion. The peeled vegetable is boiled with vegetable oil, then the onion is removed, and beeswax and potato pulp are added to the broth. After thorough mixing and cooling, the product is ready for application to external hemorrhoids.

The listed non-traditional treatment methods have proven their effectiveness. However, using only them for the treatment of hemorrhoids is the wrong decision.

Expectant mothers should consult a doctor who will prescribe pharmaceuticals for local or systemic action and tell them about important hygiene procedures and proper diet.

Despite their local use, their independent use by expectant mothers is excluded. Only with a reasonable approach to therapy can you eliminate risks for yourself and your child.

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

However, everything is not so hopeless, because over a long time of fighting hemorrhoids, medicine has accumulated a significant arsenal of drugs for its treatment.

What are hemorrhoids

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

Depending on the causes, proctologists distinguish between primary and secondary hemorrhoids. Primary hemorrhoids occur due to wrong image life and 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 that the enlarged uterus puts on the hemorrhoidal venous plexus. The appearance of hemorrhoids in the postpartum period is explained by strong pushing and pressure of the fetal head on the vessels during childbirth.

Secondary hemorrhoids can result from cirrhosis of the liver, some severe cardiovascular diseases, and various tumor processes that disrupt blood flow in the pelvic veins.

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 symptoms listed above are added to:

• discharge;
• nagging pain in the anal area (can radiate to the lower part and sacrum);
• prolapse of hemorrhoids.

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

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

In order to prevent the development of the disease, a pregnant woman needs to monitor her health and immediately consult a doctor at the first signs of discomfort.

How to treat hemorrhoids during pregnancy?

The treatment of hemorrhoids should be approached individually, since it will largely depend on the stage of the disease and its manifestation. At the initial stage, when a woman may not even be aware of the development of hemorrhoids, preventive methods can be used: normalization of regular bowel movements, nutritional correction (aimed at improving intestinal motility), increasing physical activity(if you lead a predominantly sedentary lifestyle). We must also not forget about anal hygiene: during pregnancy, this issue becomes especially important, including regarding the prevention of inflammatory processes in the veins of the anal area.

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

At the stage when the pregnant woman already feels obvious signs 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 rapid relief of the condition, but is also safe for the fetus. Combined ointments, creams, and rectal suppositories are used, which act in several directions at once: they have an analgesic, anti-inflammatory, vasoconstrictor, and laxative effect.

All drugs for the treatment of hemorrhoids during pregnancy should be selected and prescribed by a specialist. And even more so, you cannot do without medical help at a late stage of the disease, when manual repositioning of prolapsed hemorrhoids is necessary, and then surgery. 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 so-called minor or bloodless operations:

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

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

In general, treatment of hemorrhoids is not limited only to pregnancy. If a problem arises, then while carrying a child, doctors will try to stop its development and relieve the symptoms, and after childbirth you will have to take a closer look at your health and undergo comprehensive treatment for hemorrhoids, as it should be. However, often its minor manifestations with the birth of a child disappear by themselves, just 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 also be used during pregnancy. Many of them have been successfully tested by various women during pregnancy, but still, the choice of a folk remedy for hemorrhoids during pregnancy should be taken very seriously.

We present to your attention some folk recipes hemorrhoid treatment:

For oral administration:

• Swallow peeled garlic cloves (undigested, they will come out of the anus and cauterize the sores).
• Mix 300 g of prunes, raisins and dried apricots, chopped in a meat grinder, and 200 g of natural honey until smooth. Take 1 tablespoon before main meals.
• Pour 2 tablespoons of viburnum berries into 250 ml of water, bring to a boil and simmer 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, simmer over low heat for 10 minutes and remove from the stove. After cooling, strain and take 1 tablespoon 4 times a day.
• Take 100 g of freshly squeezed rowan berry juice 3 times a day with cold water. If necessary, you can sweeten it.

Baths:

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

Gadgets:

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

Candles:

• Dip a tampon into freshly squeezed celandine juice and insert it into the anus every day before bed: first for 30 minutes, then for 45, then leave for 1 hour.
• Grease a 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” from raw potatoes and insert it into the anus, after making an enema of water.

Once again, we emphasize that pregnancy is not the time for experiments. Even traditional methods Treatments may not be safe, so they must first be agreed with your 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 be on the safe side 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.

Very important point in the prevention and treatment of hemorrhoids is getting rid of constipation and normalizing intestinal 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 porridge (barley and oatmeal). Eliminate fatty meats, high-calorie dairy products, buns, alcoholic beverages, hot, spicy, salty, and pickled foods from your diet.

It is very important to be a healthy mother in order to give birth to a healthy baby. A delicate disease of a pregnant woman sometimes changes not in better side progress of pregnancy.

The wonderful period of waiting for the birth of a small miracle for the expectant mother can be overshadowed by the most common disease among pregnant women - hemorrhoids. How to prevent the disease? How to recognize the first signs of the disease? How to get rid of this problem with the least risk for mother and child? All these questions will be answered in this article.

Common symptoms of hemorrhoids during pregnancy

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

If measures are not taken in a timely manner, the disease progresses and the symptoms intensify.

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

Why does hemorrhoids worsen during pregnancy?

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

It is necessary to understand that any treatment during pregnancy should be started only after consultation with a doctor. Therefore, at the first signs of hemorrhoids, you should see a proctologist. And only after diagnosis, apply the necessary treatment.

Treatment of internal hemorrhoids during pregnancy

• Internal hemorrhoids involve the veins located under the mucous membrane inside the rectum. Therefore, such inflammation is not visible. The nodes located inside cause pain, bleeding occurs during defecation
• Internal hemorrhoids are a prerequisite for external ones. At the first sign internal hemorrhoids We begin treatment without leading to the formation of external hemorrhoids. We use treatment only after consultation with a doctor
• Treatment of internal hemorrhoids during pregnancy with medications is contraindicated. Medicines can harm the baby because mother and baby are connected by the same bloodstream

We use local remedies

• Various rectal suppositories
• Folk remedies

We are reviewing our diet.

We use a special diet

• We include soup in the meal
• We take more fruits, vegetables, and products containing wheat bran
• We use kefir in combination with dried apricots and prunes. We add vegetable or sea buckthorn oils.
• Exclude flour products

We are engaged therapeutic exercises, yoga

Treatment of external hemorrhoids during pregnancy

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

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

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

• Relief - used to treat internal and external hemorrhoids. Candles heal wounds and cracks. Softens stool in the rectum. Restore immunity
• Papaverine - tones the veins in the pelvic area. Relieve itching and pain, heal wounds, relieve swelling
• Natalsid - effective at the first symptoms of hemorrhoids, instantly eliminates burning, itching, and discomfort
• Propolis suppositories are the most common medications during pregnancy for hemorrhoids. Since there is relief already from the first use pain. Large cracks heal quickly, itching goes away, swelling and inflammation are relieved
• Proctosan - relieves inflammation, relieves pain. Candles are effective at the first signs of hemorrhoids
• Glycerin suppositories - dissolve feces inside the rectum and promote wound healing. Gained popularity for its very mild properties and quick relief from pain.
• Gepatrombin - hemostatic suppositories. Relieves inflammation and pain. We use it strictly as prescribed by a doctor. For hypertensive patients, these suppositories are contraindicated
• Sea buckthorn suppositories are the most popular in the treatment of hemorrhoids in pregnant women. They are harmless and suitable for almost everyone without exception. They have analgesic, wound-healing, tonic, and antioxidant properties. Relieves itching and discomfort

Folk remedies for hemorrhoids during pregnancy

Folk remedies for hemorrhoids for pregnant women are limited.

• We prepare infusions from viburnum or rowan in free proportions, to taste. Apply 1/3 cup 3 times a day
• Pour two teaspoons of dandelion root into a glass of cooled boiled water. We insist all night. Take two to three tablespoons before meals
• Carrot decoction strengthens the walls of blood vessels well
• Mix honey and vegetable oil. We make a lotion at night

• Cut a candle out of raw potatoes and dip it in honey. We insert it into the anus overnight. When you defecate, the potatoes will be passed out in your stool. Starch coats the rectal mucosa, protects against bacteria, relieves pain
• Making ice candles. Pour water into the foil molds formed into candles and freeze. Insert into the anus until dissolved. Cold promotes blood circulation. This contributes effective treatment hemorrhoids. Suppositories relieve pain and stop bleeding
• We take candied honey and make candles from it. Freeze it. We insert it into the anus. Apply up to three times a day. Easily and quickly, honey, due to the presence of natural antibiotic properties, eliminates inflammation and pain

Sea buckthorn oil for the treatment of hemorrhoids for pregnant women

It can be safely called a panacea for many diseases for the expectant mother. sea ​​buckthorn oil. During pregnancy, medications are not recommended. Treatment of hemorrhoids during pregnancy becomes more complicated. Almost the only harmless remedy for hemorrhoids is sea buckthorn berry oil. It can be used at different stages of pregnancy and after childbirth.

Special medicinal properties Sea buckthorn oil is very useful and effective in the treatment of hemorrhoids:

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

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

With external formation of hemorrhoids

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

Internal hemorrhoids are treated with

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

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

Prevention of hemorrhoids during pregnancy. Video

Surgery to remove hemorrhoids during pregnancy: pros and cons

Hemorrhoid surgery is contraindicated during pregnancy. And in most cases it is transferred to the postpartum period. In exceptional cases, when hemorrhoids are in an advanced state, minimally invasive operations are used.

How to treat hemorrhoids during pregnancy: tips and reviews

Julia: There was a problem even before pregnancy. I didn’t think there would be such an exacerbation during pregnancy. Sea buckthorn candles helped. I won’t say that everything went away right away. But the pain goes away immediately. I had to use it for two months. After giving birth, she was already treated with medications. Luckily I didn't breastfeed

Elena: In the third month I felt all the delights of this disease. Thanks grandma. I recommended potato candles. Then I put it from propolis. I didn’t go to the doctors on principle. They just need to treat. Thank God everything worked out. We are already three months old. I have long forgotten what these eternal pains and burning sensations are

Ksenia: At 34 weeks of pregnancy I discovered all the most terrible symptoms of this disease. I went to the proctologist. He said surgery was necessary. It doesn't matter that I'm pregnant. I went to the gynecologist. She dissuaded me. She advised me to do yoga for pregnant women. To relieve pain, use Relief ointment and folk remedies. Go on a diet. I want to say thank you to my doctor. My son is one and a half years old. I discovered yoga, avoided surgery, and got rid of hemorrhoids completely. It was not easy to completely rebuild our entire lifestyle. But I want to tell everyone that in advanced stages of hemorrhoids, there is no other way. For me, the fear of the operation and the fear for the life of my beloved lapuli turned out to be stronger than my laziness. Girls, the choice is yours.

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

• Proper nutrition, diet if necessary
• Careful hygiene after each bowel movement. We refuse toilet paper. We wash only with cool water
• We protect our health, hypothermia or excess physical activity can reduce the entire achieved result to zero
• We are engaged physical therapy or yoga
• And most importantly, we pay attention to health, lifestyle, nutrition in the process of planning pregnancy. Only then will it be possible to avoid many unnecessary problems during pregnancy

Video: How to treat hemorrhoids during pregnancy. Treatment of hemorrhoids after childbirth

Pregnancy is a unique condition that requires careful attention to your feelings. During this period, the body is faced with unusual stresses, which can result in a variety of diseases. Including hemorrhoids. What to do if you are the one who encounters this problem?

First of all, don't be scared. Of course, there is little pleasant in this disease, and it is quite capable of affecting the course of pregnancy and childbirth. On the other hand, today there are so many different methods for treating hemorrhoids during pregnancy that do not harm the child. And since this disease is very common, the diagnosis and treatment of hemorrhoids during pregnancy have long been brought to perfection.

Unfortunately, more than 50% of pregnant women face this problem. This is due to the fact that the growing uterus compresses the veins located in the pelvic area. In addition, constipation is common for pregnant women. And this also has an impact on the development of the problem.

Treatment of hemorrhoids in pregnant women

A lot depends on what stage of the disease we are talking about and how long the pregnancy itself is. The main thing that doctors think about is maintaining the pregnancy and caring for the newborn baby. For this reason, they try to avoid surgical interventions until the very last minute, and minimally invasive means are left for the most extreme cases, trying to push them back to the postpartum period.

In any pharmacy, the pharmacist will offer you a variety of remedies for hemorrhoids that are allowed during pregnancy: ointments, suppositories, compresses and much more. However, with all this diversity, the question remains: how to treat hemorrhoids so that there is a noticeable effect and there is no risk to the body of the mother and the unborn baby? And an experienced proctologist should answer it.

The fact is that hemorrhoids are very diverse in forms and manifestations, which means that self-medication can only result in a deterioration in well-being.

Treatment of external hemorrhoids almost never requires surgery. As a rule, doctors prescribe anesthetic suppositories, ointments, and warm baths. An important stage in the treatment of hemorrhoids in any form is hygiene of the anal area. At the end of each act of defecation, you must wash yourself with cool water.

You can’t do without a therapeutic diet: an abundance of fresh, ripe fruits and vegetables with a very moderate consumption of proteins and carbohydrates. It is better to completely exclude fatty foods, salty, hot, spicy foods from your diet. The same should be done with alcohol, if for some reason you did not give up it during pregnancy.

Treatment of acute hemorrhoids

Acute hemorrhoids require more decisive action. Although here a lot depends on the stage. At the asymptomatic stage, treatment is approximately the same as described in the previous section: diet, hygiene, ointments and suppositories. Troxevasin or Relief, as well as Heparin ointment, may be prescribed.

At the second stage, when bleeding, acute pain and similar symptoms appear, drugs taken orally can be added to external remedies. During the same period, warm baths with the addition of potassium permanganate are prescribed, as sphincter spasm often occurs. In this case, candles are most often used.

They try to do without surgery, even if hemorrhoids are combined with a fissure in the anus. Usually in this case general recommendations Complete rest, cleansing enemas before going to the toilet, laxatives, and so on are added.

However, in some cases it is not possible to do without surgery or minimally invasive methods. Then the treatment method and the timing of the operation are selected depending on the severity of the situation. In the rarest cases, excision of hemorrhoids is used - in fact, an operation.

Most often, they try to get by using more gentle methods. For example, sclerotherapy- injection of a special composition into the inflamed node, which causes the vessels to collapse. As a result of poor circulation in the node, it is rejected after 7-10 days.

Alloying- another bloodless treatment method. During treatment, the node is pinched with a special latex ring. In this case, there is also a violation of blood circulation and rejection of the dead node after a week.

Provides excellent results laser or infrared coagulation. Coagulation is when a node is exposed to heat or a laser beam from 3-5 points. This provokes a burn, and, again, rejection of damaged tissue.

Treatment with folk remedies

Treatment of hemorrhoids with folk remedies is also quite acceptable, however, only after consultation with a doctor. So, when taking a warm bath, you can easily add chamomile to the water instead of potassium permanganate, in combination with plantain and nettle. Naturally, it is not the herbs themselves that are added to the water, but an infusion of them: 20 g of the collection should be poured into 2 liters of hot water and left for 2-3 hours. Then the infusion is filtered and added to the bath.

You can take an infusion of lungwort orally. Place a tablespoon of dried herbs in a glass of boiling water. For lungwort to brew, half an hour is enough. Then the infusion is taken 3 times a day, a tablespoon.