Treatment of hemorrhoids during pregnancy. Hemorrhoids during pregnancy - symptoms and treatment

Symptoms of hemorrhoids during pregnancy are not considered uncommon. Most often they manifest themselves in the form of burning, pain and irritation in the location of the anus, and sometimes bleeding during bowel movements. They cause particular discomfort, which prevents sitting, walking, and sometimes causes sleep disturbances. Gradually appearing over time, as pregnancy progresses, they become more obvious and aggravating.

The disease occurs unexpectedly, when, it would seem, nothing foreshadows the appearance of such changes in the body. Gradually, the symptoms of hemorrhoids increase, which is manifested by frequent constipation, unpleasant sensations in the location of the anus, severe itching, sometimes turning into a slight burning sensation. These symptoms can intensify with tension, with fast walking, or while going to the toilet.

After defecation, the feeling of incomplete bowel emptying persists, which serves as one
of the characteristic signs of the development of hemorrhoids. During pregnancy, a woman's blood circulation in the pelvic organs is impaired due to the pressure of the growing fetus. Increased pressure in the vessels causes them to expand and form nodes. The first important symptom of hemorrhoids is bleeding, which can result in prolapse of hemorrhoids. At first they are small in size and you can use them without much effort.

As the disease progresses, the changes are so significant that reduction becomes impossible. As a result of developing pathological processes, thrombosis or necrotic changes in the nodes can form, which is a serious threat to the health of a pregnant woman.

Signs of the disease

One of the first signs of hemorrhoids may be the appearance of dark blood clots, which is evidence of bleeding occurring in the intestines. It is especially important to determine the onset of the disease, which cannot always be detected at this stage. Experts divide all the signs into several stages, knowing about which you can more easily make a diagnosis.

What are the dangers of hemorrhoids during pregnancy?

The development of the disease can cause significant harm to the body of the pregnant woman herself, and have a negative impact on the development of the fetus. Long-term squeezing of a node when pinched can cause tissue death in them, which becomes a favorable environment for the proliferation of pathogenic microflora.

The result of such processes is the development of infectious diseases that can affect the general condition of the pregnant woman. The infection can penetrate the placenta and cause intrauterine infection of the fetus. As a result, high fever and the development of swelling in the perineum are added to the symptoms characteristic of hemorrhoids.

Hemorrhoids are dangerous not only for the mother, but also for the unborn child, it also poses a certain danger. Repeated blood loss can cause a decrease in hemoglobin levels, which, in turn, will cause anemia and lead to insufficient oxygen supply to the fetus.

How to treat

The appearance of a disease during pregnancy such as hemorrhoids cannot be ignored. It definitely needs to be treated and not hope that it will go away on its own. The processes occurring in the body due to ongoing changes are accompanied by constipation, gastrointestinal dysfunction, and various inflammations. Disturbances in the functioning of the intestine and its untimely emptying contribute to the accumulation of toxins in the blood, which will definitely affect the health of the pregnant woman in a negative way.

The problem with timely treatment lies in the hidden nature of the onset of the disease. U
For half of women, hemorrhoids are discovered only during childbirth, when the passage of the fetus puts pressure on the pelvic organs, releasing dilated veins.

As one of the treatment methods, the expectant mother needs to normalize her intestinal function by making changes to her diet. Products of plant origin, fermented milk and rich in fiber should predominate, as well as a variety of fresh vegetables and fruits. Therapeutic gymnastics is considered to be a fairly effective method for eliminating and preventing hemorrhoids.

Lying down with elevation of the pelvis is useful, and it is also necessary to limit activities in a standing or sitting position. In case of existing complications, prescribes external medications approved for use by pregnant and nursing mothers. The use of such products can reduce or completely eliminate the symptoms of hemorrhoids, and also softens the contents of the intestines, which makes cleansing it painless and non-traumatic to the mucous membrane.

Prevention of hemorrhoids in pregnant women

Prevention measures require certain efforts, attention and time, but this is incomparable with what will have to be done if the disease develops during its treatment. That's why
It is better not to wait for hemorrhoids to appear, but to prevent it using preventive methods. Many factors that contribute to the occurrence of pathological changes in the body can be safely excluded.

For example:

When the first symptoms of hemorrhoids appear, a pregnant woman must immediately visit a doctor, who, after examination, will be able to prescribe the correct treatment. This is especially important since not all medications are allowed to be used. Under no circumstances should you try to independently diagnose yourself and carry out treatment using products purchased on the advice of friends. Incorrect treatment can cause irreparable harm not only to a pregnant woman, but also to her unborn child.

50% of young mothers face a delicate problem. In most cases, it occurs after childbirth, as a result of improper behavior during the pushing period. Meanwhile, many women experience characteristic pain during pregnancy. The worst thing is that doctors consider them practically the norm and calmly prescribe medications for treatment.

Why does this happen and can this problem be prevented? Let's figure it out together. So, the topic of today’s post is: “Hemorrhoids during pregnancy: how to treat them.” Put things aside, we're starting.

When mentioning diseases of the rectum, doctors simply cannot ignore hemorrhoids. Why? Because he occupies a leading position among them. Most often, it becomes chronic, that is, once it appears, it constantly worsens, and greatly affects the quality of life of a woman.

Firstly, inflammation in the affected area is very painful, and secondly, it entails psychological discomfort. It may be painful for a woman to sit, even though the circumstances require it. The situation is aggravated by spotting when the nodules begin to bleed.

The disease was studied in ancient Greece. Until now, different specialists have different opinions regarding how to treat hemorrhoids, but they all agree on one thing: it is necessary to alleviate the condition of patients as much as possible.

There are also a lot of causes of the disease:

• genetic predisposition – when there is dysfunction of the rectal vessels;
• constipation - when large amounts of feces put pressure on the walls of the intestine, blocking the veins, and at the moment of emptying make the woman tense;
• sedentary work or enormous physical activity involving heavy lifting;
• some diseases - uterine fibroids, intestinal cancer, fistulas;
• bad habits - alcohol, which dilates blood vessels, or smoking;
• injury and inflammation of the anus due to anal sex;
• pregnancy.

Depending on the location, mechanism of development or course of the disease, the following types of hemorrhoids can be distinguished:

• Congenital - occurs due to weak vein walls and stagnation of venous blood, as a result of which the intestinal walls are deformed, stretched, turning into painful nodules.
• Acquired is the case when hemorrhoids are a consequence of some disease or some condition, for example, pregnancy. It is provoked by impaired blood flow in the pelvic area or blood stagnation.

Subcutaneous or external hemorrhoids are diagnosed during a routine examination. It consists of nodules that form from the inferior venous plexus under the skin of the anus. External hemorrhoids, as they are also called, are characterized by severe pain due to the sensory nerves that penetrate the anal canal. In a calm state, the nodules cause virtually no discomfort, however, in advanced cases, women develop bumps of different sizes, itching, and bleeding anal fissures.

Internal or submucosal hemorrhoids can only be seen during endoscopic examination due to the fact that the nodules are concentrated under the mucous membrane. The presence of vegetative fibers in this area makes them practically painless. The only thing a woman can feel is partial bowel movement. Sometimes she notices mucus and pus on her underwear.

Such hemorrhoids need to be treated, even if they have not come out, because their consequences boil down to fecal incontinence.

There are 2 forms of hemorrhoids:

• acute – characterized by pain, sensation of a foreign body in the anus, burning, itching during defecation;
• chronic - a recurrent process, which, due to a long course (from several months to several years), does not cause significant pain, but bleeds from time to time.

There are 4 stages of the disease:

• with the first, nodules are formed that periodically bleed;
• with the second, they increase in size, sometimes fall out, but at the same time they reset on their own;
• with the third, it is no longer possible to straighten them;
• with the fourth, constant loss of nodes occurs, which worsens the woman’s quality of life.

Hemorrhoids in pregnant women

Due to the constant pressure of the uterus on the pelvic vessels, as well as the expansion of the veins of the rectum, hemorrhoids can develop. This happens in the early stages, for example, after a large fatty lunch and a sedentary lifestyle, and in the last weeks. At risk are primiparous women over 35 years of age, as well as those who suffer from thyroid diseases and chronic constipation.

For most pregnant women, the 1st trimester is marred by hemorrhoids if they do not monitor the quality and quantity of what they eat. Hormonal changes aggravate the situation. But the worst thing is that women are more shy than men, so 80% of them come for examination to a proctologist only when the disease becomes chronic and brings a lot of discomfort.

Interestingly, in multiparous women, the risk of developing nodules doubles. But in most patients, external nodules form at the time of childbirth, especially if they push incorrectly or already have internal hemorrhoids, which have not manifested themselves for a long time.

Is it dangerous for a child?

How dangerous are hemorrhoids in an interesting position, in particular for a baby? It turns out that the nodules and bumps themselves do not pose any harm to the baby. As a rule, they do not affect either the process of formation of its organs and systems, or the course of labor itself.

Only the mother can feel the harm due to their development. Itching, soreness, and burning affect her overall well-being, making her nervous and irritable. But this can already negatively affect the baby.

Is it possible to treat hemorrhoids at this time? It turns out that it is not only possible, but also necessary. Firstly, it will not go away on its own, and secondly, as the fetus grows larger, it will manifest itself more and more actively, in extreme cases complicated by inflammation and the formation of blood clots. Needless to say, this already threatens new problems due to microorganisms entering the wounds and even infection of the fetus.

It's hard to believe, but hemorrhoids during pregnancy can also cause anemia, for example, if the bumps often bleed. Another danger is the risk of rectal bleeding at the time of delivery.

The literal translation of the word hemorrhoids is bleeding. Currently, this term refers to a disease whose main symptom is the discharge of blood from the anus.

Under the mucous membrane of the rectum there is a network of blood vessels. The vessels of the venous plexus of the rectum have very thin, tensile walls. With the accumulation of feces, the rectum undergoes significant stretching, which can lead to the fact that the veins that make up this plexus become filled with blood and lose elasticity - this causes the appearance of dilated areas (hemorrhoids). Particularly severe stagnation of blood in the rectum occurs in a sitting position, as well as during prolonged standing.

Onset of the disease (asymptomatic hemorrhoids, or first stage disease) does not manifest itself in any way, and only upon examination are hemorrhoids visible.

Second stage characterized by small, painful nodes when palpated; internal nodes emerge from the anus during stool and are reduced on their own. This stage of the disease is manifested by itching, discomfort in the anus, bowel movements are painful, often accompanied by the appearance of a small amount of blood in the stool and toilet paper. Manifestations intensify after bowel movement, and then gradually decrease.

Third stage The disease is accompanied by prolapse of internal hemorrhoids. Hemorrhoids that fall out during defecation have to be manually reset into the rectum. As the disease progresses, the muscle layer of the rectum weakens, and the reduced nodes are not retained, but fall out again. When the nodes fall out, the woman experiences a feeling of fullness in the rectum and a desire to empty the intestines, walking and sitting become extremely painful, severe pain occurs during bowel movements.

Fourth stage- the most dangerous. Prolapsed hemorrhoids cannot be set back. This stage of the disease is often complicated by the formation of blood clots in the nodes, severe pain in the anus and massive bleeding.

It is usually not difficult for a doctor to identify hemorrhoids with a digital examination of the rectum. Sometimes, to clarify the diagnosis, it is necessary to perform a sigmoidoscopy - a study in which a special optical device is inserted into the rectum, which allows you to see what is happening in the rectum. During pregnancy, sigmoidoscopy is performed only in extreme cases.

Pregnancy and hemorrhoids

Unfortunately, the risk of developing hemorrhoids increases during the second half of pregnancy and childbirth. During the period of bearing a child, the uterus significantly increases in volume, and by the time of birth it occupies most of the abdominal cavity. The intestine is compressed by the enlarging uterus, the rectum changes its position, its venous vessels are pinched, which leads to blood stagnation. In addition, during pregnancy, the susceptibility of the intestinal muscles to nerve impulses and substances that stimulate its work is significantly reduced. This is no coincidence: the intestines and uterus have a common innervation (their work is regulated by one nerve plexus), therefore any excessive activation of the intestines can stimulate the contractile activity of the uterus. Such a positive protective reaction aimed at maintaining pregnancy also has its downside: bowel movements become more or less difficult, and the woman begins to suffer from constipation, requiring straining during bowel movements.

During childbirth, during contractions and pushing, intra-abdominal pressure rises sharply, and the fetal head, pressing tightly against the walls of the pelvis, compresses the vessels, including the veins of the rectum. The existing nodes increase in size and acquire a denser consistency. During contractions, and especially pushing, they protrude and turn blue; in the period between pushing, when intra-abdominal pressure decreases, they decrease and take on a calmer appearance. The longer the labor process, the higher the risk of developing hemorrhoids.

Statistics show that hemorrhoids occur in pregnant women quite often: they affect 7.7% of non-pregnant women, 25.7% of pregnant women and 49.8% of those who have just given birth. However, many pregnant women are in no hurry to tell the doctor about it, believing that hemorrhoids - normal state of a pregnant woman. But neglected, untreated hemorrhoids can cause anemia (decrease in the amount of hemoglobin), diseases of the musculoskeletal system (for example, arthritis - inflammation of the joint), genitourinary system (chronic inflammatory processes). The presence of hemorrhoids is not taken into account when choosing a method of delivery (natural birth or caesarean section), however, it cannot be ignored when determining the management of pregnancy and the postpartum period.

How to avoid a "delicate problem"?

• A pregnant woman should pay special attention to the treatment of any disease. What is not contraindicated in a normal lifestyle can have a negative effect on the fetus during pregnancy. Therefore, during this period you should never self-medicate. The use of any medications must be strictly agreed with your doctor. Considering the variety of stages of hemorrhoids and the particular course of the disease, the selection of treatment should be individual and carried out by a proctologist (a specialist in the treatment of diseases of the rectum). In the first stage of the disease, it is enough to follow the following rules:
• Never strain during bowel movements.
• If possible, you should avoid prolonged work in a standing or sitting position, and if this is not possible, you need to change your body position more often and take breaks.
• Follow a diet to prevent constipation. The diet should be rich in vegetables and fruits with a moderate amount of meat and carbohydrates. The diet is important (frequent, fractional, at least 5-6 times a day), drinking enough water (up to 1.5-2 liters per day). Fermented milk products, bran bread, vegetables (except legumes) are healthy. Depending on the time of year, it is necessary to eat beets, prunes, sauerkraut, pumpkin, carrots, watermelons, and melons daily. It is necessary to limit the consumption of black bread, legumes, fruits and berries, which can cause constipation. For hemorrhoids, any alcoholic drinks, salty, hot, spicy, pickled foods are strictly prohibited: these products increase blood flow to the pelvic venous plexuses. You should not eat fatty foods: it slows down the passage of food through the intestines, thereby creating the preconditions for the development of constipation.
• It is necessary to carry out an external toilet with cool water after each bowel movement; in case of severe hemorrhoids, it is better to completely abandon toilet paper. You can have a short (15-60 seconds) ascending shower (just turn the shower over and direct its jets upward) or apply tampons with a cold infusion of chamomile or oak bark (brew 1 tablespoon per glass of water and cool).
• 2-3 times a day, it is recommended to lie on your back for 15 minutes with your pelvis elevated, for example on a small pillow.

In addition to following the rules of prevention, women with the second and third stages of the disease are treated with special medications, warm sitz baths with a weak solution of potassium permanganate, and infusions of medicinal herbs. Such women are strictly prohibited from heavy physical labor and certain types of housework (long hand washing, washing the floor by hand without using a mop).

In the fourth stage of the disease (excessive bleeding, strangulation and necrosis of prolapsed hemorrhoids), emergency hospitalization is necessary. In these cases, there is a need for surgical treatment. Such patients undergo hemorrhoidectomy (excision of nodes) or minimally invasive (small or bloodless) operations. More gentle interventions include:

• sclerosing injections (introduction of special drugs that “blind” the walls of the node into the node);
• ligation (the node is pinched with a latex ring, which causes rejection (death) of the node after 7-10 days, followed by the loss of the affected tissue);
• infrared photocoagulation and laser coagulation (exposure to laser or high temperature at the base of the node).

If the pregnant woman’s condition allows, then doctors try to postpone all these interventions until the period when the woman recovers after childbirth, i.e. after 2-3 months.

Special medicines for hemorrhoids

In the treatment of hemorrhoids, two types of drug treatment can be used: local and systemic. During pregnant women, local treatment is preferred to systemic treatment.

Local treatment. Today, there are a large number of different medications for the local treatment of hemorrhoids, which are available in the form of suppositories or ointments and creams. Local application of drugs reduces the risk of side effects, increases the effectiveness of treatment and reduces the negative impact of treatment on the fetus. The action of these drugs is aimed at rapid pain relief, limiting inflammation and swelling, normalizing blood circulation in the rectum, counteracting vascular thrombosis, relaxing the rectal sphincter, reducing intestinal motility (motor activity) and softening stool.

Rectal suppositories are inserted into the rectum after bowel movements. The suppository should be inserted while lying on your side, without pushing it into the ampulla of the rectum, but holding it in the anal canal for 1-2 minutes: this way it will dissolve and its insertion will be more comfortable.

Gymnastics against hemorrhoids
Therapeutic exercises help improve the function of the large intestine, increase the tone of the muscles of the anal area and abdominal wall, and reduce congestion in the veins of the small pelvis. Two or three times a day (especially if a woman has to sit or stand for a long time at work), the following exercises should be done for 5-7 minutes (if any of them is difficult for you to do, you can refuse it):

• walking with legs raised high, knees bent;
• swing movements alternately with the right and left legs forward, backward, to the side;
• bending to the sides;
• tensing the buttocks while simultaneously retracting the anus (try to hold this position for up to 10 seconds);
• squats on toes with knees wide apart.

After removing the candle from the refrigerator, you should keep it warm for 2-3 minutes until it becomes soft. It is advisable to use the ointment for external hemorrhoids, applying it in a thin layer after a hygienic shower 3-4 times a day.

Suppositories for the treatment of hemorrhoids are made on the basis of lanolin or cocoa butter. For quick pain relief, local anesthetics (Anestezin, Benzocaine, Novocaine) are added to many suppositories or ointments.

For anti-inflammatory purposes, glucocorticoid hormone preparations (Prednisolone) are used topically. In addition to anti-inflammatory, glucocorticoids have an anti-allergic effect, reduce itching, burning sensation. It must be remembered that local treatment with glucocorticoids is contraindicated for viral, fungal and other infectious lesions of the rectum.

For the treatment of hemorrhoids, local agents containing heparin are widely used. When applied topically, heparin prevents the formation of blood clots, has an anti-edematous and anti-inflammatory effect, and promotes the regeneration of connective tissue. Preparations containing heparin are certainly the preferred agents for thrombosis of hemorrhoids. A relative contraindication to local treatment with heparin is disorders of the blood coagulation system.

In case of spasm of the anal sphincter, it is possible to use suppositories with diphenhydramine; in order to speed up healing, preparations of vitamin A, sea buckthorn oil, and shark liver are used.

For simplicity and ease of use in preparations for the local treatment of hemorrhoids, basic therapeutic agents are traditionally combined. For example, Anestezol, Ultraprokt, Procto-Glivenol contain an anesthetic and anti-inflammatory and astringent components.

The drug Gepatrombin G contains the three most active components in the treatment of hemorrhoids: anesthetic, prednisolone and heparin. Thus, the effect of this combination drug for the treatment of hemorrhoids is associated with local anesthetic, anti-inflammatory, antithrombotic, antispasmodic and antipruritic effects.

Relief Advance contains shark liver oil (has anti-inflammatory, hemostatic and wound-healing effects) and benzocaine (local anesthetic).

Ginkor Procto is a combined preparation containing extract of the Ginkgo biloba plant and butoform. Ginko biloba increases the tone of the veins, the resistance of their walls to damage, butoform has a local anesthetic effect.

In general, local drugs for the treatment of hemorrhoids are quite effective, although their use is associated with certain inconveniences, can cause local allergic reactions, and should last on average no more than 5-7 days (if there is no effect, additional examination is necessary).

During the period of bearing a baby, suppositories containing belladonna extract (belladonna) are contraindicated from local remedies: Anuzol, Bellataminal, since their use can provoke the threat of miscarriage.

Systemic treatment. Systemic drugs are usually prescribed in the form of tablets and capsules for oral administration.

In the treatment of hemorrhoids, agents that strengthen the vein wall and increase its tone, the so-called venotonics, are now widely used. These drugs are usually used in courses of 2-3 weeks with breaks of 2 weeks - 2 months.

Detralex is considered the most effective venotonic, which, in addition to venotonic, has a pronounced anti-inflammatory and antioxidant effect, preventing the appearance of free radicals - one of the factors of damage to the vascular wall. In addition, as has been proven in recent years, Detralex has a direct protective effect on the circulatory system. Aescin derivatives (Aescin, Aescusan, Misveneal) are obtained by processing horse chestnut seeds. They have an anti-inflammatory effect, improve blood circulation through the smallest blood vessels, reduce swelling of the inflamed node and blood viscosity.

The diet should be rich in fruits and vegetables with moderate amounts of meat and carbohydrates.

In addition to venotonics, drugs from other pharmaceutical groups are used to treat hemorrhoids. To prevent complications of chronic hemorrhoids, Troxerutin (Troxevasin) is prescribed, which reduces the permeability and fragility of capillaries and has an anti-inflammatory effect. Ginkor-forte contains, in addition to troxerutin, extract of the ginkgo biloba tree. The drug strengthens the venous wall and has an anti-inflammatory effect. Drugs that normalize blood clotting (Pentoxifylline, Curantil, Aspirin) are prescribed for the prevention and treatment of hemorrhoidal vein thrombosis. All of these drugs can be used during pregnancy.

A special place in the arsenal of remedies for the treatment of hemorrhoids is occupied by laxatives used to reduce straining and facilitate bowel movements. For this purpose, it is advisable to prescribe laxatives (Regulax, Forlax, Duphalac, Prelax). When using these drugs, stool softens. The use of other laxatives (bisacodyl, phenolphthalein, senna preparations, buckthorn) during pregnancy is contraindicated, as they excessively stimulate intestinal peristalsis (motor activity), which can lead to increased uterine tone.

Ferocious Ekaterina, obstetrician-gynecologist, Minsk

Discussion

Of course, advice on reconsidering nutrition, physical activity and emotional state is all great, but it’s not enough for treatment (Still, you can’t pass by the pharmacy. There are now enough pills for hemorrhoids. Here are reviews of the most common ones [link-1] to help you

What an unpleasant sore, it has caused me so much discomfort throughout my life. Thank God, recently I have practically stopped bothering you; when I was treated with a course of procto-glivenol suppositories, I felt relief in my life. Now I’m thinking about doing gymnastics against hemorrhoids, I’ve read a lot of positive reviews. I hope it will help me overcome this nasty thing forever.

Hemorrhoids are generally very common in pregnant women. There was a thunderstorm for me too, but everything worked out on time. I turned to my gynecologist and obstetrician, she recommended suppositories with venotonic, which just dissolve hemorrhoidal veins and allow you to go to the toilet normally. good Rectactive suppositories, I highly recommend them to anyone with hemorrhoids.

10.06.2016 16:13:57, Stanislava Main

Elisheh gel emulsion is possible during pregnancy

04/29/2016 19:36:15, 24svetlana24

The treatment method for hemorrhoids developed by Sergei Kondakov helped me very well. The pain was like hell, mother, don’t worry, it went away almost on the first day after the start of the procedures.

Comment on the article "Drugs for hemorrhoids"

Conference "Pregnancy and childbirth" "Pregnancy and childbirth". Hemorrhoids: (and compression garments. Never had one, but apparently age takes its toll...

Discussion

Buy Natalsid, you will be happy, these are candles, you can use them with B. I myself suffer from this problem, and at the 27th week I thought I’d glue my fins together.

I’ll say about hemorrhoids - unpleasant, but not fatal.
I don’t remember what I treated it with last time, but it can all be cured quickly.

Pregnancy and childbirth: conception, tests, ultrasound, toxicosis, childbirth, caesarean section, birth. Hemorrhoids are a terrible problem for a woman in labor and need to be addressed in a timely manner.

Discussion

Girls, thanks for your advice. I haven’t appeared for a long time, I thought that no one would say anything. And yet you don’t ignore it. Nice. The proctologist said that there is no CS, only EU. I prescribed ointment. As for the enema, that's a good idea.

Ailments, diseases, toxicosis. Pregnancy and childbirth. Pregnancy and childbirth: conception, tests, ultrasound, toxicosis, childbirth, caesarean section, birth.

Discussion

I will add it to ointments and suppositories. Ice and physical therapy are very effective. Tested on myself on the recommendation of doctors. Ice 5-6 times a day for no more than 5 minutes. It’s convenient to pour 0.33 into a water bottle and sit through a diaper. If you use warming ointments, take a 30-minute break between the ointment and the ice.
And physiotherapy is simply an amazing result!

I used posterizan candles and candles with sea buckthorn oil. and I need to adjust my diet - prunes, dried apricots, figs, apples, carrots, beets, general soups (cabbage soup or borscht, for example - I didn’t cook with meat broth), I cooked frozen vegetables. In the evening, 1-2 hours before bedtime, kefir (the fresher the better, since kefir that is approaching the end of its shelf life can become stronger). And water, juice, tea! But don’t forget about meat, fish, eggs.

Hemorrhoids during pregnancy - help!!! I really need the advice of experienced people - I just had some kind of obsession, hemorrhoids have opened up B, as soon as I go forgive me for a big matter, it’s flowing (precisely flowing...

Pregnancy is a wonderful period in a woman’s life. However, due to the changes occurring in her body, serious problems may arise. One of them is hemorrhoids during pregnancy.

Collapse

The disease can be of two types: internal and external. If the second type can be diagnosed without problems, then according to the first type, the symptoms of hemorrhoids in women during pregnancy are quite difficult to determine. It manifests itself as unpleasant sensations, especially during defecation. Other symptoms include:

• burning;

Such signs are more pronounced when walking or exercising.

There are dozens of drugs offered on the drug market to treat the disease, but many of them have contraindications for pregnant women. It is worth focusing on the most suitable drugs:

1. Relief is considered the most universal drug. It is available in the form of rectal suppositories and ointments. The product contains shark liver, which has a high healing effect. This remedy can continue to be used after childbirth: lactation is not a contraindication.
2. If you don’t know how to cure hemorrhoids in pregnant women, give preference to Neo-Anuzol rectal suppositories. They are inexpensive and can be used without restrictions, but only if iodine is tolerated.
3. Posterizan in the form of a candle and ointment will help the expectant mother cope with the disease.
4. Procto-glivenol is a good remedy, but it should not be used in the first trimester of pregnancy. The rest of the time it will help cope with even advanced disease.
5. Hepatrombin is also not used at the beginning of pregnancy. It can be used as a preparatory step for surgery.
6. How and with what to treat hemorrhoids during pregnancy if you want to use only natural products? are considered a mild but effective remedy that promotes tissue healing at the site of the nodes.
7. Heparin ointment is quite effective in the initial stages of the disease.

When choosing a remedy, you need to consult a doctor so as not to harm your health.

Severe hemorrhoids came out during pregnancy, what should I do? First you need to go to the hospital. Based on the size and general condition, the doctor will prescribe a treatment regimen. But usually, with a large size of the node, conservative treatment may not be effective, so other methods are used:

1. In addition to conservative treatment, sclerotherapy may be offered. This process involves the introduction of a drug into the node, which helps the vessels grow together and then die. For complete death of the node, 7-10 days are enough. One of the benefits of this treatment is a quick return to your normal lifestyle.
2. - another effective method for treating hemorrhoids in pregnant women. It allows you to effectively treat even the internal type of illness. The node is clamped with a special ring, which blocks the access of blood. This procedure is not dangerous for expectant mothers.
3. (cauterization) using a laser or infrared device helps treat even stages 2 and 3 of the disease.
4. Doctors resort to surgical intervention extremely rarely, as it can harm the woman carrying the child.

Pregnancy and hemorrhoids, what to do in such a situation? Many people are afraid to use medications for fear of harming the fetus. In this case, traditional medicine recipes will come in handy. Although in this case, consultation with a doctor is mandatory, since the drugs quite often contain exactly those ingredients that are recommended by alternative medicine specialists.

To begin with, a remedy is selected for general strengthening of the body. Rowan juice can be an excellent option. It is squeezed from berries and taken three times a day, 100 grams.

In the future, how and with what to treat hemorrhoids for pregnant women depends on the condition and severity of the sore:

1. Regular potatoes have proven themselves to be quite good. They make a kind of candle out of it and insert it before going to bed.
2. A decoction of St. John's wort copes well with the disease. It is prepared as follows: pour 1 tbsp. spoon of herbs with boiling water and leave to settle for an hour. You need to take it three times a day for 10 days.
3. Local baths are excellent for relieving inflammation. They are considered an effective method for pregnant women at home. To do this, prepare a decoction of oak bark, chamomile, and flax seeds, taken in equal proportions. The mixture is brewed with boiling water. The finished decoction is filtered and used daily. The course should last no more than 4 weeks.
4. A mixture of calendula, elecampane, chamomile, nettle, sage, yarrow and shepherd's purse is also suitable for baths.
5. You can prepare an effective ointment from garlic and sunflower oil. The head of garlic is poured with oil and boiled until it is charred. Then the garlic is crushed and mixed with the remaining oil. This is better than treating hemorrhoids in pregnant women with medications.

The use of such natural remedies will not cause stress to the body, but will help localize pain and promote healing of the affected areas.

Prevention of hemorrhoids during pregnancy consists of maintaining a correct lifestyle. Pregnancy is not a reason to forget about physical activity. Regular moderate activity will help make pregnancy easier and reduce the likelihood of developing an insidious disease.

Special gymnastics for pregnant women gives excellent results, helping to cope with the disease at stages 1 and 2. With its help, you can maintain muscle tone, which is important for the expectant mother.

Another preventive measure is washing the anus with warm water and soap. For the toilet, it is better to choose disposable napkins without alcohol and fragrances. You should buy underwear made from cotton, as it provides comfort.

Prevention of hemorrhoids during pregnancy is aimed at eliminating the following risk factors:

• hereditary predisposition;
• chronic constipation;
• passive lifestyle.

When deciding how to cure hemorrhoids during pregnancy, the causes of which are a violation of the diet, do not forget about the diet. With its help, you can significantly correct the condition of your intestines. The diet should be balanced. It is divided into several meals (from 3 to 5). To avoid overloading the intestines, you need to eat small portions. Other recommendations from the nutritionist include the following:

1. A healthy diet during illness contains a high content of fiber and a minimum of spicy, fried and fatty foods.
2. One of the main conditions for a speedy recovery is complete abstinence from fast food.
3. You need to consume at least 1.5 liters of fluid per day. Preference should be given to green tea, juices (natural) and compotes.
4. You need to consume fermented milk products.
5. It is important to fill your diet with foods containing vitamins. It must contain the following products: apples, beets, carrots and cabbage.
6. It is necessary to increase the amount of fruits and berries, as well as whole grain cereals.
7. The restriction should also apply to butter dough.

Timely implementation of preventive measures will significantly reduce the risk of complications and further development of the disease.

Knowing how and with what to treat hemorrhoids in women during pregnancy, you can immediately relieve symptoms, discomfort and improve the condition of the expectant mother’s body.

During pregnancy, a woman's body undergoes great changes. Hormonal imbalance and significant stress cause exacerbation of chronic diseases, among which hemorrhoids occupy one of the first places. The disease requires adequate therapy to avoid complications. But not every method is safe for the unborn child. Therefore, external hemorrhoids during pregnancy are treated carefully, with approved medications, under the supervision of a doctor.

Anatomy of hemorrhoids during pregnancy

External hemorrhoids during pregnancy: main causes

Hemorrhoidal disease is an enlargement and inflammation of the veins of the rectum with the formation of nodes. The pathology may affect the internal cavity of the organ or the external tissues of the anus. The most common diagnosis of external hemorrhoids in pregnant women is the formation and enlargement of nodes in the subcutaneous vessels located on the outside of the anus. The disease can be acute, that is, it can occur against the background of an “interesting situation” or worsen due to physiological changes in the body.

Provoking factors in this period are:

• congenital weakness of the vascular walls of the intestine;
• hereditary venous insufficiency;
• disturbance of blood flow in the pelvic organs;
• pressure caused by the growing fetus on nearby vessels;
• congestion in the pelvic area against the background of low physical activity;
• disturbance of digestion and intestinal motility due to a sharp change in taste preferences;
• problems with stool, constipation, traumatic mucous membranes;
• poor circulation due to severe toxicosis, swelling, high blood pressure;
• concomitant chronic heart and vascular diseases.

External hemorrhoids during pregnancy must be treated; they bring a lot of discomfort and worsen the woman’s difficult condition. After all, untreated pathology is fraught with complications in the form of thrombosis, infection, purulent inflammation of the perianal area. Such conditions are dangerous not only for the mother, but also for the unborn child.

Possible complication of external hemorrhoids during pregnancy

How do hemorrhoids occur during pregnancy: symptoms

Hemorrhoids are a very insidious disease. At the beginning of its development, it can be practically asymptomatic, with mild discomfort, which few people pay attention to. As the pathology develops, painful symptoms increase, causing the woman a lot of trouble.

External hemorrhoids most often occur in pregnant women:

• a feeling of heaviness, a foreign body in the anus;
• feeling of incomplete bowel movement;
• permanent defecation disorders (constipation, diarrhea);
• itching, burning, pain during bowel movements;
• spontaneous pain in the anorectal area due to prolonged sitting, sudden changes in body position;
• increased painful sensations while walking, coughing, sneezing;
• weeping cracks in the perianal area;
• slight bleeding on toilet paper or underwear (massive bleeding in the external form of the disease is rare);
• painful lumps in the anal area upon superficial palpation;
• irritation and inflammation of the skin around the anus;
• general malaise, weakness, irritability, poor sleep and appetite.

External hemorrhoids and pregnancy are frequent companions. Therefore, you need to pay attention to even the slightest discomfort in the anus and not delay a visit to a gynecologist or proctologist. In the acute form, when the clinical picture develops rapidly and is very painful, immediate treatment is indicated. Advanced pathology without proper therapy is greatly complicated during the onset of childbirth and in the postpartum period, which should not be allowed under any circumstances.

External hemorrhoids during pregnancy and features of its treatment

Treatment of external hemorrhoids during pregnancy with effective ointments

Conservative therapy is considered the safest and most effective way to treat hemorrhoids in pregnant women. The attending physician, based on the woman’s complaints, and most importantly, taking into account her “interesting situation,” will select an effective treatment that will not harm the unborn child. Most often, the external form of the disease is treated with ointments, gels and creams. Medicines in this form have virtually no systemic or embryotoxic effects.

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Remedies for hemorrhoids during pregnancy

How to treat external hemorrhoids during pregnancy:

Fleming's ointment.

Antihemorrhoidal remedy based on natural ingredients - aesculus, calendula, witch hazel, menthol. The herbal composition is absolutely safe for women, provided there are no allergies. When the pathology worsens, the nodes are lubricated with ointment several times a day until the painful symptoms are relieved. The drug relieves swelling and inflammation, dries out weeping cracks, and produces some analgesic and cooling effect.

"Levomekol".

How to use Levomekol for external hemorrhoids

External hemorrhoids during pregnancy are treated with this cream in short courses, and always as prescribed by a specialist. The combined composition of methyluracil and chloramphenicol quickly relieves inflammation, heals erosions, and relieves discomfort. Apply to the damaged area once a day, preferably before bedtime and after hygiene procedures.

"Bezornil."

An anesthetic ointment that effectively analgeses inflamed nodes. Additionally, it helps cope with bleeding, swelling, itching, and cracks. A semi-natural composition based on pearls, amber, borneol, calamine has an antiseptic and astringent effect. Apply morning and evening for 10 days.

Vishnevsky ointment.

A simple antihemorrhoidal remedy with a minimum of contraindications. Approved for use in pregnant women at any stage. Effectively disinfects, heals, regenerates tissue, reduces the intensity of the inflammatory process, eliminates itching and soreness. Can be used for a long time in the form of compresses on the anus. It is possible to be allergic to the birch tar, castor oil, and xeroform contained in the liniment.

“Posterized.”

Successfully treats external hemorrhoids in pregnant women without causing adverse reactions. It has pronounced anti-inflammatory, reparative, analgesic, and immunomodulatory activity. Heals damaged mucous membranes and tissues, prevents the spread of harmful microorganisms. For a lasting effect, it is enough to rub a small amount of ointment into the painful area twice a day for 4-5 days.

Pasteurizan - treatment of hemorrhoids during pregnancy

"Heparin ointment."

A potent drug based on heparin. Prevents thrombosis of nodes and helps to dissolve existing seals. The anesthetic contained in the composition additionally anesthetizes and removes unpleasant symptoms. During pregnancy, it is used according to strict indications, only in the 2nd and 3rd trimester. The treatment regimen is selected individually.

We figured out how to cure external hemorrhoids during pregnancy. It is important to use ointments with caution, having first studied the instructions and consulted with a doctor.

Treatment of external hemorrhoids during pregnancy with suppositories

For the treatment of hemorrhoidal disease, the most effective are drugs in the form of rectal suppositories. They are gentle and quickly penetrate the mucous membrane. But during pregnancy they are not used so often due to possible absorption into the bloodstream and through the placental barrier. The doctor selects a suitable and safe drug according to individual indications.

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Sea buckthorn suppositories for hemorrhoids during pregnancy

How to cure external hemorrhoids during pregnancy using suppositories:

"Ichthyol."

Suppositories for topical use, the basis of which is a natural component - ichthyol. They have anti-inflammatory, analgesic, and antiseptic effects, while simultaneously improving blood supply to the pelvic organs. Prescribed to pregnant women with caution, under constant medical supervision. Directions for use: insert 1 suppository into the anus per day for a week. If necessary, the course of treatment can be extended or repeated.

Suppositories with ichthyol for hemorrhoids

"Natalsid."

Suppositories approved for use during pregnancy under medical supervision. The active ingredient – ​​sodium alginate – helps cope with bleeding and inflammation. Heals cracks and wounds, stimulates the process of regeneration of the mucous membrane and tissues of the rectum. It is administered rectally 2 times a day for no more than 14 days.

"Hepatrombin G".

A drug that contains the anticoagulant heparin and the synthetic glucocorticoid prednisolone. Relieves inflammation, resolves thrombosed nodes, improves the condition of veins, removes itching, swelling, improves blood flow, and relieves pain. The active substances slightly penetrate the bloodstream, so the product is intended for the treatment of hemorrhoids during late pregnancy (after consulting a doctor). The treatment regimen is similar to Natalsid.

Rectal suppositories during pregnancy are used exclusively as prescribed by a doctor in short courses. They are especially effective for mixed forms of hemorrhoids, which are characterized by simultaneous inflammation of internal and external nodes with significant pain.

External hemorrhoids in pregnant women: treatment with traditional methods

Traditional medicine has a huge number of recipes for hemorrhoids. Some of them can be safely used by women carrying a child. The natural composition of such products is in many cases safer than pharmaceutical drugs, but at the same time is not inferior in effectiveness.

Treatment of hemorrhoids during pregnancy

External hemorrhoids during pregnancy - how to treat at home:

1. An herbal sitz bath helps reduce inflammation, discomfort and soreness. A decoction is made from calendula, chamomile, St. John's wort and oak bark, cooled, and poured into a wide bowl. You need to sit in it so that the anus is covered with water. The procedure is carried out daily until relief occurs.
2. An ice compress on the anus eliminates pain and stops bleeding. A piece of ice is wrapped in a clean cloth and applied to the painful area for 20 seconds. Can be repeated several times.
3. Raw potatoes are a woman’s first aid for discomfort in the perianal area. One peeled and well-washed fruit is grated on a fine grater. The pulp is wrapped in gauze and applied to the anus for 10 minutes. This compress is made in the morning and evening with freshly cooked potatoes. Similar lotions are prepared from raw beets.
4. Inflamed and swollen nodes are lubricated with natural honey, propolis, mumiyo, sea buckthorn oil, medicinal tar, and aloe juice. The effect of such ointments is not inferior to pharmaceutical ones.
5. Rowan will relieve burning, pain and itching. Fresh berries are ground into a paste, mixed with a few drops of sea buckthorn (olive) oil, and laid out on a clean cotton cloth. The compress is applied to the swollen nodes several times a day.
6. Herbal lotions work well against inflammation of external nodes. The decoction is prepared from 2 tbsp. tablespoons of sage, calendula, knotweed, chamomile, wormwood. The mixture is brewed in a liter of water, cooled and filtered. A piece of gauze is soaked generously in liquid and applied to the painful area overnight.

Despite all the safety of folk remedies, their use must be agreed with a doctor. The most effective option for getting rid of an unpleasant illness during pregnancy is complex therapy based on special antihemorrhoidal components and home methods. Don't forget about proper nutrition, moderate physical activity and good mood.

External hemorrhoids during pregnancy: reviews from women

Svetlana, 22 years old: “I had external hemorrhoids during pregnancy, but I didn’t know how to treat it until the doctor prescribed Fleming’s ointment. I got rid of terrible discomfort for a long time. I returned to the miracle ointment after giving birth.”