What you need to know about hemorrhoids during pregnancy? A “delicate” problem. Hemorrhoids in pregnant women Treatment of hemorrhoids in the 2nd trimester of pregnancy

Pregnancy often becomes a provoking factor in the development of such an unpleasant disease as.

Every second woman, being in an "interesting" position, faces a similar problem.

Many pregnant women are ashamed to tell their doctor about it and prefer to endure the pain and discomfort. And they do it completely in vain, because hemorrhoids during pregnancy can be successfully treated.

Hemorrhoids are the result of stagnation of venous blood in the rectal area.

Stagnation provokes varicose veins, which is manifested by such unpleasant symptoms as itching, burning, pain when emptying the intestines or walking, bleeding.

The main factors provoking the development of hemorrhoids in pregnant women:

Growth of the fetus and uterus.

The enlarging uterus compresses the vessels more and more, disrupting blood flow and reducing the tone of their walls.

The feces, stagnating in the intestines, harden and mechanically damage the mucous membrane of the anus. The result is anal fissures and hemorrhoids.

Lack of movement.

Childbirth. During the laboring period of labor, the vessels of the anus are under strong pressure and injured.

Because of their shyness or fear of harming the child with medications, many pregnant women prefer not to treat hemorrhoids, believing that after childbirth it will go away on its own. This is fundamentally the wrong tactic, because during pregnancy, hemorrhoids can cause a lot of trouble for the expectant mother.

Hemorrhoids impair general health: pain and discomfort progress, every trip to the toilet turns into torture.

All this negatively affects the psychoemotional state of a woman, complicating the course of pregnancy.

If the disease is accompanied by frequent bleeding, then anemia may develop. This condition is dangerous for the fetus because it can lead to oxygen deprivation.

In severe cases, hemorrhoidal thrombosis may occur - this is a condition accompanied by severe pain and requiring immediate medical attention.

Stage 1 hemorrhoid treatment

The first stage of the disease is characterized by the development of internal hemorrhoids, that is, hemorrhoids are visible during examination, but do not fall out.

At this stage, the disease manifests itself as a feeling of discomfort in the anus, itching, painful bowel movements. In some cases, slight bleeding is possible.

At the initial stage of hemorrhoids, the use of medications, as a rule, is not required. To alleviate the condition, it is enough to adhere to a special diet, observe the rules of personal hygiene and do special exercises for pregnant women.

Diet food for hemorrhoids helps to eliminate constipation and normalizes the entire gastrointestinal tract. Its principles are as follows:

exclusion of products that provoke constipation: cheeses, smoked meats, fatty, spicy and fried foods;
inclusion in the diet of foods that improve intestinal motility: vegetables, fruits, bran, cereals;
correct drinking regime: a sufficient amount of clean drinking water, compotes, fruit drinks; restriction or complete rejection of strong black tea and coffee;
daily use of fermented milk products (kefir, fermented baked milk, yogurt, natural yogurt);
laxative dried fruits are allowed in small quantities: dried apricots, prunes.

The importance of personal hygiene should not be underestimated. One of the prerequisites for getting rid of hemorrhoids is washing with cold water after each bowel movement and refusing to use toilet paper.

Toilet paper, due to friction, injures the already irritated area around the anus, and cold water, on the contrary, relieves the condition and relieves soreness. Also, washing with cold water helps to restore vascular tone and improve venous blood flow.

If for some reason it is not possible to wash, you can use special wet toilet paper, which can be found in many stores today.

Instead of water for washing, you can use chilled decoctions of herbs: pharmacy chamomile, St. John's wort.

They have anti-inflammatory and disinfectant effects.

Washing after bowel movement is a healthy habit that must be adhered to not only during pregnancy, but also in later life. No wonder in the Arab countries, where this method is very common, there are almost no rectal diseases.

It is very useful to perform a special set of exercises for pregnant women:

Turns the body to the sides, hands are clasped in a lock in front of you.
Sit on the floor, resting your hands behind. Pull your knees to your stomach without lifting your heels off the floor.
Put your feet shoulder-width apart, stretch your arms forward. Turn to the right, taking your right hand as far back as possible. A similar movement is to the left.
Swing your legs forward, backward, to the sides.
Walk, raising your legs bent at the knees high.

These exercises improve the tone of the muscles in the abdominal wall and anus, and improve venous blood flow. The complex is performed daily for 5-7 minutes (taking into account the state of health).

Do not limit yourself to just doing gymnastics. Feasible physical activity is recommended for expectant mothers: walking, swimming in the pool, yoga for pregnant women.

What drugs to treat stage 2 hemorrhoids?

In the second stage of the disease, hemorrhoids begin to fall out after the act of defecation, but then they adjust on their own.

Also, this stage is characterized by increased itching, the appearance of discharge, and increased bleeding.

Pain in the anus occurs not only when emptying the intestines, but also when walking fast, changing body position or sudden movements.

When treating hemorrhoids at this stage, recommendations for changing lifestyle (diet, exercise, hygiene, physical activity) remain in force, and drug therapy is additionally carried out.

To relieve inflammation, local baths of herbal decoctions are prescribed. Various herbal preparations are used for their preparation.

Options for the preparation of medicinal decoctions:

Mix 3 tablespoons each of chamomile, flax seeds and oak bark. Four tablespoons of the resulting mixture are poured with 1 glass of boiling water, infused and filtered.
Mix 1 tablespoon each of calendula, sage, chamomile, yarrow, elecampane, nettle and shepherd's purse. Four tablespoons of the resulting collection are poured with a glass of boiling water and infused for 4 hours.

Baths need to be done daily, the duration of one procedure is 15-20 minutes. The course of treatment should not exceed 1 month.

To strengthen the walls of blood vessels, a course is prescribed special drugs - vetotonics. Most often, pregnant women are prescribed Detralex. The course of taking it lasts 2-3 weeks.

Laxatives are prescribed to facilitate bowel movement and reduce straining.

Pregnant women can use drugs that help soften stool:

"Normaze";
Forlax;
Regulax.

It is prohibited to use laxatives such as Bisacodyl, hay or buckthorn preparations during pregnancy, as they over-stimulate intestinal motility, which can provoke.

Local treatment is carried out using:

"Relief";
"Posterizan";
Natalsid;
sea buckthorn candles;
"Betiol";
"Olestezin";
"Propolis DN";
"Gemo-Pro".

They have anti-inflammatory, analgesic and vasoconstrictor effects.

During pregnancy, candles containing belladonna extract (belladonna) are contraindicated, as they can provoke a miscarriage.

The suppository is inserted into the anus after bowel movement. The most comfortable position for this is lying on your side. Before the introduction, the candle in the package must be held in the hand for 2-3 minutes.

It will soften a little, and the injection will be painless. The duration of treatment with suppositories should not exceed 5-7 days.

If there is no improvement during this period, it is necessary to replace the drug with another, more effective one.

With the permission of the doctor, traditional therapy can be supplemented with folk remedies for getting rid of hemorrhoids. One of the proven treatments is potato candles.

They are cut from raw potatoes and are the same shape and size as regular candles. Candles are inserted 1 piece at bedtime. Another effective folk remedy is fresh rowan berry juice (if there is no allergy to it). It should be drunk three times a day, half a glass.

Method for the treatment of external hemorrhoids stage 3

The third stage of the disease is characterized by a further deterioration in well-being, an increase in the severity of symptoms. Dropped knots already require manual reduction.

They begin to fall out not only after a bowel movement, but also under any load (for example, when sneezing).

A special ointment is applied to the external nodes and the anus several times a day.

The drugs allowed for external hemorrhoids during pregnancy are:

Heparin ointment;
"Relief";
Troxevasin;
"Proctosan";
"Hepatrombin";
"Posterizin";
"Bezornil";
Fleming's ointment;
Vishnevsky ointment.

The ointment is applied after hygiene procedures. Some drugs have a special tip that allows you to apply the ointment inside the anus.

Levomekol ointment is contraindicated for pregnant women, there are certain restrictions for the use of heparin ointment.

Alternative methods can also be used to reduce pain and relieve inflammation. A good effect is achieved by applying grated raw potatoes wrapped in cheesecloth to the nodes.

At night, you can put compresses on the area of the anus made of gauze, abundantly soaked in sea buckthorn oil.

If conservative methods of treatment do not give results and the patient's condition worsens, hemorrhoids are removed. Such an operation is prescribed only in the case of an acute course of the disease, since any, even minimally invasive, intervention carries the risk of complications.

In specialized clinics, 3 main methods are used to treat nodes.

Sclerotherapy.

A special drug is injected into the node, which promotes vascular fusion. 7-10 days after the procedure, the node dies off.

Doping with latex rings.

The base of the knot is pinched with a special ring. As a result, the supply of the node deteriorates and it is gradually torn away.

Laser coagulation.

Exposure to a laser at several points at the base of the hemorrhoid. This manipulation leads to the necrosis of the node and its subsequent death.

Non-surgical removal of hemorrhoids is performed under local anesthesia and does not require a long stay in a hospital ward. Within a few hours after the procedure, the woman can leave the clinic and return to her daily life.

Hemorrhoid treatment stage 4

At the quadruple, the most difficult stage of hemorrhoids, the external nodes can no longer be put back.

In this case, the condition is often complicated by severe bleeding and incessant pain in the anus.

This stage of hemorrhoids is an indication for a cesarean section.

It is preferable to first carry out delivery, and only then surgery is prescribed to remove the hemorrhoids.

Surgery to remove hemorrhoids is called hemorrhoidectomy and is performed with a scalpel or laser under local anesthesia.

Another treatment option is an operation according to the method of the Italian doctor A. Longo, during which the mucous layer of the rectum is partially removed with the help of a special apparatus.

How to prevent the development of hemorrhoids

In order to reduce the risk of hemorrhoids, starting from the first trimester of pregnancy, it is necessary to adhere to certain rules:

follow a diet;
monitor the regularity of the stool, avoid constipation;
do not neglect feasible physical activity;
observe hygiene of the anus;
avoid activities involving prolonged sitting or standing in one position.

Compliance with these principles will help not only to avoid hemorrhoids, but also have a positive effect on the overall well-being and the course of pregnancy.

If during pregnancy a woman begins to experience discomfort when visiting the toilet, do not postpone the visit to the proctologist.

Progressive hemorrhoids can give her a lot of unpleasant minutes while carrying a baby and complicate the course of labor. It is impossible to self-medicate this disease, since some drugs for the treatment of hemorrhoids can have a negative effect on the development of the fetus.

Hemorrhoids literally translated from Latin means bleeding. With this disease, the venous nodes in the rectum increase in size and become inflamed. The picture is complemented by unpleasant sensations of acute attacks of pain. All social strata of the population are affected by the disease, and the fair sex suffers from it more often than men. Hemorrhoids are common in women looking for enlargement. Therefore, let's take a closer look at how you can treat hemorrhoids during pregnancy.

Reasons for the formation of hemorrhoids

Pregnancy is a natural condition for a woman and as such is not a cause of hemorrhoids. A number of physiological changes in the body create favorable conditions for influencing the rectum.

The reasons for the formation of hemorrhoids in pregnant women are predisposing and provoking.

The predisposing reasons are:

the presence of such a disease in the next of kin;
women over 30 suffer from problems with the walls of the anus in half of all pregnancies.

Provoking reasons

In the list of reasons that provoke inflammation of the veins of the rectum during pregnancy, there are many components. Here are the main ones:

The rapidly growing uterus presses on the pelvic veins. Rectal vessels dilate, stagnation occurs due to impaired blood outflow. Semester 3 is the main period of exacerbation of hemorrhoids, since the child's growth in the uterus is activated.
The growing uterus puts pressure on the intestines, impairing its function and causing frequent bowel problems. Digested food stagnates, hardens, and the rectum and blood vessels are often injured. The result of constipation is the formation of a venous node.
In the early stages of pregnancy, subject to its normal course, a woman remains active and she is not yet familiar with such a delicate problem. In the middle and closer to the due date, the expectant mother rests more and often encounters stagnation in the circulatory system of the legs and the digestive system.
Changes in dietary habits during pregnancy also affect bowel function. Foods with a spicy or salty taste provoke blood flow to the intestines, and their constant use leads to stagnation of lymph and the formation of bumps in the rectum.

Types of hemorrhoids

There are several types of this disease. According to the location of hemorrhoids, internal and external hemorrhoids are distinguished. When the future mother has an external hemorrhoid, its nodes are visible near the anus, periodically there are bleeding. Enlarged veins within the walls of the rectum are called internal hemorrhoids. Determining the internal form of the disease is problematic due to vague symptoms.

Important! According to the course of the disease, hemorrhoids can be chronic or acute.

In its acute form, the disease causes immense discomfort to the pregnant woman and can interfere with a normal pregnancy. The transition of hemorrhoids to an acute form is associated with prolapse and pinching of internal nodes. In this form, serious complications can appear, up to and including inflammation in the small pelvis. The general picture is complemented by an increased temperature and swelling of the perineum.

In the chronic form, the symptoms of hemorrhoids are provoked by external factors, for example, the use of fastening products or physical activity.

Symptoms of pregnant women with hemorrhoids

Hemorrhoids is a very delicate disease, but its symptoms cannot be confused with any other disease. In pregnant women, this problem manifests itself as follows:

Feelings that cause discomfort in the anus - pain, burning, itching. The sensations are enhanced by sitting, walking, or light exercise.
The release of hemorrhoids during bowel movements. Often, a pregnant woman feels severe pain at the same time.
External hemorrhoids during pregnancy are accompanied by the release of blood clots during bowel movements. In severe form, blood can flow out of the anus in a thin stream.

A pregnant woman should never ignore this disease. If you suspect it is necessary to urgently consult a doctor. Diagnosis of the disease is painless and absolutely safe for mom and baby. As a rule, an experienced proctologist will determine the degree of the disease after a visual examination and according to the patient's words.

At the first problematic bowel movement, a pregnant woman should go to the nearest medical institution. During the period of bearing a child, the body of the expectant mother is very vulnerable.

The consequences of hemorrhoids for a pregnant woman

This disease does not pose a direct threat to the mother and fetus. The consequences are much more dangerous.

frequent bleeding from the anus can result in anemia, therefore, insufficient supply of oxygen to the child's body;
during inflammatory processes, toxic substances enter the child's blood and the mother has a high probability of giving birth to an infected baby.

Therefore, if the expectant mother has a hemorrhoid, it is necessary to start treating the problem, after consulting a doctor on how to treat it. An experienced doctor will offer medical treatment, recommend home methods of struggle, select a diet and a set of exercises.

Drug treatment

The tactics of the attending physician and the means of treatment directly depend on the symptoms and form of hemorrhoids in pregnant women. Based on the examination, the patients are divided into 3 groups:

The disease proceeds without pronounced symptoms.
Patients with exacerbation of hemorrhoids, with pronounced symptoms.
Expectant mothers with an external form of the disease, when venous nodes fall out of the anus.

Treatment of hemorrhoids during pregnancy, patients of the first group are shown preventive measures (gymnastics, massage, diet) and pay increased attention to perineal hygiene.

Patients in the acute stage are prescribed conservative treatment. The therapy in this case is local - the doctor prescribes an ointment or suppositories to eliminate discomfort.

The most effective drugs for the treatment of hemorrhoids:

troxevasin is a universal remedy for the treatment of all types of varicose veins, an effective remedy for hemorrhoids for pregnant women;
Relief - the product is available in the form of ointments and suppositories. The active components of the drug are extracted from the liver of a shark, and it can be safely used even in the last stages of pregnancy and during lactation;
sea buckthorn suppositories are prescribed for the speedy healing of damaged walls of the rectum and venous cones;
heparin ointment is a very affordable drug that relieves pain and eliminates blood clots in hemorrhoids.

Use only the drugs that your doctor has selected for you. Do not risk your health and the health of the unborn child.

The third group of patients who have a severe form with prolapse of venous nodes and frequent bleeding requires removal of hemorrhoids. Modern medicine allows you to do this without surgery, using a laser or sclerotherapy. If the patient's condition is alleviated by medication, the operation is performed after pregnancy.

Alternative medicine for the treatment of hemorrhoids

Many expectant mothers use a complex fight against this delicate problem. Treatment at home is easier for a woman to tolerate on a psychological level. Traditional medicine can be combined with medications.

Herbal preparations interact with the components of medicines, cause side reactions or be dangerous to the health of the child. Be sure to check with your doctor before preparing your favorite recipe.

There are the following types of herbal therapy for hemorrhoids - infusions and teas for oral administration, external agents, various baths.

Oral preparations

A tablespoon of lungwort is brewed with a glass of boiling water and insisted for half an hour. The filtered drink is taken by a sip before meals.

The juice of ordinary mountain ash effectively fights the symptoms of hemorrhoids. During the month, you need to drink 100 grams of freshly squeezed juice daily, dividing the portion into 2 doses.

External remedies

You can apply:

to ease the manifestation of hemorrhoids, you can use sea buckthorn oil. They can be used to lubricate disturbing bumps;
candles made from ordinary potatoes are inserted into the anus during sleep;
cold lotions are very effective in reducing discomfort and reducing venous nodes. To do this, a clean piece of cloth is moistened in cool water or an infusion of chamomile flowers and applied to the sore spot several times a day.

Sitting baths

Local baths are good at eliminating irritation in the perineal area.

Before taking the bath, it is necessary to prepare an infusion based on medicinal herbs. To do this, chamomile, nettle and plantain must be mixed in equal parts. 20 grams of the resulting mixture is kept in a thermos for at least 2 hours, pouring 2 liters of boiling water. The resulting infusion is filtered, diluted with 3 liters of warm water. The water temperature should not be very hot. The procedure is performed for 5-10 minutes throughout the week.

The effect of treatment with folk remedies does not come immediately, but only after 2-4 weeks.

Prevention of hemorrhoids

To prevent the appearance of hemorrhoidal formations in the rectum during pregnancy, a gynecologist observing a woman can prescribe a set of preventive measures. Heredity and age cannot be changed. But, a special diet and an active lifestyle will quite cope with this task.

Diet of a pregnant woman for prevention

To prevent blood stagnation and the formation of lumps in the rectum, first of all, it is necessary to normalize the work of the digestive system. The diet can easily cope with this task.

What foods should be consumed to normalize the stool:

broccoli, cauliflower, carrots, red beets, potatoes;
apples, raisins, dried apricots, prunes;
cereal porridge - barley and oatmeal cleanse the intestines well;
honey is a natural antiseptic.

List of foods that provoke constipation:

alcohol and fatty foods;
spicy and spicy foods, canned foods;
legumes and unripe fruits;
dairy products with high fat content and rich pastries.

Prevention of hemorrhoids in pregnant women is to add activity to the usual life. To do this, doctors advise you to perform certain exercises.

Morning exercises for pregnant women to prevent hemorrhoids

Stand on a warm floor, place your feet shoulder-width apart, and straighten your arms near your chest. While inhaling, alternately turn your torso to the right and left, trying to stretch the corresponding arm as far as possible. When returning to the starting position, exhale. Do the exercise 5 times in each direction.
Sit on the rug with your palms on the surface behind you. Bend your legs at the knee joints and straighten very smoothly without lifting your heels off the floor. Repeat 5 times.
Do the swinging to the sides while sitting on the mat with your legs tightly pressed. You can put your other hand on your stomach. Make at least 5 bends. The 3rd trimester is not recommended for this exercise.
Lie on your right side on the floor with your head resting on your hand for comfort. Holding your bent left leg with your hand, gently pull to your stomach and exhale. Repeat the movement at least 8 times. Roll over to the left side and repeat with the other leg. You can do the exercise in the first and second trimester of pregnancy.
This cell can be used in a charge for up to 39 weeks. Sit in a comfortable chair with your right hand out to the side. Bend the opposite leg at the knee and gently lift, trying to touch the inner thigh to your tummy. Perform 5-10 times for each leg.

When exercising during pregnancy, pay attention to how you feel and how you feel. If discomfort or pain occurs, stop immediately and rest.

The formation of hemorrhoids after childbirth

Cases when venous cones form in a woman after childbirth are very common. They usually arise from strong attempts during the labor process or the weakening of intestinal tone against the background of changes in hormonal levels is to blame.

The stages of the disease, preventive measures and methods of treatment are the same as during pregnancy.

Pregnancy is a very important period in a woman's life. Physiological and hormonal processes in the body can present a nuisance in the form of hemorrhoids. What to do in such a situation? The main thing is not to give up and not self-medicate.

Hemorrhoids are congestion of blood in the veins located in the anus. In case of problems with blood flow in the small pelvis (decreased venous tone, impaired venous outflow, etc.), the plexus of the veins overflow with blood and increase (in severe cases, they also become inflamed), causing pain and discomfort when sitting and walking. Enlarged (dilated) veins are called hemorrhoids.

Type, stages of development of hemorrhoids and their treatment

Distinguish between internal, external and combined type of hemorrhoids. External hemorrhoids are characterized by the appearance of small bumps around the anus, followed by their increase. Many people cannot find the internal one on their own. Only the presence of obvious symptoms of the disease can become a reason for seeking advice from a proctologist. The doctor will be able to accurately determine the diagnosis, stage of development of the disease and prescribe the correct treatment.

In the early stages of the disease, pregnant women complain of small bleeding from the anus, the appearance of soft, painless bumps, itching and sweating in the anus. As a rule, there are no other unpleasant signs of hemorrhoids. A blood stain on a piece of toilet paper can also be seen with anal fissures.

At the first stage, proctologists usually do not prescribe medication, but only recommend to improve digestion (consume more fiber and adhere to a healthy diet), move more often (do physical exercises while sedentary work, take a leisurely walk from work to home, or get off the minibus a little earlier and go on foot) , practice a contrast shower to improve blood circulation, and more.

In the second stage of the disease, there is pain during bowel movements, a feeling of overcrowding in the rectum, and the prolapse of hemorrhoids, which, after emptying the intestines, are automatically adjusted back.

In the second stage of the disease, hemorrhoid remedies are prescribed in addition to adherence to a therapeutic diet and a more active lifestyle.

The third stage is characterized by the prolapse of hemorrhoids from the anus, not only after using the toilet, but also when walking, sneezing or lifting heavy bags of food. The nodes at this stage are not adjusted independently, but only manually.

The doctor can only prescribe drugs to alleviate the patient's condition, and after childbirth send for an operation. The problem cannot be solved in other ways.

The fourth stage of the disease is the most critical. The hemorrhoids have come out and no longer lend themselves to repositioning. The entrance to the anus looks like a gut turned outward, resembling an open rose. This place constantly bleeds and brings unbearable pain. In this case, irreplaceable surgical intervention is required.

Ointments for hemorrhoids during pregnancy

Heparin ointment is able to dissolve existing blood clots at the site of application, reduce inflammation and pain. With external hemorrhoids, a cotton pad is impregnated with ointment and tightly applied to the enlarged nodes, fixing with an adhesive plaster. Cotton wool should be changed 2-3 times a day. It is recommended to alternate the compress with the usual application and rubbing a thin layer of ointment onto the affected area.

Before using any ointment, you must first conduct an allergy test by applying a small amount of the ointment to the skin of the wrist, rubbing it lightly and leaving it for 30 minutes.

Posterisan forte ointment / suppositories are prescribed at the first signs of hemorrhoids (burning, itching) and with anal fissures. The drug normalizes the tone of the veins, stimulates the restoration of damaged tissues of the rectum. The kit includes a special applicator for deep injection of the ointment into the rectal cavity.

Remember, it is better to apply any ointment with a fairly thin layer (lightly rubbing), but do it more often, for example, every 3-4 hours.

Troxevasin gel strengthens blood vessels (veins), relieves swelling and inflammation, and prevents blood clots. This remedy is prescribed only from the 2nd trimester of pregnancy, and if, after 6-7 days of using the gel, the symptoms of the disease do not subside, then you should stop using it and consult a doctor to change the drug to another, with a composition different from this gel.

Hepatrombin G ointment / suppositories is a combined broad-spectrum drug. The drug has a strong thrombo-thinning, anti-thrombus-forming, wound-healing and anti-inflammatory effect. In addition, he is able to relieve pain, burning and itching in the anus. Hepatrombin G is prescribed only from the second trimester of pregnancy.

Bezornil ointment during pregnancy is prescribed as a last resort, when other means do not bring the desired result. A small amount of ointment must be injected inside using a special tip included in the kit, and for external hemorrhoids, it is recommended to make a compress by applying the ointment to a cotton pad and fixing it with an adhesive plaster in the anal area.

Hemorrhoid suppositories for pregnant women

Natalsid candles are allowed for pregnant women. Suppositories have anti-inflammatory, hemostatic and wound healing effects. They improve blood flow in tissues and stimulate metabolic processes in them.

Any rectal suppositories (anal suppositories) must be administered after each bowel movement. It is recommended to abandon the use of toilet paper after each act of defecation; it is useful for hemorrhoids to wash the anus with cold water without affecting the female external genitals.

Relief or Relief Advance suppositories / ointment during pregnancy are prescribed by proctologists with caution, because the drug increases blood pressure and constricts blood vessels, therefore, it is contraindicated for women with hypertension or other diseases of the vascular system (for example, with problems with blood supply to the placenta).
Relief ointment acts more gently, and if in doubt, doctors prescribe this particular form of the drug.

The use of Relief Ultra during pregnancy is prohibited! It contains a hormonal component that negatively affects the health of the fetus.

Candles, when exposed to body temperature, melt and stain underwear. Therefore, women are advised to wear wide swimming trunks made of natural materials (for example, cotton fabric), which are not a pity to throw away after the end of treatment. Alternatively, use a wide and long enough panty liner.

Posterisan candles are placed in the morning and evening before bedtime, as well as after each bowel movement. The course of treatment is 2-3 weeks.

Hepatrombin G suppositories are administered 1-2 times a day after the act of defecation (preferably in the morning and evening before bedtime). The use of Hepatrombin G is allowed only from the second trimester and not exceeding the indicated doses.

With severe pain, Anestezol suppositories are prescribed, but with caution, and they are used only during the period of pain.

Folk remedies for hemorrhoids

The use of suppositories and oils of natural origin: sea buckthorn, ichthyol, castor, etc., is indirectly related to the folk methods of treating hemorrhoids.

Sea buckthorn oil (and suppositories from it) accelerates the healing of cracks in the anus and relieves inflammation of hemorrhoids.

For external hemorrhoids, a cotton pad or a small cotton-gauze bandage moistened with medicated oil should be applied to the hemorrhoidal lump 4-5 times a day (as a compress, fixing it with an adhesive plaster).

For internal hemorrhoids, suppositories must be used. They are injected deep into the anus after bowel movement 2 times a day for 10-15 days. If necessary, after 1-1.5 months, the course of treatment is repeated.

Suppositories from sea buckthorn oil are recommended for use in preventive measures for women prone to hemorrhoids, starting from the first trimester, because during pregnancy all health problems make themselves felt and progress with greater force. Such treatment is ideal in the early stages of the disease.

Ichthyol in candles is used to relieve inflammation and pain. In addition, ichthyol suppositories disinfect, restore blood circulation, and improve vascular tone.

Candles are used 1-2 times a day after emptying or a cleansing enema.

Also, ichthyol suppositories are prescribed rectally and for problems in gynecology (endometritis, salpingo-oophoritis), therefore, when treating hemorrhoids with them, prevention (or treatment) and diseases "like a woman" are simultaneously carried out.

If an allergic reaction occurs, they should be discontinued.

Ichthyol in suppositories is administered only rectally, even in the treatment of vaginal diseases.

Castor oil, when used topically, acts as an anti-inflammatory, emollient and wound healing agent.

With external, internal or combined hemorrhoids, a finger is dipped in oil and treated with the area of the anus and / or the anus itself, inserting an oiled finger into the anus.

It is impossible to use castor oil internally during pregnancy, as it can provoke childbirth.

Traditional medicine also suggests using raw potatoes as a treatment for hemorrhoids, the juice of which has anti-inflammatory, vaso-strengthening, enveloping properties. Candles, cut from raw potatoes, are pre-cooled and inserted into the anus before going to bed. For a better introduction, you can grease the candle with olive, sea buckthorn, castor, camphor or other natural oils.

For external hemorrhoids, grated raw potatoes are applied to the hemorrhoidal lump.

A potato candle should have rounded edges and small dimensions (about 3 cm in length and 1 cm in diameter). So that she can relieve pain, she is frozen. For the same purposes, an ice cube is also applied to the anus.

The success of any treatment lies in the regular and long-term use of the drug. But during pregnancy, it is recommended to use medicines only as needed, and after the symptoms of the disease disappear, treatment should be continued for 3-4 days, and then adhere to measures to prevent the disease.

Hemorrhoid treatment with pills

Phlebodia 600 tablets are allowed from the 2nd trimester of pregnancy. The components of the drug increase the tone of the veins, reduce their extensibility, improve microcirculation in tissues, and relieve inflammation. Suitable for the complex treatment of hemorrhoids, along with other medicines.

Method of application and dosage: inside, no more than 2-3 tablets per day with meals for 7 days.

Surgical treatment of hemorrhoids during pregnancy

If hemorrhoids deliver unbearable pain and drug treatment does not bring the desired result, surgeons recommend a thrombectomy of the hemorrhoid - removal of a blood clot.

Thrombosis of nodes can provoke the death of adjacent tissues, and then urgent hospitalization and full treatment (and therefore dangerous for the fetus) cannot be avoided.

The operation itself is quick and easy in technique, and after it the patient feels a lot of relief. After surgery, hemorrhoids are treated with topical drugs (suppositories and ointments).

Disease prevention

A prerequisite for the development of hemorrhoids is frequent constipation. Therefore, first of all, it is necessary to pay attention to nutrition. Eat more vinaigrette, oatmeal with raisins, dried apricots and prunes, ripe apples. Exclude from the diet sweet, starchy, salty and spicy (including pickled and spicy), fatty and fried.

Every morning, do your usual physical exercises, and do not forget about the drinking regimen (drink 1.5 liters of clean water a day without gas). It is also useful to drink kefir or sourdough before bedtime.

Whenever possible, lie on your back and place your feet above head level. To do this, you can put pillows under the pelvis and legs or put your feet on the armrest of the sofa.

Leisurely walking should be done every day and should be about 30 minutes. And during sedentary work, try to get up and walk every 45 minutes (go to the toilet and back, you can make simple torso bends to the sides and body turns).

Avoid using toilet paper during pregnancy. It is recommended that after emptying the intestines, wash the anal area with cool water, you can use a weak infusion of chamomile, oak bark or a solution of potassium permanganate.

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

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

Hemorrhoidal vessels begin to change pathologically for certain reasons.

Basic:

Low physical activity.
Prolonged sitting or standing.
Excessive stress with constipation (causes of constipation, lack of fluid and fiber in the diet, alcohol abuse).

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

The main symptoms: bleeding, prolapse of internal nodes, pain, induration and discomfort in the anus, itching, discharge from the anus.

There are 4 stages of chronic hemorrhoids

Discomfort and bleeding during bowel movements is episodic, there is no loss of nodes.
Symptoms are the same as in stage 1, but periodic loss of nodes appears. In this case, the nodes are adjusted on their own, mucous discharge, oozing, itching appear.
Symptoms are the same as in stage 2, but the knots that have fallen out cannot be adjusted on their own - manual reduction is required.
Increased bleeding, pain, occasionally - insufficiency of the anal sphincter, pronounced oozing and itching, permanent loss of nodes, reduction of nodes is impossible.

As a rule, an increase in hemorrhoids is a rather long process. Sometimes it takes 5-10 years, or even more, for hemorrhoids to reach stage 3 or 4. A special group includes hemorrhoids in pregnant women.

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

According to statistics, during pregnancy, hemorrhoids are exacerbated in almost half of the women suffering from this disease. The reason is that with the growth of the fetus, the uterus increases, the maternal organs and tissues located in this area are compressed, mainly the venous plexuses and iliac veins, most maximally when the baby's head passes through the small pelvis during childbirth.

The venous outflow from the legs and hemorrhoidal plexuses is disturbed, the stagnation of blood in the veins of the small pelvis increases. Hemorrhoids swell and become denser.

During the birth itself, the nodes come out of the anal canal, acquire a red or cyanotic color. In the postpartum period, intra-abdominal pressure decreases, the pressure on the venous plexus also decreases, the amount of blood inside the hemorrhoids decreases sharply.

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

Acute hemorrhoids in pregnant women

In case of violation of the stool (more often constipation), lifting of weight or prolonged sitting, an exacerbation may occur, which is understood as the rupture of small hemorrhoidal vessels inside the node with the subsequent formation of a blood clot. Depending on the caliber of the vessel and the associated inflammation, 3 degrees are distinguished:

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

II degree. Hemorrhoids are larger, hyperemic, indurated, edematous, and significantly painful to the touch. Often, the swelling extends to areas around the anus. Sitting and bowel movements are painful.

III degree. Swelling and redness are pronounced and extend to the entire anus, from which large cyanotic internal hemorrhoids protrude. Spasm of the anal sphincter is often present. Due to the pain syndrome, it is difficult to urinate. Inflammation can turn into necrosis, blackening of hemorrhoidal tissue with subsequent rejection and bleeding, during this period an infection can join with the formation of paraproctitis - inflammation of the peri-rectal subcutaneous tissue.

Simple Rules for Relieving Symptoms of Hemorrhoids

Drink plenty of water at least 1.5-2 liters per day.
Follow a diet, avoid food that can cause local irritation (spicy food, alcohol, coffee), eat less starchy foods. Vegetables and fruits should be in the diet every day.
Go to the toilet at the same time, for example, after drinking a large glass of water in the morning after sleep.
Strive for regular soft stools, avoid prolonged excessive straining during bowel movements.
Beware of prolonged overheating (in the sun, in a bath, sauna).
Rinse with cool water, avoiding products that can cause irritation.
Avoid sitting for a long time, move regularly, do gymnastics, walking, swimming. Try not to lift weights.

Preparations for hemorrhoids during pregnancy

There are a lot of drugs for the prevention and treatment of hemorrhoids, I cite those that have proven their effectiveness in practice, no side effects have ever been observed.

DETRALEX- possesses venotonic and angioprotective properties. The drug reduces the distensibility of veins and venous stasis, reduces capillary permeability and increases their resistance. The prophylactic dose is 1, and it is better if 2 tablets a day. For acute hemorrhoids, up to 6 tablets per day (according to the scheme). The only drawback is that the drug is not cheap.

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

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

When any qualitative changes in the state of health appear for the first time, whether it is the discharge of blood or mucus from the anus, painful bowel movements, the presence of incomprehensible formations, a feeling of incomplete emptying, and the like, it is necessary to see a specialist. Because with similar symptoms of hemorrhoids, there can be more formidable diseases, up to rectal cancer.

In pregnant women, hemorrhoids very often and its symptoms are transient due to changes in anatomy and physiology, that is, after childbirth, after a while, which is required to restore the mother's body, all symptoms disappear. Therefore, do not worry too much, enjoy motherhood. Any reliable conclusions and diagnosis will become competent when at least 6 months, or even a year, have passed after childbirth.

Surgical treatment for pregnant or lactating women is carried out in exceptional cases, only with a threat to life or serious complications.

Grade 3 hemorrhoidal thrombosis is a contraindication for natural delivery.

Hemorrhoids often occur in people with a pronounced group of cavernous bodies. Other reasons for the development of hemorrhoids are congenital functional insufficiency of connective tissues, impaired nervous regulation of the tone of the venous walls.

During pregnancy Hemorrhoids Ointment
Folk method of the problem with hemorrhoids
hemorrhoids Difficult

It is not uncommon for venous pressure to increase due to constipation, hemorrhoids develops during pregnancy, or because of work that forces you to stand, sit for a long time, or involve hard physical labor.

Another reason for the occurrence of hemorrhoids is the wrong lifestyle - alcohol abuse, spicy food. These factors contribute to an increase in arterial flow to the cavernous bodies in the rectum. With prolonged exposure to adverse factors, a hemorrhoid (altered veins) can form.

The main reason is the wrong way of life

Hemorrhoids occur due to the overflow of the venous plexus with blood, which is located in the anus. This development is facilitated by a sedentary lifestyle, unhealthy diet, being overweight, taking medications (for example, oral contraceptives, laxatives).

Hemorrhoids during pregnancy develops due to the fact that the enlarging uterus presses on the intestinal walls, stagnation occurs in the portal vein system.

Specialists distinguish several types of hemorrhoids - these are the primary and secondary types of the disease:

the primary type of the disease develops due to some life situations, including during pregnancy or after childbirth;
secondary hemorrhoids develops after a severe disease of the cardiovascular system, after tumor processes, sometimes it can be a consequence of liver cirrhosis, etc.

If the cause of hemorrhoids is a woman's pregnancy, then usually its symptoms begin to appear in the second half of the term, childbirth can be complicated. The age of a woman can also affect, the younger the expectant mother, the lower the risk of developing the disease.

The main symptoms of the disease

Symptoms of hemorrhoids at the beginning of the term may not appear in any way, the pregnant woman does not feel anything. At the next examination by a gynecologist, having learned about a hemorrhoidal node, a woman will be unpleasantly surprised. Even if the woman did not show any signs during gestation, the childbirth leads to a sharp exacerbation of the disease, and the longer they last, the more the risk of exacerbation increases.

However, the signs of hemorrhoids during pregnancy are fairly obvious. They give a lot of unpleasant sensations such as itching, burning. Some people feel a heaviness or a foreign body in the rectal area. These symptoms usually appear on movement, after exercise, or after stool.

Pain during bowel movements, blood from the anus, its increased humidity or discharge (watery, mucous) - all these are the main signs of hemorrhoids. Even during bowel movements, nodes may fall out - this is accompanied by pain.

Dangerous enough

The disease develops in four stages.

The first is discomfort in the anus, pain during emptying, bleeding. The examination shows the presence of nodes, but they do not fall out, the intestinal lining is inflamed, the blood vessels are different.
In the second stage of hemorrhoids, nodes fall out (as shown in the photo) during bowel emptying, the pregnant woman begins to itch, discharge, pain that can radiate to the lower back or sacrum.
During the third stage, all symptoms are aggravated and the reduction of the nodes is done manually.
The fourth stage is the most dangerous. It is no longer possible to correct the nodes, everything is complicated by thrombosis, profuse bleeding.

Difficulty during gestation

There are frequent cases of the development of hemorrhoids in the second half of pregnancy. When a woman is carrying a baby, her uterus greatly increases in size; at the time of childbirth, it occupies most of the abdominal cavity. The size of the organ presses on the rectum, which in turn changes its position. The venous vessels of the intestine are compressed, and this contributes to the fact that the blood stagnates.

During pregnancy, the intestinal muscles become more susceptible to nerve impulses, substances that stimulate work. All this happens because the intestines and the uterus have a common innervation, they work due to the same nerve plexuses, any excessive intensity can activate the contractile activity of the uterus. Such a defensive reaction exists in order to preserve the pregnancy, but in this regard, the emptying of the intestines is slightly difficult, the woman begins to become constipated, and against this background hemorrhoids may develop, which must be treated.

During childbirth during contractions, attempts, abdominal pressure increases, the fetal head begins to come into close contact with the walls of the small pelvis. The vessels and veins of the rectum are compressed. Hemorrhoids increase, begin to acquire a denser consistency, during attempts they bulge, turn blue. In between, the nodes decrease. Therefore, a long labor process increases the risk of developing the disease.

According to statistics, pregnant women have hemorrhoids more often, but many do not consider it necessary to contact specialists in order to find out how to treat it, considering that hemorrhoids are a common condition during pregnancy.

Using hemorrhoid remedies

Drug name	Indications for use	Price
Procto glivenol	Used for topical treatment of hemorrhoids. Thanks to tribenoside, lidocaine has a venotonic and anti-inflammatory effect. Reduces pain, itching, skin tension.	cream - 420 rubles; candles - 480 rubles.
Hepatrombin G	The drug has an antithrombotic, anti-inflammatory effect. Used to treat external, internal hemorrhoids, with cracks in the anus, eczema and itching. During pregnancy, consultation with a specialist is necessary.	ointment - 280 rubles; gel - 290 rubles.
Relief Advance	Antihemorrhoidal drug. Shark liver oil, which is part of the composition, has an anti-inflammatory, hemostatic effect. Heals cracks, restores the immune environment. Used for hemorrhoids, erosion, cracks, itching. Often used for pain relief after surgery.	ointment - 408 rubles; candles - 380 rubles.
Ginkor Prokto	Used to treat patients who suffer from an acute form of the disease, accompanied by pain, itching. Used for rehabilitation, before and after surgery.	630 rubles
Anestezol	The drug is suitable for the treatment of hemorrhoids during pregnancy at home, if there are cracks or other inflammatory processes in the rectum. The product knits, dries. Acts as an anesthetic.	60 rubles
Ultraproject	Treatment of hemorrhoids during pregnancy, which is accompanied by thrombosis of hemorrhoidal veins. For the treatment of cracks, proctitis. Use with extreme caution from the 2nd trimester, only as directed by a specialist.	543 rubles

Anti-inflammatory

Potential risks and complications

The danger of developing hemorrhoids for a woman in a position is not only that constant discomfort will be felt. At the beginning of the development of the disease, pain will be felt during bowel movements, the woman will visit the toilet more often. Constipation, microcracks in the intestinal mucosa, which are formed due to solid feces, may occur.

This contributes to the development of inflammatory processes, which, if not treated in time, affect other organs. Due to the fact that constipation occurs, toxic substances accumulate in the woman's body, which, in turn, adversely affect the development and health of the fetus.

A specialist, when detecting hemorrhoids in the early stages, will advise which suppositories can be used by a woman during pregnancy so as not to harm the unborn baby.

Another such problem can lead to pinching of hemorrhoids. In order to eliminate this pathology, surgical intervention will be necessary, which can also be bad for the child. Inaction of a woman is dangerous, as this can lead to a decrease in hemoglobin levels, anemia, skin disease and a problem with the genitourinary system. Therefore, as soon as the first signs appear, it is necessary to contact a specialist.

The use of alternative methods of treatment

In order to avoid the development of the disease, it is necessary to adhere to proper nutrition, a healthy lifestyle, but not always and not everyone succeeds.

When the signs are already beginning to appear, many use folk remedies for hemorrhoids during pregnancy. These recipes have been used by more than one generation to treat a delicate problem. For the first recipe you will need:

collect chamomile flowers, dioecious nettle herb, plantain leaves;
mix the ingredients evenly (total should be at least 20 grams);
crush them;
pour the herbal mixture with 2 liters of boiling water;
insist in a warm place (or you can use a thermos) for at least 2 hours;
then strain, dilute with warm water to a volume of 5 liters.

Mode of application.

To dilute in the bathroom, the water should be warm, but not scalding.
You need to sit in the bathroom for 7 minutes.
Take such baths every day for 12 days.

Traditional method of treatment

Before using, consult with your gynecologist, such baths are contraindicated in case of increased uterine tone or other dangerous condition.

Another recipe that is suitable for pregnancy can be used to treat hemorrhoids at home:

you will need medium-sized potatoes (12 pieces);
grate one at a time with the peel on a fine grater;
prepare a rag, cellophane.

Mode of application.

Put cellophane on the chair (it will be more comfortable). Put the grated potatoes in a rag.
Put the resulting mixture on a chair, you need to sit on top, push the buttocks apart so that the contents come into contact with the hemorrhoids. Take cover tightly.
The whole procedure takes about three hours.
After 15 minutes, change the contents of the rag and do the same with the remaining 12 pieces.

This method is suitable for treating the initial stage of the disease.