How to safely and quickly cure postpartum hemorrhoids

Causes of hemorrhoids

The normal changes that occur in the body during pregnancy often cause the formation of hemorrhoids. This phenomenon poses the greatest danger for those patients who are prone to congestion in the pelvic organs. Doctors identify about five main reasons that provoke the development of hemorrhoids. Sometimes a woman may have several of them at once.

Constipation is caused by impaired peristalsis due to an incorrect diet. Chronic constipation provokes congestion in the pelvic organs, which causes the formation of hemorrhoids. This reason has already been mentioned above. In this case, it is necessary to change the diet and normalize the stool. In some cases, conservative treatment may be required.

Increased pressure on the pelvic organs and blood vessels is exerted by the growth of the uterus during pregnancy. This leads to problems with regular bowel movements and congestion, which ultimately ends in hemorrhoids. To reduce the risk, you should avoid sitting for long periods of time. During pregnancy, a woman must take a daily walk in the fresh air.

A sedentary lifestyle is the main cause of the formation of hemorrhoids not only in expectant mothers, but also among other categories of patients. Most women limit activity during pregnancy due to poor health, discomfort in the abdomen and lower back. But this has a bad effect on blood circulation in the pelvic organs and can lead to the formation of hemorrhoidal changes.

Hemorrhoids before childbirth may appear due to hormonal imbalance. To maintain and maintain pregnancy, an increased level of the hormone progesterone in the blood is necessary, but this substance has a negative effect on the pelvic vessels, contributing to their pathological expansion. Hormones can also cause constipation. With poor nutrition and a sedentary lifestyle, this leads to inflammation and enlargement of hemorrhoids.

Childbirth itself is a provoking factor. Tension increases significantly, which leads to exacerbations. Hemorrhoids may appear after childbirth (practicing doctors show a variety of photos - from minimal signs of the disease to serious forms) even if the woman did not notice the initial symptoms during pregnancy. This is why prevention of hemorrhoids in pregnant women is so important. The likelihood of hemorrhoids appearing after childbirth (reviews from many women confirm this) is minimal in healthy expectant mothers.

Reasons for the development of hemorrhoids during pregnancy and before childbirth

Hemorrhoids at 38-39 weeks of pregnancy can develop not only due to the pressure of a large uterus on the pelvic organs. Most women during the period of bearing a child are limited in walking, due to bad weather, in sex - due to the inconvenience of posture and physical activity. Hemorrhoids are also provoked before pregnancy.

Factors that provoke hemorrhoidal disease on the eve of childbirth include:

Disease during pregnancy

• large uterus - as the child grows, the uterus descends towards the pelvic organs, squeezing the vessels, circulation is disrupted, and blood stagnates;
• inactive life - women in the last weeks of pregnancy often sit or lie, with the exception of only 11% of mothers who do gymnastics or walk;
• unbalanced diet - oddities in the choice of foods, increased consumption of junk food, which causes heavy stools;
• hormonal imbalance - in the last month of pregnancy, more progesterone is produced, which reduces muscle tone and causes the pelvic bones to move apart.

If hemorrhoids occur just before childbirth, what should you do? It is necessary to consult with specialists and undergo the recommended treatment. In severe cases, the woman in labor is offered a caesarean section.

Main symptoms of the disease

One of the main signs of the disease is bleeding after bowel movements. The woman may notice faint traces of blood. In some cases, blood loss is quite serious and requires medical attention. In addition, the disease is characterized by a feeling of discomfort, itching and burning in the anus. Soreness may not be characteristic in all cases. Usually pain appears only during exacerbation of the disease.

A striking symptom of hemorrhoids is prolapse of nodes. In this case, the nodules come out of the anus during bowel movements. You can set them yourself. Over time, hemorrhoidal nodes have to be adjusted more often, because as the disease progresses, muscle tone weakens, and the sphincter can no longer hold the nodes in the intestine for a long time.

Hemorrhoids occur in acute or chronic form. In the first case, the disease is accompanied by sharp pain during bowel movements, walking or light exertion. Chronic hemorrhoids are characterized by minor discomfort in the anal area. Most often, pain appears during the act of defecation or immediately after it. There may be rare and minor bleeding after stool and occasional prolapse of nodes.

Lifestyle with hemorrhoids

But it happens that hemorrhoids appear after childbirth, and what should a young mother with a baby in her arms do in emergency cases, when the pain becomes almost unbearable? Of course, first of all, in this case, you should consult a doctor . He will prescribe treatment to relieve pain as quickly as possible and develop a set of therapeutic measures to cure the disease.

A woman should also take care of solving the problem in advance so as not to encounter it on the very first day after the birth of the baby. Immediately after childbirth, you need to use rectal suppositories for hemorrhoids. Your doctor will tell you how to use them. But they facilitate the process of defecation quickly and painlessly.

In the future, a sedentary lifestyle is simply contraindicated for a young mother. She should also not allow stressful situations and family quarrels. A nursing mother suffering from hemorrhoids should limit her food intake within reasonable limits so as not to gain excess weight. The diet should be varied, the food should be light and low in calories, and meals should be taken in frequent but small portions.

The essence of the diet comes down to preventing constipation . Therefore, you should refrain from eating meat and fatty dairy products. Baked goods, sweets, baked goods, carbonated drinks, and marinades containing acetic acid should not be present in the diet of a nursing mother diagnosed with hemorrhoids. You should also completely exclude natural coffee, alcohol and fast foods from the menu, replacing each of them with a glass of clean drinking water.

Proctologists advise a nursing mother suffering from hemorrhoids to drink at least eight glasses of water a day.

Treatment during pregnancy

Hemorrhoids during childbirth can worsen if treatment for the first manifestations of the disease was not started during pregnancy. Therapy should be prescribed on time, so a woman has a greater chance of a positive outcome of this disease. You definitely need to adjust your diet and normalize your stool. Physical activity is necessary to maintain muscle tone of the abdominal wall and perineum. This will help relieve congestion in the pelvic area.

Treatment of hemorrhoids during pregnancy depends on the stage of the disease. Doctors divide all women suffering from this pathology into two groups. The first group includes expectant mothers with asymptomatic hemorrhoids, which were detected in the initial stage during a medical examination. Such patients do not need drug treatment. Only preventive measures are indicated, and if necessary, mild laxatives are prescribed.

The second group includes women with burning and itching in the anus, bleeding, chronic constipation, pain during bowel movements. In this case, drug treatment is indicated. The selection of pharmacological drugs is carried out individually, taking into account the special condition of the woman.

Expectant mothers are treated with the same drugs as other categories of patients. Ointments, gels and suppositories are prescribed to reduce the permeability of the vascular wall and capillary fragility, medications to reduce viscosity and increase vascular tone, and local agents that relieve pain and relieve itching. Doctors recommend using Troxevasin, Troxerutin and Ginkor-Forte, Escusan, Doxium and Hepatrombin, Misvengal and Venitan.

In the presence of cracks, it is advisable to give preference to conservative therapy. In case of urgent need for surgical intervention, doctors resort to gentle methods that are aimed at preventing dangerous bleeding.

Treatment methods

There are four stages of hemorrhoids, each of which has its own characteristics and its own treatment methods.

The first stage is the easiest

At the initial stage of the disease, the nodes that appear begin to gradually increase. They can be cured at home using folk remedies.

Experts have proven the effectiveness of candles made from raw potatoes. Within 20 minutes, relief sets in and the pain subsides. In order not to encounter such an unpleasant problem in the future, you will need complex treatment, which is prescribed by a proctologist.

At the initial stage, ointments and suppositories are considered effective - Proctosedyl, Proctosan. In some cases, the doctor may recommend surgery - sclerotherapy, which is absolutely painless.

Treatment of the second stage of the disease

Patients experience acute pain as the hemorrhoids fall out when defecating or lifting heavy things. There is a burning sensation, itching and pain around the anus.

Bleeding often occurs, so proctologists can prescribe Methyluracil ointment, as well as Aescusan drops.

In some cases, the doctor recommends latex ligation to his patients. This is an effective method that uses rings that compress the cones. After two weeks, problem areas begin to peel away from the skin.

How to cure third stage hemorrhoids

Patients experience constant and regular loss of lumps that do not retract inward on their own.
When walking you feel acute pain, burning and discomfort. To avoid complications, it is necessary to seek qualified help in time.

For treatment, the proctologist prescribes sclerotherapy or cryotherapy. The units are frozen with a special refrigerant. Next, the cones are destroyed and pulled out from the anus. In rare cases, hemorrhoidectomy is used - cutting out nodes under anesthesia.

After assessing the patient's condition, the doctor prescribes suture ligation. Ointments, gels and other medications for this form of hemorrhoids are ineffective.

Ligation of hemorrhoids with latex rings

What happens if there is no treatment at all?

The fourth stage is the most severe form of the disease, in which the lumps reach enormous sizes and regularly fall out of the rectum.

Due to dysfunction of the sphincter, uncontrolled bowel movements occur. Anemia occurs due to bleeding. Patients feel severe attacks of pain.

To cope with this stage of hemorrhoids, the proctologist prescribes exclusively comprehensive treatment:

• photocoagulation, nodes and hemorrhoids are treated using an infrared ray.
• radio wave surgery.
• hemorrhoidectomy.
• laser removal of nodes.

How to cure hemorrhoids after childbirth - the top 10 best and safest ways can be found out by watching the video:

How to alleviate a woman's condition

Hemorrhoids during childbirth worsen, as a rule, in those categories of patients who previously suffered from this disease. So preventative measures and treatment if necessary are very important. During pregnancy, many medications are prohibited because, for example, pills that facilitate bowel movements can also lead to premature dilatation of the cervix. In the first trimester, practically nothing should be taken, and some pharmacological agents are contraindicated before delivery. But there are rectal suppositories based on natural ingredients that help reduce discomfort and resist inflammatory processes.

To alleviate a woman’s condition during pregnancy and to ensure that childbirth with hemorrhoids goes smoothly, safe folk methods are used. It is recommended to wash yourself with herbal decoctions. It is optimal to use chamomile and dandelion. These are safe products for the expectant mother. Compresses and lotions using herbal infusions (nettle, chamomile) are indicated. Burdock oil at room temperature will help with bleeding. You can use enemas to empty your bowels, but you shouldn’t overuse them because they are addictive. In addition, a balanced diet is indicated. This will ease hemorrhoids during childbirth and prevent possible complications.

Opinion of women in labor

To better understand how to get rid of hemorrhoids after childbirth, you should study the reviews of girls and women who have already gone through this.

After giving birth, I immediately developed a lump. The doctor advised me to buy Menovazin. It needs to be generously spread on problem areas and within three days the first results will be visible. The course of treatment is two weeks.

Alina, 33

During pregnancy there were problems with the intestines, after which hemorrhoids began. At the consultation, the proctologist recommended Procto-Glivenol suppositories. Within a few days I felt much better. At the same time, I followed a special diet to get rid of constipation.

Valentina, 41

I have long heard about the healing properties of horse chestnut bark and decided to try them on myself. I took about 50 grams of dry bark and poured boiling water over it.

After the decoction has infused and released its beneficial substances, it can be used. I took warm sitz baths for 15 minutes. It relieves pain and discomfort well. Moreover, it is completely harmless to the baby and does not affect breast milk.

Selena, 27

How does childbirth occur with such an illness?

As mentioned earlier, hemorrhoids found in a pregnant woman are not a contraindication to the natural birth process. The indication for cesarean section is only the chronic form of hemorrhoids, if we are talking about the fourth degree of pathology. CS is indicated in the presence of thrombotic nodes and a real danger of heavy bleeding, but this happens in quite rare cases. As a rule, the decision on the nature of childbirth is made after examining the woman by a proctologist and only on an individual basis.

But you should know that childbirth and hemorrhoids are not the best combination. Most likely, the presence of nodes will affect both the pain of labor and its duration. Childbirth can aggravate the course of the disease, because it normally involves tension in the muscular system of the pelvis and perineum. The main burden will fall on the rectum, sphincter and pelvic vessels. Prolonged labor with intense pushing leads to serious complications. In this case, hemorrhoids after childbirth (the photo in this case is not for the faint of heart) may appear in those women who have not previously encountered manifestations of the disease. In this case, treatment should be started immediately.

Is it possible to avoid worsening hemorrhoids after childbirth? What to do? If the disease already exists and labor has begun, then it is almost impossible to influence the situation. A woman can only listen carefully and follow all the instructions of the doctor and midwife. Timely and correct actions without excessive tension of the perineal muscles during pushing will contribute to a safe and easy birth that will take place without unpleasant consequences.

Childbirth with hemorrhoids

If hemorrhoids suddenly pop up just before giving birth, not every expectant mother knows what to do in such a situation. Unpleasant sensations cause panic, tears and fear of forced surgery.

In fact, hemorrhoids and childbirth are compatible; in almost all cases, the attending physician advocates a natural process. Having read reviews of those who gave birth with this problem on the forums, it is clear that against the general background, the painful sensations from hemorrhoids are lost. But each case is individual, and sometimes hemorrhoids are a direct indication for a caesarean section.

Natural childbirth

If you have chronic hemorrhoids, the best option would be to prevent exacerbation in advance. But if it was not possible to avoid trouble or the disease appeared for the first time just before childbirth, you need to calm down and tell the gynecologist about the problem.

Yes, natural childbirth can be complicated by hemorrhoids, but it is still not considered a contraindication. To alleviate the condition of a woman in labor, the doctor may recommend suppositories or ointment to relieve negative symptoms.

For those who have already given birth with hemorrhoids, it is better to play it safe, take measures to prevent relapse, or treat the disease after the first birth. For those who are faced with a scourge for the first time, know that it is easier to completely get rid of a painful lump after childbirth than to treat the problem in a hurry. After the birth of a child, the choice of acceptable medications and treatment methods is wider.

If a blood clot is detected during childbirth, a decision is made to remove it under local anesthesia. In this case, the woman in labor experiences relief, the baby does not suffer, and the risk of serious consequences is eliminated.

C-section

Many women who are faced with the problem for the first time are sure that cesarean section and acute hemorrhoids go together. However, the indication for cesarean section is the last stage of the pathology or a high probability of developing complications such as:

• rupture of a crowded node with subsequent bleeding;
• necrosis of tissues of the anus and perineum;
• infection of the affected tissues, which can be transmitted to the child during childbirth;
• blood clot formation.

Typically, such serious consequences can occur only with advanced pathology. If you know about the presence of hemorrhoids long before giving birth, you should take measures that will prevent the disease from developing to such a stage. If the doctor advises delivery with a scalpel, you will have to treat hemorrhoids after a cesarean section.

If hemorrhoids appeared after childbirth

Conservative treatment of hemorrhoids after childbirth in women (photos of suitable remedies are below) consists of using suppositories, gels and ointments. Heparin ointment and heparin-based suppositories are very actively used. The drug is not contraindicated in the treatment of hemorrhoids after childbirth, breastfeeding or during pregnancy, because it has only a local effect. "Troxevasin" is used in the form of a cream or ointment. The product relieves inflammation, swelling, and helps reduce the amount of discharge. Troxevasin also has no contraindications during pregnancy and lactation.

Doctors often prescribe Relief, a cream based on shark liver fats. There are no contraindications, but it is not used in acute stages. This drug can be used even at the initial stage. "Posterizan" promotes the regeneration of the intestinal and anal mucosa. Not contraindicated during lactation. The ointment has an analgesic effect. Another effective remedy for hemorrhoids after childbirth is Procto-glivenol suppositories. The drug contains an anesthetic that has a local anesthetic effect. Suppositories can be used during lactation.

Ointments based on natural ingredients are good for hemorrhoids after childbirth. These include suppositories with calendula, propolis and sea buckthorn oil. But such remedies are effective only in the initial stages of the disease. Herbal baths, applying sea buckthorn oil to the skin and other home remedies are recommended. But they can only be used after consulting a proctologist.

Prevention of hemorrhoids before childbirth

Many expectant mothers, having heard enough complaints from friends, ask the gynecologist at regular appointments how to avoid hemorrhoids during pregnancy and not get them during childbirth.

Of course, no one is immune from this unpleasant phenomenon, but basic prevention of hemorrhoids before childbirth will reduce the risk to a minimum. These are the preventive measures.

1. Proper, balanced nutrition. During pregnancy, food should be rich in both valuable substances and fiber, easy to digest and not cause constipation. By properly distributing her diet, a woman ensures the child’s full intrauterine development without overloading the gastrointestinal tract.
2. Regular walks, gymnastics for pregnant women, swimming pool. The list can be continued in other ways to lead an active life; feasible physical activity enhances metabolic processes and prevents blood from stagnating, including in hemorrhoids.
3. Maintain moderate hygiene of the intimate area; it is especially important to wash the anal area after defecation to avoid irritation and inflammation in this area.

If you have chronic hemorrhoids, follow your doctor's instructions. Contact a proctologist if you postponed an appointment with a specialist in this field before pregnancy.

The most detailed information on the prevention of hemorrhoids for all categories of patients is collected in one article.

Prevention and treatment of the initial stages

Postpartum hemorrhoids can be prevented by normalizing bowel function. In addition, it is recommended to drink plenty of fluids daily. A minimum of 1.5 liters or 2.5-3 liters during lactation is required. Your diet should include foods that are rich in fiber. This includes bran, brown rice, wholemeal bread, and vegetables. You should eat dairy products, fruits and dried fruits every day. It is recommended to reduce the amount of carbohydrates in the diet and exclude carbonated drinks and sweets. It is undesirable to use diuretic teas and infusions.

Light exercise should be included in your daily routine. In the first month after childbirth, drinking alcohol, fatty foods with a lot of seasonings and spices is contraindicated. Important preventive measures include maintaining personal hygiene. The anus area should be washed with water after each bowel movement. Drying and soothing baths are recommended.

Limiting therapy due to breastfeeding is impossible, because if left untreated, hemorrhoids after childbirth become chronic. The disease is complemented by new unpleasant symptoms. As hemorrhoids grow, surgery may be required.

How I found out about my illness

My life after childbirth was significantly complicated by the appearance of hemorrhoids. While caring for the baby, I was forced to overcome the disease.

To prevent hemorrhoids from becoming chronic, you need to know the main symptoms of this disease.

• Constipation.
• Feeling of heaviness and itching.
• Pain immediately after bowel movement or during it.
• Feeling of insufficient bowel movements.
• Bleeding.
• Prolapse of hemorrhoids.

Folk remedies

How to treat without pills? Bearing a fetus is a case when folk remedies can harm the child. This also applies to cases of lactation when the mother is breastfeeding. Any medicinal herbs or tinctures should be discussed with a physician before use.

It should also be taken into account that treatment with traditional methods is based on the use of natural herbs and components. They contain many different substances in addition to those required for treatment. Any of them can cause an allergy, even if it has not occurred before. Simply because pregnancy is a special state of the body, during which hormonal levels change significantly.

Baths with a decoction of calendula, chamomile, onion peel, or simply warm salt water will help relieve itching and relieve pain. Sea buckthorn, sunflower, olive or linseed oil will soften the skin and heal wounds.

You can make rectal suppositories at home. They can be prepared from beeswax by adding aloe or Kalanchoe juice, or propolis. Propolis contains many beneficial substances for the body, so it will not only help cope with hemorrhoids, but also improve your overall well-being.

Many people advise regularly making a remedy from a compress of honey, crushed aloe leaves, aspen or boiled woodlice. Additionally, you can do enemas based on a decoction of sage with honey (40 ml of decoction + 1 tbsp honey). The urge to go to the toilet must be endured until the last moment in order to achieve the therapeutic effect of the procedure. But no remedies, neither pharmacy nor home, will help if you do not follow a diet and lead a moderately active and healthy lifestyle. It will be great if you quit smoking.

The human body uses vitamin C to process toxins that enter it from cigarettes. Therefore, he does not have enough of it to maintain the vessels in the necessary tone. Because of this, hemorrhoids return. Also, if a woman is expecting a child, smoking can have a detrimental effect on his health and intrauterine development.

Expert opinion: Alexander Petrov, proctologist: “Most often, hemorrhoids begin to develop after 4-5 months of pregnancy and progress after childbirth. Women who have given birth before and are having a second pregnancy are susceptible to developing the disease many times more often than women who are pregnant for the first time. It is also important to note age. Young girls are less susceptible to varicose veins and hemorrhoidal disease during pregnancy than older women. Why are hemorrhoids dangerous? Many girls after giving birth do not go to the doctor for help, but try to cope with the problem on their own by buying a bunch of creams at the pharmacy. In the meantime, the disease can become chronic. An advanced form of hemorrhoids can lead to a decrease in hemoglobin, vein thrombosis, and diseases of the genitourinary system. During contractions, hemorrhoids can come out, which often provokes bleeding.

It is important to consult a doctor in the early stages of pathology development. A well-chosen treatment regimen can minimize the problem.”

Diagnosis of the disease

You can independently suspect the development of the disease, however, the final diagnosis must be made by a proctologist.

Signs of rectal disease:

1. Feel itching around the anus. It intensifies when walking, playing sports, lifting weights;
2. You regularly experience constipation; it takes at least 5 minutes for you to have a full bowel movement;
3. You notice blood with clots on toilet paper after bowel movements. During the process you often feel pain or discomfort;
4. You felt a ball-shaped seal near your anus;
5. Sometimes there is a burning sensation in the anus. There is a tendency to varicose veins, blood clots, and blockage of blood vessels;
6. There is discomfort in the anus. At the same time, you prefer to spend your days lying on the couch. You have a sedentary job in an office or as a transport driver. Or spend all day on your feet;
7. Sometimes the rectum feels full, even after a bowel movement.

If you nodded to at least one statement from the list, this is a reason to see a doctor. There is nothing shameful or humiliating about this. From a medical point of view, the rectum is the same organ as the lungs or stomach.

When diagnosing, the doctor carefully conducts an examination and digital examination. In addition, the doctor may prescribe additional tests and diagnostic methods.

Disease prevention

Like any disease, hemorrhoids are better prevented than treated. And to prevent it, you need to avoid constipation and improve blood flow in the vessels.

You can avoid constipation by adjusting your diet. It is necessary to include more fresh vegetables, fruits, herbs, consume fermented milk products, and make compotes from dried fruits and prunes. It is not recommended to consume strengthening products during this period. For example, rice, white bread, buns. Be sure to drink clean water. It not only improves digestion, but also prevents constipation.

Berries, fruits and raw vegetables will help strengthen blood vessels

Vegetable oils help cope with constipation well, so give preference to oil for salad dressing. It is better to avoid mayonnaise during this period. This will be better for your health and for the future baby.

Many doctors advise lying on your left side for at least 20-30 minutes every five hours, thereby reducing venous pressure in the pelvic organs.

For prevention, women are not recommended to strain during bowel movements. This can lead not only to the formation of hemorrhoids, but also to contraction of the muscles of the pelvic organs. Premature labor may begin. If you can’t do it without straining, glycerin suppositories will help. They are harmless and safe, the effect will be noticeable after 10 minutes.

Physical therapy is the best way to combat hemorrhoids. After exercise, blood circulation improves, vascular tone increases, and the muscles of the anal area are strengthened.

It is very useful to do gymnastic exercises while lying on your back. For example, the “Bicycle” exercise, spinning imaginary pedals with your feet.

Exercise bike

You can simply lie more often with your pelvis or legs elevated.

You can improve blood flow by simply taking walks in the fresh air, doing simple housework, and simply moving around. The most important thing is not to lead a passively recumbent lifestyle. But it is also not recommended to lead an overly active lifestyle all day long. The heavy uterus with the baby presses down and pinches the veins. It is optimal to alternate periods of rest and movement.

A set of special exercises will help prevent disease

It is necessary to maintain hygiene. After defecation, it is better to wash yourself than to use toilet paper. It irritates the skin and can increase the discomfort of hemorrhoids.

THERE ARE CONTRAINDICATIONS CONSULTATION WITH YOUR DOCTOR IS REQUIRED

Author of the article Alexey Alexandrovich Egorov, proctologist

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