Elisheh gel emulsion is possible during pregnancy

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...

However, women in an “interesting” position are more susceptible to it due to the restructuring of the mother’s body. The relevance of the question of how to treat hemorrhoids during pregnancy is not in doubt.

The danger of the disease lies in its chronicity and increased severity of clinical symptoms after childbirth.

Is it necessary to treat hemorrhoids in pregnant women?

Of course, the desire to protect the child as much as possible from the effects of drugs is very commendable, but such a decision is in many ways wrong. It is important to understand the dangers of hemorrhoids during pregnancy and refusal to treat them.

1. The disease affects a woman’s well-being. Unpleasant and even painful sensations and problems with normal bowel movements only get worse. The expectant mother will become worse able to tolerate her situation, as a result of which the child’s development will deteriorate.
2. An inflamed hemorrhoid gradually leads to damage and death of the mucous membrane, which is fraught with the penetration of infectious agents. For pregnant women, every infection is dangerous, since in particularly difficult situations pathogenic microbes can reach the child, ultimately leading to intrauterine infection.
3. Another possible negative outcome of refusing therapy is anemia. A common manifestation of the disease is bleeding, leading to hemoglobin deficiency. This condition is fraught with the occurrence of hypoxia, which has an extremely negative effect on the growing child.
4. If hemorrhoids are not treated in the 2nd or 3rd trimester, the disease can worsen sharply after childbirth. Moreover, the severity of the symptoms only increases, and the disease progresses significantly. That is why it is easier to cure hemorrhoids in the early stages of pregnancy than to spend a lot of time and effort fighting this unpleasant sore after childbirth.

Thus, the question of whether hemorrhoids are dangerous during pregnancy can be answered in the affirmative. Inflammation and bleeding of hemorrhoids must be treated, and it is better to entrust the therapy to a proctologist, who will choose the optimal treatment method.

Causes of hemorrhoids in expectant mothers

In pregnant women, hemorrhoids occur as a result of global changes that occur in the female body.

Moreover, in the early and late periods of gestation, the main causes of the disease are somewhat different.

In the first trimester of pregnancy, literally from conception, pregnant women's hormonal levels change, which manifests itself in the form of relaxation of smooth muscles. The “goal” of such a shift is obvious - to prevent uterine contractions.

Find out your risk level for hemorrhoid complications

Take a free online test from experienced proctologists

Testing time no more than 2 minutes

7 simple
questions

94% accuracy
test

10 thousand successful
testing

However, at the same time, the intestinal muscles also relax, which leads to problems with bowel movements. The result is constipation and prolonged straining, which provokes inflammation of the hemorrhoids.

In the third trimester, the uterus, located in the pelvic girdle, actively increases in size, pressing on the lower intestines. As a result, venous blood flow slows down, stagnation begins, and hemorrhoids grow.

In addition, factors that provoke the occurrence of the disease in expectant mothers include:

• heredity;
• the age of the expectant mother (the likelihood of “getting” hemorrhoids is higher in women over 30);
• second pregnancy;
• thyroid diseases;
• overweight;
• taking hormonal contraceptives that negatively affect the vascular walls (if the girl took the drugs before conception);
• regular constipation;
• poor physical mobility;
• improper diet (for example, lack of fiber).

And yet, the development of pathology more often occurs during pregnancy in later stages, especially at 38 weeks. At this time, the baby and uterus reach their maximum size.

The disease can also appear after the birth process. The fact is that when passing through the birth canal, the child’s head compresses the venous plexus of the pelvis.

In addition, the outflow of blood from hemorrhoidal nodules can be disrupted during intense contractions, which increase the pressure inside the peritoneum.

Types and stages of the disease

Depending on the provoking factors, experts distinguish two types of pathological process:

1. Primary – the disease may appear as a result of the development of the provoking factors listed above. Hemorrhoids in pregnant women are also classified as this type.
2. Secondary - the disease becomes a consequence of severe liver diseases, heart problems, tumors of the gastrointestinal tract, which disrupt venous blood flow in the rectum.

Based on the concentration of the inflammatory process, the disease is divided into:

1. Internal hemorrhoids, when the affected cones are located inside the anal canal;
2. External hemorrhoids, when inflamed nodules are visible to the naked eye when examining the anus;
3. Mixed type, in which, accordingly, the inflamed hemorrhoids are located above and below the anus line.

During pregnancy, hemorrhoids develop in accordance with the “classic” version of the disease and go through the following stages that characterize its severity:

• Stage 1 – the nodules are enlarged, they begin to protrude in the rectum, but do not yet come out. During defecation, hemorrhoidal cones are damaged, resulting in stool being released with blood.
• Stage 2 - during defecation, the nodes fall out, but then they independently return to their original place.
• Stage 3 - nodules come out of the passage during bowel movements, pushing and normal exercise. You can only remove them with your hands.
• Stage 4 – inflamed nodes come out regularly, without any “reason”. Reduction is not possible.

In addition, expectant mothers distinguish between acute hemorrhoids and the chronic form of the disease.

In the first case, symptoms appear suddenly. Chronic inflammation of hemorrhoids occurs much more often, subsiding for a while and re-emerging due to the above “provocateurs”.

Signs of illness

Symptoms of hemorrhoids in expectant mothers “increase” gradually. At first, the disease may be generally asymptomatic, then periodically the pregnant woman begins to be bothered by various unpleasant sensations that coincide with the act of defecation.

In general, signs of hemorrhoids during pregnancy occur in the following order:

• discomfort in the rectal area after bowel movement - can manifest itself in the form of irritation, burning;
• Bleeding is one of the main symptoms of hemorrhoids during pregnancy and occurs after bowel movements. Depending on the severity of the disease, it manifests itself as a few drops of blood on paper or massive bleeding;
• painful sensations - may appear during the act of defecation, and also persist for a certain period of time after bowel movement;
• itching is a consequence of damage to the skin around the anus. If skin irritation does not go away for a long time, the formation of cracks, eczema and connection of infection to the inflammatory process is possible;
• prolapse of nodes - enlarged lumps cannot fit in the anal canal, so they fall out. And this increases the risk of such a terrible consequence as thrombosis of the external hemorrhoid.

Some signs, for example, itching and irritation of the skin, may indicate the development of another pathological process - in particular, anal fissures.

In order for the treatment of hemorrhoids in pregnant women to be successful and without consequences, it is necessary to consult a doctor at the first unpleasant symptoms. The doctor will help you choose the optimal therapy that is as harmless as possible to the fetus.

Features of treatment of hemorrhoids in pregnant women

Hemorrhoids during pregnancy require treatment, and proper and immediate treatment. However, the choice of leading therapeutic method will depend on the severity of the disease.

• The first stages of proctological pathology are usually treated without the use of drugs. Most often, doctors advise pregnant women to change their diet, perform special exercises and take walks in the fresh air more often.
• How to get rid of second stage hemorrhoids? Take systemic and local medications prescribed by your doctor. Preference should be given to locally acting agents - rectal suppositories and ointments, which have virtually no effect on the development of the child.
• In the case of stages 3 and 4 of the disease, complex treatment is prescribed. Medicines and a new daily routine remain, but minimally invasive procedures can be added to them. For example, you can quickly cure inflamed nodes using injections with sclerosing drugs, clamping with special latex rings or infrared radiation.

Treatment of hemorrhoids during pregnancy excludes surgical intervention, which involves the use of systemic anesthesia. This method can harm a growing child and the woman herself.

Good to know! Expectant mothers are strictly not recommended to use any antihemorrhoidal medications on their own initiative. Some of them are potentially dangerous to embryos.

New daily routine

Adjusting your diet and doing certain physical exercises will help you get rid of hemorrhoids during pregnancy. Of course, these measures can be used only in the initial stages of the development of the pathological process, when the signs of internal hemorrhoids in pregnant women are not obvious.

1. Changing your diet

Since unpleasant symptoms can worsen due to difficulties with bowel movements, experts recommend including foods that improve digestion in your diet.

Constipation will be prevented by eating sour milk and fresh, steamed fruits. Meat products and carbohydrate-rich foods are introduced into the diet in small quantities. Everything hot, spicy, fatty and fried is prohibited.

Important! To prevent constipation, experts advise dividing the daily menu into several small portions. If the expectant mother is severely hungry before falling asleep, it is better to drink a cup of kefir or eat yogurt.

1. Exercises for hemorrhoids

Moderate physical activity during gestation helps improve the functioning of the gastrointestinal tract, eliminate congestion in the pelvis, and normalize blood circulation.

You can do the following exercises:

1. Turns. The woman places her feet shoulder-width apart and stretches her arms forward. Inhaling, you need to turn your torso to the side. Exhaling, the body is returned to the reverse position. Then the exercise is repeated, but in the other direction. The optimal number of turns is 25 in each direction.
2. Squats . The woman takes the same position, but the upper limbs need to be extended along the body. You should squat at a slow pace, with your arms extended forward. The optimal number of squats is 35 (in several approaches).
3. Tension/relaxation of sphincter muscles. This exercise strengthens the muscles and prevents inflammation of the nodules. To perform the exercise, a woman can stand or sit. The sphincter muscles are tensed for about 20 seconds and then relaxed. One approach lasts 5 minutes, they can be done up to 10 times a day.

Such physical exercises are prohibited if there is a threat of spontaneous abortion or premature labor. The described complex is not recommended if a woman has hemorrhoids at 38 weeks of pregnancy.

Drug treatment

Hemorrhoids can be treated during pregnancy with the help of pharmaceuticals. However, before using them, the expectant mother should definitely consult a proctologist.

The attending physician will determine what hemorrhoids look like, determine the severity of the disease and prescribe the safest medication possible.

System Tools

Antihemorrhoidal tablets are an example of how to cure hemorrhoids in a fairly short time.

However, many general medications are not recommended during pregnancy, since there is no reliable data on their safety for the fetus.

In such situations, doctors try to correlate the expected benefit and the likely risk for the baby. To minimize threats, the fight against hemorrhoids with the help of pills begins in the second trimester.

Typically, expectant mothers are prescribed Detralex for hemorrhoids, a combination drug that has the properties of angioprotectors and venotonics.

Taking Detralex for hemorrhoids, pregnant women strengthen the venous walls, eliminate inflammation and restore optimal blood circulation.

In addition to Detralex, doctors often prescribe bioflavonoids such as:

• Vasocket;
• Venarus;
• Phlebodia 600.

Local preparations

However, most often, hemorrhoids during normal pregnancy are treated with locally acting medications, which have a minimum number of contraindications and side effects.

The duration of therapy largely depends on the severity of the disease. A week is how long therapy most often takes, but it is better to check the treatment regimen with your doctor.

How to treat hemorrhoids during pregnancy? Suppositories and ointments allowed during gestation.

1. Natalsid candles. A bleeding and inflamed hemorrhoid can be treated with these hemostatic rectal suppositories. The only limitation is intolerance to the main and auxiliary components.
2. Sea buckthorn suppositories for hemorrhoids. Sea buckthorn, contained in rectal suppositories, helps to effectively relieve inflammation, itching, swelling and other unpleasant symptoms. In addition to inflamed hemorrhoids, such drugs are used if a crack or ulcerative lesion of the sphincter appears. The main contraindication is diarrhea.
3. Suppositories with propolis. Propolis DN, Gemo-Pro and other suppositories containing honey and other waste products of bees reduce the severity of the inflammatory process, soften nodules, fight infectious pathogens and normalize blood circulation. In general, honey for hemorrhoids and bee products can be used during all trimesters if the patient is not allergic to them.
4. Heparin ointment. The main ingredient heparin prevents thrombosis of the hemorrhoid during pregnancy. In addition, the product effectively relieves swelling, resolves blood clots, and is designed to help restore blood circulation. The drug is prohibited in case of bleeding, risk of spontaneous abortion, or in the last weeks of gestation.
5. Ichthyol ointment. Particularly effective for external inflamed nodes. Disinfects, destroys pathogenic bacteria, promotes rapid healing of wounds and anal cracks. It has a minimum of restrictions - it is contraindicated in case of intolerance to ichthammol.
6. Gepatrombin G. Manufacturers produce suppositories and ointment preparations under the name Gepatrombin. Medicines belong to anticoagulants - substances that reduce blood clotting. Hepatrombin reduces the intensity of inflammatory processes, improves blood flow in damaged areas, and prevents the formation of blood clots. Hepatrombin is prohibited when the anal canal is infected with pathogenic pathogens. In addition, Gepatrombin can be used only from the second trimester.
7. Vishnevsky ointment. A popular remedy used for inflammation, suppuration and damage to external hemorrhoids. A big plus is that the drug can be used during all periods of pregnancy, the only exception mentioned in the instructions is the body’s hypersensitivity to the ingredients of the drug.
8. Fleming's ointment. This remedy is often prescribed if the expectant mother has hemorrhoids. The drug includes plant extracts - chamomile and sea buckthorn extracts. The ingredients relieve inflammation, destroy microbes, preventing suppuration and further spread of the inflammatory process.
9. Levomekol. A drug with a pronounced antimicrobial effect, it alleviates the condition if there is an exacerbation of hemorrhoids during pregnancy. The product improves cellular metabolism and prevents the occurrence of a purulent process. Caution should be exercised because the medication contains an antibiotic.
10. Relief. Suppositories and ointment medications from the “Relief” series are used if hemorrhoids bleed during pregnancy. They are also designed to quickly relieve itching and pain due to vasoconstriction and an anti-inflammatory effect. Painful sensations can go away in a fairly short period of time, but Relief must be used extremely carefully, since some ingredients are hypothetically capable of increasing uterine tone.
11. Troxevasin. Venotonic gel is used to relieve swelling and reduce inflamed lumps in the case of external hemorrhoids. The medication helps normalize blood circulation in damaged veins and effectively relieves inflammation. But since the drug has not yet been studied, it can be used only after the doctor’s full approval and only from the second trimester.
12. Procto-Glivenol. Suppositories and ointments are prescribed if hemorrhoids become worse or hurt. Medicines relieve inflammation and pain, relieve women of congestion, and normalize venous blood flow. Independent use by expectant mothers is excluded; Procto-Glivenol is indicated only from the second trimester.
13. Neo-Anuzol. Anti-inflammatory suppositories are used if hemorrhoids are bleeding, sphincter spasms are observed, or pain in the anal canal is tormented. The drug has astringent and drying properties and is a good antiseptic. During gestation, it is allowed to use only under the supervision of a doctor.

Despite the rapid effect of suppositories for uncomplicated hemorrhoids, expectant mothers are prohibited from using suppositories on their own. You should contact a proctologist who will tell you what to do with inflamed nodes and how to deal with bleeding.

Minimally invasive procedures

How can an expectant mother quickly get rid of hemorrhoids? If conservative therapy has shown ineffectiveness, medications cannot cope with inflamed hemorrhoids, proctologists prescribe non-surgical treatment methods.

Minimally invasive procedures are performed under local anesthesia, so they have a minimum of contraindications. Of course, before the appointment, the proctologist calculates all the risks for the woman and the fetus.

There are 3 options for non-surgical interventions:

1. Sclerotherapy. A treatment method that involves introducing special compounds into hemorrhoids. After some time, the vessels stick together, and the inflamed lump simply dies. The procedure is gentle, so the expectant mother can leave the hospital in an hour or two.
2. Ligation. Hemorrhoids during a normal pregnancy can be cured with the help of special latex rings that compress the base of the nodules. Damaged areas die off within a week. They stop hurting immediately after the procedure.
3. Cauterization. This procedure is carried out using a special infrared coagulator. The beam cauterizes the base of the nodule, after which it “falls off”. The method is effective in cases of stage 2-3 of the disease, but in 60% of cases hemorrhoids return.

As noted above, operations under general anesthesia are strictly contraindicated during the period of bearing a child. After childbirth, surgical intervention is performed according to indications.

Folk recipes

Alternative medicine offers a wide range of effective methods for treating hemorrhoids. They relieve pain and inflammation, eliminate numerous inconveniences, reduce swelling of the mucous membranes and stop bleeding.

During pregnancy it is permissible:

• applying cold compresses to the anus for a few minutes (instead of cool water, you can use sea buckthorn berry oil, decoctions of medicinal plants, or grated potatoes);
• taking warm baths with some medicinal plants (birch leaves, burdock, nettle leaves, oak bark, chamomile, etc.).

Despite the naturalness of the proposed recipes and ingredients, you should consult a doctor before using them. This will help eliminate threats to the child.

Hemorrhoids during gestation should not be cured with herbal infusions intended for oral administration. Most plants have a huge number of side reactions that can negatively affect the baby.

Disease Prevention

Answering the question of many pregnant women about how to avoid hemorrhoids during pregnancy, proctologists advise adhering to very specific recommendations, including hygiene, optimal physical activity and improving the functioning of the gastrointestinal tract.

1. Following a simple diet will help prevent the disease, in which constipation will become a rare or even impossible occurrence. As noted above, if you are prone to problems with bowel movements, doctors strongly recommend eating fruits, vegetables, and limiting your consumption of baked goods, rice, and legumes.
2. You should also include some foods in your diet , which help strengthen cell membranes - beets, cabbage, apples. In addition, doctors often prescribe special vitamin and mineral complexes for expectant mothers for this purpose.
3. To increase the tone of the anal muscles and prevent congestion in the pelvis, you can perform certain physical exercises. Of course, you should consult a doctor before classes.
4. Long walks are not recommended for the expectant mother, but no one forbids her to exercise reasonable physical activity. For example, do not stay in one place for a long time, walk in the park for 15-20 minutes, etc.
5. Another way of prevention is hygiene. . Expectant mothers are advised to wash themselves after each visit to the restroom. It is permissible to “irrigate” the anal passage with cool water from the shower turned upside down.

Prevention of inflammation of hemorrhoids is especially important for pregnant women, since it is they who, for the reasons mentioned above, encounter this pathological process more often than other categories of patients.

Pregnancy and worsened hemorrhoids are, unfortunately, a common combination. This disease occurs in expectant mothers quite often due to natural changes occurring in the body.

It is impossible to brush aside such an unpleasant “sore,” especially since modern medicine offers multiple methods for solving this problem. You should also not put off visiting a proctologist, because the sooner the disease is detected and treated, the less difficulties hemorrhoids will cause for the expectant mother.

Only a doctor can choose the most effective way to get rid of negative symptoms. The task of a pregnant woman is to monitor her health and carefully follow all medical recommendations. In the meantime, let's talk in more detail about external hemorrhoids in pregnant women.

Why do external hemorrhoids occur in pregnant women?

Hemorrhoids are divided into intraintestinal, located under the rectal mucosa, and external, located under the skin around the anus. It is the pathological increase in external formations that leads to the development of the external form of hemorrhoidal disease.

What is the source of the disease? First of all, we should mention the main factor predisposing to hemorrhoids - family history. When the venous walls are weak, which is caused by genetics, the disease occurs with the slightest influence of certain “provocateurs”.

Among the latter, experts include global changes that are triggered in the mother’s body from the moment the egg is fertilized. First of all, let us mention the hormonal shift, designed to increase the chances of maintaining pregnancy.

The action of hormones leads to a slowdown in the contraction of smooth muscles that line all internal organs, as well as the walls of blood tubules. As a result, venous tone and intestinal motility decrease, which is fraught with congestion in the pelvic area and constipation.

The following unfavorable conditions can provoke the development of hemorrhoidal disease:

• low fiber content in the diet, which leads to difficult stool ejection;
• second and subsequent pregnancy;
• passion for salted, smoked and other foods that cause blood flow to the pelvis;
• decreased physical activity;
• constant growth of the fetus, leading to displacement of internal organs, deterioration of the gastrointestinal tract, and compression of large blood vessels.

If external hemorrhoids are not treated, then an exacerbation of the disease during or after labor and the occurrence of serious negative consequences cannot be ruled out. All this will significantly complicate caring for the child.

A qualified proctologist talks about the peculiarities of its appearance and progression.

You can find out the reasons by carefully studying the article by our expert.

Symptoms of external hemorrhoids

External hemorrhoids during pregnancy are accompanied by the same symptoms as in other categories of patients. The leading sign of an increase in external hemorrhoids is pain in the anorectal area. They often accompany a visit to the restroom, but can also be spontaneous.

Pain syndrome also occurs when maintaining one position for a long time - when women sit or stand for a long time. The intensity of the discomfort depends on the individual characteristics of the body, that is, a pregnant woman may experience either ordinary discomfort or severe pain.

In addition, pregnant women may observe:

• irritation in the anal area;
• burning sensation;
• mucous discharge;
• getting wet underwear.

External hemorrhoids bleed less frequently than intraintestinal pathological formations. The patient may find traces of blood on her underwear, towel or toilet paper after bowel movements and hygiene measures.

Another difference in the external form of the disease is the ability to independently identify hemorrhoids during normal palpation of the anus. To the touch, they resemble elastic small knob-shaped structures, pressure on which leads to pain.

Acute and chronic hemorrhoids

It should be remembered that the severity of the above symptoms also depends on how aggravated the pathological process is. In general, there are traditionally two types of disease: acute and chronic. Moreover, these varieties can alternate.

Our specialist provides detailed information about it, its symptoms and possible complications in his article.

In the case of a chronic process, the symptoms are blurred, that is, the patient may feel discomfort in the anal area for a fairly long period of time, but not even realize that hemorrhoidal disease is developing.

Exacerbated external hemorrhoids (in the absence of timely treatment) successively go through 3 stages.

• 1st stage. Small nodes appear, which is accompanied by tissue irritation, burning, and inflammatory discharge. Soreness and other symptoms bother you after bowel movement, but subside after a while.
• 2nd stage. The area around the anus is inflamed and hyperemic, and the hemorrhoids are enlarged and swollen. When pressing on the abnormal formations, the patient feels severe pain.
• 3rd stage. The inflammatory process switches to the hypodermis and nearby areas. The nodules become bluish or purple. In especially severe cases, their necrosis is observed. The pain increases many times over.

If the expectant mother does not take care of her health and after such symptoms, the disease may be complicated by the appearance of fistulas and paraproctitis. All this is accompanied by infection, as a result of which toxins are able to penetrate the systemic bloodstream, and then through the placental barrier to the child.

If external hemorrhoids are accompanied by bleeding, the pregnant woman may experience anemia. Iron deficiency can ultimately provoke oxygen starvation, which is fraught with the most serious consequences for the child.

Drug treatment of hemorrhoids

The question of how and with what to treat hemorrhoids during pregnancy is decided by a physician after examining the expectant mother. In the vast majority of cases, a medicinal or conservative method of therapy is chosen, which also involves lifestyle adjustments.

Most often, specialists prescribe ointments, gels and creams to pregnant women, which have a local complex effect. The drugs are designed to eliminate pain, swelling, reduce inflammation and the intensity of bleeding.

We offer an overview of the most effective and at the same time gentle medications that are approved for use by expectant mothers after talking with a doctor. It is only important to carefully study the main contraindications and potential undesirable consequences.

It is also worthwhile to study the list of effective ones, their indications and contraindications for use.

Expectant mothers need to carefully study the material about all the nuances of using it for hemorrhoids during pregnancy.

You can find out how effective it is during pregnancy by reading the article by our specialist.

You can learn about the effectiveness and features of use from the material of a proctologist.

The most detailed information about the use of tablets is presented in the article by our expert.

Surgical treatment of external hemorrhoids during pregnancy

If there are no positive effects from the use of medications, if the disease progresses and there is a threat of developing any complications, the attending physician may prescribe one of the methods of surgical intervention.

During pregnancy, minimally invasive (gentle) procedures are used that involve minimal impact on the body. However, even despite the fact that general anesthesia is not used, such surgical methods are extremely rarely prescribed.

The external localization of hemorrhoidal structures significantly limits the possibility of using minimally invasive techniques, since not all procedures are applicable in this case. Most often, specialists prescribe the following types of interventions:

• photo and laser coagulation. Exposure to radiation of varying intensities leads to the folding of protein structures contained in blood tubules. As a result, cavernous formations cannot receive recharge from arteries and capillaries;
• cryodestruction. Ultra-low temperature conditions lead to freezing of hemorrhoids, as a result of which the tissues die and fall off. During the intervention, pain, bleeding and scar formation are eliminated.

It should be remembered that minimally invasive techniques cannot be used during exacerbation of the disease. In addition, various complications (paraproctitis, thrombosis, etc.) may serve as a contraindication to such procedures.

But radical surgical interventions (hemorrhoidectomy) are not prescribed during pregnancy. This is understandable, since such operations are performed under general anesthesia, which can negatively affect the development of the fetus.

The importance of proper diet

A carefully selected diet is one of the important nuances of complex therapy for hemorrhoidal disease. If you do not pay due attention to this aspect, the clinical picture will certainly return after some time with renewed vigor.

That is why it is necessary to remember the rules of nutrition for varicose anal veins.

1. Small meals are recommended to avoid constipation. Experts advise eating up to 6 times a day in small portions.
2. If you are prone to constipation, you need to increase the amount of cereals, fruits and vegetables that contain natural dietary fiber. The best varieties of cereals are buckwheat, pearl barley; the healthiest vegetables are beets, cucumbers, carrots.
3. Another option to combat constipation is to use bran from oats, rye and wheat. The daily volume of this product is approximately 60 grams. They are included in soups or porridge.
4. Meat products are allowed, but fatty meats must be avoided. The ideal option is boiled chicken, beef, veal, rabbit, etc.
5. You should also increase the amount of fermented milk products - low-fat kefir, cottage cheese, fermented baked milk. Kefir drink improves the functioning of the gastrointestinal tract.
6. To “turn on” the digestive tract, you need to drink a glass of boiled water for breakfast every day, and drink more clean water throughout the day.
7. It is necessary to give up harmful foods - strong tea drinks, fresh baked goods, fried foods, soda. They lead to flatulence and impair intestinal motility.

In parallel with optimizing your diet, you should increase (if possible) physical activity. A woman, in agreement with the doctor, can do certain exercises, exercises, swimming, etc.

As a conclusion

External hemorrhoids during pregnancy require complex treatment. That is, a pregnant woman needs not only to take medications, but also to review her diet and optimize physical activity.

The question of how and how to treat hemorrhoids during gestation should be addressed to a specialist. It is he who will select the safest and most effective drugs (ointments and tablets), establish the exact dosage and duration of the therapeutic course.

Watch a video about treating hemorrhoids during pregnancy.

Hemorrhoids are one of the most annoying side effects of pregnancy. And what’s even worse is that it’s not common to complain about it, unlike nausea and swollen legs! Fortunately, there are several simple and effective ways to treat hemorrhoids and, above all, prevent them from occurring in the first place. Just start with Step 1 below to find out how to cope.

Steps

Part 1

Find out the symptoms of hemorrhoids. Hemorrhoids are swollen blood vessels in the rectal area, accompanied by discomfort or pain. If you are brave enough to take the risk of looking at it, you will see that it looks like a bunch of grapes or small balls protruding from the anus. Hemorrhoids usually form during the first trimester of pregnancy or after the birth of a child. Its symptoms include:

• Anal itching.
• Anal pain, especially when sitting.
• Bright red blood in the stool.
• Pain during bowel movements, very painful lumps in the anus.

1. Find out the causes of hemorrhoids during pregnancy. Hemorrhoids are caused by increased blood pressure in the veins in the lower half of the body. Too much pressure in these veins can cause the blood vessels to swell or dilate, which manifest as hemorrhoids. Pregnant women are more likely to develop hemorrhoids for a variety of reasons:

   • As your pregnancy progresses, the growing uterus puts more and more pressure on the pelvic veins and the inferior vena cava (the large vein that receives blood from the lower part of the body). Blood flow from these veins slows down, which leads to increased pressure and, consequently, hemorrhoids.
   • Pregnant women are prone to experience constipation. When you strain to have a heavy bowel movement, you put excess pressure on the rectal area. This can lead to the formation of hemorrhoids or worsen existing ones.
   • Pregnant women also produce increased levels of a hormone known as progesterone. This hormone causes the walls of your blood vessels to reduce tension, causing them to swell, resulting in hemorrhoids. Progesterone also affects the digestive system, which again leads to constipation.

2. Consult your doctor to confirm the diagnosis. If you're still unsure whether you have hemorrhoids or are concerned about how they might affect your pregnancy, you should see your doctor. A doctor can diagnose hemorrhoids with a simple rectal examination.

   • However, other tests can be done to rule out other diagnoses. These include a stool test (indicating the presence of fresh blood in the stool), sigmoidoscopy, or anoscopy—both involve the use of a special device (anoscope or sigmoidoscope) to check for obstructions or malignancies that may mimic signs of hemorrhoids.

   Part 2

   Treatment of hemorrhoids during pregnancy

   1. Use brand name medications. There are a lot of patented creams for hemorrhoid relief. They help relieve the pain and itching caused by hemorrhoids, but do not treat the underlying problem.

      • Use hemorrhoid creams according to package directions. Never use them for more than a week because they can make inflammation worse.
      • Ask your doctor for a recommendation on the best cream. Two of the most common hemorrhoid creams are a corticosteroid, which helps reduce inflammation and pain, and a cream containing lidocaine, an anesthetic that helps numb the pain.

   2. Try sitz baths. A sitz bath is a small plastic basin that can be filled with water and attached to your toilet seat.

      • This involves immersing your anal area in warm water to soothe the pain or discomfort caused by hemorrhoids. Sit in the bath for 10-15 minutes once or twice a day.
      • The same result can be achieved while sitting in an ordinary bathtub filled with hot water. But many pregnant women prefer the simplicity and convenience of a sitz bath.

   3. Relieve constipation. If you want to relieve constipation, ask your doctor about a prescription for emollient laxatives.

      • Since hemorrhoids are caused by increased pressure on the veins near the anus, an emollient laxative helps reduce the pressure on these veins, thereby reducing pain.
      • Emollient laxatives come in the form of tablets, capsules, liquids or syrups, which are usually taken at night.

   4. Reduce itching. Scratching can make hemorrhoids worse by irritating the swelling or even causing bleeding in the area. To reduce itching, you need:

      • Wear cotton clothes. It won't irritate your hemorrhoids too much and will also allow your skin to breathe, which will speed up healing.
      • Do not use scented toilet paper. Avoid scented or colored toilet paper because it contains chemicals that irritate hemorrhoids. Plain, white, two-layer paper is best.
      • Keep yourself clean. Dry thoroughly after bowel movements to reduce problems - just be gentle, as moving too hard will increase irritation. Some women find that moistening the toilet paper with a little warm water helps. You can also buy medicated wipes (containing hemamelis) specifically for hemorrhoids.

   5. Use an ice pack. An ice pack or cold compress is applied directly to the hemorrhoids, soothing discomfort and reducing swelling. Apply a new, clean ice pack several times a day.

      Call your doctor if necessary. Contact your doctor if home treatment does not improve your condition. Dizziness and continuous bleeding are signs of blood loss. Seek help immediately.

   Part 3

   Prevention of hemorrhoids during pregnancy

   1. Prevent constipation. Constipation is the very first culprit of hemorrhoids. Therefore, by avoiding constipation, you can reduce the likelihood of hemorrhoids. To avoid constipation, you need to:

      • Drink enough fluids. Try to drink at least eight glasses of water a day, as well as healthy herbal teas, juices and smoothies
      • Eat more fruits, vegetables and whole grains with fiber. According to http:\\MedicineNet, the top five foods to reduce constipation include prunes, beans, kiwi, rye bread and pear.
      • By the way, to reduce constipation you need to eat chocolate, dairy products, bananas, red meat and caffeine.

   2. Don't strain yourself when going to the toilet. Straining can lead to the development of hemorrhoids, so try not to do this if possible.

      • If you cannot defecate easily, leave the toilet and try using it later.
      • On the other hand, if you really need to go to the toilet, don't wait to relieve your bowels, because holding in stool can also cause tension.
   3. • Remember that hemorrhoids are caused by tension, which in turn is caused by dehydration. During pregnancy and postpartum, the fluids you drink are critical to your hydration levels because your body needs the complex vitamins and minerals found in fluids to avoid dehydration. Orange juice, lemonade, and coconut water (available in the natural foods section of any grocery store) are the best liquids. If you can't get your hands on these drinks, add a squirt of lemon or lime juice to your water. Go other juices. Use Gatorade energy drink only as a last resort, as it does not have the right kind of electrolytes for pregnant women and is high in sugar.
      • If you still have a lot of discomfort when following your daily program consistently for a week, try soaking cotton balls in chilled witch hazel (available as an astringent in pharmacies) and applying it for 5 minutes at a time after each bowel movement, once you've dried off. . It is also on sale like Tucks, but much cheaper. Then repeat the steps above.

      Warnings

      • If there is no improvement after following all these methods for a week, consult your doctor. Your hemorrhoids may need more intensive treatment, such as a suppository, but only a doctor can prescribe the best treatment during pregnancy.
      • As always, if you have negative reactions to any of these steps, consult your doctor.