Hemorrhoids are not uncommon in pregnant women. They get sick less than 8% of non-pregnant, more than 25% of pregnant women and almost 50% of those who have just given birth. At the same time, popular rumor believes that hemorrhoids are almost a normal condition of a pregnant woman, and therefore many women are in no hurry to tell the doctor about their problem. However, an advanced disease can cause a decrease in the amount of hemoglobin (anemia), such diseases of the musculoskeletal system as arthritis, chronic inflammatory processes of the genitourinary system. How is the treatment of hemorrhoids during pregnancy?
The severity of the disease depends on its degree and progression only complicates the treatment. So, if the first asymptomatic stages of hemorrhoids in pregnant women can be cured only by correcting the diet, regular exercise and hygienic regimen, then at the later stages a combined medical treatment, minimally invasive procedures, and even a real surgical operation are necessary.
Treatment of hemorrhoids in pregnancy at the initial 1st stage
Even if the woman is diagnosed with the initial degree of development of the disease, then she does not need medical treatment for hemorrhoids. At the early stage, the same methods as in prevention will be effective: getting rid of constipation using proper nutrition and hygiene of the anus.
This treatment is carried out at home and gives an excellent result. In addition, a pregnant woman, especially already on maternity leave, should not lie down and sit a lot. Must moderately active lifestyle: walking, gymnastics.
Treatment of hemorrhoids in pregnancy at the 2nd stage
At the 2nd stage of development of hemorrhoids can not do without drugs, which are used in a complex, that is, both outside and inside.
Outside most often used candles, ointments, gels, creams, which have anti-inflammatory, laxative, vasoconstrictor and analgesic properties. You cannot use them yourself, especially for a pregnant woman, therefore consultation and prescription is necessary.
Pregnant women are primarily treated with topical medications, since they do not adversely affect the fetus, which increases the effectiveness of treatment.
Candles for the treatment of hemorrhoids are made on the basis of cocoa butter or lanolin. Also, local anesthetics (novocaine, benzocaine, anesthesin) are added to their composition for rapid anesthesia.
To relieve inflammation, topically used glucocorticoid hormones – prednisone, which also reduces the burning sensation and itching. However, such drugs are contraindicated if there are fungal, viral and other infections of the rectum.
Rectal suppositories are inserted into the rectum after a bowel movement. The candle is introduced warm, lying on its side, holding it for a couple of minutes in the anal canal to dissolve. Ointment is applied after a hygienic shower with a thin layer 3-4 times a day.
Local drugs that contain heparin are widely used. They are especially preferred for thrombosis of hemorrhoids, but are contraindicated in violation of the blood coagulation system.
When the sphincter of the sphincter of the anus is used candles with diphenhydramine, and to accelerate healing using drugs shark liver, vitamin A, sea buckthorn oil.
In many medicines, basic hemorrhoid therapies are combined. So, astringent, anti-inflammatory components and anesthetic are included in the composition of ultraproct, anestezol, procto-glevenol. Hepatrombin G contains prednisone, anesthetic and heparin. Relief Advance contains shark liver oil and benzocaine anesthetic.
During pregnancy, some local remedies are still contraindicated. These are anuzol and bellatamine candles, which contain belladonna extract (belladonna). Their use can provoke an abortion.
Systemic drugs are prescribed in the form of capsules and tablets. More often, these are so-called vetotonics – agents that increase the tone and strengthen the vein wall. They are used in courses for 2-3 weeks. Detralex is considered the most effective.
Hemorrhoids are also treated with drugs from other pharmaceutical groups:
- Troxerutin (Troxevasin),
- pentoxifylline and even aspirin.
All these drugs are allowed to use during pregnancy. To facilitate bowel movements and reduce straining are used laxatives:
In pregnancy, the use of such laxatives as drugs is contraindicated:
These drugs can trigger an increase in uterine tone.
Treatment of hemorrhoids during pregnancy in the last stage of the disease is already carried out promptly. However, for a pregnant woman, the operation will be postponed until the childbirth, or rather, in another couple of months. Before that, drugs will be prescribed that will temporarily help reduce the onset of the disease and relieve pain symptoms.
Surgical treatment of hemorrhoids is prescribed only in cases where a woman already has a prolapse of hemorrhoids, which are already impossible to direct into the lumen of the rectum. Also, surgery is necessary in the presence of acute complications: its infringement, acute inflammation.
Emergency hospitalization is necessary for necrosis and pinching of hemorrhoids that have fallen out, and abundant bleeding. Such patients undergo minimally invasive (bloodless) surgery or hemorrhoidectomy (excision of the nodes).
The cost of such an operation in a paid clinic reaches 30 thousand rubles. It includes hospitalization for several days, the cost of disposable instruments for THD, anesthesia, standard examinations before the operation, medicines, and the operation itself. More gentle procedures are:
- sclerosing injections,
- laser coagulation and infrared photocoagulation.
Folk remedies for the treatment of hemorrhoids during pregnancy
There are such cases that medicines do not help or there is no opportunity to consult a doctor in time. Then you can try home treatment using folk methods.
Candle can be put by stringing it from raw potatoes. This candle is put on all night. Also, hemorrhoidal cones impose aspen leaves for a couple of hours.
Popular and tampons dipped in the juice of celandine, which lay in the anus and hold from 30 minutes to an hour. One of the most popular hemorrhoid medicines is sea buckthorn oil. You can buy it or make it yourself.
For treatment, use compresses of gauze soaked in oil, changing them 3-4 times a day and leaving overnight. You can also enhance the effect by consuming the oil inside. A tablespoon of oil on an empty stomach is taken half an hour before breakfast.
Prevention of hemorrhoids in pregnant women
This disease is much easier to prevent than to cure. And since all pregnant women are at risk of hemorrhoids, they need to take preventive measures throughout pregnancy without waiting for the onset of symptoms.
The first prevention measure is stool normalization. Pregnant women almost everywhere suffer from constipation, which lead to the development of hemorrhoids. Therefore, the elimination of constipation gives almost one hundred percent guarantee that a woman will not get hemorrhoids.
Constipation must be controlled with proper nutrition. In the diet should be a lot of products containing coarse fiber (cereals, fruits, vegetables, cereals, prunes). Fermented milk products also have a beneficial effect on the digestive process:
Foods rich in protein, primarily meat, as well as excess fat, flour, spicy seasonings, and coffee, lead to the development of constipation. It is also necessary to drink up to 1, 5 liters of raw water per day.
The second important factor in the prevention of hemorrhoids in pregnant women is timely hygienic care. The area of the anus and perineum must be washed after each act of defecation. In addition, sit-down trays with antiseptics will be useful once a day (a weak solution of potassium permanganate, chamomile infusion, and others). It is important for a pregnant woman not to strain during bowel movements and refuse to work for a long time in a sitting or standing position, and if there is no such possibility, you should take more breaks and change your body position.
Exercises for prevention
There is also a special therapeutic gymnastics, which is aimed at improving the tone of the muscles of the abdominal wall and anal area, improving the function of the large intestine, reducing stagnation in the pelvic veins. Two, and preferably three times a day for 5-7 minutes, it is necessary to do such exercises (of course, taking into account the state of health):
- swing movements alternately left and right foot back, forward, to the side;
- walking with high lifting bent at the knees;
- side slopes;
- squatting on socks with widely spread knees;
- tension of the buttocks, in which it is necessary to retract the anus (this position must be held for up to 10 seconds).
It is also recommended 2-3 times a day to lie on your back for 15 minutes with a raised pelvis, using a small pillow.
I found this crap after the third month. I immediately ran to the proctologist and he said that since she is pregnant, she can be treated only by conservative methods, and this is very long. Then I went to a paid clinic, where I was reassured that the stage was only an initial one and was advised that the candles (natalseed), harmless to the child, were advised and also taught classroom exercises! And I soon went on the amendment and in the end everything was completely cured.
I am a doctor advised candles Relief or Proktozan. And they really were just super. And in this case, be sure to refill the lump inside, then insert the candle into the already. True, before the birth I did not have time to cure him, he got out a week before the birth of the child. But right after the birth, I put up just a few candles and forgot about this hemorrhoids.