Hemorrhoids during pregnancy how to treat: drugs and alternative methods

Hemorrhoids are a problem that a large number of pregnant women face, especially if it is not their first pregnancy. Most often, the disease develops in those who have a pronounced group of cavernous bodies, functionally undeveloped connective tissues, or impaired nervous regulation of the venous walls. Fortunately, you can cope with the disease and not experience discomfort when carrying a baby.

Symptoms

There are many reasons why hemorrhoids make themselves felt during pregnancy. Not all of them are directly related to bearing a child. Often the main factor is overwork at work, a sedentary lifestyle, and too much physical activity.

In addition, women who consume a lot of spicy foods, are overweight, have an unhealthy diet, or regularly take laxatives are also at risk.

Often circulatory disorders and venous insufficiency lead to hemorrhoids. When the venous outflow is impaired, the cavernous bodies expand, which is an increased load on the muscles of the anorectal space, and they cannot withstand it. The nodules begin to be felt well under the skin, and then fall out.

All of these factors lead to the fact that the venous plexus is overflowing with blood. During pregnancy, this effect is enhanced as the uterus enlarges and begins to press on the intestines, provoking congestion where the portal vein is located. Symptoms may differ depending on the type of illness.

Table. Differences between types of hemorrhoids

Primary	Secondary
It occurs due to circumstances leading to stagnation in the portal vein (standing or sedentary working regime, obesity, pregnancy).	It occurs as a consequence of pathologies of the cardiovascular system, tumors of various localization, liver diseases.
During pregnancy, it manifests itself from the second trimester.	During pregnancy, it can begin as early as the first trimester.

During pregnancy, hemorrhoids are more likely to disturb those who give birth after 30 years. Women usually come in with complaints in the second or third trimester, since no symptoms were previously seen. In some cases, the presence of a hemorrhoid is noted by an obstetrician-gynecologist after the next examination of the patient on the chair. Often asymptomatic hemorrhoids reveals themselves as a sharp exacerbation when a woman feels sharp pain, itching and problems with defecation.

Often, pregnant women report to their doctor about the feeling of heaviness that accompanies them during the day and even that it seems as if there is some kind of foreign body in the rectum. Symptoms tend to increase with physical activity and after going to the toilet. During bowel movements, blood is released with feces, pain is felt.

The clinical picture is largely due to the stage of hemorrhoids, of which there are only four:

1. At the first stage, a woman begins to pay attention to the inconvenience and discomfort in the anus, complains of pain when using the toilet, blood on her underwear. If at this stage she turns to a proctologist, he may find an inflamed intestinal lining with a pronounced vascular pattern, as well as nodes that have not yet fallen out.
2. The second stage is accompanied by the loss of nodes, which occurs during bowel movements. This causes an itching sensation in the anus, radiating pain to the sacrum and lumbar spine.
3. The peak of the manifestation of symptoms falls on the third stage, when the nodes no longer return themselves, they have to be adjusted.
4. At the fourth stage, the reduction of the nodes is impossible, their loss provokes severe bleeding and thrombosis.

Tip: The sooner hemorrhoids are diagnosed during pregnancy, the easier it will be to deal with them in order to avoid complications during and after childbirth.

If a pregnant woman has already had hemorrhoids in the past, she is at risk. The point is that remission means that the external nodes are not bothersome. But at any time, an aggravation may occur with pain and blood clots.

Danger to carrying

Manifesting by the second half of pregnancy, hemorrhoids can be dangerous for bearing a baby. The pressure on the abdominal cavity increases significantly with the growing fetus, as the uterus becomes larger and larger. By the time of delivery, the size of the uterus is so large that it almost completely occupies the abdominal cavity. The rectum changes its location under its pressure, its veins and blood vessels are compressed, which causes severe blood congestion. If this is accompanied by a sedentary lifestyle or sedentary work, the development of hemorrhoids is inevitable.

Pregnancy makes the intestinal tissue especially susceptible to the work of nerve impulses. The uterus and intestines are supplied with a common innervation, which includes one nerve plexus. If the nerve plexuses react to something too intensely, the uterus begins to contract. In gynecology, this is called “uterine tone”. Thus, itching, pain and constipation with hemorrhoids can lead to the need to maintain the pregnancy and relieve the tone in the hospital.

When the time of labor and labor comes, the pressure on the abdominal cavity increases a hundredfold. This is especially true of the moment when the child passes through the birth canal and his head touches the walls of the small pelvis. At this moment, the veins and vessels located in the rectum are compressed. This stimulates an increase in the size of hemorrhoids due to stagnation of blood in them, their consistency becomes denser. When a woman in labor pushes, hemorrhoids fall out and become bluish. In the moments between attempts, knots may decrease. If the process of giving birth to a child is delayed, then the likelihood of complications of the disease up to thrombosis increases many times.

If untreated, the muscle apparatus located in the anorectal zone weakens. This leads to even more bulging of the hemorrhoidal nodules and their sagging. The situation has every chance to worsen even more during labor.

Pregnancy therapy

Often, expectant mothers, knowing that hemorrhoids are a common disease during pregnancy, ignore it. They do not go to the proctologist, do not administer therapy until the symptoms worsen and the pain becomes unbearable. As a result, treatment takes much more time and money, and there is a great risk that the disease will reappear after the birth of the child.

Timely access to a doctor is extremely important, especially when the ailment manifests itself before the second trimester - then there is a possibility that thrombosis will begin by the third, which is dangerous during labor.

Hemorrhoid therapy while expecting a baby involves the use of anal suppositories and creams that are applied to the anus. Doctors most often recommend:

• "Relief" is the most common drug for the fight against hemorrhoids. Its effect is based on the anti-inflammatory and hemostatic properties of shark liver, which is its component. With regular use, cracks heal faster, and overall immunity increases. It can also be used when hemorrhoids are accompanied by erosions and itching sensations. After surgical treatment of the disease, this drug is good as a pain reliever;
  

  "Relief"

• "Hepatrombin G" is a similar to the previous remedy that fights inflammatory processes and helps to avoid the formation of blood clots. With the help of suppositories and ointments with this name, they successfully heal both external and internal hemorrhoids, and also remove signs of eczema, cracks and itching in the anus;
  

  "Hepatrombin G"

• Anestezol is a common remedy that works against inflammatory processes and cracks in the rectum. Has an astringent, drying and anesthetic effect;
  

  "Anestezol"

• Proctoglyvenol is a topical preparation that contains lidocaine and tribenoside, which reduce inflammation and are tonics for veins. Itching, skin tightness, soreness disappear after the first few uses;
  

  "Procto-glivenol"

• "Ginkor Procto" is a medicine that helps even with an acute form of hemorrhoids. It can also be used before and after the surgical treatment of hemorrhoids;
  

  During pregnancy and lactation, the drug "Ginkor Procto" can only be used under the supervision of the attending physician, who will carefully weigh the possible risks and benefits and determine the regimen

• "Ultraproject" is a medication that fights thrombosis of inflamed veins. It can be used for proctitis and an abundance of cracks in the anus in pregnant women.
  

  "Ultraproject"

Despite the fact that the listed drugs are suitable for the treatment of hemorrhoids in women expecting a baby, a visit to a therapist and proctologist before starting therapy is mandatory. It is important to identify the stage of development of hemorrhoids and determine which concomitant symptoms need to be dealt with. Each remedy has its own mechanism of action.

Leading a healthy lifestyle also has a very big impact. This implies proper nutrition, due to which constipation does not form, as well as a sufficient amount of physical activity per day.

You also need to fix the chair. With a change in hormonal levels during pregnancy, the uterine tone decreases so that a woman can safely bear a child. Along with this, the tone of the rectum also decreases, so it becomes more difficult to remove feces. If the feces are too hard, then, accumulating in the rectum, it squeezes the veins and leads to injury to the skin. To solve the problem, you need to take mild laxatives that are not dangerous for pregnant women, or put candles with glycerin.

Risk of complications

Very often, pregnant women deny themselves treatment for fear of harming their unborn child. But you need to be aware that untreated hemorrhoids are also fraught with dangerous complications.

Discomfort and discomfort are not all that this ailment brings with it during pregnancy. It seems that painful acts of defecation, the occurrence of microcracks, frequent constipation are all that can occur with hemorrhoids. But this is not the case. The inflammatory process that began in the rectum, if untreated, will spread to other systems and organs of the body. Constipation leads to the accumulation of toxic substances that can negatively affect the child.

If left untreated, over time, due to hemorrhoids, the affected nodes can pinch. If this happens, then it will be possible to treat the pathology only by the method of surgical intervention.

When a pregnant woman is not examined and is not struggling with the problem of pinched hemorrhoids, they lead to a drop in hemoglobin and anemia, skin diseases - eczema, as well as ailments affecting the genitourinary system.

In order to prevent hemorrhoids from developing into more serious pathologies and complications, you need to consult a doctor in time.

Folk remedies

Folk remedies are preferred by pregnant women in the treatment of many diseases, including hemorrhoids. Their main advantage is a natural composition that ensures the safety of therapy for the fetus. You can use these methods from the moment the first symptoms of the disease appear.

Very good reviews about chamomile water. To prepare it, you need to take the flowers of this plant, add plantain (leaves) and dioecious nettle to them. It is necessary that these components of the collection be taken in equal shares. In this case, the herbs can be dried.

Then the herbs are crushed and filled with two liters of boiled hot water. In order for the broth to give the desired effect, it is insisted for several hours. You can leave it in a thermos for a day. After that, you will need to strain the resulting water to remove the remnants of the herbs.

You can use the product by diluting it with clean water for washing and taking a bath.

But gynecologists warn women who are expecting the birth of a child that baths with such a decoction can provoke an increased tone of the uterus. Therefore, while in the bath, you need to listen to your feelings and stop water procedures at the first unpleasant sensations in the lower abdomen.

Another tried and tested recipe includes potatoes. To prepare gruel from it, take 10-12 tubers and grate. Then a rag or cling film is taken. Potato gruel is laid out on them.

A woman should sit on a rag or film so that the grated potatoes are in good contact with the hemorrhoids that have come out. Every 15 minutes, the potatoes are changed to a new portion until all the gruel is gone. This should take about two hours in total. This method is especially effective at the first signs of hemorrhoids.

Video - Recommendations for hemorrhoids during pregnancy

The difficulty of curing most diseases depends on the timeliness of a visit to a doctor. This fully applies to hemorrhoids. If the disease manifests itself in a pregnant woman, she should inform her doctor as soon as possible.