Hemorrhoids are a vascular disease that occurs due to stagnation of blood in the pelvic vessels. Therefore, if you have a lump, it’s too early to panic, you need to start treating it.
Symptoms of hemorrhoids after childbirth
Probably, every person can visually imagine what hemorrhoids look like after childbirth; the size of the bumps that are noticeable from the outside can be different. Sometimes during pregnancy it is asymptomatic, and only after the birth of the child begins to develop, causing the woman some inconvenience. This disease looks far from attractive, and besides, it causes discomfort. Its symptoms include the following:
- burning in the anal area;
- pain when going to the toilet;
- itching of the anus;
- sensation of a foreign object in the anus;
- sensation of rectal pressure.
As medical practice shows, these are harmless symptoms and if they occur, you should consult a doctor. Otherwise, there is a high probability of developing hemorrhoids, which is manifested by the following symptoms:
- bleeding from the anus;
- the appearance of cracks in the anus;
- sharp pain when going to the toilet.
As a rule, hemorrhoids after childbirth occur in an acute form. The answer to a question such as whether hemorrhoids always appear after childbirth can be answered in the negative. There are also women who do not experience this disease.
Can hemorrhoids go away on their own after childbirth or do they need to be treated?
Many people say that there is no need to treat hemorrhoids after childbirth, they will go away on their own. But in fact, this is a myth, and the disease will not go away on its own. Doctors use two types of treatment: conservative and surgical. The first type of treatment is the use of drugs, and the other type is surgery. Surgery is necessary when hemorrhoids become large and cannot be treated with medication.
As a rule, a lot of drugs have been identified for treatment, these can be:
- candles;
- ointments;
- pills.
Ointments and suppositories are effective in the first stages of the disease. Even if a woman has small nodes, they need treatment. You can also resort to traditional medicine in treatment (it is an additional direction). But you need to consult a doctor before using this or that method.
If a pregnant woman did not pay attention to protection from this disease in time, then it is necessary to consult a doctor to prescribe treatment at the first symptoms of the disease. It depends on his speed and methods how quickly he will pass.
But if you do not take any therapeutic measures, the disease will never go away. Many people are interested in the following question: “How long does it take for hemorrhoids to go away after the birth of a child?” The answer to this will be ambiguous; the duration of the disease depends on the treatment. If it is chosen correctly, then on the 2-3rd day its symptoms will begin to subside. And in about a week there will be no trace of the disease.
However, there are also cases where the disease did not go away even for 2 years with constant treatment of the woman. In fact, you need to engage in comprehensive treatment, reconsider your daily routine and diet.
But in most cases, the answer to the question of how long hemorrhoids last after childbirth looks like this - 7 days with proper treatment. Can the disease go away on its own? No, the disease will not go away on its own, it can only seem so to a woman after the symptoms of the disease subside.
Causes of hemorrhoids after childbirth
Many people believe that hemorrhoids come out only because of the process itself, during which you have to push. But in fact, this is a misconception; there are many reasons for its appearance. Of course, one of the factors in its appearance is that the woman pushes, trying to “push” the baby out with her muscles. Other factors in the development of the disease include the following:
- sedentary work;
- poor nutrition;
- heredity.
- sedentary lifestyle.
If a hemorrhoid comes out after childbirth, then most likely the mucous membrane was damaged during the birth of the child. As practice shows, in most cases hemorrhoids come out after the second birth, if the woman was tormented by this problem during the first birth.
It is worth noting that a person does not always know about the development of the disease; after all, it can be asymptomatic. Typically, people only start to notice it when the bumps come out.
According to Dr. Komarovsky, hemorrhoids after childbirth are a “normal” phenomenon that is easily treatable, although sometimes it looks incurable. Several treatment methods have been identified, but only a doctor can decide which of them will be effective for a particular case. When asked why it remained after childbirth or showed itself again, the doctor answers unequivocally - it’s all to blame for the changes in hormonal levels and the process of pushing during the birth of the child.
Prevention of ruptures and hemorrhoids during childbirth
As you know, constipation can cause hemorrhoids to appear. Therefore, to prevent it, you need to follow a diet rich in fiber. If you have it, then your diet should include the following foods:
- cereals;
- prunes;
- buckwheat grain;
- oatmeal;
- dairy products;
- barley porridge and others.
Even a woman who does not suffer from hemorrhoids should adhere to this diet, since this food will not harm the baby in any way, but will only bring benefits. In this case, you will have to refrain from the following dishes:
- strong tea;
- salty, smoked and fatty foods;
- chocolate;
- products enriched with animal fats;
- flour;
- spices;
- White bread;
- coffee;
- slimy soups.
To prevent the onset of illness after childbirth, maintaining proper nutrition will not be enough. Ways to prevent the disease are as follows:
- physical education;
- walks in the open air;
- swimming;
- daily washing with warm water and soap;
- refusal of toilet paper, it is better to replace it with wet wipes;
- refusal of tight underwear.
It is worth noting that prevention will be ineffective after childbirth; this should be done long before conception. How to avoid hemorrhoids will be described below. The first thing you need to start with is normalizing your stool, that is, eating right. You should have a bowel movement every day. To do this, you need to drink a glass of warm water every morning, and throughout the day eat foods that have a laxative effect. This can but:
- kefir;
- vegetables;
- yogurt;
- fruits.
In general, you need to drink as much fluid as possible throughout the day. It also happens that hemorrhoids appear a month after childbirth if the woman does not follow the recommendations described above.
If hemorrhoids appear after childbirth, the doctor may prescribe physical exercises aimed at strengthening the pelvic muscles. They are effective in both preventing and treating the disease.
One of the simplest and most effective exercises is the Kegle method, which involves squeezing and relaxing the muscles of the anus. First you need to pull the muscle into yourself, and after ten seconds relax.
To improve your condition, you need to move as much as possible. If hemorrhoids appear during childbirth, then you need to perform the following simple tasks:
- Lie on your back. Raise your pelvis and remain in this position for several seconds. Descend. Relax. Perform 10-20 approaches.
- Standing on all fours, arch and bend your back (cat). Do 30-40 approaches.
- Lie on your back and perform “Scissors.” Perform 20-30 approaches.
Important! Loads need to be gradually increased, adding 4-5 approaches every day.
It is worth remembering that if you have hemorrhoids after giving birth, you should not delay your visit to the doctor, since the disease does not disappear on its own. Many people are interested in the question: “How long does it take for hemorrhoids to go away after childbirth?” The answer to it was formulated above, but we should not forget about the individual characteristics of the body. More precisely, a doctor monitoring the patient’s condition can answer this question.
Hemorrhoids after childbirth - methods of treating the disease
Such a problem as hemorrhoids after childbirth or during pregnancy has been and remains relevant. This is confirmed by its wide discussion on forums of future and existing mothers.
What are hemorrhoids? What to do with it before and after childbirth? What are its symptoms? And is hemorrhoids possible after cesarean section?
Hemorrhoids are a disease of the venous system, which is manifested by nodular dilatation of the veins of the lower rectum. These expansions are hemorrhoids.
Causes of the disease
The development of hemorrhoids is associated with causes that cause stagnation and increased blood pressure in the vessels of the rectum:
- congenital features of the venous wall;
- lack of physical activity;
- systematic use of certain medications, for example, hormonal contraceptives;
- excess body weight;
- pregnancy;
- tendency to constipation.
Hemorrhoids after childbirth often “emerge” during pregnancy. This occurs due to increased intra-abdominal pressure and stagnation of blood in the pelvic vessels. During labor, the pressure on the venous walls sharply increases, which leads to the formation of hemorrhoids.
Note! Hemorrhoids can occur not only after natural childbirth, but also after cesarean section.
Depending on their location, cones can be external or internal. The external form of the disease differs in that the nodes are accessible for inspection. They look like small round formations the size of a pea to a cherry. Often the external nodes form a cluster in the form of a corolla around the anus.
With internal hemorrhoids, the lumps are located behind the anal sphincter. They cannot be seen, but often manifest as hemorrhoidal bleeding. As a result, posthemorrhagic anemia develops, which is dangerous during pregnancy and after childbirth. Other symptoms of the disease with the internal location of the nodes are also possible.
Clinical symptoms of hemorrhoids
Postpartum hemorrhoids can be acute or chronic. In this case, childbirth can be physiological or by caesarean section. The acute form develops suddenly, while the chronic form has a long and milder course.
The first symptoms of hemorrhoids after childbirth are itching, a feeling of heat and burning in the anus, which intensify during bowel movements. Due to injury to the mucous membrane from feces, intense pain also appears. But after stool it goes away.
The nodes increase in size over time, and as a result of inflammation they become red and swollen. Pain in the anus becomes constant, intensifying with movement and sitting. Severe swelling of the perineal tissue leads to spasm of the bladder sphincter and urinary retention.
Acute hemorrhoids can be complicated by necrosis of the tissue of the node, hemorrhoidal bleeding, the formation of cracks or inflammation of the tissues around the rectum - paraproctitis.
Chronic hemorrhoids after childbirth develop gradually, unnoticed by the patient. Periodically, after defecation, a burning and itching sensation is felt in the anal area, and there is a feeling of insufficient emptying of the rectum. Pain in the anus is intermittent and short-term. Bloody discharge from the rectum appears and gradually intensifies after stool.
During pregnancy, symptoms of the disease may be absent and appear only in the postpartum period. This is due to the fact that during childbirth the baby’s head compresses the vascular formations of the small pelvis. This causes acute disruption of venous outflow and increased pressure in the vessels of the rectum.
After childbirth, enlarged internal hemorrhoids periodically fall out of the rectum. This happens during bowel movements, and then the nodes go back on their own. Later, prolapse of nodes is observed during heavy lifting. But they no longer adjust themselves, but only with the help of their hands. In advanced cases of hemorrhoids, the cones do not go away at all, necrosis develops in them, or massive hemorrhoidal bleeding occurs.
Methods for diagnosing hemorrhoids
If the node comes out, diagnosis of the disease is simple and based on examination of the anus.
Externally, hemorrhoids after childbirth look typical - in the form of round formations resembling peas. To identify internal hemorrhoids, determine their number and size, a digital examination of the anus is performed.
In addition, sigmoidoscopy (endoscopic examination of the rectum) and irrigoscopy (x-ray examination with a contrast agent) are used to detect them.
Treatment of illness after childbirth
If symptoms of the disease appear, you should not wait for everything to go away on its own. Treatment must be started immediately to avoid complications. After all, inflammation of soft tissues and hemorrhoidal bleeding are dangerous during pregnancy and after childbirth.
Treatment of the disease should be comprehensive, including not only medications, but also diet, physical therapy and, possibly, some folk remedy.
Physical activity
To prevent venous stagnation in the pelvic vessels you need:
dose physical activity and heavy lifting;
walk in the fresh air every day, walking at a calm pace for at least 1.5-2 km;
regularly do special physical therapy exercises.
Note! A caesarean section should not limit a woman's physical activity. The more movements, the lower the risk of formation of adhesions in the pelvis.
Drug treatment
Drug treatment of hemorrhoids after childbirth consists of prescribing laxatives, venotonics, and agents that improve blood microcirculation.
Antihemorrhoidal ointments and suppositories are used as local treatment.
Treatment with folk remedies
Traditional medicine offers remedies for hemorrhoids for both external and internal use.
Topically used:
- medicinal enemas with a decoction of blueberries, cold water and tannin;
- sitz baths with a decoction of chestnut seeds and chamomile inflorescences, onion decoction and alum.
Disease prevention
It is necessary to know how to get rid of postpartum hemorrhoids, but this is not enough. After all, disease prevention is much more important. It is simple and should be practiced throughout pregnancy and then after childbirth if you want to prevent the knot from popping out.
First of all, prevention consists of an active lifestyle. Walking is mandatory and should be done daily. If you regularly do special exercises, you will strengthen the pelvic muscles and improve blood circulation in it. Avoid wearing tight clothing. And of course, follow a diet to ensure normal bowel function and prevent constipation.
- Try not to strain too hard during bowel movements.
- Maintain personal hygiene. After each bowel movement, wash the anal area with cool water and blot it with a napkin rather than rubbing it with a towel.
- For constipation, use a mild laxative.
- Eliminate brown bread, cabbage, and legumes from your diet, that is, foods that cause excessive gas formation. Limit the use of hot spices and seasonings.
- Include in your daily diet vegetables and fruits rich in pectin, lean meat and fish, honey, bread and baked goods made from wholemeal flour, bran, prunes and dried apricots.
And remember that hemorrhoids after childbirth and during pregnancy are not uncommon. But it can be avoided if you engage in prevention.
Very severe hemorrhoids after childbirth
Intimate health problems often bother women. The long-awaited process of giving birth to a child, although perceived by society as an extremely positive event, is, however, extremely ambiguous from a medical point of view. The process of childbirth is not only long, difficult and painful for the woman, but also carries the risk of injury and complications. Unfortunately, many women are faced with a situation where large, terrible hemorrhoids appear after childbirth. It is impossible to accurately predict at the stage of pregnancy whether such a disease will develop and what its severity will be. The formation of nodes can occur long before a woman’s pregnancy, and begin to progress into a serious pathological process during pregnancy due to compression of the pelvic venous network by the growing fetus. However, this process often occurs hidden during pregnancy. And during childbirth, with significant straining, large hemorrhoids are detected by both the doctor and the patient. When hemorrhoids become severely inflamed after childbirth, a woman begins to experience significant difficulties and great discomfort in a difficult time.
Causes of severe hemorrhoids after childbirth
The venous network that surrounds the rectum changes pathologically under the influence of a number of factors, which leads to the formation of large hemorrhoids. In general, we can identify the following main reasons for the development of severe hemorrhoids in women:
- Weakness of the venous wall and predisposition to varicose veins (including hemorrhoids).
- Heart failure of the right ventricular type (including those caused by heart defects).
- Portal hypertension is an increase in pressure in the portal vein of the liver.
- Long-term chronic constipation, due to errors in diet, gastrointestinal pathology.
The process of childbirth only aggravates this pathological process. This is why severe hemorrhoids appear after childbirth. It occurs for the following reasons:
- Weakening and stretching of the pelvic day muscles during childbirth during pushing.
- The fetus is too large, which leads to severe stretching and injury to the perineum.
- Thrombosis of the venous network of the pelvis during pregnancy or occurring in the postpartum period.
Thus, severe huge hemorrhoids after childbirth occur in women who have such a disease before pregnancy, or are a consequence of thrombosis of the hemorrhoidal veins, including as a result of trauma to the pelvic floor muscles. In this case, severe hemorrhoids do not go away after childbirth, even with the use of all conservative methods.
Signs of severe hemorrhoids after childbirth
Symptoms of severe hemorrhoids after childbirth include the following:
- Intense pain and severe discomfort in the anus, both at rest and during exercise, during the act of defecation. Any trip to the toilet becomes a big problem precisely because of the knot that came out due to straining.
- The presence of large hemorrhoids, which are palpated independently by the patient, tend not to be reduced, and are of significant size.
- The appearance of traces of scarlet blood in the stool. If such bleeding does not go away, the risk of anemia and other pathological processes increases.
- When a large hemorrhoid becomes inflamed, it becomes extremely painful and hot to the touch.
If a woman independently detects a disease during the postpartum period, she should inform the doctor as soon as possible. This is due to the fact that severe prolapse of hemorrhoids may also be accompanied by prolapse and damage to the rectal mucosa, as well as undiagnosed perineal tears. Delays in treating this problem also do not go away without leaving a trace. With a strong inflammatory process, which can occur and accompany large hemorrhoids in the postpartum period, the woman in labor also experiences increased body temperature, weakness, and chills.
What to do if severe hemorrhoids occur after childbirth?
When huge hemorrhoids occur, the attending physician should indicate what a woman should do first. This process usually rarely goes away on its own. In such a situation, self-medication, the use of traditional medicine, etc. are unacceptable. In addition to an obstetrician-gynecologist, consultation with a surgeon and proctologist is also necessary to decide on the type of surgical intervention to eliminate the disease. If a woman has huge hemorrhoids after childbirth and it hurts, causing severe discomfort, the doctor may prescribe painkillers and anti-inflammatory drugs. However, when taking such medications, it is strongly recommended to stop breastfeeding, since there is a huge risk of negative effects of the drugs on the newborn. Therefore, the most optimal solution to this problem is to remove large hemorrhoids surgically or using sclerotherapy, as soon as the mother’s condition allows it.
Surgery can achieve stable remission of the disease, which will allow a woman to get rid of such an unpleasant complication arising from childbirth, such as severe hemorrhoids with huge nodes. In the postoperative period, the probable cause of the development of the pathological process is also corrected - the patient’s nutrition is normalized, heart failure (if any) and venous tone are corrected.
What to do if hemorrhoids come out before childbirth?
Physiological changes that occur during pregnancy often cause the development of hemorrhoids. The disease is asymptomatic during pregnancy, but can worsen during childbirth, so it is very important to get rid of hemorrhoids before childbirth.
Causes of the occurrence and development of hemorrhoids in pregnant women
Hemorrhoids are a vascular disease associated with stagnation of blood in the pelvic vessels. The disease develops mainly in people who lead a sedentary lifestyle, or do not watch their diet and are prone to frequent constipation.
However, expectant mothers can also suffer from hemorrhoids. Exacerbation of hemorrhoids before childbirth is especially dangerous for those pregnant women who have previously encountered this problem.
Carrying a child is a difficult physical activity for the female body. Therefore, throughout pregnancy, the expectant mother should take care of her health. You need to be especially careful after the 30th week of pregnancy and at the first symptoms of hemorrhoids, consult a specialist: although the disease does not interfere with the natural process of childbirth, you should not allow it to worsen. If hemorrhoids appear before childbirth, you should know that hemorrhoids increase the pain of the birth process. In addition, when pushing, rupture of hemorrhoids is possible, which is fraught with large blood loss.
There are several causes of hemorrhoids in pregnant women:
- Changes in hormonal levels - the level of progesterone in a woman’s blood increases, as a result of which the tone of the pelvic vessels decreases, the walls lose elasticity, relax and stretch more easily.
- Constipation, which is also caused by progesterone, which negatively affects intestinal motility. The stool hardens, the pregnant woman has to push, and the hemorrhoids increase in size. If a pregnant woman suffered from hemorrhoids before giving birth, then constipation during pregnancy is fraught with an exacerbation of the disease.
- Enlarged uterus. As the fetus grows, the uterus stretches and descends into the pelvis, pinching the veins and intestines. The consequence is deterioration of venous blood flow and hemorrhoids.
To prevent hemorrhoids, the expectant mother needs to move a lot, engage in physical therapy and perform special exercises to prevent disruption of blood flow in the pelvis.
A timely visit to a specialist will help eliminate the problem and prevent exacerbation of hemorrhoids both before or during childbirth, and in the postpartum period.
Symptoms of hemorrhoidal disease
At the initial stage of hemorrhoids, it is quite difficult to recognize the problem - the development is almost asymptomatic. However, by 31-38 weeks, a pregnant woman feels some discomfort in the anal area, there is a feeling of pressure, a sensation of a foreign body in the rectum, pain, burning and itching appears. The pain intensifies after defecation, especially if the expectant mother suffers from constipation.
The closer the date of birth, the more pronounced the symptoms of the disease. Hemorrhoids increase in size, and external nodes may fall out during bowel movements, which is accompanied by severe pain.
Detection of bloody discharge after defecation is a fairly good reason to immediately consult a doctor. This is a sign of damage to the hemorrhoids, which can lead to serious consequences if not treated promptly.
How to treat hemorrhoids before childbirth?
When the expectant mother discovers the first signs of hemorrhoids, she wonders: what to do? Note that there is no reason to panic. Current pharmacological companies provide a whole range of natural-based medications that are absolutely safe for the body of mother and child during pregnancy. To correctly diagnose the disease, the doctor will not only perform a visual examination, but will also prescribe some additional tests. After undergoing an examination and consulting with a doctor, you can choose the safest and most effective remedy that will help you quickly and effectively cure hemorrhoids before childbirth.
Treatment of hemorrhoids before childbirth is carried out in several directions at once:
- normalization of stool;
- elimination of the inflammatory process using medication;
- as an auxiliary therapy - the use of folk remedies.
Normalization of stool
To eliminate constipation and normalize stool in case of hemorrhoids, the doctor will prescribe a special diet. Your daily diet should include:
- seaweed;
- a large amount of plant fiber;
- vegetables;
- fruits;
- dairy products;
- low-fat varieties of fish and meat;
- wholemeal bread;
- at least two liters of water.
To prevent gas formation, legumes, cabbage, and rye bread are excluded from consumption.
- coffee;
- Sahara;
- mayonnaise;
- fatty, pickled, fried foods;
- smoked meats;
- canned food;
- products made from premium flour.
You can use laxatives or oil enemas.
Drug treatment method
Hemorrhoids before childbirth can be treated with non-toxic ointments that are safe for both the expectant mother and the child. Rectal suppositories for hemorrhoids and lotions are also used. The purpose of using the drugs is to eliminate the source of inflammation, relieve pain and reduce hemorrhoids.
The following products have an effective effect:
- Relief ointment;
- Vishnevsky ointment;
- ichthyol ointment;
- heparin ointment;
- Neo-Anuzol suppositories;
- suppositories and ointment Gepatrombin G.
External hemorrhoids are treated faster and more effectively than internal hemorrhoids. It is easier to apply medicinal ointments and lotions to externally located hemorrhoids.
For the treatment of internal hemorrhoids, rectal suppositories are effective, known under the same names as ointments: Relief, Gepatrombin B, Natalsid. Suppositories have an anti-inflammatory, analgesic effect, reduce bleeding, and regenerate tissue. Suppositories containing sea buckthorn oil, which has an immunomodulatory effect, are also very effective.
When treating hemorrhoids during pregnancy, oral medications are not prescribed.
ethnoscience
How to quickly cure hemorrhoids before childbirth using traditional medicine recipes? Let's look at the most effective recipes.
In the treatment of external hemorrhoids during pregnancy, an alternative to many medications are effective folk remedies that our grandmothers have long used. The treatment is safe for both the expectant mother and the child.
- Hemorrhoids are perfectly healed with rowan juice or drupe juice, which should be washed down with water. The only contraindication is an allergy to these berries.
- One of the effective ways to treat hemorrhoids before childbirth is sea buckthorn oil, which can be used as a lotion. You can even simply lubricate the inflamed area near the anus with it. A medicinal ointment is also prepared from sea buckthorn oil: it is mixed with a small amount of honey and butter. The ointment can also be used to treat internal hemorrhoids as rectal suppositories. The formed candles are stored in the refrigerator.
- At home, without much difficulty, you can prepare candles for hemorrhoids from raw potatoes. You can also wipe raw potatoes and apply the pulp as a lotion to the anus several times a day. Potato juice relieves inflammation and eliminates burning sensation. As a rectal suppository, potatoes help soothe the rectal lining.
- A decoction of viburnum is very useful, helping to relieve pain from hemorrhoids. The product can be used as compresses or lotions. Viburnum has the property of healing and restoring the skin.
- Compress with freshly grated beets or carrots. The compress soothes swollen hemorrhoids, helps relieve pain and burning sensation. Freshly squeezed juice from these vegetables is also effective in treating hemorrhoids.
- Inflamed hemorrhoids can be lubricated with cocoa butter. The tannin it contains has wound healing and restorative properties.
- You can use medicinal plants such as:
- Oak bark;
- chamomile;
- sage;
- yarrow,
decoctions and infusions of which are used to apply compresses. Infusions of onion peels and chestnut fruits are also used.
Sitz baths, popular in the treatment of hemorrhoids, are contraindicated during pregnancy!
And to use an enema, you need to take into account several factors: the duration and course of pregnancy, the stage of hemorrhoids.
If the condition of a pregnant woman allows an enema, you need to remember that the procedure does not solve the problem of the formation of hemorrhoids, but only makes the patient feel better for a while. The procedure is performed no more than once a week, as it can cause uterine contractions and premature birth. An enema is not prescribed for pregnant women with a toned uterus.
The following components are considered as preventive measures against the development of hemorrhoids:
- a balanced diet throughout pregnancy;
- hygiene of the anal area;
- special physical exercises.
An important component of hemorrhoid prevention is hygiene of the anal area and anus. After each bowel movement, you must wash yourself with cold water. Inflammation of the perineum can be eliminated by washing with decoctions of calendula or chamomile.
Daily simple exercises for pregnant women and walking in the fresh air are also an excellent preventive measure.
Taking care of your own health and observing all preventive measures is the key to combating the occurrence and development of hemorrhoids before childbirth.
Hemorrhoids appeared before childbirth, what should I do?
Pregnancy and subsequent childbirth always lead to certain changes in a woman’s body. Many chronic diseases worsen during this period. Hemorrhoids also include hemorrhoids - they may appear for the first time, or they may worsen if they existed before. The gestational period itself, as well as the immediate prenatal period, is accompanied by various changes in the female body. This is the reason why hemorrhoids appear before childbirth. Knowing these factors, you can easily influence them using pharmacological and non-pharmacological methods:
- Hormonal changes. During the entire nine months of pregnancy, progesterone dominates in the female body. And before childbirth, its concentration increases even more. This hormone has a specific effect on the muscles of the rectal region and blood vessels - the cavernous nodes increase and begin to fall out.
- Changes in intrapelvic pressure. The uterus, enlarged many times, with the fetus in it, changes the amount of pressure in the pelvic cavity. As a result, the nodes swell and fall, extending beyond the rectum. After childbirth everything is the same.
- Lifestyle changes. A pregnant woman is forced to lead a lifestyle that contributes to the exacerbation of chronic hemorrhoids. This includes limiting physical activity and changing your diet.
All these reasons occur in combination - this aggravates the course of the disease.
Non-drug treatment of hemorrhoids before childbirth
What to do if hemorrhoids come out before giving birth? Naturally, it is undesirable for a woman to take excessive medications before giving birth. Therefore, if the disease manifests itself insignificantly, it is worth trying to get rid of it with non-drug methods.
The first thing that can and should be done is to adjust your diet. A woman does not need to limit herself in food before giving birth. It is necessary to revise the diet so that the majority of it consists of healthy foods. Food should help improve bowel function and prevent constipation.
What to do with food? To do this, the diet includes fruits and vegetables, wholemeal bread, and cereals rich in fiber.
Don't forget about physical activity. There are special sets of gymnastic exercises for pregnant women. Some of them are specifically aimed at eliminating varicose veins in the rectal area. They can be done throughout pregnancy. Walking is also useful.
Among the methods of traditional medicine, it is quite possible to use lotions from grated potatoes on the area of hemorrhoids.
If these methods do not help and the disease progresses, you should consult a specialist. He will select the necessary medications against hemorrhoids before childbirth.
Drug treatment of hemorrhoids before childbirth
Pregnant women are allowed to use suppositories and ointments.
Sea buckthorn and methyluracil suppositories promote healing of the wound surface of hemorrhoids and reduce the inflammatory process. Use rectally, one suppository per day.
Suppositories and hemorrhoid cream Relief, Relief Advance and Relief Ultra have anti-inflammatory and analgesic effects. The content of phenylephrine helps to spasm blood vessels and reduce bleeding of nodes.
Procto-Glivenol - suppositories with analgesic and anti-inflammatory effects. Approved for use only in the third trimester of pregnancy, as well as after childbirth.
Tablet forms of medications for hemorrhoids are not recommended before childbirth. They can only be used after childbirth, and if the woman is not breastfeeding.
Prevention of hemorrhoids before childbirth
To prevent the development of the disease before childbirth, a woman should pay great attention to prevention from the very beginning of pregnancy. Even if she has never been bothered by this disease, pregnancy can cause hemorrhoids.
This will worsen the woman’s well-being and complicate the birth process. To prevent this from happening, preventive methods are used.
Throughout pregnancy, it is necessary to adhere to a healthy diet aimed at preventing constipation. The diet should include vegetables and fruits rich in fiber and rutin. Food should be enriched with vitamins and proteins - this is aimed at strengthening the vascular wall and preventing the development of hemorrhoids.
It is very useful to perform special gymnastic exercises before childbirth to prevent hemorrhoids. They can be performed locally - this is squeezing and unclenching the sphincter of the rectum. There are also general gymnastic exercises that help normalize intrapelvic and intra-abdominal pressure and strengthen the muscles of the perineum.
If at the end of pregnancy, before or after childbirth, a hemorrhoidal node comes out, you cannot delay treatment. If in a normal state a woman can suffer this disease and recover on her own, then during pregnancy it can be more severe and complicate the process of giving birth to a child.
More than half of women who give birth suffer from hemorrhoidal disease. The main signs of hemorrhoids are bleeding, external nodes, fimbriae. The internal nodes are characterized by scarlet blood. The frequency and intensity of bleeding varies. Bloody discharge may be scanty. Sometimes the blood drips and even flows in streams. With prolonged bleeding, obvious signs of anemia appear:
- nausea;
- weakness;
- low pressure;
- dizziness.
Blood-filled hemorrhoids periodically fall out. Their pinching and thrombosis are accompanied by severe pain. In the area of the anus, compactions (infiltrates) of a round shape are determined; they do not have a bluish-purple color. If the node is not corrected in time, it becomes necrotic, ruptures and bleeds.
Other diseases, including cancer, can cause intestinal bleeding. Therefore, you need to consult a doctor and undergo a thorough examination.
If treatment is delayed
Hemorrhoids are a delicate disease. Women, instead of turning to a proctologist, try to treat postpartum hemorrhoids on their own. But folk remedies and medications can temporarily alleviate the patient’s condition and significantly worsen the symptoms of hemorrhoids after childbirth. Complications of the disease:
- weakening of the ligamentous apparatus;
- paraproctitis – inflammation of the tissue around the rectum;
- cracks in the rectal mucosa;
- adhesions;
- perirectal fistulas requiring surgical intervention.
After childbirth, hemorrhoids are added to the symptoms of inflammation of the nodes with the formation of perineal ulcers. The pain becomes constant and the temperature rises. A serious complication may develop - sepsis.
Attack on constipation
One of the reasons for the exacerbation or appearance of hemorrhoidal disease after the birth of a child is persistent constipation. Women, due to labor pains, are afraid of additional painful sensations during bowel movements. How to get rid of hemorrhoids after childbirth and establish painless stool?
You need to start with nutrition, which is an integral part of the treatment of postpartum hemorrhoids in the maternity hospital and at home. A woman’s daily diet includes:
- dairy products;
- foods rich in plant fiber - raw vegetables and fruits, herbs;
- vegetable oils;
- natural juices with pulp.
Raisins, dried apricots, and figs also contain plant fiber and are recommended for constipation. Pears, on the contrary, are rich in tannins; when consumed in large quantities, they make it difficult to empty the intestines of feces.
A valuable dietary product is bran - the hard shell of cereals, containing an abundance of dietary fiber and fiber. To prepare a dish for constipation, just stir 2 - 3 tablespoons of wheat bran in a glass of kefir or light yogurt. After childbirth, preference is given to wholemeal bread. The more bran contained in baked goods, the better bowel movements will be. What you should temporarily avoid:
- chocolate, cocoa, strong coffee;
- baked goods made from premium and first grade flour - cakes, pastries, buns, pies, pancakes;
- pasta;
- solid fats;
- fatty meat, sausages, frankfurters;
- any alcohol.
Having gotten rid of constipation without medication, a woman will be able to calmly breastfeed her newborn and use the toilet without fear of impending pain.
Toilet without pain
If the diet did not help, how to go to the toilet after childbirth without severe pain? You'll have to resort to medications. In order for bowel movements to be painless, the stool must be soft. To do this, you need to drink a lot and take mild laxatives. Doctors recommend:
- Duphalac 30-40 ml in the morning daily before meals;
- Forlax is a laxative powder with a flavored additive, not absorbed in the intestines;
- one-time quick-acting microenema Microlax (15 minutes);
- Mucofalk is a plant-based laxative;
- suppositories with papaverine relieve spasms;
- Relief-Advance suppositories relieve pain and weaken.
The proposed products are safe and non-addictive. Contains harmless or natural ingredients. Can be used after childbirth while breastfeeding.
Proctosedyl suppositories are suitable for women who are not breastfeeding. They include the glucocorticosteroid hydrocortisone, the antibacterial drug flamycetin, and the anticoagulant heparin. Suppositories relieve pain, relieve inflammation and swelling of tissues.
The composition of Aurobin ointment also includes the corticosteroid prednisolone, the anesthetic lidocaine, and B vitamins. The product is freely absorbed into the blood, so after childbirth, treating hemorrhoids with ointment while breastfeeding is contraindicated.
Hemorrhoids after childbirth treatment begins directly in the maternity hospital. The woman in labor is carefully adjusted to remove the scars that have fallen out. Prescribed:
- warm baths with potassium permanganate;
- antiseptic lotions with furatsilin solution;
- pain-relieving lotions with 0.5% novocaine;
- absorbable compresses with Vishnevsky ointment.
For thrombosis of hemorrhoids, suppositories and ointments with heparin, the enzyme preparation chymitrypsin, and UHF are indicated. How to treat hemorrhoids after childbirth with persistent bleeding? Tamponade of the bleeding node with a gelatin self-absorbing sponge "Spongostan" is applied locally. Its volume can increase 45 times. Therefore, the sponge is successfully used for heavy hemorrhoidal bleeding. How else to treat hemorrhoids? To achieve a quick effect, general hemostatic drugs are administered intravenously:
- Vikasol in ampoules;
- Calcium chloride 10%;
- Aminocaproic acid 5%;
- Dicynon, its analogues Etamzilat, Etamzilat-Ferein, etc.
You can get rid of minor bleeding by taking a course of tablets of the hemostatic agents listed above - vikasol 15 mg, dicinone, etamsylate, Proctonis capsules. The latter drug can be used during breastfeeding, as it contains natural components that are safe for the baby:
- buckthorn herb is a laxative;
- Cassia acufolia - a laxative herb;
- shark cartilage powder;
- yarrow herb is a hemostatic agent;
- vitamins “A”, “E”.
The remedy for hemorrhoids after childbirth "Proctonix" weakens, helps get rid of constipation, eliminates swelling, spasms and inflammation of tissues. A cream with the same name includes about a dozen natural ingredients. Apply directly to problem areas. Relieves pain, swelling, burning and inflammation, heals small wounds.
Surgery is a radical treatment for hemorrhoids after childbirth. They resort to it when diet, exercise therapy, regimen and conservative therapy have not helped. The absolute indications for surgery are:
- constant loss of nodes;
- heavy bleeding;
- anemia due to bleeding.
The classic method for removing internal and external nodes remains the improved Miligan-Morgan hemorrhoidectomy. The operation is quite traumatic and is performed under general anesthesia. Epidural anesthesia may be used for pain relief. In this case, an anesthetic is injected into the epidural space of the spine, after which the part of the body below the lower back loses sensation. Cavernous bodies are excised in a certain sequence. First, the node whose position corresponds to 3 o’clock on the dial is removed, then 7 and 11.
Proctologists now have more gentle methods at their disposal that make it possible to effectively treat hemorrhoids after childbirth and reduce the time of hospital stay. The last fact is decisive for nursing mothers. At the initial stage of the disease, endosurgical operation can be performed to disarterize internal hemorrhoids.
What is its essence? Blood is delivered to the corpora cavernosa by arteries. They are located and bandaged using one small device. After bandaging, blood does not flow to the hemorrhoids, and they collapse. Other surgical treatments for postpartum hemorrhoids:
- cryosurgery - deep freezing of hemorrhoids with subsequent tissue necrosis, is rarely used;
- sclerotherapy - the introduction of a sclerosing substance into the node, causing a weak inflammatory reaction that destroys the node;
- ligation (node ligation);
- laser coagulation of nodes - the method is based on the ability of a laser beam to coagulate tissue by cauterization, leaving a small scar;
- infrared coagulation - carried out by a coagulator apparatus that emits infrared waves, which are converted in the node into thermal coagulating energy.
How to treat operable hemorrhoids after childbirth? Relatively recently, the operation of removing hemorrhoids using a disposable Longo device began to be used in Russia. It is less traumatic than hemorrhoidectomy, and hemorrhoids can be treated under local anesthesia. Hemorrhoids are not removed; only part of the rectal mucosa is excised. The nodes themselves are pulled up and fixed.
Carrying a child and giving birth in most cases lead to an exacerbation of various diseases that a woman has. Problems of the body’s venous system are no exception. The question of how to get rid of hemorrhoids after childbirth worries up to 60% of young mothers. A quarter of all women in labor complain of problems with the veins of the anus, and more than 40% of women note various abnormal sensations in the rectum in the first week after the baby is born. What should young mothers do?
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What you need to know about hemorrhoids
Medical workers distinguish two forms of this disease. In 80% of cases, patients are diagnosed with chronic hemorrhoids. The onset of the disease usually occurs with virtually no symptoms and often does not cause the woman any inconvenience. Over time and in the absence of appropriate treatment, the disease can progress.
Experts usually distinguish the following stages:
| Disease stage | Main characteristics |
| initial stage | The initial phase of hemorrhoids is characterized by the release of 3 - 5 drops of scarlet blood in a woman’s stool when visiting the toilet. During palpation, nodes are almost impossible to detect. |
| Second stage |
The transition of the pathological process to the second stage is usually judged by the emergence of hemorrhoids during defecation. After a short time, the inflamed areas of the vein are automatically retracted back. |
| Third stage |
If hemorrhoids are so severe that the prolapsed nodes do not retract back on their own, fresh blood is present in the stool, experts diagnose the transition of the process to the third stage. |
Acute hemorrhoids are almost always a complication of chronic ones and are manifested by the presence of inflammation in the venous nodes and severe pain in the anal area. The process of pinching the venous nodes leads to disruption of tissue trophism in the perineal area.
The development of pathology usually goes through three main stages. Initially, infringement of the venous plexus develops based on the presence of inflammatory symptoms, and pain is a consequence of irritation of the nerve endings of the walls of the hemorrhoids. You can hear complaints from patients about a feeling of discomfort and increased temperature in the anus.
If the disease is complicated by inflammation of the strangulated nodes, then in addition to painful sensations in the rectal area, a picture of general intoxication of the body also appears. The woman’s health deteriorates, her body temperature rises, and sharp swelling and hyperemia are noted at the site of prolapsed hemorrhoids.
If necrosis of the venous nodes occurs, urgent assistance from a surgeon is required, since the pathological process can spread to the entire area of the perineum and pelvis, causing serious complications that require surgical treatment and subsequent long-term drug rehabilitation.
Hemorrhoids after childbirth: causes
Experts regard hemorrhoids as a general disease of the venous system, in which the nodal areas of the rectal veins become overfilled with blood, come out and become inflamed. One of the factors leading to such a pathology is pregnancy and childbirth.
A woman may have a history of various diseases of the intestine and its excretory section long before pregnancy and childbirth. For example, various pathologies of the venous nodes are often caused by the use of hormone-based contraceptives for a long period of time. Pregnancy only aggravates disorders of the vascular system of the pelvis and rectum.
With the development of the fetus in a woman’s body, there is a sharp increase in pressure in the abdominal cavity, as a result of which the blood flow in the veins of the rectum and pelvic organs slows down.
The presence of such physiological disorders in women is also facilitated by:
- frequent constipation during pregnancy;
- excessive weight gain;
- weak physical activity of the expectant mother.
The process of childbirth itself continues to worsen the condition of blood vessels and contributes to the development of hemorrhoids in the early postpartum period. During pushing, a woman’s venous pressure increases in all parts; the vessels of the small pelvis and rectum are no exception. This process leads to the formation of hemorrhoids and their partial prolapse.
Experts have calculated that performing a cesarean section reduces the likelihood of hemorrhoids after childbirth by 15 - 20%, but the possibility of inflammation of the nodes in the anus remains high. Postpartum hemorrhoids remain a big problem for obstetricians, gynecologists and surgeons.
Symptoms of strangulation and inflammation of the venous nodes in the postpartum period
Most often, while carrying a child, a woman is practically not bothered by inflammation in the rectal area. As the baby's body moves through the birth canal, the pelvic vascular system is compressed, which leads to an increase in arterial and venous pressure in the intestinal blood supply. The venous outflow of blood is critically impaired. All this causes the formation of hemorrhoids.
After the end of the period of childbirth, the formations periodically fall out of the rectum; in mild cases of the disease, the woman manages to reset them independently using her hands. If you do not pay attention to this problem and do not seek help from a specialist, inflammation of the hemorrhoids may occur.
In the rectal area, the young mother will feel a burning sensation, soreness and discomfort. Since in the first days of lactation a woman’s body begins to produce new hormones and the effect of old ones decreases, a problem with the gastrointestinal tract arises, in particular constipation.
Abnormal bowel movements lead to the development of an inflammatory process in the hemorrhoids themselves, and bleeding appears from rectal fissures and strangulated venous nodes.
Pain in the rectal area begins to become constant, the mucous membrane swells, and this in turn makes the process of defecation and urination even more difficult. In 60 - 70% of cases, a young mother after childbirth experiences a transition from a chronic process in the rectum to acute hemorrhoids, which is a consequence of a crisis in the functions of the rectum during pregnancy. This pathological process usually has a mild course; copious bleeding and severe pain in the anus are not typical in this situation.
If timely appropriate treatment is not carried out, the process may develop into acute hemorrhoids. In this case, necrosis of the hemorrhoids may occur, the pathology may transfer to the perineal tissue and the development of acute paraproctitis. These problems can directly threaten the health and life of a woman and require long-term treatment.
Diagnosis of this disease is quite simple. Most hemorrhoids can be observed in the area where the rectum exits, where they are accessible to palpation. If a woman develops internal hemorrhoids after childbirth, there are special instrumental methods to diagnose this process. It is possible to perform sigmoidoscopy and irrigoscopy.
This examination is practically painless, is available to all mothers and does not require stopping breastfeeding during the period of rectal examination.
Treatment of hemorrhoids after childbirth
When asked by women whether it is possible to get rid of hemorrhoids after childbirth, experts answer in the affirmative. The main problem in the treatment of this pathology is that not all medications are allowed to be taken during lactation.
- This includes suppositories with sea buckthorn oil, which promote rapid regeneration of the rectal mucosa.
- A good effect has been proven when using “Posterizan” ointments and suppositories for hemorrhoids. The E. coli contained in this drug actively affects the flora of the rectum and accelerates recovery.
- Most hemorrhoid treatment specialists recommend Relief and Relief Advance suppositories and ointments to their patients. These products are based on cocoa butter, are absolutely safe for the baby and give excellent results in the conservative treatment of chronic inflammation of the venous nodes of the rectum.
- To relieve swelling, the use of Hepatrombin ointment is indicated. This medicinal substance acts on the walls of blood vessels, as a result of which the swelling completely disappears, and dense blood clots do not form in this section of the vein.
Surgery for this pathology is required only as a last resort - in the presence of purulent inflammation in the perineal area. In surgery, the method of planned operations to remove hemorrhoids is practiced, however, during the period after childbirth and breastfeeding, this method of treatment is not relevant.
Traditional recipes for problems with the rectum after childbirth
The simplest and most effective method of preventing hemorrhoids in the postpartum period is to stabilize the diet and home hygiene. Constipation is dangerous when the venous parts of the rectum are inflamed, and fighting infection will help prevent inflammation in the female perineum.
Homemade candles made from potatoes minced through a meat grinder or from candied honey are very helpful for chronic and acute hemorrhoids. This method helps reduce swelling and relieve pain.
One of the most common methods of treating inflammation of hemorrhoids is considered to be various baths. First of all, this is a bath of ordinary cold water. 2 - 3 liters of liquid are poured into a basin, potassium permanganate is added and taken for 10 minutes twice a day. It is possible to use an infusion of burnet herb for sitz baths.
Some sources advise using a sitz bath based on onions boiled in milk for inflammation of hemorrhoids. After a cleansing enema, the perineum is treated with steam from this solution for 5-7 minutes.
In the treatment of hemorrhoids, many plants are used in the form of decoctions and infusions. Traditional medicine specialists strongly advise using freshly picked rowan juice, alum in milk and an infusion of the royal scepter herb.
These medications must be used for at least 2 - 3 months to obtain a pronounced effect. Decoctions for chronic hemorrhoids have proven themselves to be the most effective.
There are a large number of recipes for treating hemorrhoids at home, however, during the period after childbirth, it is better for a young woman not to self-treat and endanger her health and the life of the baby. If the first symptoms of the disease develop, you should seek help from a doctor.
The list of unpleasant complications of pregnancy and childbirth includes hemorrhoids. It appears in many women already during pregnancy due to stagnation of blood in the pelvis. However, the painful symptoms associated with it occur only after childbirth, which causes internal hemorrhoids to prolapse outward. In this article we will explain in detail the causes of external hemorrhoids after childbirth, and also tell you how to cure this disease and not harm lactation.
While carrying a child, a woman’s body is rebuilt, internal organs shift and begin to work differently. This is especially true for the intestines and circulatory system of the small pelvis. A fetus that is actively developing and growing puts strong pressure on the pelvic veins, bladder and rectum. As a result, intestinal motility is disrupted in a pregnant woman, and constipation occurs, causing hemorrhoids.
In addition to the obvious reason for the appearance of hemorrhoids after childbirth, there are a number of other factors due to which a woman may experience such a complication:
- Physical inactivity. Often pregnant women, especially in the later stages, neglect physical activity, as a result of which blood stagnates in the hemorrhoidal veins, and during childbirth, these veins are compressed, forming external lumps on the anus.
- Excess weight. If a pregnant woman has gained too many kilograms and began to look obese, then she has put additional stress on her body, in particular on the anus.
Note that hemorrhoids can appear not only after natural childbirth. Those who undergo a caesarean section also need to take care of their health, because after the operation the woman will be prohibited from moving for some time and going to the toilet. As a result, stagnation may form in the intestinal veins, which will lead to constipation, and as a result, to hemorrhoids.
Hemorrhoids after childbirth: symptoms
Hemorrhoids after childbirth can acquire one of the stages of its development, each of which is characterized by its own characteristics and symptoms:
- At the first stage of hemorrhoids, after each bowel movement, a woman who has just given birth may notice traces of blood and feel discomfort in the anus - itching, burning, a feeling of heaviness in the anus.
- At the second stage of the disease, in addition to the above symptoms, one more appears - the hemorrhoid begins to fall out with strong strain during defecation. You can fix it yourself.
- At the third stage, the hemorrhoids fall out even with a slight load on the rectum. A woman just needs to cough for this to happen.
- At the fourth stage of the disease, prolapse of hemorrhoids may be accompanied by bleeding and thrombophlebitis.
What does hemorrhoids look like after childbirth? According to the symptoms immediately after childbirth, hemorrhoids may appear as if they are in the fourth stage. However, there is no need to panic; it is better to start proper and timely treatment so that hemorrhoids do not become chronic.
Hemorrhoids after childbirth: treatment
What to do with hemorrhoids after childbirth? The answer is obvious - treat, but very carefully, since the new mother begins to develop lactation, which is necessary for the child to receive the most complete and best nutrition for him - mother's milk. Therefore, before starting treatment for hemorrhoids, a woman in labor should consult a doctor to find out what medications can be used to treat hemorrhoids after childbirth while breastfeeding.
As a rule, a woman is prescribed the use of external remedies for hemorrhoids after childbirth. These include:
- Ointments for hemorrhoids after childbirth:
- Heparin ointment;
- Fleming's ointment;
- Posterisan;
- Relief.
- Suppositories for hemorrhoids after childbirth:
- Sea buckthorn candles;
- Hepatrombin G;
- Procto-Glyvenol;
- Natalsid.
Another way to treat hemorrhoids after childbirth is to use folk recipes. For example:
- Every day, once a day, half an hour before meals, drink one glass of cabbage brine.
- Drink freshly squeezed rowan juice three times a day (with water).
- Wash off with a decoction of wild strawberry leaves.
- Using a regular syringe, inject cedar oil into the anus (you need 2 ml of this substance).
- Insert a cotton swab soaked in celandine juice into the anus.
If hemorrhoids appear after childbirth, you need to completely reconsider your diet. A woman will have to give up fatty foods, fried, salty, and pickled. Sweets and fast food are also strictly prohibited, as they will only aggravate intestinal motility and cause constipation. But vegetable salads, low-fat broths and fermented milk products, on the contrary, will help you quickly get rid of an unpleasant disease.
Prevention of hemorrhoids in women after childbirth
What can you do to prevent hemorrhoids from causing a lot of discomfort after childbirth? It is necessary to carry out some preventative measures:
- Maintain the correct daily routine.
- Do not strain during bowel movements (for this, of course, you need to eat right and avoid stagnation of blood in the intestinal veins to avoid constipation).
- Maintain personal hygiene - wash yourself regularly after each bowel movement and wipe the anus dry with toilet paper or a paper towel.
- Exercise and perform Kegel exercises, which will help keep not only the anus, but also the vaginal muscles toned.
- Walk in the fresh air to strengthen your immune system.
Video: “Proctology. Hemorrhoids after childbirth"
In this video, an expert explains how to cure hemorrhoids after childbirth as effectively and quickly as possible when a woman is breastfeeding her baby. The doctor talks about the features of treating hemorrhoids after natural childbirth and cesarean section, and also gives recommendations on the changes that every woman in labor should bring into her life in order not to develop hemorrhoids.
During childbirth, the female body experiences enormous physical stress, all organs and systems work in extreme mode. If contractions are tolerated passively, then pushing requires the woman to actively participate in the process. When pushing, the muscles of the diaphragm and chest press intensively contract, and intra-abdominal and intrauterine pressure increases. The mother herself is pushing hard to push the baby out of the birth canal. The pressure in the pelvic vessels increases sharply. All these factors can provoke the formation of hemorrhoids or aggravate the chronic course of the disease.
Hemorrhoids after childbirth are characterized by impaired blood supply to the rectal area and the presence of varicose veins.
The young mother suffers from:
- burning sensations;
- pain during defecation;
- sensation of a foreign body in the lower intestine;
- bleeding from the rectum;
- external non-aesthetic manifestations.
Causes and mechanism of hemorrhoids during and after childbirth
Postpartum hemorrhoids during breastfeeding are a delicate complication that affects up to 60% of all young mothers. In most cases, the first signs of the disease appear during pregnancy or before. But since the clinical picture is not yet clear, the young mother may decide that the cause of the problem is intense labor.
The main reasons that provoke dilation of the veins of the rectum during pregnancy:
- the growing uterus puts pressure on the pelvic vessels, causing increased pressure and stretching of the venous wall;
- formation of nodes due to blood stagnation;
- a high concentration of progesterone (the hormone that maintains pregnancy) leads to a decrease in tone in the vascular walls;
- large fetus or multiple pregnancy;
- sedentary lifestyle;
- sedentary work;
- problems with bowel movements;
- small amount of plant fiber in the diet.
Natural childbirth more often contributes to the formation and manifestation of pathology than delivery by cesarean section. The longer and more difficult the labor, the greater the risk for the mother. An increase in pressure leads to stretching of the vascular wall. When a child passes through the pelvis, its head strongly compresses the vessels of the rectum. As a result, the outflow of blood is disrupted, and the tissues experience hypoxia (oxygen starvation). The blood supply in the lower intestines is disrupted: the influx of arterial blood increases, and the outflow is blocked, resulting in stagnation and stretching of the vein walls. The nodes swell and enlarge, and new ones form.
After a cesarean section, hemorrhoids in nursing mothers more often occur after childbirth. Reasons for the development of pathology:
- limited mobility in the period after surgery;
- intestinal motility disorders;
- difficulty with bowel movements;
- development of predisposition at the stage of gestation.
In the veins of the rectum of a nursing mother, stagnation begins, they expand and become inflamed, nodes and lumps appear.
Treatment of hemorrhoids during breastfeeding at home
It is important to know! Hemorrhoids after childbirth do not go away on their own. The first consultation from a proctologist on this disease can be obtained within 2-4 days after birth, if the maternity hospital is one of the departments of a multidisciplinary hospital.
A nursing mother in the postpartum period is under close medical supervision. If an obstetrician-gynecologist sees pronounced nodes during an examination, a proctologist is invited to the maternity ward, or the woman herself is referred to this specialist. The doctor conducts an examination, makes a diagnosis, gives recommendations and prescribes treatment taking into account breastfeeding. If there are no indications for surgical removal, the woman is treated at home on her own.
How to treat hemorrhoids after childbirth for a nursing mother? Agents that act locally on the pathological area and do not pass into the milk, since they are not absorbed into the bloodstream. Treatment of hemorrhoids during breastfeeding can be carried out using the following drugs: 
The drug is applied topically and has minimal systemic effects; it is practically not absorbed into breast milk, so it can be used by nursing mothers. Suppositories have multiple effects on nodes: healing, immunostimulating, analgesic, hemostatic and regenerating. They contain a unique shark liver oil - a natural, highly effective component.
Gepatrombin G. The drug is available in the form of ointments and suppositories. External nodes are treated with ointment, suppositories are administered rectally for internal processes. Hepatrombin G helps to reduce the volume of veins, relieves pain, reduces itching, and has an anti-inflammatory effect.
The drug thins the blood, which helps eliminate blood clots in the hemorrhoidal vein, eliminates swelling and symptoms of the inflammatory process. A tampon is soaked in the ointment, which is inserted into the anus or the pathological areas are lubricated. Immediately after childbirth, the use of ointment is not recommended; it thins the blood and can cause blood loss.
Candles Posterizan. The suppositories contain E. coli, a culture of microorganisms that activates phagocytosis and increases the body’s own protective properties. The result is a cure without affecting the composition of milk and breastfeeding.
Important advice! When using any medications, a nursing mother should closely monitor the baby’s digestion and the condition of its skin. In case of skin rashes and disorders of the gastrointestinal tract in the baby, breastfeeding is suspended or the medicine for the mother is canceled or replaced.
How can a nursing mother cure hemorrhoids using folk remedies?
If the question arises about how to treat hemorrhoids after childbirth for a nursing mother, then the answer can really be found among recipes with folk remedies.
Important to remember! Treatment with folk remedies is not always safe for a nursing mother. Any component can cause the development of an allergic reaction, both in women and in infants. Treatment after childbirth should be supervised by a doctor.
You can cure pathology after childbirth:
- medicinal herbs;
- beekeeping products;
- natural minerals;
- the right foods.
How to cure hemorrhoids after giving birth to a mother and not harm the baby? Drink raw beet juice regularly. The beets should not show signs of spoilage or rotting. The healthiest vegetable is the one that is recently picked from the ground. Drink juice 30 minutes before meals, 80–100 ml up to 4 times a day. An infusion of rose hips will strengthen the venous wall and will only benefit the child due to its high content of vitamin C. Ripe fruits are ground and poured with boiling water at the rate of 1 tablespoon per 0.5 liters of liquid. Infuse overnight, drink 2-3 glasses per day.
How to get rid of hemorrhoids after childbirth using local treatments that are safe while breastfeeding? Steam baths with a decoction of onion or garlic have an effective effect. You will need a container with a hole in the lid. Plant materials are steamed in boiling water and the broth is poured into a container. The woman positions herself over the container so that the painful area is above the hole from which the steam comes out. The procedure time is 10 – 15 minutes, after finishing the skin is lubricated with Vaseline.
You can make your own candles from honey, mumiyo and flour for insertion into the anus. It is recommended to lubricate the nodes with sea buckthorn oil. The simplest candle is a small piece of raw potato. It is inserted into the rectum at night and comes out naturally during bowel movements. Raw potatoes have anti-inflammatory and healing effects; the vegetable is absolutely harmless for nursing mothers.
Treatment of hemorrhoids after childbirth in a hospital
The answer to the question of how to treat hemorrhoids after childbirth depends on the severity of the pathological process. If treatment is not effective and the disease progresses, the doctor prescribes surgical removal, which is performed in a hospital setting.
Indications for surgery:
- thrombosis of hemorrhoids;
- loss of nodes;
- multiple bleedings.
It is important to know! Postpartum hemorrhoids during breastfeeding usually respond to drug therapy. But if there are indications and the doctor insists on surgical removal, intervention should not be delayed. Hemorrhoidal bleeding is a dangerous phenomenon that can undermine the health of a young mother. Chronic blood loss leads to anemia, the symptoms of which are weakness, headache, fainting.