Methods for treating hemorrhoids after childbirth. How to treat and how to get rid of hemorrhoids after childbirth

Hemorrhoids in women after childbirth are an acute problem in modern society. Young mothers, not observing basic rules of hygiene and prevention, often doom themselves to trials and struggle with an insidious disease.

Proctological problems occur in every third woman before or after childbirth

Studies conducted by leading proctology centers in Russia have shown that the use of phlebotropic drugs in combination with ointments, gels, and creams is the safest and most effective way to treat hemorrhoids after childbirth and during pregnancy.

Features of the pathology
Reasons	Constipation, fetal growth, difficult labor, sedentary behavior during pregnancy.
Complication	If the disease bothered you before childbirth, then even the most successful birth will still cause complications of the pathology. In most patients who developed the disease during pregnancy, symptoms worsen after childbirth.
Development	In the 1st trimester of pregnancy, the disease is diagnosed in 33%, in the 2nd trimester - 35%, in the 3rd trimester – in 42%, after delivery – in 41%.
Who to contact	A proctologist or surgeon should help.
Treatment	Minimally invasive techniques, prenatal conservative drug prevention of acute hemorrhoidal thrombosis in the first weeks of pregnancy, drug therapy immediately after childbirth before or after lactation.
According to the latest data, more than 50% of pregnant girls suffer from this pathology! In the postpartum period, their number increases to 80%.

What is known about the pathology? Hemorrhoids are a disease associated with blockage of the venous plexuses, which are located at the anus. There are internal and external types of disease. The stage of development of internal hemorrhoids is characterized by the location of hemorrhoids directly in the rectum, bleeding and pain during bowel movements.

If no action is taken, the disease progresses to the external stage. Hemorrhoids fall out and can be felt with your hand near the anus. They cause pain not only when performing an act of defecation, but also when sitting on a chair or armchair and walking.

Hemorrhoids in pregnant women are dangerous due to the development of bleeding during childbirth!

Therefore, it is better to solve the problem before planning a child or immediately after childbirth.

There are many reasons for the development of pathology. Among them, the most common are a sedentary lifestyle, lack of exercise, obesity, eating spicy and salty foods, and heredity.

Symptoms of manifestation

Symptoms of hemorrhoids are an important signal for a woman to immediately consult a doctor.

As a rule, the disease develops in stages. Initially, itching appears at the anus.

What does hemorrhoids look like? Most often, a compacted lump appears in the anal area, which hurts and bleeds.

In the case of hemorrhoids, the itching intensifies after playing sports, walking for a long time or eating spicy food. Then pain appears. They gradually intensify, and hemorrhoids fall out. Often this process is accompanied by bleeding after defecation. There will be a trace of scarlet blood on the toilet paper, and clots may appear on it.

If these manifestations are not enough to see a doctor, the disease will continue to progress. Bleeding will occur not only during bowel movements, but also after lifting heavy objects, during sports, and even when sneezing. The lost tissue will slowly die, causing severe pain.

The classification of the disease distinguishes 4 stages of pathology development

There are two forms of hemorrhoids: acute and chronic. We described the acute one above. Chronic is less painful for a person. Painful sensations appear periodically and quickly pass.

Causes and risk factors

Pregnancy is not a pathology, but a special state of the body. For 9 months, it does everything possible to protect the baby from external and internal influences.

A sedentary lifestyle provokes the development of pathology

Why does the disease occur? Pregnant women often experience constipation, which leads to the formation of hemorrhoids. At this time, the expectant mother’s body actively produces hormones that promote muscle relaxation. This protects the baby from premature birth by preventing uterine contractions. As a result, the intestinal muscles work much less intensely.

The second reason for constipation is the growth of the uterus. It moves internal organs and puts pressure on the intestines, preventing food from passing through it. At the same time, the growing uterus can compress veins and blood vessels, which can also lead to the formation of hemorrhoids.

Those at risk are those who have already given birth and women over 30 years of age. Their risk of hemorrhoids is many times greater than that of those giving birth for the first time. If the pathology was observed in a woman before pregnancy, then it may worsen during this period. And although the presence or absence of this disease will not be the determining factor when choosing a method of delivery, hemorrhoids can complicate the life of a young mother.

Diagnosis of the disease

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

Signs of rectal disease:

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

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

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

How to prepare for an appointment with a proctologist

Help and treatment

What treatment for hemorrhoids after childbirth is considered safe? During pregnancy, therapy should be limited to local preparations based on natural herbs. These are rectal creams, ointments and anti-inflammatory suppositories. After the lactation period, therapy can transition to effective minimally invasive procedures (nodal excision or sclerotherapy).

Important! If hemorrhoids have been diagnosed, treatment should be carried out by a proctologist. During lactation, independent attempts to cope with the disease can harm the baby's nutrition.

Treatment of the disease at home involves a whole range of actions to eliminate the inflammatory process. If hemorrhoids are diagnosed, therapy depends on the stage of development of the disease. For example, women whose disease is discovered by chance during a diagnostic test are prescribed only preventive treatment regimens. This includes diet, hygiene, a set of exercises, and herbal baths.

In order not to harm the fetus, treatment should be prescribed by the attending physician.

Girls who complain of pain, burning and bleeding are prescribed oral medications, rectal suppositories, herbal baths, infusions of medicinal herbs, ointments, creams and gels, and cleansing enemas.

If hemorrhoids have entered the acute phase, when the nodes fall out and bleeding is common, surgical treatment is recommended for such patients.

Namely, excision of nodes. In some cases, minimally invasive methods can be used: sclerotherapy, photocoagulation, laser treatment, latex ring ligation.

Medications

All patients are prescribed local treatment for hemorrhoids.

Therapy consists of healing, antibacterial, vasoconstrictor agents and agents that reduce pain and itching. Medicines are prescribed in a strict order before or after lactation.

Vasoconstrictor suppositories contain tribenoside (Procto-glivenol) or phenylephrine hydrochloride (Relief). Their action is complemented by lidocaine and various oils (sea buckthorn, shark liver, etc.). They help to quickly and reliably get rid of the lump.

Antibacterial ointments complement vasoconstrictor therapy. As a rule, ointments based on methyluracil and chloramphenicol (Levomekol) are prescribed. It is applied externally to the affected area, preventing infections from entering the wounds. In case of vein thrombosis and incipient necrosis, gels with heparin are prescribed, which resolves them. In case of severe pain and itching, additional painkillers and antipruritic ointments and suppositories are prescribed.

The duration of treatment should be determined by the doctor so that the disease does not appear immediately after stopping therapy. The basic principle that all doctors must follow when prescribing treatment is to do no harm. You should be guided by the same principle if you decide to treat hemorrhoids yourself with folk remedies.

Folk remedies

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

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

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

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

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

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

Expert opinion: Alexander Petrov, proctologist:“Most often, hemorrhoids begin to develop after 4-5 months of pregnancy and progress after childbirth. Women who have given birth before and are having a second pregnancy are susceptible to developing the disease many times more often than women who are pregnant for the first time.
It is also important to note age. Young girls are less susceptible to varicose veins and hemorrhoidal disease during pregnancy than older women.

Why are hemorrhoids dangerous? Many girls after giving birth do not go to the doctor for help, but try to cope with the problem on their own by buying a bunch of creams at the pharmacy. In the meantime, the disease can become chronic. An advanced form of hemorrhoids can lead to a decrease in hemoglobin, vein thrombosis, and diseases of the genitourinary system. During contractions, hemorrhoids can come out, which often provokes bleeding.

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

Disease prevention

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

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

Berries, fruits and raw vegetables will help strengthen blood vessels

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

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

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

Therapeutic exercise is the best complex for combating hemorrhoids. After exercise, blood circulation improves, vascular tone increases, and the muscles of the anal area are strengthened.

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

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

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

If a woman has hemorrhoids after childbirth, this means that she had it before. About half of pregnant women have this problem by the end of their term. Another thing is that it is often asymptomatic.

Development Complex degree
problems Consult For therapy
hemorrhoids Ointment levomekol

How the disease develops

The mechanism of the appearance of the disease is the expansion and subsequent bulging of veins under the mucous membranes, in which blood stagnates. This process is called varicose veins, and it seems to occur on the legs.

The development of hemorrhoids does not begin after childbirth, but during pregnancy. This is due to the physiological changes that occur. A predisposing factor is an increase in blood volume. In the third trimester it becomes about a third more.

Of course, the vascular system has to work in enhanced mode. The reasons why hemorrhoids occur after childbirth are as follows:

during pregnancy, hormones reduce the tone of the vascular walls, impairing blood circulation;
the pressure on the veins that the uterus and fetus exert increases, resulting in blood stagnation;
constipation or diarrhea cause increased tension in the vessels of the hemorrhoidal plexus when attempting to defecate or defecate;
hemorrhoids worsen, the treatment of which will be required after childbirth, precisely during pushing, when the tension in the pelvic area is extremely strong, plus pressure from the baby’s head is added.

Development occurs during pregnancy

Other reasons common to ordinary people also play a role. For example, when looking for a way to treat hemorrhoids after childbirth, you often have to:

have gained excessive weight;
leading a “sedentary-lying” lifestyle.

As a result, the young mother, in addition to all the joys and difficulties, discovers unpleasant and sometimes frightening signs. Symptoms of hemorrhoids after childbirth are no different from its usual manifestations:

unusual, uncomfortable sensations in the anus - as if something is interfering, heaviness, itching, burning;
pain when moving, sitting, during bowel movements;
mucus secretion;
release of red blood during bowel movements, under loads in different quantities;
the appearance of “bumps” falling out of the anus, which can disappear and appear or be located there permanently.

Hemorrhoids usually develop slowly after childbirth. Its sudden exacerbation is explained by the presence of the disease earlier. Signs usually appear one or two at a time. Which of them, how pronounced, is determined by the form and stage of the disease.

Existing forms.

Internal - the vessels increase inside the rectum, without exiting through the anus.
External – “bumps” form under the skin on the outside, skin folds remain.
Combined - with this form, hemorrhoids after childbirth combine the symptoms of the first and second forms.

Stages of the disease.

Blood discharge, pain and other symptoms are possible. The choroid plexuses (hemorrhoids) stretched with blood do not come out (do not fall out). Often there are no symptoms.
The nodes may fall out during straining or physical activity. Then they move inward on their own.
At this stage of hemorrhoids, the nodes have to be removed manually.
The nodes fall out with minimal loads and cannot be set back. Bleeding is profuse and thrombosis develops.

Medical treatment tactics

Statistics show the following:

3/4 of people will sooner or later discover they have a disease;
Every second pregnant woman has hemorrhoids, but does not manifest itself in any way, and after giving birth, most do not have to decide what to do, since the disease goes away on its own;
only 4% of patients seek medical help;
Correctly selected treatment allows recovery in 90% of cases, the rest require surgical intervention.

It follows that it is necessary to contact a proctologist (colonoproctologist) as early as possible. He will tell you how to cure hemorrhoids that worsened after childbirth.

Complex degree is treated by a proctologist

Breastfeeding mothers should not take many medications. This applies not only to tablets, but also to local medications. However, there are plenty of safe treatment options.

Tablets approved during pregnancy and lactation.
Ointments, gels for topical use.
Rectal suppositories.
Cleansing and therapeutic enemas.
Folk remedies for hemorrhoids that are acceptable after childbirth are decoctions and warm baths.

Even if the instructions for the drug indicate that it is approved for nursing, you should not take it yourself. Each organism is individual; only a doctor can make the right decision on prescribing a course of treatment.

The first stage of the disease usually does not require the use of medications. The doctor's prescriptions boil down to recommendations on nutrition, sufficient physical activity, and personal hygiene.

More complex cases of hemorrhoids, the consequences of which can be seen in photos on the Internet, are treated both locally and systemically. The drugs used constrict blood vessels, reduce inflammation, and relieve pain.

From tablets used:

Chime;
Duphalac;
Troxerutin and others.

Suppositories are prescribed locally for hemorrhoids after childbirth:

Natalsid - made from plant extracts, act both on nodes and as a mild laxative;
Relief – relieve pain, inflammatory reactions, promote healing;
Proctoglivenol - tones blood vessels, relieves pain and inflammation.

The treatment prescribed by the doctor must be carried out strictly, even if no visible results are observed. In this case, the nursing mother needs to come for a follow-up examination, where the doctor will determine how to continue treating hemorrhoids, that is, he will adjust the course of treatment after childbirth.

If such treatment does not bring the expected results, and the disease causes a lot of trouble for the young mother, it is possible to undergo surgery. It consists of removing nodes using different methods.

Hemorrhoids can be treated using a method such as mini-surgeries after childbirth. You don't need to go to the hospital to get them done. Complex cases and frequent relapses require a more serious approach.

Latex alloying. The mini-operation consists of applying rubber rings to the knot. It dies within a week. As a result, there is slight bleeding on about the third day.
Sclerotherapy. The most painless, but less effective procedure for getting rid of hemorrhoids after childbirth. This is an injection of a special substance into the node, leading to scarring.
Laser infrared coagulation. Laser irradiation cauterizes the node to form a scar. There are practically no complications, but the likelihood of relapses is increased.
Hemorrhoidectomy operations using various methods are performed under anesthesia. To carry them out you will have to go to the hospital. There are different methods, but they all boil down to the fact that the surgeon cuts off the nodes, suturing the incision formed on the mucous membrane.

Traditional methods of getting rid of illness

Treatment of hemorrhoids after childbirth with folk recipes has shown good results; many recipes can be used during breastfeeding. Moreover, they are often prescribed by proctologists themselves as maintenance therapy. And it is with the permission of the attending physician that they can be used.

To relieve inflammation, strengthen blood vessels, reduce swelling, stimulate regeneration, you will need:

sea buckthorn oil;
bandage.

How to use

Moisten a small piece of bandage with oil.
Apply externally to the anus, secure with a bandage overnight.

This recipe after childbirth can be used for hemorrhoids instead of sea buckthorn suppositories.

Application of medicine

Chamomile decoction is prepared from:

two tablespoons of flowers;
one glass of water.

Methods of application.

Pour water over the flowers, keep in a steam bath for 20 minutes, when cool, drain.
Use for washing.
Do night lotions.
Prepare 2-3 liters of decoction, pour it warm into a basin, take a sitz bath for a quarter of an hour. Do it daily for up to 10 days in a row.

After giving birth, you can prepare a homemade ointment for hemorrhoids. For it you will need:

fat – 100 g;
propolis – 10 g.

Preparation and use.

Melt the fat, boil, add propolis, cool.
Lubricate the knots before going to bed and in the morning, after bowel movements.

This ointment for hemorrhoids after childbirth will prevent infection, help improve blood flow, and eliminate itching and pain.

An effective herbal decoction for baths. Ingredients:

water - two liters;
leaves, branches of walnut;
three handfuls of yarrow grass or hop cones.

Preparation.

Pour herbs into boiling water and simmer for a quarter of an hour.
Cool until warm.
Take baths for half an hour for two to three days.

After childbirth, simple home methods can be used to treat hemorrhoids during lactation. They will speed up recovery and can become measures to prevent relapse.

Take warm baths three times a day.
Keep your anus clean.
Don't use toilet paper, wash yourself instead or buy alcohol-free wet wipes.
Maintain proper nutrition, including soups and high-fiber foods.
Drink at least two liters of water daily.

Getting hemorrhoids after childbirth is not as scary as it might seem. Timely receipt of medical care and completion of prescribed procedures will restore health very quickly.

Childbirth is a big burden on the body. Physiological changes are aimed at maintaining pregnancy and providing the fetus with all the necessary substances. This does not always benefit the expectant mother. The increase in the size of the child and the growing uterus not only displace many organs, but can also compress them and disrupt blood flow. The venous system suffers more.

Many conditions resolve after the baby is born, and some require treatment. Often, the signs of developed hemorrhoids do not go away after childbirth, and may even intensify. Natural delivery itself leads to this. What to do if such a problem arises, because many medications are prohibited for nursing mothers?

What is the peculiarity of the disease

Hemorrhoids are a pathology of veins - varicose veins that provide blood flow from the rectum. The veins in the lower part of the intestine undergo changes. The disease can occur in acute and chronic form. The location of the nodes determines the type of hemorrhoids:

interior;
outer;
combined.

Each form has its own stages or classification. Chronic hemorrhoids occur in the following stages:

Stage 1 – there is bleeding, but the nodes do not fall out;
Stage 2 – when straining, nodes appear from the anus, but are reset back on their own;
Stage 3 – fallen nodes are reset manually, that is, by hand;
Stage 4 – it is impossible to set the fallen nodes, or after setting them five immediately fall out.

The acute form is characterized by the addition of additional complications:

Thrombosis of nodes without inflammation.
Thrombosis is combined with an inflammatory reaction in the nodes.
Thrombosis with inflammation of the subcutaneous tissue, swelling of the area around the anus, necrosis of the surface of the nodes.

The acute phase is characteristic of the third chronic stage of the disease. In this case, surgical treatment is required.

It all starts during pregnancy

According to research, 33% of women suffer from hemorrhoids in the first trimester of pregnancy, 35% in the second, 42% in the third. In the postpartum period, this problem worries 41% of postpartum women. It occurs with equal frequency in the first and second pregnancies.

The course of the gestational period determines why hemorrhoids develop later, after childbirth. And some women have prerequisites even before conception. You just need to remember how regularly bowel movements occur, whether there is a tendency to constipation, and what kind of life the expectant mother leads.

During pregnancy, several factors influence the development of the disease.

Elevated progesterone levels

The action of the hormone is aimed at maintaining gestation. It reduces smooth muscle tone, which means it slows down intestinal motility. This leads to severe bowel dysfunction - many pregnant women complain of irregularity and constipation.

How do hemorrhoids manifest after childbirth?

External hemorrhoids

It is milder than internal and is rarely accompanied by complications. The first signs that a woman may notice are slight itching in the anus or other unpleasant sensations. They often occur after bowel movements, especially due to constipation. By touch, you can independently identify soft or compacted folded formations, often resembling warts. When pressed, they do not decrease in volume. Bleeding in its external form is rare.

Sometimes external nodes can become infected. Against the background of infection, there is a risk of developing thrombophlebitis. In this case, the nodes become dense and very painful. Sharp pain appears during bowel movements.

Internal hemorrhoids

It has a characteristic arrangement of nodes. They are found in the folds of the rectal mucosa. The number and location may vary greatly from patient to patient. These are both single nodules and entire groups that resemble a corolla. They are characterized by the following features:

have a wide base;
if you press, they fall off;
when straining or coughing, they begin to bulge or become tense;
accompanied by pain.

Mucus leaks from such nodes, which irritates the skin around the anus. Redness, discomfort or itching appears.

At a certain stage, the nodes fall out. At the same time, their surface becomes bluish-purple. As the infringement develops, the pain becomes sharp. The nutrition of the mucous membrane is disrupted, areas of necrosis appear, which is accompanied by the appearance of symptoms of intoxication:

increased temperature;
poor health;
lack of appetite;
skin itching;
headache.

If the condition progresses, thrombophlebitis of the rectal veins joins it.

But more often a woman may notice the appearance of scarlet blood. The hemorrhoid begins to bleed during bowel movements. In this case, blood appears on the surface of the stool, or it flows out in a thin stream during straining.

These manifestations are more typical for acute hemorrhoids. If after childbirth it becomes chronic, then the pain syndrome ceases to be characteristic. Pain appears only when complications develop in the form of infection, thrombophlebitis or strangulation.

If acute pain occurs, you should consult a doctor. After the examination, it will be determined what the condition is threatening and how to deal with it.

Which doctor should I contact?

To get rid of hemorrhoids, you need to visit a doctor after giving birth. It is impossible to independently determine how to treat this stage of the disease. Initially, the doctor who will deal with this problem will be a surgeon. If there are external nodes that cause slight discomfort, this will be enough. If there are a large number of nodes, internal localization, as well as the development of complications, the problem should be dealt with by a coloproctologist.

The doctor will definitely conduct an examination. The list of mandatory methods includes:

anoscopy;
sigmoidoscopy;
colonoscopy;
irrigoscopy.

The anal reflex is also checked, and according to indications, sphincterometry and electromyography are performed to assess the obturator apparatus of the rectum.

To diagnose a woman’s general condition, routine blood and urine tests are prescribed.

What can be treated

Treatment of hemorrhoids during breastfeeding is carried out in three directions:

diet correction;
drug therapy;
surgical treatment.

The first two methods are necessary in case of mild disease. If complications arise and the pathology progresses, surgery will be required.

Diet therapy

Changing your diet can serve both as a prevention of complications and as a treatment for hemorrhoids. The menu should be structured in such a way as to prevent the development of constipation and soften stool, making stool regular. The following products are allowed in the diet:

lean meat;
fermented milk products;
vegetable oils;
vegetables rich in fiber: cabbage, beets, pumpkin, carrots, tomatoes;
fruits: apricots, melon, plums or dried versions of them;
berries: gooseberries, blueberries, lingonberries;
eggs;
herbs (celery, dill, parsley);
porridge with water;
weak soups with vegetable broth.

Be sure to drink enough water throughout the day - 30 minutes before meals or 1.5-2 hours after.

It is forbidden to consume foods that can harden the stool:

fresh bread, any pastry and flour;
fatty foods and dishes, including meat;
confectionery with cream;
legumes, mushrooms;
viscous porridges - rice and semolina;
soups with strong broth;
fermentable vegetables: radishes, onions, garlic;
astringent fruits: pear, quince, as well as grapes, which lead to fermentation.
alcohol, coffee, strong tea.

Spicy seasonings and dishes, smoked meats, marinades, salty foods, canned foods, and sauces in the form of mayonnaise are also prohibited.

Drug therapy

How and with what to treat hemorrhoids that develop after childbirth must be determined by the doctor; self-medication is unacceptable and can aggravate the situation. For each stage of the disease, a different combination of drugs is selected. It is also necessary to determine how severe the complications are and whether surgery is necessary.

For safety reasons for the child, treatment of hemorrhoids in a nursing mother is carried out with local medications. To do this, use candles and cream. Suppositories have different effects depending on their composition, so the purposes for their use and the situations in which they are indicated differ.

What candles are best to use? It is necessary to focus on the composition and symptoms. The main drugs that are allowed for use during lactation are the following.

Relief

It contains shark liver oil. It can heal wounds, correct immunity, relieve inflammation and stop bleeding. The drug Relief-Advance is also produced, which will help both relieve pain from hemorrhoids and carry out treatment.

Relief suppositories can be used for external and internal hemorrhoids, rectal fissures and anal itching. But in case of thromboembolic disease and individual hypersensitivity, it is better not to use them. Suppositories are inserted into the rectum in the morning and evening after hygiene procedures. If there was a bowel movement during the day, then you need to reapply the suppositories. In total, up to 4 times a day are allowed.

In addition to suppositories, an ointment with the same name is used. Its principle of action is the same as that of Relief suppositories. The ointment is first applied to the applicator, and then gently rubbed into the anal area.

Glycerin suppositories

Used by both pregnant and nursing mothers. They have long shown their safety. Glycerin in suppositories has an antibacterial effect. It may have a slight antiseptic effect and prevent infection. Suppositories based on it can eliminate constipation, as well as soften and moisturize the rectal mucosa and relieve irritation. But in case of acute inflammation, as well as the development of bleeding, they cannot be used.

Natalsid

These are suppositories with anesthetic properties. If hemorrhoids hurt, you need to choose suppositories with analgesic properties. Natalsid acts only locally, therefore it is not contraindicated during pregnancy and after childbirth during lactation. It can be used for anal fissures, chronic hemorrhoids, which are accompanied by bleeding. The suppository is inserted into the anus daily after bowel movement. It is optimal to do this 2 times a day. Treatment may last 7-14 days.

Nigepan

Suppositories that are used for thrombosis of external or internal nodes. The medicine contains heparin, which is necessary for the treatment of thrombophlebitis. Benzocaine has a pronounced analgesic effect. Also, suppositories reduce the severity of inflammation. The indication for the use of Nigepan is thrombosis of external or internal nodes. The product should be used only after bowel movements.

Hepatrombin

A combined drug that is available in the form of suppositories or ointments. It contains three active components: heparin, prednisolone and lauromacrogol, which provides a complex effect and helps relieve the symptoms of hemorrhoids. The action of heparin is aimed at preventing the formation of blood clots, as well as eliminating inflammation and swelling. Prednisolone is a glucocorticoid hormone that relieves itching, swelling, and inflammation. Lauromacrogol is a sclerosing component. It causes the walls of the node to stick together and relieves pain.

The medicine in the form of an ointment is applied to the area of the nodes 2-4 times a day or injected into the rectum. Suppositories are used rectally. Indications for the drug are all types of hemorrhoids, anal fissures, fistulas, as well as in preparation for surgery and in the postoperative period.

Heparin ointment

It has a similar effect - it reduces the risk of blood clots. But it is not recommended to use it for a long time. And on the first day of use, increased bleeding may be observed due to the specific effect of the drug.

Proctosan suppositories

They have a complex composition, are approved for use after childbirth (only after consultation with a doctor) and allow you to treat hemorrhoids at home. They are used for grade 1-2 hemorrhoids, anal fissures and anal itching. The composition includes the non-steroidal anti-inflammatory drug bufexamac. It eliminates pain, reduces inflammatory manifestations and swelling. Bismuth subgalactate and titanium dioxide have astringent properties, accelerate wound healing, and reduce the likelihood of bleeding. The last component, lidocaine, is a local anesthetic and should be used with caution during lactation.

Levomekol ointment

When treating hemorrhoids during lactation, it is rarely used due to the possible penetration of its components into breast milk - the antibiotic chloramphenicol, which is contraindicated in childhood due to toxicity.

Bepanten ointment

Contains the active component dexpanthenol. In the body it is converted into pantothenic acid, which acts as a vitamin. It is involved in the regeneration of epithelial cells, therefore it is used for any damage. Including anal fissures or during the healing stage of hemorrhoids. This drug is completely safe for pregnant and lactating women and does not require stopping breastfeeding.

For treatment, the protocols indicate such groups of drugs as phlebotonics (Phlebodia, Detrolex), angioprotectors (Troxyvenol), drugs for sclerotherapy (Sklerovar). But all of them can pass into breast milk and are contraindicated for nursing mothers.

How long does it take for hemorrhoids to go away?

This depends on individual characteristics, the correct treatment method chosen and adherence to the doctor’s recommendations. But on average it takes 10-14 days. If conservative therapy has not shown its effectiveness, minimally invasive operations are performed for grade 2-3 hemorrhoids:

sclerotherapy;
ligation with latex rings;
proximal ligation;
infrared or radiofrequency photocoagulation.

If hemorrhoids do not go away from treatment, at grades 1-4, a radical Milligan-Morgan, Ferguson operation can be performed.

When to think about prevention

Prevention of hemorrhoids after childbirth should begin even before pregnancy. If you have bowel movements or a tendency to constipation, you need to take care of your diet in advance. It is adjusted to such an extent that bowel movements occur daily. If diet is not enough, even during pregnancy and the postpartum period, you can use mild lactulose-based laxatives - Duphalac. They do not cause increased peristalsis and diarrhea, but slightly soften the stool.

Lactulose is a nutrient medium for intestinal flora. Therefore, if constipation is caused by dysbacteriosis, then treatment can be supplemented with bifidobacteria preparations (Linex, Bioflor).

Doing basic physical exercises every day will help you avoid hemorrhoids. They will be useful both for pregnant women and in the postpartum period.

It is also necessary to remember the risk of developing anemia as a result of chronic blood loss. After childbirth, most women experience a decrease in hemoglobin levels. And pathology of the rectal veins, accompanied by bleeding, can increase unpleasant symptoms. This is unacceptable for a nursing mother. Therefore, treatment is supplemented with iron supplements to prevent or treat anemia.

Childbirth is the most serious test for the female body. The heaviest loads fall on the pelvic area. Therefore, there is absolutely nothing surprising in the fact that after giving birth, an exhausted woman develops unexpected problems, including hemorrhoids. And even if the hemorrhoid does not come out immediately after childbirth, then due to problems with stool traditional during this period, it may appear in the first weeks (and even days) after discharge from the maternity ward. Almost every second woman has to struggle with hemorrhoids after childbirth.

Why do knots appear after childbirth?

During pregnancy, blood stagnation often occurs in the pelvis. The main reason for this is the rapid growth of the fetus and the increasing volume of the uterus, which puts pressure on the veins, reducing blood flow. The higher the gestational age, the greater the risk of such stagnation.

If hemorrhoids do not come out immediately after childbirth, then they may appear in the first weeks after discharge from the maternity ward.

The situation is aggravated if a woman has gained extra pounds during pregnancy. Excess body weight puts even more pressure on the pelvic organs, which leads to the development of hemorrhoids. In the presence of constipation and lack of physical activity, hemorrhoids in women after childbirth are guaranteed.

A pregnant woman experiences serious hormonal changes, one of the consequences of which is the expansion of hemorrhoidal vessels and the weakening of the venous walls. That is, veins during pregnancy become one of the most vulnerable places in the female body. The presence of any provoking factors (excess weight, constipation, etc.) leads to hemorrhoids emerging after childbirth. Even the pushing itself during childbirth puts a serious strain on the veins, which can lead to hemorrhoids with all the ensuing consequences.

What are the symptoms of hemorrhoids

Typically, the signs of hemorrhoids in women after childbirth do not differ from the symptoms of the disease that occurs under other conditions:

Discomfort and pain during bowel movements;
Bloody discharge;
Discomfort and heaviness in the intestines;
Inconvenience when sitting for long periods of time;
Irritation, itching and burning around the anus;
Swelling of the anus, hardening around the anus.

If preventive measures did not help and the nodes still came out, then a logical question arises: how to cure hemorrhoids after childbirth? The most important thing is, despite the incredible lack of time due to the baby, to find a couple of hours to go to the proctologist. The sooner you start therapy, the faster the result will come and the more effective it will be.

Pay attention!

Advanced hemorrhoids with inflamed nodes and constant bleeding can negatively affect not only the health of the mother, but also the baby.

Treatment methods for advanced hemorrhoids may be incompatible with breastfeeding.

Hemorrhoids and lactation

If a woman discovers hemorrhoids after childbirth, the symptoms of the disease cannot cause doubt, then the first thing to worry about is maintaining breastfeeding. You cannot try to solve the problem yourself, since taking many seemingly effective medications is prohibited during lactation. Nevertheless, safe treatment methods exist; a proctologist will help you choose the appropriate medications.

What treatment is there for hemorrhoids after childbirth?

Safe medications

It is better that medications during lactation are local, since the risk of their components passing into breast milk is much lower. Usually, when hemorrhoids occur after childbirth, treatment occurs with ointments and rectal suppositories. They will help relieve pain and swelling, stop bleeding, remove inflammation and improve blood microcirculation in the veins.

Ointments and gels are effective for treating external lumps, and suppositories for hemorrhoids after childbirth will help deal with internal lumps. Your doctor will tell you which drug is best suited for your case. Now, not only the woman’s health is taken into account, but also the baby’s condition (presence of congenital diseases, allergic reactions, weight gain, etc.). Anastezin, Neflubin, Bupivacaine are approved for use during lactation. Vikasol, Glivenol, Endotenol will help stop bleeding and increase the tone of the veins.

The doctor will always be able to select medications for hemorrhoids that are allowed during breastfeeding and will not harm the baby. Therefore, postponing treatment until the end of the lactation period is not advisable. This way you can bring yourself to the stage where only surgery can help. Modern medicine has a sufficient range of methods for getting rid of hemorrhoids during breastfeeding, which will help you fully enjoy the joy of motherhood. Do not panic if you find hemorrhoids after childbirth; modern doctors know well how to treat the problem.

Traditional treatment

During pregnancy and breastfeeding, any treatment methods should be treated with great caution. Medicinal herbs are no exception, since their effect on the body of the mother and child is not always beneficial. Penetrating into breast milk, decoctions and lotions that are harmless to adults can harm the baby. Of course, during lactation it is preferable to choose herbal-based drugs, but only a doctor can make this choice. To get rid of hemorrhoids after childbirth, folk remedies are good, but only after consulting a doctor. It is dangerous to use the advice of grandmothers and friends without medical permission.

The most popular folk recipes are as follows:

- Drink fresh rowan juice diluted with clean water three times a day;
- Wash the anus area daily with a chilled decoction of wild strawberries;
- Lubricate the external cones with celandine juice, insert a cotton swab with celandine juice into the anus at night;
- Apply lotions with a decoction of thorn or horsetail leaves to the hemorrhoids.

How should a nursing mother eat with hemorrhoids?

You need to understand that the effect of the medicine for hemorrhoids after childbirth will be temporary. After a few months, hemorrhoidal bumps may appear again. In order to get rid of hemorrhoids forever, you need to adjust a lot in your usual way of life. In the treatment of hemorrhoids, proper nutrition and drinking regimen play a vital role.

When drawing up your menu for the day, you need to, first of all, make sure that you do not experience constipation the next day. Fermented milk products, cereals (especially buckwheat and oatmeal), bran bread, fresh and thermally processed fruits and vegetables improve intestinal motility. A good remedy for constipation is daily consumption of vegetable oil, preferably olive oil.

The main difficulty for a nursing mother is that the products should not cause an undesirable reaction in the child. Citrus fruits and red berries are considered strong allergens. Fresh apples, dishes with cabbage and peas can bring discomfort to the baby's tummy. Plums are prohibited. Watermelons and melons should be introduced into your diet very carefully.

To prevent constipation, an adult should drink at least two liters of fluid every day. A nursing woman loses a lot of fluid along with milk (up to 1 liter), so you need to carefully monitor the maintenance of the body’s water balance.

Pay attention!

It is best to drink clean water and natural compotes (dried fruits in winter).

There is one proven and safe way to make your intestines work harder in the morning. You need to drink one glass of water on an empty stomach immediately after waking up, at least half an hour before breakfast. If your baby is not allergic, it is advisable to add a few drops of lemon juice to the water.

Following a diet by the mother during lactation will help her quickly regain strength after childbirth, and the baby will get stronger. To do this, you will have to greatly limit yourself in sweets and baked goods, hot and spicy foods, and smoked products. Completely eliminate sugary carbonated drinks and alcohol.

In order not to find out what hemorrhoids look like after childbirth, you should start adhering to the listed nutritional rules from the first weeks of pregnancy. It's no secret that a mother's diet directly affects the baby's health. A balanced diet will help you avoid many problems during pregnancy and after childbirth.

Exercise for hemorrhoids

During the postpartum period, a young mother least of all thinks about playing sports. But it is during this period that moderate physical activity is extremely important. After childbirth, it is important to strengthen the pelvic muscles as early as possible. Special gymnastics will also help increase vascular tone, improve blood circulation and stimulate peristalsis.

Regular physical activity on the pelvic area will not only help restore the muscles to their former elasticity. Special therapeutic exercises are a powerful prevention for the development of hemorrhoids. You need to start doing a little exercise while you are still pregnant, so that after giving birth, hemorrhoids will not overshadow the joy of motherhood. The set of exercises is simple and can be performed even at home.

Daily walks in the fresh air, which are so pleasant to do with a baby in a stroller, will bring undoubted benefits. Just make sure that you don’t have to lift a heavy stroller; entrust this to men. Walking will not only strengthen the necessary muscles, but also enrich the blood with oxygen.

Hygiene for hemorrhoids in the postpartum period

If you have hemorrhoids, you will have to observe some personal hygiene features. After bowel movements, you can no longer use your usual toilet paper; replace it with wet wipes. Better yet, wash the anus area with cold water after each bowel movement. This will not only prevent the spread of infection, but also strengthen the walls of blood vessels. After washing, you need to apply the ointment for hemorrhoids after childbirth, which was prescribed by the doctor. If you were a fan of baths and saunas, you will need to give them up during treatment for hemorrhoids.

Strictly following the doctor’s instructions, along with proper nutrition, daily exercise and careful hygiene will help mom get rid of hemorrhoids once and for all. And a healthy and happy mother means a strong and calm baby. And remember that breastfeeding is not an obstacle to the treatment of such an unpleasant disease as hemorrhoids.

More than 80% of women acquire hemorrhoids after pregnancy and childbirth. I wonder how many young mothers cannot talk about a delicate problem that has arisen even with their closest friends? Feeling discomfort and pain, are you embarrassed to see a doctor? But external hemorrhoids after childbirth are a disease that can be successfully treated.

What treatments for the disease are the most effective and safe for the health of mother and baby??

There is nothing shameful about the disease. This is the same varicose veins, only located in the rectum. Hemorrhoids can be internal, hidden inside the rectum, and external, when hemorrhoids arise on the sphincter.

For veins, pregnancy and childbirth become a real test. There are several reasons for this:

An enlarging uterus that puts pressure on the veins of the rectum;
Constipation, causing you to strain during bowel movements;
Low physical activity of women during and after pregnancy;
Intensified efforts during childbirth.

Hemorrhoids cannot be avoided if the venous walls are weak from birth.

Signs

The disease develops gradually. First, itching and discomfort appear in the anus, hemorrhoids develop and become inflamed. Unpleasant sensations are replaced by painful ones, bleeding appears. The nodes swell to such an extent that they fall out. If at first it is easy to straighten them yourself, then later it becomes impossible to do it yourself.

Treatment

How to treat external hemorrhoids after childbirth? This is a set of measures that requires a woman not only to undergo examinations and regularly take medications, but also to be active and pay attention to her health.

What will the doctor prescribe?

Self-medication of hemorrhoids is fraught with serious complications, and especially during breastfeeding. It is important to decide to be examined by a proctologist. Only a doctor should prescribe how to treat external hemorrhoids after childbirth. Since a woman is breastfeeding her baby after giving birth, she needs to choose safe medications.

Usually these are rectal suppositories and ointments that have a local effect. But even among the rich pharmacological diversity, you need to choose a safe, but no less effective drug. For young mothers, these can be the following suppositories:

Almost all rectal suppositories have an analogue in the form of an ointment or gel. Heparin and ichthyol ointments are also successfully used. The drugs successfully fight inflammation and bleeding, relieve pain and itching, prevent the proliferation of microbes and heal wounds on the rectal mucosa.

What dosage, how much to take - all questions should be answered by a qualified specialist.

How to fight on your own?

Medications usually only remove the result of the disease. But you need to fight the root cause - change your diet and increase physical activity. This is the only way to bring yourself back to normal, and this is within the power of any woman interested in her health and well-being.

Nutrition

In many ways, a woman’s diet after childbirth is determined by breastfeeding. Whatever a woman eats, everything goes into breast milk. Mothers exclude fiber from the menu, which is so necessary at this time, because they are afraid of bloating in the baby. And constipation gets worse, further damaging the rectal mucosa and hemorrhoids. Vegetables with coarse fiber (cabbage, radishes, radishes) actually provoke gas formation. Here bran will come to the rescue, as it cleanses the intestines, stimulates its functioning and does not harm the child. But gradually you need to enrich your diet with vegetables and fruits, lean meat, and dairy products. It is very important to drink a lot of water - at least 1.5 - 2 liters daily.

The list of prohibited foods includes alcohol, fatty, smoked, pickled and salty foods, which irritate the rectal mucosa, aggravating inflammation. Sweets create a favorable environment for the growth of bacteria, so their number decreases.

Under no circumstances should you indulge in a strict diet. After childbirth, the body is already exhausted plus feeding the child. Proper nutrition with reasonable restrictions is the most suitable way to normalize digestion.

Sport

Nothing helps normalize digestion like exercise. After just a week of training, a positive result is felt. An ordinary walk is unlikely to change anything. You need to perform special exercises that improve blood circulation in the pelvic organs. These are squats and leg swings. Just 20-30 minutes a day will bring you closer to the weight you had before giving birth and relieve constipation.

Hygiene

To prevent the disease from worsening, you need to maintain personal hygiene. Soft toilet paper or wet wipes will help.

It is better to wash with warm, but not hot water. Baths and saunas are prohibited for acute hemorrhoids.

Traditional medicine

Homemade recipes, based on only natural ingredients, carefully restore a woman’s health after childbirth. But here, too, you need to be careful and very selective about the choice of ingredients - the body may respond to some of them with allergic reactions. During lactation, the following medicinal recipes can be completely safely used:

Baths with chamomile. Brew 1 tbsp. l. chamomile flowers with a glass of boiling water, let it brew for 15 minutes and dilute with 5 liters of cool (not cold) water. You need to sit in this solution for 5 minutes after defecation.
Warm baths. To prepare such baths, you can brew onion peels or oak bark. The components brewed with boiling water should sit for an hour. Chopped garlic head is also used for these purposes. Next, dilute the medicinal ingredients with warm water and sit in the solution with your perineum for 15 minutes.
Lotions. Soak a gauze pad in a decoction of oak bark or apply sea buckthorn oil and apply to the sore spot.
Potato candles. Potato juice effectively relieves inflammation, so you can make a candle out of it by cutting it the thickness of your finger. You need to insert it into the anus for several hours.
Ointment. The basis of the homemade ointment is melted lard, to which is added a decoction of oak bark and flax flowers. Lubricate the swab with the prepared ointment and insert it into the anus for 4 hours.
Enema. Cleansing enemas are effective in treating hemorrhoids. You can use an infusion of strawberry leaves to carry them out.

Prevention

During pregnancy, you can minimize the risk of developing hemorrhoids. To do this, you need to reconsider the stereotype that pregnancy is a disease, that you need to eat for two and limit physical activity as much as possible. What can be opposed to the prevailing opinion?

Food quality versus quantity: excess weight negatively affects not only the condition of the rectum;
Special gymnastics, including squats, versus lying on the sofa: will help strengthen blood vessels, tone muscles and prepare a woman for childbirth.

Taking care of your health will help new mothers take better care of their baby.

Attention!

The information in the article is purely informational. It is recommended that you consult a specialist (doctor) before applying the tips described in the article.