After childbirth, hemorrhoids came out.

Is it possible to cope with this problem, or even better - to prevent it?

The word "hemorrhoids" in Latin means "bleeding" - this is the most common symptom of the disease. Also, manifestations of the disease are anal itching, a feeling of discomfort in the anus and the release of mucus from it.

According to official figures, about 40?% of pregnant women suffer from hemorrhoids. And during the first pregnancy over the age of 30, this disease occurs in 50?% of women. There are no exact statistics on the incidence of hemorrhoids, since many are still embarrassed to talk about this problem.

In women who have given birth, symptoms of hemorrhoids appear 5 times more often than in nulliparous women. One of the main reasons is violent labor activity, improper straining during attempts.

Many women mistakenly believe that the development of hemorrhoids during pregnancy and after childbirth is inevitable. Therefore, they simply try not to pay attention to it and resort to folk remedies, instead of getting qualified, effective and timely treatment from a proctologist.

In addition, in the postpartum period, most young mothers breastfeed their babies and are therefore afraid to use medications.

Causes of hemorrhoids

Normally, in the anal canal in certain places, even during the period of embryonic development, special vascular formations are laid - cavernous bodies, in which there are direct connections of the arteries and veins of the rectum.
Under the influence of certain factors and /? or already existing predisposition to the disease, these bodies increase in size and form internal hemorrhoids.

In modern medicine, it is customary to distinguish two main factors in the development of hemorrhoids:

hemodynamic, associated with the movement of blood through the vessels - increased inflow of arterial blood to the hemorrhoids and /? or difficulty in the outflow of venous blood from these nodes;
muscular-dystrophic - weakening of the ligaments and muscles that hold the nodes inside the anal canal. This can be either a congenital weakness of the connective tissue - a tendency to form coarse keloid scars, easily bending, loose joints, etc., or an age-related decrease in its elasticity, which often occurs after 50 years.

Types of hemorrhoids

There are two main types of hemorrhoids - acute and chronic. But at their core, they are different phases of the same process.

Acute hemorrhoids

The disease is characterized by the following main symptoms: severe pain syndrome, enlargement of hemorrhoids and inflammatory changes in the perianal region, i.e. around the anus. At all stages of acute hemorrhoids, not always, but there may be a discharge of blood over the stool.

There are 3 degrees of acute hemorrhoids, depending on the severity of inflammation in the anal area:

1 degree- thrombosis of external and /? or internal hemorrhoids without signs of inflammation. When feeling the area of the anus, a woman can identify enlarged compacted hemorrhoids, slightly painful when pressed. In the depth of the node, you can feel a small dense formation - a blood clot. Pain occurs during bowel movements and persists for some time after it. Sometimes there may be slight redness of the skin around the anus. Body temperature does not rise.

2 degree- their inflammation joins the thrombosis of the nodes. There is a strong pain syndrome in the area of hemorrhoids, which is aggravated by walking, defecation and sitting. Perhaps an increase in body temperature up to 380C. The hemorrhoidal nodes that have fallen out, with independent palpation, are significantly enlarged, sharply painful, densely elastic in consistency, do not independently retract back into the rectum. They block the entrance to the rectum and greatly deform the anal fissure, which often causes not only pain, but also difficulty during defecation. There is often a discharge of mucus from the anus, which causes itching and burning.

3 degree- inflammation passes to the skin and subcutaneous fat layer of the perianal region. Pain in the anus is permanent and spreads to the perineum, buttocks and lower abdomen. With bowel movements, the pain increases significantly. In the area of the rectum, there is a feeling of pressure and fullness. Even walking and sitting are not possible, the most painless position is lying on the stomach. All the skin around the anus, perineum, buttocks is sharply painful, thickened, reddened. Body temperature reaches 390C.

ATTENTION! In no case should you try to manually set the fallen hemorrhoids by hand: this can cause trauma to the mucous membrane of the nodes and significant bleeding, sometimes life-threatening.

chronic hemorrhoids

Before starting a conversation about the symptoms of chronic hemorrhoids, I would like to mention its asymptomatic stage, when there are no characteristic signs of this disease, and nothing bothers the pregnant woman. But with a special proctological examination, the presence of hemorrhoids is revealed. Thanks to this examination during pregnancy, the doctor has the opportunity to prevent exacerbation of hemorrhoids in the postpartum period.

There are 4 stages of chronic hemorrhoids:

1 stage- there are enlarged internal hemorrhoids that protrude into the lumen of the rectum, but do not fall out of the anal canal when straining or after defecation. The main symptoms of the disease are discomfort during and after defecation, a feeling of incomplete emptying of the intestine, the release of a small amount of bright scarlet blood over the stool after defecation. These signs are not permanent and can appear only periodically.

2 stage- hemorrhoidal nodes fall out after defecation, but independently set back into the lumen of the rectum. The main symptoms appear immediately after a bowel movement and last for some time after it. These include anal itching and burning, feeling of a foreign body in the rectum, the discharge of bright scarlet blood in the form of a few drops over the stool, and eventually even a thin trickle: this happens after a stool, when lifting weights and increasing blood pressure.

3 stage- after defecation, hemorrhoids fall out of the rectum and do not self-reset back, there is a need for their manual reduction. The main symptoms: the fallen nodes can be felt on their own in the form of 1-3 "bumps", they cause a sensation of a foreign body; pain syndrome, which appears after defecation and persists for some time, joins the intensifying itching and burning sensation.

4 stage characterized by constant prolapse of hemorrhoids and the impossibility of their reduction into the anal canal. At this stage, complications of the disease appear: thrombosis of the nodes, severe bleeding, gas and sometimes fecal incontinence, and the release of a large amount of mucus from the rectum.

Risk factors

The following factors contribute to the development of hemorrhoids after childbirth:

two-stage defecation - situations when the discharge of feces occurs in two stages with an interval of 5 to 30 minutes;
chronic constipation;
sedentary lifestyle.

Exacerbation of an existing problem can cause:

diet violation - immoderate intake of spicy, salty foods, various marinades, spices, alcohol;
taking a number of medicines, including oral contraceptives;
difficult act of defecation after prolonged constipation. In most cases, after childbirth, there is an increase in constipation. It is during this period that exacerbation of hemorrhoids occurs. This situation lasts about a month, and then gradually disappears (if the woman did not have a predisposition to constipation before pregnancy);
prolonged diarrhea - diarrhea;
lifting weights, including older children;
violent and prolonged labor activity.

Approximately 50?% of women who suffered from hemorrhoids during pregnancy, after childbirth, the disease worsens.

This happens for the following reasons:

when the fetal head moves into the pelvic area, compression of the vessels located there occurs, including the veins of the rectum; violation of the venous outflow, in turn, causes stagnation of blood in the hemorrhoids, their increase and compaction;
when the fetal head has erupted, internal hemorrhoids prolapse, sometimes with a rupture of their walls and the release of blood;
about half an hour after childbirth, there is a gradual contraction of the anal sphincter and self-reduction of hemorrhoids; if the contraction of the sphincter occurred faster than the nodes had time to adjust, then their infringement is possible.

Treatment of chronic hemorrhoids

Conservative treatment that does not involve surgery includes the following activities.

Mode:

after each bowel movement, it is necessary to wash, while instead of toilet paper, use alcohol-free baby wipes;
it is recommended to wear underwear made of 100?% cotton: natural fabrics pass moisture well, the skin "breathes", which creates unfavorable conditions for the development of infection. Do not wear thong panties.

Diet:

exclusion of products that cause an exacerbation of the disease: excessively spicy, salty foods, marinades, smoked meats, mustard, vinegar, spices, as well as strong coffee, alcohol;
the use of products that contribute to the normalization of the stool.

plentiful drink (more than 1.5–2? l per day): mineral water without gas, juices;
taking a decoction of prunes: 5-10 berries of dried prunes should be poured with 1 glass of boiling water overnight, in the morning drink this infusion on an empty stomach;
the use of vegetable fiber: bran, wholemeal bread, oatmeal, muesli, fresh vegetables, fruits, boiled beets;
taking 30 minutes before meals 2-3 times a day 1 teaspoon of vegetable oil: sunflower, olive, vaseline - or TYKVEOL preparation based on pumpkin seed oil.

Laxatives

The most commonly used drugs are DUFALC, MUKOFALC, FORLAX, the use of which is possible during breastfeeding. These drugs increase the volume of feces and soften them, while not affecting peristalsis - bowel contractions.

Preparations based on senna leaves are contraindicated during lactation, but even if a woman is not breastfeeding, frequent use of this laxative can harm her intestines. Senna preparations have an effect by increasing peristalsis. If you regularly force the intestines to work with stimuli from the outside, then soon it will not want to contract on its own. In other words, long-term use of senna-based laxatives exacerbates the problem of constipation rather than cures it. Be sure to consult your doctor about the possibility of using this or that drug during lactation, so as not to harm your baby.

Phlebotropic drugs

These funds increase the tone of the veins, improve the function of the vascular wall, improve lymph flow. All this eliminates inflammation and significantly reduces the risk of progression of hemorrhoids.

The drug DETRALEX, which is often prescribed by doctors, is very effective, but its use is contraindicated during breastfeeding. During lactation, various homeopathic drops are used: VENZA, ESCULYUS COMPOSITE, VENORUTON (RUTOZID), GINKOR FORT.

vitamin therapy

The intake of multivitamin complexes is shown, better - special for young mothers during pregnancy and lactation. With a tendency to bleeding hemorrhoids, vitamins C, P, for example, ASKORUTIN, are prescribed separately to strengthen the vascular wall.

Local treatment of hemorrhoids:

Apply sedentary warm baths with potassium permanganate. Water should be light pink in color, temperature 35-400C. You need to sit in such a bath for 15-20 minutes 2 times a day. It is also possible to use baths with decoctions of medicinal herbs - chamomile, succession, calendula, eucalyptus. After the bath, the perineum is dried with clean gauze or a waffle towel, but not with toilet paper or cotton wool!

Effective microclysters with oil- Vaseline, sunflower, olive, TYKVEOL oil. For them, special rubber pears with a volume of 50 ml are used. Before emptying the intestines, with the help of a pear, the tip of which is abundantly lubricated with petroleum jelly, 20-40 ml of warm oil at a temperature of 35-370C is carefully injected into the rectum. Oil prevents mechanical injury to the wall of hemorrhoids, facilitates defecation. In addition, the regular use of oil microclysters helps to strengthen the vascular wall of the nodes due to the content of tocopherols (vitamin E) and carotenoids (vitamin A) in the oil.

Also recommended microclysters with decoctions of medicinal herbs- chamomile, calendula, succession. For them, a children's syringe is used, with the help of which the solution is injected, lying on the left side. After the enema, it is recommended to lie down for 15-20 minutes. You can carry out this procedure at night.

If in chronic hemorrhoids the main complaint is the discharge of blood, then they help very well. rectal suppositories NATALSEED, which are made on the basis of brown seaweed. In addition to hemostatic, they also have an anti-inflammatory effect. The use of NATALSIDA is possible during lactation.

With the predominance of pain syndrome, various candles and ointments: ANESTESOL, PROCTOGLYVENOL, PROCTOSAN, PROCTOSEDIL, ULTRAPROKT, POSTERISAN and POSTERIZAN FORTE, AUROBIN, ANUSOL, NEO-ANUZOL, RELIF, RELIEF ADVANCE. Almost all the main drugs in this group are contraindicated in breastfeeding. During lactation, it is safe to use drugs such as ANUZOL suppositories, POSTERIZAN ointment and suppositories, EMLA cream.

Homeopathic preparations- suppositories HEMOPROST, cream and suppositories GAMAMELIS - have a good effect on chronic hemorrhoids and are approved for use in nursing mothers.

Effective mud applications for which special tubes with tambukan mud for rectal use are used. Therapeutic mud has an anti-inflammatory, antioxidant effect, increases local immunity, improves the structure and function of the vascular wall. Mud applications can be used during breastfeeding.

The following methods are used as surgical treatment:

Standard radical hemorrhoidectomy. The operation consists in ligating the hemorrhoidal vessels under anesthesia or spinal anesthesia. Then, using a surgical scalpel, hemorrhoids are removed, and the resulting wounds are sutured. It is also possible to use the method of radio wave surgery or a laser scalpel: with this method, wound healing is accelerated due to a more gentle effect on the tissues. The main disadvantage of the operation is a long recovery period, which a young mother who feeds a child cannot afford.

Minimally invasive (“semi-surgical”) treatments:

Sclerotherapy indicated for chronic hemorrhoids stage 1 with recurrent bleeding. A sclerosing drug is injected under the hemorrhoid with a special long needle, after which the node starts to empty and shrinks, as the blood flow to it stops. A maximum of two nodes can be sclerosed at the same time, so a second treatment session may be necessary. This manipulation is performed on an outpatient basis, often without the use of anesthesia.

Ligation with latex rings performed at 1, less often - at stage 2 of chronic hemorrhoids, when there are only internal nodes. With the help of a special tool - a ligator, the hemorrhoidal node is pulled up and a pre-stretched latex ring is thrown onto its leg, which is compressed on the node to its original size. As a result, the leg of the node is pulled, it ceases to be supplied with blood and gradually dies off - disappears along with the ring after 3-5 days. This manipulation is performed on an outpatient basis, without the use of anesthesia. Only one hemorrhoid node is ligated in one session, so several procedures may be required.

infrared photocoagulation hemorrhoids is performed at the 1st and 2nd stages of chronic hemorrhoids. An apparatus is introduced into the rectum - an infrared photocoagulator, brought close to the hemorrhoidal node and exposed to thermal energy, which contributes to the gradual death of the node. This manipulation is performed on an outpatient basis, without the use of anesthesia. Most often, several sessions of photocoagulation are required.

Transanal desarterization of internal hemorrhoids (ligation of hemorrhoidal arteries, or HAL) is performed at stages 1 and 2 of the disease, and in combination with anal lifting - HAL + RAR - is effective at stages 3 and 4. At the moment, desarterization is one of the most modern methods of treating hemorrhoids at almost all stages - without wounds and incisions, without pain. Rehabilitation after the procedure is fast: the patient is discharged the next morning. Therefore, this manipulation is most suitable for the treatment of chronic hemorrhoids in the postpartum period.

HAL is performed under ultrasound guidance. For this procedure, a specially designed apparatus is used with an ultrasound probe to locate the hemorrhoidal arteries and a special “window” for stitching the arteries. The device is inserted into the rectum, under the control of an ultrasound sensor, an artery is found and immediately stitched. All large hemorrhoidal arteries are ligated in one session, no repeated procedures are required.

With hemorrhoids of the 3rd and 4th stages, after the standard suturing of the hemorrhoidal arteries (HAL), a lifting is performed - suturing of the rectal mucosa, which is also called RAR - rectoanal repair.

As a result, hemorrhoids return to their normal physiological position, stop falling out. In the vast majority of cases, the external effect of the HAL-RAR operation (pulling up protruding hemorrhoids) should be visible by the end of the operation. Final scarring of the rectal mucosa occurs after about 6 weeks; just at these times, the resorption of the sutures, which tightened the mucous membrane, also occurs.

It is better to perform a deserterization operation using epidural anesthesia; At the same time, an anesthetic drug is injected into the epidural space that surrounds the spinal cord, nerve roots enter this space, they are “frozen” by the injected drug - as a result, pain sensitivity below the belt disappears. But it is possible to perform the procedure under local anesthesia; in this case, discomfort may occur due to the lack of complete relaxation of the anal sphincter.

Discharge from the hospital is made either during the day or the next morning after the operation.

Treatment of acute hemorrhoids

Conservative treatment:

Bed rest for 2-3 days.
On the first day, cold lotions are made on the area of inflamed hemorrhoids, for example, an ice pack is applied for 10-15 minutes with an interval of 2-3 hours.
Starting from the second day of exacerbation of hemorrhoids, it is necessary to do warm sessile baths (as in chronic hemorrhoids).

Otherwise, the treatment is almost the same as for chronic hemorrhoids, only the doses and frequency of use of drugs differ.

In case of acute bleeding that does not stop within 1 hour, urgent medical attention is necessary. In the period before the consultation, you can use suppositories with ADRENALINE.

Surgical treatment

Radical operations aimed at removing hemorrhoids in one way or another are not performed in acute hemorrhoids. In case of thrombosis of the hemorrhoidal node, by the decision of the doctor, it is possible to perform such a manipulation as removing a blood clot from the node using a surgical scalpel.

Prevention

It is necessary to think about the prevention of the appearance and exacerbation of hemorrhoids in the postpartum period even before pregnancy and during it. The following measures will help prevent the disease:

examination by a specialist proctologist, even if nothing bothers, but there are predisposing factors;
hygiene of the anal area - washing after each bowel movement;
diet: it is necessary to exclude foods that can cause an exacerbation;
fight against constipation;
in case of detection of asymptomatic hemorrhoids - taking phlebotropic drugs in prophylactic doses as prescribed by a doctor;
regular performance of a complex of therapeutic and preventive gymnastics to improve blood circulation in the vessels of the small pelvis.

Timely prevention of hemorrhoids and well-prescribed treatment will help a woman feel the happiness of motherhood more fully.

Non-drug treatments for postpartum hemorrhoids

How to treat hemorrhoids after childbirth? This is the first question that a woman asks herself when she feels itching, pain, an increase in the size of hemorrhoids. Taking any medication causes serious concern for young mothers, as most of them breastfeed their baby. Treatment of the disease should be started immediately, as it causes a lot of inconvenience, deprives a woman of the opportunity to fully deal with the baby and aggravates the state of postpartum depression. In the initial stages of hemorrhoids, in some cases, you can only get by with a change in lifestyle, nutrition, hygiene and certain physical exercises.

Proper nutrition for hemorrhoids after childbirth

The purpose of the diet for hemorrhoids is to normalize the work of the digestive organs, improve intestinal motility, change the hard consistency of the stool, treat and prevent constipation. The diet recommended for postpartum hemorrhoids for treatment is fully consistent with that which a woman should adhere to when breastfeeding a baby. The principles of nutrition in the expansion and inflammation of hemorrhoids are as follows:

in large quantities, plant foods rich in fiber should be present in the diet - vegetables and fruits, preferably raw, dried fruits, cereals (oatmeal, barley), buckwheat, bran;
daily it is necessary to consume fermented milk products that have been stored for no more than a day from the date of manufacture;
it is recommended to exclude as much as possible the use of rich bakery products, sweet carbonated drinks, sweets, spices, smoked meats, spices, fatty meat and fish, as well as broths and first courses based on them;
it is undesirable to eat foods that contribute to the processes of increased gas formation in the intestines (white cabbage, radish, legumes, etc.);
for cooking, it is best to use stewing, boiling, baking and steam method.

Fiber-rich fruits and vegetables improve intestinal motility in hemorrhoids

Important: Sufficient fluid intake, which is at least 1.5–2 liters per day, contributes to the normal functioning of the gastrointestinal tract with hemorrhoids and increased lactation. The following drinks are recommended: compotes, still mineral waters, herbal and green teas.

Personal hygiene rules for hemorrhoids

Compliance with the rules of personal hygiene is an integral part of the treatment of hemorrhoids after childbirth. A good effect on inflammation of the hemorrhoids is given by washing with cool water after each bowel movement. They reduce pain, inflammation and improve the condition of the hemorrhoidal veins when performed regularly. To clean the anal area after a bowel movement, it is advisable to use hypoallergenic wet wipes or soft toilet paper. Also, during the period of exacerbations, it is recommended to take daily slightly warm sessile baths with the addition of decoctions of oak bark, chamomile, sage, calendula, string. Hot baths and saunas are strictly contraindicated in this disease, as they can provoke an aggravation of the inflammatory process.

Women who have experienced hemorrhoids in the postpartum period should avoid tight underwear, as it contributes to the deterioration of blood circulation in the pelvis.

Physical activity for hemorrhoids after childbirth

An increase in general motor activity, as well as a set of exercises to strengthen the muscles of the pelvic floor, leads to an improvement in blood circulation and the state of blood vessels. You can start any gymnastics immediately after childbirth only after consulting a doctor. If a woman had problems such as difficult childbirth, perineal rupture or caesarean section, then the list of exercises will be extremely organic.

In the absence of contraindications, at first you can perform, which consists in compressing and relaxing the muscles of the pelvic floor. Initially, the load should be minimal and then gradually increase. To perform a more complex set of exercises for the pelvic and abdominal muscles, a young mother needs to allocate at least 10 minutes a day.

With an exacerbation of hemorrhoids after childbirth, a woman should not stay in a sitting or horizontal position for a long time, as this greatly increases the pressure on the hemorrhoidal veins. It is recommended to breastfeed the baby in the supine position, as this process can be quite long.

Tip: At the first, which are the feeling of discomfort during defecation, a woman needs to contact a proctologist. The sooner the treatment of the disease begins, the less likely it will be necessary to use serious drugs or surgery that are incompatible with lactation.

Conservative and surgical methods for the treatment of hemorrhoids after childbirth

Postpartum hemorrhoids can be treated conservatively and rarely surgically. Conservative therapy consists in the use of special medicines for hemorrhoids after childbirth, aimed at relieving the symptoms of the disease and preventing subsequent exacerbations. Surgical treatment consists in the removal of hemorrhoids, which can be performed by a minimally invasive or surgical method. The choice of this or that method of treatment of hemorrhoids is carried out by a specialist after a complete examination and determination of the severity of the disease.

Conservative treatment

The selection of medications for the treatment of hemorrhoids in breastfeeding women must be approached with special responsibility. The prescribed funds should not pose a threat to the child. If it is necessary to use drugs that penetrate into breast milk and are dangerous to the health of the baby, then lactation for the duration of treatment will need to be stopped.

Currently, there is a list of topical drugs that are approved for use after consultation with a doctor during breastfeeding. These include ointments after childbirth, which have the following effect:

eliminate pain, itching, burning;
reduce inflammation;
regenerate damaged tissues;
stop bleeding;
increase the tone of the veins.

Preparations of the Relief series based on shark liver are approved for the treatment of hemorrhoids after childbirth

Among the gels and ointments used during lactation for hemorrhoids after childbirth, Relief, Procto-glivenol, Troxevasin Hepatothrombin gel, heparin and ichthyol ointments, Vishnevsky ointment can be noted. They are usually used to treat external hemorrhoids. For internal forms of the disease, preparations in the form of suppositories are prescribed: Relief, Posterisan, Procto-Glivenol, suppositories with sea buckthorn oil or calendula, Neo-Anuzol, Hepatothrombin, Natalsid.

Also, drugs can be prescribed to treat constipation, if this problem cannot be solved with the help of a diet. Among them, the most widely used drug is Dufalac, which improves intestinal motility and contributes to a change in the structure of feces.

Surgery

They try to avoid surgical treatment of hemorrhoids in a woman after childbirth or, if possible, postpone it for a while after the end of lactation, having achieved remission of the disease by other methods. But in some cases, you can not do without it, especially when it comes to the last stages of hemorrhoids, accompanied by heavy bleeding.

The most gentle are the so-called minimally invasive methods of removing hemorrhoids. Compared to hemorrhoidectomy (radical surgery), they are characterized by a shorter recovery period, the speed of the operation, the possibility of outpatient treatment, and other advantages. These methods include:

injection sclerotherapy;
infrared photocoagulation;
laser removal of hemorrhoids;
ligation with latex rings.

Tip: During surgery, antibiotics are prescribed, which are incompatible with breastfeeding. To maintain lactation, a woman should express a certain number of times a day while taking antibacterial drugs, simulating feeding.

Statistics show that many new mothers are faced with such a problem as hemorrhoids after childbirth. How to treat such a pathology? After all, as you know, not all medicines can be used by women during lactation.

Many mothers are interested in additional information about this disease. Why did hemorrhoids come out after childbirth? What medications are allowed for breastfeeding mothers? Is it possible to use folk remedies? The answers to these questions are important for many women.

What is a disease?

Before considering questions about why hemorrhoids develop after childbirth, how to treat the disease and what symptoms it accompanies, it is worth understanding the general information.

Hemorrhoids is a pathology that is associated with inflammation, thrombosis and further expansion of the veins that form nodes around the rectum (hemorrhoidal). In fact, this is varicose veins in the anus. This is a very common and extremely delicate problem.

The disease develops gradually. In the initial stages, patients note only heaviness, itching and discomfort. The symptoms of the disease include recurrent pain, constipation. As the vessels expand, small bleeding appears, and in advanced cases, hemorrhoids prolapse.

According to statistics, hemorrhoids often develop in women after childbirth. This significantly impairs the quality of life of the new mother. A similar problem cannot be ignored - you need to see a doctor as soon as possible.

The main causes of pathology

There is an opinion that hemorrhoids appear as a result of labor attempts. But in fact, the pathology develops before or during pregnancy. Childbirth only exacerbates the situation. The list of reasons is quite impressive.

During pregnancy, progesterone levels rise sharply. This hormone leads to a weakening of the tone of the vascular walls, including the veins in the anus.
As the baby grows, the uterus increases in size and compresses the vessels of the small pelvis. Blood circulation becomes difficult, which leads to the expansion of the veins. If before pregnancy you had hemorrhoids of the first degree, then it is likely that the situation will become much more complicated until the moment of delivery.
The reasons include frequent constipation. It is worth noting that this problem is only partly related to malnutrition. The same progesterone inhibits intestinal motility, which leads to the formation of very dense feces.
Do not forget that during childbirth, intra-abdominal pressure rises sharply. This leads to the expansion of the veins and the further formation of hemorrhoids.
Hemorrhoids are often diagnosed in women after a caesarean section. The fact is that physical activity after surgery is contraindicated, and the scars formed after the procedure prevent normal bowel movement.

Are there risk factors?

Today, questions are important about why it develops and what symptoms are accompanied by hemorrhoids after childbirth, how to treat such diseases and whether there are effective means of prevention. We have already dealt with the causes of the appearance of pathology. But it is worth noting that doctors identify some risk factors, the influence of which increases the likelihood of developing hemorrhoids.

Sedentary work, lack of physical activity, hypodynamia.
Improper diet, chronic constipation.
Risk factors include the age of the expectant mother. It has been proven that the likelihood of developing hemorrhoids is much higher if a woman is over 30 years old.
The number of births also matters. The birth of each subsequent child increases the chances of enlargement and prolapse of hemorrhoids.
Unfavorable factors also include the presence of complications during childbearing, multiple pregnancy.

Hemorrhoids after childbirth: symptoms, features of the clinical picture

Many new mothers face the same problem. Signs of hemorrhoids after childbirth are very characteristic. Features of the clinical picture directly depends on the stage of development of the pathology.

At the initial stages, the only symptoms are itching, and sometimes a pronounced burning sensation in the anus, which intensify during defecation. Some patients complain of very noticeable pain that occurs during the passage of dense feces through the rectum.
Some women complain of an annoying sensation of a foreign body in the intestines.
Hemorrhoids are often accompanied by swelling of the perineum, which leads to urinary retention and spasm of the walls of the bladder.
The walls of the dilated veins are often injured during a bowel movement, which leads to a slight bleeding. The presence of scarlet blood on toilet paper is a serious reason to consult a specialist.
In the last stages of the development of pathology, hemorrhoids fall out, which leads to their infringement, the appearance of a pronounced pain syndrome and periodic bleeding. It is difficult for the patient to move and almost impossible to sit.

The disease has an extremely negative impact on the quality of life of a new mother.

Hemorrhoids after childbirth: what to do?

If you notice anxiety symptoms in yourself, you should immediately consult a doctor. Of course, therapy during lactation is fraught with difficulties, because potent drugs are contraindicated for nursing mothers.

But you shouldn't wait until you stop breastfeeding. The disease will constantly progress, which can lead to the development of dangerous complications, including inflammation in the tissues of the rectum, tissue infection, anemia, and some other disorders.

Candles for the treatment of diseases

In modern proctological practice, patients are often prescribed special suppositories for hemorrhoids. After childbirth, of course, not all drugs can be used.

The most popular are candles with sea buckthorn oil. They quickly relieve inflammation, accelerate the healing of wounds and sores, relieve burning sensation in the anus. It is worth noting that these are the safest suppositories for hemorrhoids after childbirth, since they do not contain potentially dangerous substances.
Rectal suppositories "Posterisan" contain inactivated strains of Escherichia coli. Once in the body, these beneficial bacteria activate local immunity. In addition, the drug strengthens blood vessels, and its active components do not penetrate into the blood.
Candles with calendula are another medicine with a natural and safe composition. The extract of this plant has pronounced regenerative properties. The drug is widely used to treat anal fissures and other injuries.

Of course, in no case should you self-medicate, especially when it comes to patients who are breastfeeding. Only a doctor can tell you about what helps with hemorrhoids after childbirth, what drugs can be used and how often.

What ointments can be used after childbirth?

Many mothers face such a problem as hemorrhoids after childbirth. Treatment is known to be difficult. The ointment that will be used to eliminate the symptoms of the disease should have the following properties:

quickly relieve pain;
inhibit the development of the inflammatory process;
eliminate itching and irritation;
strengthen the tone of the venous walls;
prevent bleeding from hemorrhoids;
the active components of the ointment should not penetrate into the internal fluids, including breast milk and blood.

Fortunately, the modern pharmaceutical market offers a fairly wide range of such drugs - finding a remedy for hemorrhoids after childbirth (if we are talking about the lactation period) is not difficult.

"Troxevasin" is available in the form of ointment and cream. It is intended for external treatment. The tool strengthens the walls of small vessels, eliminates itching and inflammation, relieves swelling.
"Gepatrombin G" is a commonly used ointment for hemorrhoids after childbirth. It contains heparin (provides resorption of existing blood clots and prevents the appearance of new blood clots), as well as allantoin (has anti-inflammatory properties). The drug accelerates the regeneration processes.
Also, the therapy regimen sometimes includes such products as "Relief Ultra" and "Relief Advance", which are available in the form of gels, ointments and creams. They contain shark liver oil, which perfectly copes with inflammation and activates regenerative processes, as well as benzocaine, which relieves pain almost instantly.

Folk remedies

What should a woman who is diagnosed with hemorrhoids after childbirth do? should only be done under medical supervision. Traditional medicine, of course, offers a lot of recipes.

For example, many healers recommend daily sitz baths. You need to add decoctions of chamomile, string, sage flowers to the water, as these plants have anti-inflammatory properties, help relieve pain and speed up the healing process.
You can also prepare medicine for internal use. To do this, pour 150 g of fresh aloe leaves with 300 ml of natural honey (it can first be slightly warmed up in a water bath, but to a temperature not higher than 60 degrees). Let the medicine sit for a few days. You need to take a small spoonful three times a day, preferably before meals. This remedy helps with constipation and therefore prevents further enlargement of hemorrhagic nodes. But do not forget that honey can cause allergies in a child - carefully monitor the condition of the baby.
If there is an external node, then it is recommended to lubricate it several times a day with cocoa butter or candied honey - these remedies will help relieve discomfort and inflammation.

Of course, such home events cannot replace full-fledged drug therapy. In no case should you refuse the help of a doctor. Any recipes of traditional medicine can be included in the treatment regimen only with the permission of the attending doctor.

Surgical intervention

Unfortunately, in some cases, hemorrhoids cannot be treated with medication. If we are talking about the third or fourth stage of the development of the disease, then the doctor may decide on the surgical removal of hemorrhoids. Today, there are many safe and simple procedures.

Ligation. At the base of the hemorrhoid, the doctor puts a special latex ring. Such a device completely blocks the blood supply to the tissues of the node, which leads to their death and independent rejection.
Cryodestruction. This procedure involves the use of liquid nitrogen to freeze the dilated blood vessel and affected mucous membranes. The technique is used to remove both external and internal nodes.
Sclerotherapy. A special sclerosant substance is injected into the affected area of the vein, which causes the walls of the vessel to “stick together” and, accordingly, stop blood circulation in the affected area.
infrared coagulation. The affected areas of the membranes of the rectum are cauterized using infrared rays.

Such procedures are safe, do not take much time, do not require hospitalization.

Nutrition for hemorrhoids

We have already dealt with questions about why hemorrhoids occur after childbirth, how to treat such an ailment, and what complications it can lead to. But it is worth remembering that nutrition is an integral part of therapy. A properly composed diet will help to improve the functioning of the intestines and strengthen the body.

During pregnancy, as well as after childbirth, many women experience constipation. And with such violations, the correct drinking regimen is extremely important. A person should consume at least 1.5-2 liters of fluid per day. Newly made mothers are recommended to drink tea (possible with milk), mineral water (still), compotes, juices.

It is important to include foods containing fiber in the diet, as this complex carbohydrate is a mechanical stimulator of intestinal motility and, therefore, prevents the development of constipation. The regular use of fruit and vegetable salads will positively affect the state of the digestive system. It is worth including in the menu lean meats (in boiled or baked form), sour-milk products (also help to cope with constipation), soups on low-fat broths.

Of course, one should not lose sight of the fact that some fruits (citrus fruits, strawberries) can cause allergies in a child - they must be discarded. It is also not recommended to eat cabbage, radishes, legumes, corn, radishes, as these foods are slowly digested and contribute to excessive gas formation.

Mothers who are faced with a similar problem are advised to reconsider their lifestyle. For example, experts recommend moving more often, taking long walks in the fresh air. It will be useful to regularly perform a set of Kegel exercises - they eliminate stagnant processes in the pelvis, strengthen muscles and improve blood circulation.

It is extremely important to observe the rules of personal hygiene. You need to wash yourself after each bowel movement, using warm water (you can use decoctions of medicinal plants). It is better to use soft toilet paper. Hot baths and saunas are contraindicated for women with a similar diagnosis.

Hemorrhoids after childbirth is a consequence of physiological disorders. This is a varicose vein in the rectum, resulting in hemorrhoids.

When this disease appears, women experience pain, irritation, and others. If timely treatment is not started, severe itching or may appear.

During childbirth, strong loads occur in the pelvic part. He becomes weakened and more susceptible to various disorders. There is a decrease in the tone of the anal muscle tissue and a malfunction in the intestinal motility.

Clinical picture of the disease

There are two types of the disease - internal and external hemorrhoids. In the first case, nodes and seals are located inside the rectum, so women do not immediately pay attention to the problem that has arisen.

There are a few of the most common:

sensation of itching and burning during bowel movements;
when bending and in a sitting position, discomfort appears in the anus;
irregular sharp pains in the lower abdomen;
bowel movements do not bring relief;
blood clots in the stool and marks on linen;
secretion of mucus from the anus;
frequent constipation, nodes appear on the inner walls of the rectum, which can increase in size at any time, which provokes constipation;
occur with progressive internal hemorrhoids.

Symptoms that a woman got out after childbirth:

feeling of severe heaviness in the anus;
regular discomfort, itching and burning in the anus;
the girl feels a foreign body in the rectum;
excessive pain during bowel movements;
blood clots appear.

The external form of hemorrhoids is accompanied by the loss of nodes outward, so it becomes difficult and painful to move. If you do not go to the doctor in time, then the bumps begin to bleed.

Features of the treatment of postpartum hemorrhoids

After carrying and giving birth to a child, the girl's body must restore its own defenses. Hemorrhoids cause its regular and excessive weakening.

It is necessary to pay attention to this problem in time and take care of proper treatment.

Why are there difficulties? This disease harms the well-being of a young mother and her baby. The fair sex feel physical pain and experience stress.

This interferes with the recovery of the body, long-term postpartum depression sets in, and it also becomes more difficult to care for the newborn.

Regular bleeding affects the quality of breast milk and negatively affects protective functions. With severe manifestations of anemia, a nursing mother loses milk.

After the birth of a child, girls may not take all medications. First of all, preference is given to those medicines that do not have a negative effect on the baby.

Active components should not be absorbed into the blood and breast milk. A large number of drugs contain hormonal substances that are contraindicated during the feeding period.

How to cure hemorrhoids of the third stage

Patients experience constant and regular prolapse of bumps that do not retract on their own.

When walking, acute pain, burning and a feeling of discomfort are felt. To avoid complications, it is necessary to seek qualified help in time.

For treatment, the proctologist prescribes or cryotherapy. The nodes are frozen with a special refrigerant. Next, the bumps are destroyed and pulled out of the anus. In rare cases, it is used - cutting out nodes under anesthesia.

After assessing the patient's condition, the doctor prescribes suture ligation. Ointments, gels and other medicines with this form of hemorrhoids are ineffective.

Ligation of hemorrhoids with latex rings

What happens when there is no treatment

The fourth stage is the most severe form of the disease, in which the bumps reach huge sizes and regularly fall out of the rectum.

Due to a violation of the functions of the sphincter, an uncontrolled bowel movement occurs. Due to bleeding, anemia is observed. Patients feel severe attacks of pain.

To cope with this stage of hemorrhoids, the proctologist prescribes an exclusively complex treatment:

, nodes and hemorrhoidal cones are processed using an infrared beam.
radio wave surgery.
removal of knots by laser.

How to cure hemorrhoids after childbirth - the top 10 best and safest ways can be found by watching the video:

Nutrition for the new mother

Along with the treatment of hemorrhoids, it is necessary to pay attention to a special diet.

If you do not change the habitual way of eating, then it will be more difficult to cope with the disease. Include in your daily diet foods that help improve the digestive system and intestinal motility.

The special diet includes rice and buckwheat, fermented milk products, vegetable oil of natural origin, bran, and fiber.

The peculiarity of the diet for hemorrhoids after childbirth is to maintain the intestines and organically combine with feeding. The quality of milk and the health of the baby depend on the products.

You need to pay attention to the use of dried apricots, prunes, fresh fruits and vegetables. To prevent constipation, it is recommended to drink at least 1.5 liters of water per day.

Salty, spicy and spicy dishes, carbonated drinks, spices, as well as plants of the legume family are excluded from the diet.

Folk recipes

To get rid of hemorrhoids with the help of traditional medicine for a young mother immediately after childbirth, the following recipes are suitable:

50 grams of birch leaves are steamed in a liter of hot water. The infusion is aged for thirty minutes and is used for a sitz warm bath.
With excruciating constipation, experts recommend that young mothers drink fresh onion juice. It is drunk five times a day, one teaspoon before meals.
Douching with a rubber bulb with a weak solution of potassium permanganate. The mixture is injected into the anus and kept for one minute. The course of treatment cannot exceed more than one week.

What to do if hemorrhoids got out during childbirth?

If hemorrhoids appeared just before the birth, then you do not need to worry much about this.

It is best to immediately notify your gynecologist or the doctor who will deliver the baby. Girls can give birth with this disease in the absence of contraindications.

After childbirth, the condition of the woman in labor may worsen slightly. There will be pain and discomfort in the anus.

To reduce the discomfort and negative manifestation of hemorrhoids, it is necessary to start treatment on time.

If the doctor noted the fourth stage of hemorrhoids in the woman in labor, then delivery in this case is possible only with the help of a caesarean section. This is facilitated by severe bleeding or.

Opinion of women in labor

To better understand how to get rid of hemorrhoids after childbirth, you should study the reviews of girls and women who have already gone through this.

During pregnancy, there were problems with the intestines, after which hemorrhoids began. At the consultation, the proctologist recommended candles. Within a few days, I felt much better. At the same time, I followed a special diet to get rid of constipation.

Valentine, 41

I have long heard about the healing properties of horse chestnut bark and decided to try them on myself. I took about 50 grams of dry bark and poured boiling water over it.

After the decoction has been infused and given up its beneficial substances, it can be used. I took sitz warm baths for 15 minutes. It relieves pain and discomfort well. At the same time, it is completely harmless to the baby and does not affect breast milk.

Selena, 27

Preventive actions

To avoid the development of hemorrhoids, it is necessary to properly organize your own daily routine.

After childbirth, it is necessary to allow the body to fully strengthen and recover. Then you can start doing light sports and physical education. Blood should not stagnate in the pelvic organs.

At the first sign of hemorrhoids, the following preventive measures should be followed:

At the first signs of the development and appearance of hemorrhoids, you should definitely seek help from a doctor.

Pregnant girls and nursing mothers should be careful about their own health. You do not need to self-medicate so that hemorrhoids do not develop into a chronic form.

After a complete examination, the proctologist will advise an effective treatment method and a special diet.

Only with a serious approach to treatment, as well as following all the doctor's recommendations, can this disease be cured once and for all.

In the last months of pregnancy, the load on the woman's body is mainly associated with the compression of the internal organs by the growing uterus. Most complications, such as swelling, constipation, heartburn, disappear after the birth of a child. But some problems remain and are even more pronounced. There are frequent cases when women begin to notice pain during bowel movements, bloody streaks in the stool, discomfort in the anus. These are all symptoms of hemorrhoids.

The disease is dangerous for its complications - inflammation of the rectum and the development of a malignant tumor. Therefore, it is important to timely and competently treat hemorrhoids after childbirth. The modern therapeutic approach involves the use of medications, folk remedies, as well as adherence to a special diet, therapeutic exercises and correction of hygiene procedures.

Postpartum hemorrhoids, despite their name, begin during pregnancy. In the 2nd and 3rd trimesters, the uterus and fetus constantly increase in size and compress the rectum. The longer the gestation period, the worse the blood supply to this area becomes. Knots and fissures are formed during childbirth due to a sharp increase in intra-abdominal pressure. The severity of the disease is determined by the individual characteristics of the woman, the weight of the child, the course of childbirth.

Another common cause of hemorrhoids after childbirth is those that appeared during pregnancy. Their appearance is caused by several reasons. There is a change in the hormonal background. The body begins to intensively produce progesterone - a hormone that reduces the tone of the smooth muscles of the internal organs. Its main task during this period is to prevent uterine hypertonicity and abortion. A decrease in intestinal motility leads to a slowdown in the digestion process and the development of constipation. Blood in the vessels of the rectum stagnates, hemorrhoids form.

Additional factors provoking hemorrhoids are overweight, lack of physical activity. In case of complications during pregnancy, the doctor may prescribe medications that also increase the risk of developing the disease.

Hemorrhoids after childbirth cause great discomfort to a woman and can lead to more serious diseases, so treatment should be carried out immediately after symptoms are detected. To quickly fix the problem, you need an integrated approach that combines diet, gymnastics, medications and folk remedies.

Diet

Since it is forbidden to treat hemorrhoids after childbirth during lactation with most drugs, it is important to focus on proper nutrition. In addition, it will be beneficial for the health of the baby. By correcting the diet, chronic constipation, which is one of the factors in the development of hemorrhoids, can be eliminated.

The daily menu of a nursing woman should contain foods high in fiber. Its fibers enhance intestinal motility and restore normal stools. Sources: oatmeal, buckwheat and barley porridge, wheat bran, vegetable oil, dried apricots, prunes, as well as fresh fruits and vegetables.

It is important to observe the drinking regimen. The norm of water is calculated based on body weight: for every kilogram there should be 30 ml of fluid per day. The best option is to drink purified non-carbonated water; sugary drinks should be discarded.

All sweets, smoked meats, spices, rice and semolina porridge, flour products, drinks with gas are banned. It is worth minimizing the consumption of canned foods and semi-finished products. From vegetables it is not recommended to eat radish, turnip and sorrel.

Physical exercises

There is a special therapeutic gymnastics against hemorrhoids. Physical exercises improve the functioning of the large intestine, increase the tone of the muscle fibers of the anal area and the abdominal wall, and reduce stagnant processes in the vessels of the small pelvis.

You need to do it a couple of times a day, and if most of the time is spent in a sitting position - 3-4 times. The duration of the complex is about 5 minutes.

Here are simple but effective exercises:

Walk around the room, raising legs bent at the knees high;
Standing, perform swings with a straight leg in the direction forward, backward and to the sides (repeat with the other leg);
Standing, feet shoulder-width apart, lean to the sides, forward and backward;
Perform plie squats: with legs wide apart and on toes;
Standing, feet shoulder-width apart, strain the buttocks, drawing in the anus (hold the tension for 7-10 seconds).

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