Treatment of hemorrhoids after childbirth. Treatment of hemorrhoids after childbirth: a delicate problem for young mothers

Carrying a child and giving birth in most cases lead to an exacerbation of various diseases that a woman has. Problems of the body’s venous system are no exception. The question of how to get rid of hemorrhoids after childbirth worries up to 60% of young mothers. A quarter of all women in labor complain of problems with the veins of the anus, and more than 40% of women note various abnormal sensations in the rectum in the first week after the birth of the baby. What should young mothers do?

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What you need to know about hemorrhoids

Medical workers distinguish two forms of this disease. In 80% of cases, patients are diagnosed with chronic hemorrhoids. The onset of the disease usually occurs with virtually no symptoms and often does not cause the woman any inconvenience. Over time and in the absence of appropriate treatment, the disease can progress.

Experts usually distinguish the following stages:

Acute hemorrhoids are almost always a complication of chronic ones and are manifested by the presence of inflammation in the venous nodes and severe pain in the anal area. The process of pinching the venous nodes leads to disruption of tissue trophism in the perineal area.

The development of pathology usually goes through three main stages. Initially, infringement of the venous plexuses develops based on the presence of inflammatory symptoms, and pain is a consequence of irritation of the nerve endings of the walls of the hemorrhoids. You can hear complaints from patients about a feeling of discomfort and increased temperature in the anus.

If the disease is complicated by inflammation of the strangulated nodes, then in addition to painful sensations in the rectal area, a picture of general intoxication of the body also appears. The woman’s health deteriorates, her body temperature rises, and sharp swelling and hyperemia are noted at the site of prolapsed hemorrhoids.

If necrosis of the venous nodes occurs, urgent assistance from a surgeon is required, since the pathological process can spread to the entire area of ​​the perineum and pelvis, causing serious complications that require surgical treatment and subsequent long-term drug rehabilitation.

Hemorrhoids after childbirth: causes

Experts regard hemorrhoids as a general disease of the venous system, in which the nodal areas of the rectal veins become overfilled with blood, come out and become inflamed. One of the factors leading to such a pathology is pregnancy and childbirth.

A woman may have a history of various diseases of the intestine and its excretory section long before pregnancy and childbirth. For example, the use of hormone-based contraceptives for a long period of time often leads to various pathologies of the venous nodes. Pregnancy only aggravates disorders of the vascular system of the pelvis and rectum.

With the development of the fetus in a woman’s body, there is a sharp increase in pressure in the abdominal cavity, as a result of which the blood flow in the veins of the rectum and pelvic organs slows down.

The presence of such physiological disorders in women is also facilitated by:

• frequent constipation during pregnancy;
• excessive weight gain;
• weak physical activity of the expectant mother.

The process of childbirth itself continues to worsen the condition of blood vessels and contributes to the development of hemorrhoids in the early postpartum period. During pushing, a woman’s venous pressure increases in all parts; the vessels of the small pelvis and rectum are no exception. This process leads to the formation of hemorrhoids and their partial prolapse.

Experts have calculated that performing a cesarean section reduces the likelihood of hemorrhoids after childbirth by 15 - 20%, but the possibility of inflammation of the nodes in the anus remains high. Postpartum hemorrhoids remain a big problem for obstetricians, gynecologists and surgeons.

Symptoms of strangulation and inflammation of the venous nodes in the postpartum period

Most often, while carrying a child, a woman is practically not bothered by inflammation in the rectal area. As the baby's body moves through the birth canal, the pelvic vascular system is compressed, which leads to an increase in arterial and venous pressure in the intestinal blood supply. The venous outflow of blood is critically impaired. All this causes the formation of hemorrhoids.

After the end of the period of childbirth, the formations periodically fall out of the rectum; in mild cases of the disease, the woman manages to reset them independently using her hands. If you do not pay attention to this problem and do not seek help from a specialist, inflammation of the hemorrhoids may occur.

In the rectal area, the young mother will feel a burning sensation, soreness and discomfort. Since in the first days of lactation a woman’s body begins to produce new hormones and the effect of old ones decreases, a problem with the gastrointestinal tract arises, in particular constipation.

Abnormal bowel movements lead to the development of an inflammatory process in the hemorrhoids themselves, and bleeding appears from rectal fissures and strangulated venous nodes.

Pain in the rectal area begins to become constant, the mucous membrane swells, and this in turn makes the process of defecation and urination even more difficult. In 60 - 70% of cases, a young mother after childbirth experiences a transition from a chronic process in the rectum to acute hemorrhoids, which is a consequence of a crisis in the functions of the rectum during pregnancy. This pathological process usually has a mild course; copious bleeding and severe pain in the anus are not typical in this situation.

If timely appropriate treatment is not carried out, the process may develop into acute hemorrhoids. In this case, necrosis of the hemorrhoids may occur, the pathology may transfer to the perineal tissue and the development of acute paraproctitis. These problems can directly threaten the health and life of a woman and require long-term treatment.

Diagnosis of this disease is quite simple. Most hemorrhoids can be observed in the area where the rectum exits, where they are accessible to palpation. If a woman develops internal hemorrhoids after childbirth, there are special instrumental methods to diagnose this process. It is possible to perform sigmoidoscopy and irrigoscopy.

This examination is practically painless, is available to all mothers and does not require stopping breastfeeding during the period of rectal examination.

Treatment of hemorrhoids after childbirth

When asked by women whether it is possible to get rid of hemorrhoids after childbirth, experts answer in the affirmative. The main problem in the treatment of this pathology is that not all medications are allowed to be taken during lactation.

• This includes suppositories with sea buckthorn oil, which promote rapid regeneration of the rectal mucosa.
• A good effect has been proven when using “Posterizan” ointments and suppositories for hemorrhoids. The E. coli contained in this drug actively affects the flora of the rectum and accelerates recovery.
• Most hemorrhoid treatment specialists recommend Relief and Relief Advance suppositories and ointments to their patients. These products are based on cocoa butter, are absolutely safe for the baby and give excellent results in the conservative treatment of chronic inflammation of the venous nodes of the rectum.
• To relieve swelling, the use of Hepatrombin ointment is indicated. This medicinal substance acts on the walls of blood vessels, as a result of which the swelling completely disappears, and dense blood clots do not form in this section of the vein.

Surgery for this pathology is required only as a last resort - in the presence of purulent inflammation in the perineal area. In surgery, the method of planned operations to remove hemorrhoids is practiced, however, during the period after childbirth and breastfeeding, this method of treatment is not relevant.

Traditional recipes for problems with the rectum after childbirth

The simplest and most effective method of preventing hemorrhoids in the postpartum period is to stabilize the diet and home hygiene. Constipation is dangerous when the venous parts of the rectum are inflamed, and fighting infection will help prevent inflammation in the female perineum.

Homemade candles made from potatoes minced through a meat grinder or from candied honey are very helpful for chronic and acute hemorrhoids. This method helps reduce swelling and relieve pain.

One of the most common methods of treating inflammation of hemorrhoids is considered to be various baths. First of all, this is a bath of ordinary cold water. 2 - 3 liters of liquid are poured into a basin, potassium permanganate is added and taken for 10 minutes twice a day. It is possible to use an infusion of burnet herb for sitz baths.

Some sources advise using a sitz bath based on onions boiled in milk for inflammation of hemorrhoids. After a cleansing enema, the perineum is treated with steam from this solution for 5–7 minutes.

In the treatment of hemorrhoids, many plants are used in the form of decoctions and infusions. Traditional medicine specialists strongly advise using freshly picked rowan juice, alum in milk and an infusion of the royal scepter herb.

These medications must be used for at least 2 - 3 months to obtain a pronounced effect. Decoctions for chronic hemorrhoids have proven themselves to be the most effective.

There are a large number of recipes for treating hemorrhoids at home, however, during the period after childbirth, it is better for a young woman not to self-treat and endanger her health and the life of the baby. If the first symptoms of the disease develop, you should seek help from a doctor.

Various factors can trigger it. Even during pregnancy, many suffer from constipation. This unpleasant phenomenon is explained by the physiology of a pregnant woman: the uterus of impressive size puts pressure on neighboring organs and feces cannot move normally through the intestines.

Unfortunately, expectant mothers do not always eat normally. An enlarged belly forces a pregnant woman to reduce physical activity. Lack of physical activity is the best way to cause constipation.

Hemorrhoids often overtake large women. Many pregnant women experience changes in body composition. Sometimes hormonal contraceptives used by the mother before pregnancy are responsible for discomfort in the anus. Sometimes hemorrhoids occur due to damage to blood vessels during childbirth.

To choose treatment tactics and alleviate discomfort, you need to know what symptoms clearly indicate the presence of this disease.

Signs of hemorrhoids

It is easy to recognize hemorrhoids: a woman feels a burning sensation in the anus, going to the toilet causes pain, it seems that there is a foreign body in the anus. May remain on linen. It hurts for a woman to sit; any movement causes discomfort.

A woman in labor who is faced with this problem will be understood by any person who is familiar with the external and internal forms of the disease. The external form may be characterized by prolapse of nodes (this situation can occur with severe stress or during the process of bowel movement).

Treat or endure

Hemorrhoids after childbirth must be treated!

Postpartum hemorrhoids should be treated by a specialist. You can’t think that just relieving pain is enough. Systematic treatment is necessary, as it provokes inflammation of the rectum and bleeding. Even oncology can be a consequence of an advanced disease.

To get rid of this unpleasant illness, patience and diligence are required from a woman: in addition to drug treatment, experts suggest that the patient make lifestyle adjustments.

What should be the diet for hemorrhoids?

In order for her health to improve and things to get better, a woman must change her eating habits. What diet is recommended for women in labor? A girl after a natural birth and a mother from the 3rd day after a cesarean need to eat apples, boiled bread, bread with bran is useful. A special drinking regimen is indicated: a woman in labor should drink about 2 liters. per day.

In order for the intestines to remember its responsibilities, a woman must perform feasible gymnastics: some exercises can be done in bed, walking along the corridor is useful. After discharge, the young mother should remember the diet and formulate a menu taking into account the nutritional characteristics of nursing mothers.

Fresh fruits, a variety of vegetables, cereals and dairy products should be regularly present on the table. Lean meats and fish should also complement the table. For mothers who have recently given birth, certain dietary restrictions have been developed:

• Bakery;
• Chocolate;
• Pickled vegetables;
• Smoked products;
• Spicy dishes.

You can drink water, compote and weak tea. Strong drinks, cocoa and coffee are prohibited. This diet has a beneficial effect on lactation and is an additional measure for the treatment of hemorrhoids.

How to carry out hygiene procedures for a patient suffering from hemorrhoids

The effectiveness of hemorrhoid treatment depends not only on the punctual administration of medications. Correctly performed hygiene procedures can alleviate the patient’s condition. It is worth equipping the toilet with soft paper, and after defecation, carry out water procedures without soap.

Gymnastics

You can do the exercises together with your baby!

To heal postpartum hemorrhoids faster, a woman should be physically active. Mom should do gymnastics regularly and have the opportunity to take walks in the fresh air. How the set of exercises works. The main thing is to normalize blood flow in the pelvic organs.

What exercises should I pay attention to?

1. The first exercise can be performed standing or sitting. You need to cross your legs and relax/tighten the anus.
2. The second exercise is performed lying down. The woman bends her knees and begins (using her feet) to raise/lower her pelvis.
3. In a lying position, the legs are raised alternately.

What drugs are effective in treating postpartum hemorrhoids?

Modern pharmaceutical companies offer effective drugs to achieve remission in this sensitive problem. To achieve the best effect, several drugs are prescribed. can be divided into groups:

• Even during lactation you can not endure pain. Modern remedies (“”, “Anestezol”) in the form of suppositories with anestezin can quickly alleviate the painful condition.
• The purpose of using anti-inflammatory drugs is to eliminate the inflammatory process and reduce itching in the rectum. Drugs are used in different forms: suppositories, ointments.
• In the complex treatment of hemorrhoids, hemostatic drugs are used. Patients are often prescribed “Diction” (injections and tablets). Vikasol may be prescribed. These drugs are prescribed to a nursing mother with caution.
• The leading drugs used in the fight against hemorrhoids are means to improve the tone of the veins. They must be selected on an individual basis. The following products are in demand: “”, “Ginkor Procto”, “Proctosedil”.
• In order not to injure the anal area, the use of laxative suppositories (Bisacodyl, Senade) may be prescribed.

Therapeutic procedures based on the use of medications and herbal remedies in the systemic treatment of hemorrhoids have a positive effect. Many women who have encountered the problem of postpartum hemorrhoids talk about the effectiveness of a safe herbal collection that has antihemorrhoids action. The collection includes the following plants: senna, buckthorn, licorice, yarrow.

This video will introduce you to effective remedies for hemorrhoids during pregnancy for prevention and high-quality treatment during exacerbation of hemorrhoids:

When to resort to surgery

In cases where drug treatment does not produce the desired effect, hemorrhoids are treated surgically. There is no need to be afraid of surgery: modern clinics actively use low-traumatic techniques that promise quick and painless relief from problems. The following surgical options can be distinguished:

• Sclerotherapy is based on the injection of a sclerosant, a substance that stops blood flow, into the hemorrhoid. The following metamorphoses occur with the fallen ties: they decrease in size and are retracted into the rectum.
• The second option is ligation of the hemorrhoid with latex rings. As a result of such manipulation, the blood supply to the problem area is disrupted and the node is rejected.
• Infrared photocoagulation allows you to cauterize bleeding vessels with a special device - a photocoagulator. The nodes become smaller and press against the intestine.
• After the operation, measures are taken to heal the wound and prevent complications. Chamomile baths are good for helping you recover after surgery. “Suppositories” are used, which have wound-healing and anti-inflammatory properties. If healing is successful, the patient can return to her previous life.

Other treatments

Hemorrhoids after childbirth are a common occurrence.

Hirudotherapy is often effective. The leech eliminates venous congestion and the patient begins to feel better. Leech treatment sessions are carried out 21 times a week. 3-4 leeches are used.

The patient should have an idea of ​​how hemorrhoids are treated with leeches. On the day when hirudotherapy is performed, the patient should not smoke or use hygiene products with fragrances.

The anus should be kept clean. Do not forget that hirudotherapy will give the desired effect if the patient does relaxing and tense exercises.

The specialist applies leeches to biologically active points in the area of ​​the sacrum, coccyx, and liver. The procedure is completed when the leeches are saturated. Usually the problem is solved by 10 sessions of treatment with leeches. To stop bleeding, apply a bandage to the bite area, which is fixed with a bandage for a day.

Breastfeeding, hormonal changes after the birth of a child, constipation and stress - all these factors significantly weaken a woman’s immune response and the vessels of the rectum. When a baby is bottle-fed, therapy for this unpleasant disease can be carried out according to the usual regimens. The main problem in the treatment of hemorrhoids after childbirth may be the question of stopping or continuing breastfeeding, since during this period the proctologist must take into account the risks of using certain medications or surgical techniques that require pain relief.

In this article, we will introduce you to the basic principles of treating hemorrhoids after childbirth. This knowledge will help you prevent the development of complications and promptly seek help from a specialist.

The main difficulties in the treatment of hemorrhoids after childbirth

The main problem that a doctor has to face when treating hemorrhoids during childbirth is the difficulty in selecting drugs for the treatment of patients who are breastfeeding. Some medications can pass into milk and have negative effects on the baby's health.

Such drugs include:

• rectal suppositories Bellatamine, Hemorrhoidal, Anuzol, which contain belladonna (or belladonna) extract and can have a toxic effect on the child’s nervous system;
• ointment or suppositories Relief, which contain phenylephrine hydrochloride, shark liver oil, cocoa and in some cases are used to treat hemorrhoids in nursing women, they should be prescribed by a doctor and taken only according to his instructions, because they can cause allergic reactions in the baby and provoke a rise in blood pressure;
• Proctoglivenol suppositories, which contain tribenoside, lidocaine and other auxiliary components and are rarely used to treat nursing mothers, since their active and auxiliary substances can negatively affect the functioning of the child’s heart.

There are also medications to treat hemorrhoids, which can affect breast milk supply and even cause lactation to stop.

A more easily solved problem in the treatment of hemorrhoids during breastfeeding is the selection of foods for a diet that would relieve a woman of constipation. The need to include in your daily diet a large amount of fresh vegetables and fruits, containing large amounts of fiber and substances that cause allergies in the child, can lead to the development of diarrhea, colic, diathesis and other reactions in the baby. In such cases, to select the optimal set of foods, the mother will need to keep a food diary, which will help the doctor and her adjust the anti-constipation diet without compromising the baby’s health.

Treatment of hemorrhoids during breastfeeding

The treatment strategy for hemorrhoids in nursing mothers is determined by the stage of the disease and the state of health of the mother and child.

Drug therapy

In the initial stages of the disease, local therapy is used: ointments, creams, gels or rectal suppositories. One such remedy may be the drug Posterisan, which is available in various forms and does not contain substances that can harm the health of the baby. It has an immunostimulating effect on the mother's body, exhibits an anti-inflammatory effect, prevents secondary infection of the anus and rectum and accelerates the healing of the mucous membrane.

Also, to treat the initial stages of hemorrhoids, medications based on medicinal herbs and natural ingredients can be used:

• Calendula DN suppositories: promote rapid wound healing;
• ointment and suppositories with Propolis: have a wound-healing and anti-inflammatory effect and are indicated in the absence of allergic reactions to propolis.

In the later stages of hemorrhoids, when the nodes and mucous membrane of the rectum become more inflamed, women may be recommended suppositories and ointments based on a hormone such as prednisolone. For this, suppositories or ointment Gepatrombin G are prescribed. In addition to prednisolone, they contain heparin, which thins the blood, and the local anesthetic polidocanol. The general course of treatment with Hepatrombin G can last about a week. Its use eliminates pain and swelling, prevents the formation of blood clots and promotes the resorption of existing blood clots.

The use of phlebotonics during breastfeeding is not recommended, since the substances contained in such drugs can have a negative effect on the child. An alternative option in such cases may be food products (olive and corn oil, lettuce, bell peppers, egg yolks, etc.) that are introduced into the mother’s daily diet and do not have a negative impact on the baby’s health.

Additional methods of conservative therapy

In addition to medications and diet, when treating hemorrhoids during breastfeeding, a woman, if the doctor allows, may be recommended:

Traditional methods of treatment

At the initial stages of external hemorrhoids, various traditional treatment methods can be used. Before starting to use any product, it is recommended to consult with your doctor about the safety of its use.

Some traditional medicine recipes that can be used to treat external hemorrhoids during breastfeeding:

• lotions with a clay solution: add chamomile decoction or boiled water to the clay powder in such a volume that you get a mass that resembles sour cream in consistency, put the clay on a cotton cloth and apply it to the hemorrhoids for 2 hours 1-2 times a day, this the product has an anti-inflammatory and mild analgesic effect;
• lotions with alum solution: dissolve 1 teaspoon of alum in 200 ml of hot boiled water, moisten gauze folded in several layers in the resulting solution and apply to the inflamed node, this remedy allows you to eliminate itching and reduce inflammation of the node and surrounding tissues;
• lotions with beet juice: raw beets are grated on a fine grater and the resulting mass is wrapped in a gauze napkin, which is applied to the disturbing hemorrhoidal node; this remedy not only eliminates pain, but also helps to quickly reduce the nodes inside the rectum.

Surgery

If conservative therapy is ineffective at the second or third stage of hemorrhoids, a woman may be prescribed various minimally invasive or classical surgical treatment methods.

After childbirth, it is possible to use the following minimally invasive treatment methods:

• ligation of hemorrhoids with latex rings;
• sclerotherapy;
• infrared photocoagulation;
• cryodestruction.

In advanced stages of hemorrhoids, the effectiveness of the above methods may be reduced to a minimum. In such cases, the proctologist can decide on the need to perform a classic operation to excise hemorrhoids. This takes into account the influence of the method of surgical anesthesia on the general health of the mother, breastfeeding and the advisability of stopping it.

After completing minimally invasive treatment or surgery, the woman undergoes a rehabilitation course and takes symptomatic medications. In the future, she is prescribed medications to prevent relapses and is given recommendations about some restrictions in everyday life.

Despite the difficulties that may arise when treating hemorrhoids after childbirth, a woman should remember that it is better to begin treating this disease in the earliest stages. An experienced proctologist will always be able to select the necessary medications or minimally invasive treatment methods that do not have a negative effect on breastfeeding and stop the progression of the disease. Remember this! And always consult a doctor at the first sign of hemorrhoids.

Hemorrhoids are a vascular disease that occurs due to stagnation of blood in the pelvic vessels. Therefore, if you have a lump, it’s too early to panic, you need to start treating it.

Symptoms of hemorrhoids after childbirth

Probably, every person can visually imagine what hemorrhoids look like after childbirth; the size of the bumps that are noticeable from the outside can be different. Sometimes during pregnancy it is asymptomatic, and only after the birth of the child begins to develop, causing the woman some inconvenience. This disease looks far from attractive, and besides, it causes discomfort. Its symptoms include the following:

• burning in the anal area;
• pain when going to the toilet;
• itching of the anus;
• sensation of a foreign object in the anus;
• sensation of rectal pressure.

As medical practice shows, these are harmless symptoms and if they occur, you should consult a doctor. Otherwise, there is a high probability of developing hemorrhoids, which is manifested by the following symptoms:

• bleeding from the anus;
• the appearance of cracks in the anus;
• sharp pain when going to the toilet.

As a rule, hemorrhoids after childbirth occur in an acute form. The answer to a question such as whether hemorrhoids always appear after childbirth can be answered in the negative. There are also women who do not experience this disease.

Can hemorrhoids go away on their own after childbirth or do they need to be treated?

Many people say that there is no need to treat hemorrhoids after childbirth, they will go away on their own. But in fact, this is a myth, and the disease will not go away on its own. Doctors use two types of treatment: conservative and surgical. The first type of treatment is the use of drugs, and the other type is surgery. Surgery is necessary when hemorrhoids become large and cannot be treated with medication.

As a rule, a lot of drugs have been identified for treatment, these can be:

• candles;
• ointments;
• pills.

Ointments and suppositories are effective in the first stages of the disease. Even if a woman has small nodes, they need treatment. You can also resort to traditional medicine in treatment (it is an additional direction). But you need to consult a doctor before using this or that method.

If a pregnant woman did not pay attention to protection from this disease in time, then it is necessary to consult a doctor to prescribe treatment at the first symptoms of the disease. It depends on his speed and methods how quickly he will pass.

But if you do not take any therapeutic measures, the disease will never go away. Many people are interested in the following question: “How long does it take for hemorrhoids to go away after the birth of a child?” The answer to this will be ambiguous; the duration of the disease depends on the treatment. If it is chosen correctly, then on the 2-3rd day its symptoms will begin to subside. And in about a week there will be no trace of the disease.

However, there are also cases where the disease did not go away even for 2 years with constant treatment of the woman. In fact, you need to engage in comprehensive treatment, reconsider your daily routine and diet.

But in most cases, the answer to the question of how long hemorrhoids last after childbirth looks like this - 7 days with proper treatment. Can the disease go away on its own? No, the disease will not go away on its own, it can only seem so to a woman after the symptoms of the disease subside.

Causes of hemorrhoids after childbirth

Many people believe that hemorrhoids come out only because of the process itself, during which you have to push. But in fact, this is a misconception; there are many reasons for its appearance. Of course, one of the factors in its appearance is that the woman pushes, trying to “push” the baby out with her muscles. Other factors in the development of the disease include the following:

• sedentary work;
• poor nutrition;
• heredity.
• sedentary lifestyle.

If a hemorrhoid comes out after childbirth, then most likely the mucous membrane was damaged during the birth of the child. As practice shows, in most cases hemorrhoids come out after the second birth, if the woman was tormented by this problem during the first birth.

It is worth noting that a person does not always know about the development of the disease; after all, it can be asymptomatic. Typically, people only start to notice it when the bumps come out.

According to Dr. Komarovsky, hemorrhoids after childbirth are a “normal” phenomenon that is easily treatable, although sometimes it looks incurable. Several treatment methods have been identified, but only a doctor can decide which of them will be effective for a particular case. When asked why it remained after childbirth or showed itself again, the doctor answers unequivocally - it’s all to blame for the changes in hormonal levels and the process of pushing during the birth of the child.

Prevention of ruptures and hemorrhoids during childbirth

As you know, constipation can cause hemorrhoids to appear. Therefore, to prevent it, you need to follow a diet rich in fiber. If you have it, then your diet should include the following foods:

• cereals;
• prunes;
• buckwheat grain;
• oatmeal;
• dairy products;
• barley porridge and others.

Even a woman who does not suffer from hemorrhoids should adhere to this diet, since this food will not harm the baby in any way, but will only bring benefits. In this case, you will have to refrain from the following dishes:

• strong tea;
• salty, smoked and fatty foods;
• chocolate;
• products enriched with animal fats;
• flour;
• spices;
• White bread;
• coffee;
• slimy soups.

To prevent the onset of illness after childbirth, maintaining proper nutrition will not be enough. Ways to prevent the disease are as follows:

• physical education;
• walks in the open air;
• swimming;
• daily washing with warm water and soap;
• refusal of toilet paper, it is better to replace it with wet wipes;
• refusal of tight underwear.

It is worth noting that prevention will be ineffective after childbirth; this should be done long before conception. How to avoid hemorrhoids will be described below. The first thing you need to start with is normalizing your stool, that is, eating right. You should have a bowel movement every day. To do this, you need to drink a glass of warm water every morning, and throughout the day eat foods that have a laxative effect. This can but:

• kefir;
• vegetables;
• yogurt;
• fruits.

In general, you need to drink as much fluid as possible throughout the day. It also happens that hemorrhoids appear a month after childbirth if the woman does not follow the recommendations described above.

If hemorrhoids appear after childbirth, the doctor may prescribe physical exercises aimed at strengthening the pelvic muscles. They are effective in both preventing and treating the disease.

One of the simplest and most effective exercises is the Kegle method, which involves squeezing and relaxing the muscles of the anus. First you need to pull the muscle into yourself, and after ten seconds relax.

To improve your condition, you need to move as much as possible. If hemorrhoids appear during childbirth, then you need to perform the following simple tasks:

1. Lie on your back. Raise your pelvis and remain in this position for several seconds. Descend. Relax. Perform 10-20 approaches.
2. Standing on all fours, arch and bend your back (cat). Do 30-40 approaches.
3. Lie on your back and perform “Scissors.” Perform 20-30 approaches.

Important! Loads need to be gradually increased, adding 4-5 approaches every day.

It is worth remembering that if you have hemorrhoids after giving birth, you should not delay your visit to the doctor, since the disease does not disappear on its own. Many people are interested in the question: “How long does it take for hemorrhoids to go away after childbirth?” The answer to it was formulated above, but we should not forget about the individual characteristics of the body. More precisely, a doctor monitoring the patient’s condition can answer this question.

Hemorrhoids after childbirth - methods of treating the disease

Such a problem as hemorrhoids after childbirth or during pregnancy has been and remains relevant. This is confirmed by its wide discussion on forums of future and existing mothers.

What are hemorrhoids? What to do with it before and after childbirth? What are its symptoms? And is hemorrhoids possible after cesarean section?

Hemorrhoids are a disease of the venous system, which is manifested by nodular dilatation of the veins of the lower rectum. These expansions are hemorrhoids.

Causes of the disease

The development of hemorrhoids is associated with causes that cause stagnation and increased blood pressure in the vessels of the rectum:

• congenital features of the venous wall;
• lack of physical activity;
• systematic use of certain medications, for example, hormonal contraceptives;
• excess body weight;
• pregnancy;
• tendency to constipation.

Hemorrhoids after childbirth often “emerge” during pregnancy. This occurs due to increased intra-abdominal pressure and stagnation of blood in the pelvic vessels. During labor, pressure on the venous walls sharply increases, which leads to the formation of hemorrhoids.

Note! Hemorrhoids can occur not only after natural childbirth, but also after cesarean section.

Depending on their location, cones can be external or internal. The external form of the disease differs in that the nodes are accessible for inspection. They look like small round formations the size of a pea to a cherry. Often the external nodes form a cluster in the form of a corolla around the anus.

With internal hemorrhoids, the lumps are located behind the anal sphincter. They cannot be seen, but often manifest as hemorrhoidal bleeding. As a result, posthemorrhagic anemia develops, which is dangerous during pregnancy and after childbirth. Other symptoms of the disease with the internal location of the nodes are also possible.

Clinical symptoms of hemorrhoids

Postpartum hemorrhoids can be acute or chronic. In this case, childbirth can be physiological or by caesarean section. The acute form develops suddenly, while the chronic form has a long and milder course.

The first symptoms of hemorrhoids after childbirth are itching, a feeling of heat and a burning sensation in the anus, which intensifies during bowel movements. Due to injury to the mucous membrane from feces, intense pain also appears. But after stool it goes away.

The nodes increase in size over time, and as a result of inflammation they become red and swollen. Pain in the anus becomes constant, intensifying with movement and sitting. Severe swelling of the perineal tissue leads to spasm of the bladder sphincter and urinary retention.

Acute hemorrhoids can be complicated by necrosis of the tissue of the node, hemorrhoidal bleeding, the formation of cracks or inflammation of the tissues around the rectum - paraproctitis.

Chronic hemorrhoids after childbirth develop gradually, unnoticed by the patient. Periodically, after defecation, a burning and itching sensation is felt in the anal area, and there is a feeling of insufficient emptying of the rectum. Pain in the anus is intermittent and short-term. Bloody discharge from the rectum appears and gradually intensifies after stool.

During pregnancy, symptoms of the disease may be absent and appear only in the postpartum period. This is due to the fact that during childbirth the baby’s head compresses the vascular formations of the small pelvis. This causes acute disruption of venous outflow and increased pressure in the vessels of the rectum.

After childbirth, enlarged internal hemorrhoids periodically fall out of the rectum. This happens during bowel movements, and then the nodes go back on their own. Later, prolapse of nodes is observed during heavy lifting. But they no longer adjust themselves, but only with the help of their hands. In advanced cases of hemorrhoids, the cones do not go away at all, necrosis develops in them, or massive hemorrhoidal bleeding occurs.

Methods for diagnosing hemorrhoids

If the node comes out, diagnosis of the disease is simple and based on examination of the anus.

Externally, hemorrhoids after childbirth look typical - in the form of round formations resembling peas. To identify internal hemorrhoids, determine their number and size, a digital examination of the anus is performed.

In addition, sigmoidoscopy (endoscopic examination of the rectum) and irrigoscopy (x-ray examination with a contrast agent) are used to detect them.

Treatment of illness after childbirth

If symptoms of the disease appear, you should not wait for everything to go away on its own. Treatment must be started immediately to avoid complications. After all, inflammation of soft tissues and hemorrhoidal bleeding are dangerous during pregnancy and after childbirth.

Treatment of the disease should be comprehensive, including not only medications, but also diet, physical therapy and, possibly, some folk remedy.

Physical activity

To prevent venous stagnation in the pelvic vessels you need:
dose physical activity and heavy lifting;
walk in the fresh air every day, walking at a calm pace for at least 1.5-2 km;
regularly do special physical therapy exercises.

Note! A caesarean section should not limit a woman's physical activity. The more movements, the lower the risk of formation of adhesions in the pelvis.

Drug treatment

Drug treatment of hemorrhoids after childbirth consists of prescribing laxatives, venotonics, and agents that improve blood microcirculation.

Antihemorrhoidal ointments and suppositories are used as local treatment.

Treatment with folk remedies

Traditional medicine offers remedies for hemorrhoids for both external and internal use.

Topically used:

• medicinal enemas with a decoction of blueberries, cold water and tannin;
• sitz baths with a decoction of chestnut seeds and chamomile inflorescences, onion decoction and alum.

Disease Prevention

It is necessary to know how to get rid of postpartum hemorrhoids, but this is not enough. After all, disease prevention is much more important. It is simple and should be practiced throughout pregnancy and then after childbirth if you want to prevent the knot from popping out.

First of all, prevention consists of an active lifestyle. Walking is mandatory and should be done daily. If you regularly do special exercises, you will strengthen the pelvic muscles and improve blood circulation in it. Avoid wearing tight clothing. And of course, follow a diet to ensure normal bowel function and prevent constipation.

1. Try not to strain too hard during bowel movements.
2. Maintain personal hygiene. After each bowel movement, wash the anal area with cool water and blot it with a napkin rather than rubbing it with a towel.
3. For constipation, use a mild laxative.
4. Eliminate brown bread, cabbage, and legumes from your diet, that is, foods that cause excessive gas formation. Limit the use of hot spices and seasonings.
5. Include in your daily diet vegetables and fruits rich in pectin, lean meat and fish, honey, bread and baked goods made from wholemeal flour, bran, prunes and dried apricots.

And remember that hemorrhoids after childbirth and during pregnancy are not uncommon. But it can be avoided if you engage in prevention.

Very severe hemorrhoids after childbirth

Unfortunately, many women are faced with a situation where large, terrible hemorrhoids appear after childbirth. It is impossible to accurately predict at the stage of pregnancy whether such a disease will develop and what its severity will be. The formation of nodes can occur long before a woman’s pregnancy, and begin to progress into a serious pathological process during pregnancy due to compression of the pelvic venous network by the growing fetus. However, this process often occurs hidden during pregnancy. And during childbirth, with significant straining, large hemorrhoids are detected by both the doctor and the patient. When hemorrhoids become severely inflamed after childbirth, a woman begins to experience significant difficulties and great discomfort in a difficult time.

Causes of severe hemorrhoids after childbirth

The venous network that surrounds the rectum changes pathologically under the influence of a number of factors, which leads to the formation of large hemorrhoids. In general, we can identify the following main reasons for the development of severe hemorrhoids in women:

• Weakness of the venous wall and predisposition to varicose veins (including hemorrhoids).
• Heart failure of the right ventricular type (including those caused by heart defects).
• Portal hypertension is an increase in pressure in the portal vein of the liver.
• Long-term chronic constipation, due to errors in diet, gastrointestinal pathology.

The process of childbirth only aggravates this pathological process. This is why severe hemorrhoids appear after childbirth. It occurs for the following reasons:

• Weakening and stretching of the pelvic day muscles during childbirth during pushing.
• The fetus is too large, which leads to severe stretching and injury to the perineum.
• Thrombosis of the venous network of the pelvis during pregnancy or occurring in the postpartum period.

Thus, severe huge hemorrhoids after childbirth occur in women who have such a disease before pregnancy, or are a consequence of thrombosis of the hemorrhoidal veins, including as a result of trauma to the pelvic floor muscles. In this case, severe hemorrhoids do not go away after childbirth, even with the use of all conservative methods.

Signs of severe hemorrhoids after childbirth

Symptoms of severe hemorrhoids after childbirth include the following:

• Intense pain and severe discomfort in the anus, both at rest and during exercise, during the act of defecation. Any trip to the toilet becomes a big problem precisely because of the knot that came out due to straining.
• The presence of large hemorrhoids, which are palpated independently by the patient, tend not to be reduced, and are of significant size.
• The appearance of traces of scarlet blood in the stool. If such bleeding does not go away, the risk of anemia and other pathological processes increases.
• When a large hemorrhoid becomes inflamed, it becomes extremely painful and hot to the touch.

If a woman independently detects a disease during the postpartum period, she should inform the doctor as soon as possible. This is due to the fact that severe prolapse of hemorrhoids may also be accompanied by prolapse and damage to the rectal mucosa, as well as undiagnosed perineal tears. Delays in treating this problem also do not go away without leaving a trace. With a strong inflammatory process, which can occur and accompany large hemorrhoids in the postpartum period, the woman in labor also experiences increased body temperature, weakness, and chills.

What to do if severe hemorrhoids occur after childbirth?

When huge hemorrhoids occur, the attending physician should indicate what a woman should do first. This process usually rarely goes away on its own. In such a situation, self-medication, the use of traditional medicine, etc. are unacceptable. In addition to an obstetrician-gynecologist, consultation with a surgeon and proctologist is also necessary to decide on the type of surgical intervention to eliminate the disease. If a woman has huge hemorrhoids after childbirth and it hurts, causing severe discomfort, the doctor may prescribe painkillers and anti-inflammatory drugs. However, when taking such medications, it is strongly recommended to stop breastfeeding, since there is a huge risk of negative effects of the drugs on the newborn. Therefore, the most optimal solution to this problem is to remove large hemorrhoids surgically or using sclerotherapy, as soon as the mother’s condition allows it.

Surgery can achieve stable remission of the disease, which will allow a woman to get rid of such an unpleasant complication arising from childbirth, such as severe hemorrhoids with huge nodes. In the postoperative period, the probable cause of the development of the pathological process is also corrected - the patient’s nutrition is normalized, heart failure (if any) and venous tone are corrected.

What to do if hemorrhoids come out before childbirth?

Physiological changes that occur during pregnancy often cause the development of hemorrhoids. The disease is asymptomatic during pregnancy, but can worsen during childbirth, so it is very important to get rid of hemorrhoids before childbirth.

Causes of the occurrence and development of hemorrhoids in pregnant women

Hemorrhoids are a vascular disease associated with stagnation of blood in the pelvic vessels. The disease develops mainly in people who lead a sedentary lifestyle, or do not watch their diet and are prone to frequent constipation.

However, expectant mothers can also suffer from hemorrhoids. Exacerbation of hemorrhoids before childbirth is especially dangerous for those pregnant women who have previously encountered this problem.

Carrying a child is a difficult physical activity for the female body. Therefore, throughout pregnancy, the expectant mother should take care of her health. You need to be especially careful after the 30th week of pregnancy and at the first symptoms of hemorrhoids, consult a specialist: although the disease does not interfere with the natural process of childbirth, you should not allow it to worsen. If hemorrhoids appear before childbirth, you should know that hemorrhoids increase the pain of the birth process. In addition, when pushing, rupture of hemorrhoids is possible, which is fraught with large blood loss.

There are several causes of hemorrhoids in pregnant women:

1. Changes in hormonal levels - the level of progesterone in a woman’s blood increases, as a result of which the tone of the pelvic vessels decreases, the walls lose elasticity, relax and stretch more easily.
2. Constipation, which is also caused by progesterone, which negatively affects intestinal motility. The stool hardens, the pregnant woman has to push, and the hemorrhoids increase in size. If a pregnant woman suffered from hemorrhoids before giving birth, then constipation during pregnancy is fraught with an exacerbation of the disease.
3. Enlarged uterus. As the fetus grows, the uterus stretches and descends into the pelvis, pinching the veins and intestines. The consequence is deterioration of venous blood flow and hemorrhoids.

To prevent hemorrhoids, the expectant mother needs to move a lot, engage in physical therapy and perform special exercises to prevent disruption of blood flow in the pelvis.

A timely visit to a specialist will help eliminate the problem and prevent exacerbation of hemorrhoids both before or during childbirth, and in the postpartum period.

Symptoms of hemorrhoidal disease

At the initial stage of hemorrhoids, it is quite difficult to recognize the problem - the development is almost asymptomatic. However, by 31-38 weeks, a pregnant woman feels some discomfort in the anal area, there is a feeling of pressure, a sensation of a foreign body in the rectum, pain, burning and itching appears. The pain intensifies after defecation, especially if the expectant mother suffers from constipation.

The closer the date of birth, the more pronounced the symptoms of the disease. Hemorrhoids increase in size, and external nodes may fall out during bowel movements, which is accompanied by severe pain.

Detection of bloody discharge after defecation is a fairly good reason to immediately consult a doctor. This is a sign of damage to the hemorrhoids, which can lead to serious consequences if not treated promptly.

How to treat hemorrhoids before childbirth?

When the expectant mother discovers the first signs of hemorrhoids, she wonders: what to do? Note that there is no reason to panic. Current pharmacological companies provide a whole range of natural-based medications that are absolutely safe for the body of mother and child during pregnancy. To correctly diagnose the disease, the doctor will not only perform a visual examination, but will also prescribe some additional tests. After undergoing an examination and consulting with a doctor, you can choose the safest and most effective remedy that will help you quickly and effectively cure hemorrhoids before childbirth.

Treatment of hemorrhoids before childbirth is carried out in several directions at once:

• normalization of stool;
• elimination of the inflammatory process using medication;
• as an auxiliary therapy - the use of folk remedies.

Normalization of stool

To eliminate constipation and normalize stool in case of hemorrhoids, the doctor will prescribe a special diet. Your daily diet should include:

• seaweed;
• a large amount of plant fiber;
• vegetables;
• fruits;
• dairy products;
• low-fat varieties of fish and meat;
• wholemeal bread;
• at least two liters of water.

To prevent gas formation, legumes, cabbage, and rye bread are excluded from consumption.

• coffee;
• Sahara;
• mayonnaise;
• fatty, pickled, fried foods;
• smoked meats;
• canned food;
• products made from premium flour.

You can use laxatives or oil enemas.

Drug treatment method

Hemorrhoids before childbirth can be treated with non-toxic ointments that are safe for both the expectant mother and the child. Rectal suppositories for hemorrhoids and lotions are also used. The purpose of using the drugs is to eliminate the source of inflammation, relieve pain and reduce hemorrhoids.

The following products have an effective effect:

• Relief ointment;
• Vishnevsky ointment;
• ichthyol ointment;
• heparin ointment;
• Neo-Anuzol suppositories;
• suppositories and ointment Gepatrombin G.

External hemorrhoids are treated faster and more effectively than internal hemorrhoids. It is easier to apply medicinal ointments and lotions to externally located hemorrhoids.

For the treatment of internal hemorrhoids, rectal suppositories are effective, known under the same names as ointments: Relief, Gepatrombin B, Natalsid. Suppositories have an anti-inflammatory, analgesic effect, reduce bleeding, and regenerate tissue. Suppositories containing sea buckthorn oil, which has an immunomodulatory effect, are also very effective.

When treating hemorrhoids during pregnancy, oral medications are not prescribed.

ethnoscience

How to quickly cure hemorrhoids before childbirth using traditional medicine recipes? Let's look at the most effective recipes.

In the treatment of external hemorrhoids during pregnancy, an alternative to many medications are effective folk remedies that our grandmothers have long used. The treatment is safe for both the expectant mother and the child.

1. Hemorrhoids are perfectly healed with rowan juice or drupe juice, which should be washed down with water. The only contraindication is an allergy to these berries.
2. One of the effective ways to treat hemorrhoids before childbirth is sea buckthorn oil, which can be used as a lotion. You can even simply lubricate the inflamed area near the anus with it. A medicinal ointment is also prepared from sea buckthorn oil: it is mixed with a small amount of honey and butter. The ointment can also be used to treat internal hemorrhoids as rectal suppositories. The formed candles are stored in the refrigerator.
3. At home, without much difficulty, you can prepare candles for hemorrhoids from raw potatoes. You can also wipe raw potatoes and apply the pulp as a lotion to the anus several times a day. Potato juice relieves inflammation and eliminates burning sensation. As a rectal suppository, potatoes help soothe the rectal lining.
4. A decoction of viburnum is very useful, helping to relieve pain from hemorrhoids. The product can be used as compresses or lotions. Viburnum has the property of healing and restoring the skin.
5. Compress with freshly grated beets or carrots. The compress soothes swollen hemorrhoids, helps relieve pain and burning sensation. Freshly squeezed juice from these vegetables is also effective in treating hemorrhoids.
6. Inflamed hemorrhoids can be lubricated with cocoa butter. The tannin it contains has wound healing and restorative properties.
7. You can use medicinal plants such as:

• Oak bark;
• chamomile;
• sage;
• yarrow,

decoctions and infusions of which are used to apply compresses. Infusions of onion peels and chestnut fruits are also used.

Sitz baths, popular in the treatment of hemorrhoids, are contraindicated during pregnancy!

And to use an enema, you need to take into account several factors: the duration and course of pregnancy, the stage of hemorrhoids.

If the condition of a pregnant woman allows an enema, you need to remember that the procedure does not solve the problem of the formation of hemorrhoids, but only makes the patient feel better for a while. The procedure is performed no more than once a week, as it can cause uterine contractions and premature birth. An enema is not prescribed for pregnant women with a toned uterus.

The following components are considered as preventive measures against the development of hemorrhoids:

• a balanced diet throughout pregnancy;
• hygiene of the anal area;
• special physical exercises.

An important component of hemorrhoid prevention is hygiene of the anal area and anus. After each bowel movement, you must wash yourself with cold water. Inflammation of the perineum can be eliminated by washing with decoctions of calendula or chamomile.

Daily simple exercises for pregnant women and walking in the fresh air are also an excellent preventive measure.

Taking care of your own health and observing all preventive measures is the key to combating the occurrence and development of hemorrhoids before childbirth.

Hemorrhoids appeared before childbirth, what should I do?

The gestational period itself, as well as the immediate prenatal period, is accompanied by various changes in the female body. This is the reason why hemorrhoids appear before childbirth. Knowing these factors, you can easily influence them using pharmacological and non-pharmacological methods:

• Hormonal changes. During the entire nine months of pregnancy, progesterone dominates in the female body. And before childbirth, its concentration increases even more. This hormone has a specific effect on the muscles of the rectal region and blood vessels - the cavernous nodes increase and begin to fall out.
• Changes in intrapelvic pressure. The uterus, enlarged many times, with the fetus in it, changes the amount of pressure in the pelvic cavity. As a result, the nodes swell and fall, extending beyond the rectum. After childbirth everything is the same.
• Lifestyle changes. A pregnant woman is forced to lead a lifestyle that contributes to the exacerbation of chronic hemorrhoids. This includes limiting physical activity and changing your diet.

All these reasons occur in combination - this aggravates the course of the disease.

Non-drug treatment of hemorrhoids before childbirth

What to do if hemorrhoids come out before giving birth? Naturally, it is undesirable for a woman to take excessive medications before giving birth. Therefore, if the disease manifests itself insignificantly, it is worth trying to get rid of it with non-drug methods.

The first thing that can and should be done is to adjust your diet. A woman does not need to limit herself in food before giving birth. It is necessary to revise the diet so that the majority of it consists of healthy foods. Food should help improve bowel function and prevent constipation.

What to do with food? To do this, the diet includes fruits and vegetables, wholemeal bread, and cereals rich in fiber.

Don't forget about physical activity. There are special sets of gymnastic exercises for pregnant women. Some of them are specifically aimed at eliminating varicose veins in the rectal area. They can be done throughout pregnancy. Walking is also useful.

Among the methods of traditional medicine, it is quite possible to use lotions from grated potatoes on the area of ​​​​hemorrhoids.

If these methods do not help and the disease progresses, you should consult a specialist. He will select the necessary medications against hemorrhoids before childbirth.

Drug treatment of hemorrhoids before childbirth

Pregnant women are allowed to use suppositories and ointments.

Sea buckthorn and methyluracil suppositories promote healing of the wound surface of hemorrhoids and reduce the inflammatory process. Use rectally, one suppository per day.

Suppositories and hemorrhoid cream Relief, Relief Advance and Relief Ultra have anti-inflammatory and analgesic effects. The content of phenylephrine helps to spasm blood vessels and reduce bleeding of nodes.

Procto-Glivenol - suppositories with analgesic and anti-inflammatory effects. Approved for use only in the third trimester of pregnancy, as well as after childbirth.

Tablet forms of medications for hemorrhoids are not recommended before childbirth. They can only be used after childbirth, and if the woman is not breastfeeding.

Prevention of hemorrhoids before childbirth

To prevent the development of the disease before childbirth, a woman should pay great attention to prevention from the very beginning of pregnancy. Even if she has never been bothered by this disease, pregnancy can cause hemorrhoids.

This will worsen the woman’s well-being and complicate the birth process. To prevent this from happening, preventive methods are used.

Throughout pregnancy, it is necessary to adhere to a healthy diet aimed at preventing constipation. The diet should include vegetables and fruits rich in fiber and rutin. Food should be enriched with vitamins and proteins - this is aimed at strengthening the vascular wall and preventing the development of hemorrhoids.

It is very useful to perform special gymnastic exercises before childbirth to prevent hemorrhoids. They can be performed locally - this is squeezing and unclenching the sphincter of the rectum. There are also general gymnastic exercises that help normalize intrapelvic and intra-abdominal pressure and strengthen the muscles of the perineum.

If at the end of pregnancy, before or after childbirth, a hemorrhoidal node comes out, you cannot delay treatment. If in a normal state a woman can suffer this disease and recover on her own, then during pregnancy it can be more severe and complicate the process of giving birth to a child.