A knot of hemorrhoids came out after childbirth how to treat. Medical methods of treatment

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 you do not start timely treatment, you may experience severe itching or.

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 for 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 came 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.

Many women who do not know anything about hemorrhoids before pregnancy, after childbirth, were able to feel all the "charm" of this disease on themselves. What to do if hemorrhoids become aggravated, how does it begin and what signs does it have, and most importantly, how to treat hemorrhoids after childbirth?

Symptoms

The first thing that can indicate the onset of the disease is burning and itching in the anus. A woman may be disturbed by sick cracks and an inflammatory process. This can be considered the first warning signs that require immediate action. If a woman leaves everything to chance, the disease, as a rule, continues to develop further. And the following signs of hemorrhoids cause a lot of trouble. Pains come during the stool, and then they disturb the rest of the time. Bleeding from the anus begins. Further, hemorrhoids can flow into acute or. In some situations, the knots can fall out, but are inserted inside with the fingers. This is an external hemorrhoid. But with an internal form, the nodes remain inside, so it is more difficult to diagnose it.

As a rule, the development of the disease begins during pregnancy due to malnutrition, constipation, and a sedentary lifestyle. During pregnancy, with the growth of the fetus, the uterus also increases, it puts more and more pressure on the pelvic organs, provoking blood stagnation. As a result, hemorrhoids develop. But this can be avoided, even during pregnancy.

There are 4 main reasons for the development of the disease during pregnancy:

As mentioned above, with the growth of the uterus, the pressure on the pelvic organs also increases. Blood stops flowing from the plexuses of blood vessels, and its stagnation begins, and the walls of the veins are stretched. The phenomena are expressed the stronger, the larger the uterus becomes. It is for this reason that the development of hemorrhoids during pregnancy occurs in the 2nd, 3rd trimester.
Constipation. They also arise from physiological characteristics. During pregnancy, the uterus begins to put pressure on the intestines, in addition, the tone of the intestines decreases. Fecal masses do not come out, constipation begins.
During pregnancy, closer to childbirth, a woman stops moving a lot due to an increase in body weight. The blood flow in the lower body slows down, and there are good conditions for the development of hemorrhoids.
Food. When a woman is pregnant, her taste preferences change every day. Today she eats salty, tomorrow smoked, all this is washed down with milk and ice cream. Marinades and spicy dishes become favorites. Regular eating of such products also provokes blood stasis, and hence the development of hemorrhoids.

Types of disease

Hemorrhoids - what is it? There are two forms of the disease - a form of internal and a form of external hemorrhoids. It depends on the location of the nodes. Both forms have the same initial symptoms, but over time the disease is modified. Internal hemorrhoids are distinguished by nodes that are inside and are not visible without a special examination. But in external hemorrhoids, the nodes are visible to the patient himself. Due to the proximity to the anus, often the knots fall out during the stool.

How to get rid?

During pregnancy or after childbirth during HS, hemorrhoids in women often develop, literally in every sixth case. Of course, this disease is very annoying, but it is possible and necessary to cope with it. After all, acute hemorrhoids can take place with complications in the form of infections, infringement of nodes, thrombosis, and even oncology. How to get rid of hemorrhoids that arose during childbirth? How to treat hemorrhoids during guards? What should be done first? Let's try to figure it out.

The first thing to do when the first signs of the disease appear is to go to the proctologist. You can not try to cure hemorrhoids on your own, especially during the Guards. Firstly, not every medicine is suitable for a nursing mother, and secondly, only complex treatment, which is prescribed by a specialist, can defeat the disease.

In order to completely cure this ailment and remove the nodes that cause so much trouble and pain, you will have to use both medicines and folk remedies, and follow other doctor's instructions.

We treat correctly

The first thing that will require the treatment of the disease is to change the diet, which should be suitable for the baby with hv, and at the same time, should help get rid of hemorrhoids. The menu should contain more fiber, dairy products, bran, beets, vegetable soups. But spicy and salty dishes, as well as smoked and fatty ones, will have to be removed from the diet, especially since it is harmful for guards.
A woman who lost her shape after giving birth will have to resume physical activity. You need to walk more and do special exercises for blood flow. In addition, treatment also consists of the use of various drugs. You will have to use ointments or suppositories for hemorrhoids, which are not contraindicated for guards.
The simplest and most effective remedy for hemorrhoids is its prevention. In order not to suffer from the disease after childbirth, choosing a treatment, you should monitor your health during pregnancy. Namely: do not use tight underwear, move more, do gymnastics, eat right.

What can be taken

Treatment of hemorrhoids after childbirth can be complicated by the choice of medication, because it is very simple to harm the baby through mother's milk with hv. However, modern pharmaceuticals has a wide range of drugs that do not have contraindications for women after childbirth and during the guards.

The drug is sold in the form of ointments and suppositories. Candles "Relief" will be left for internal hemorrhoids (treatment), but the external one is easier to treat with "Relief" ointments. The main range of activities of "Relief" is the treatment of inflammation, stopping bleeding and pain relief. In addition, "Relief" candles also eliminate constipation, helping the feces to come out.

The local anesthetic benzocaine is part of Relief Advance, so this drug is often prescribed for too severe pain. "Relief Ultra" is more aimed at stopping bleeding, thanks to the hormonal component in the composition.

"Relief" is not contraindicated for women after childbirth during the guards. But it should be remembered that the chemicals contained in its composition with milk also enter the baby, so it should be treated with such a drug under the supervision of a doctor. And cocoa butter and shark liver oil in its composition can provoke an allergic reaction in crumbs. How long the course of treatment lasts, the doctor also decides.

Heparin ointment

Hemorrhoids after childbirth: treatment at the first stage of development is possible with Heparin ointment. The drug has a mild sparing effect. The main treatment of the ointment is aimed at relieving inflammation and getting rid of pain. The drug can be taken during guards, this will not affect the composition of breast milk.

"Posterizan"

For the treatment of external hemorrhoids, the ointment is ideal. Relieves inflammation and pain, quickly heals cracks and regenerates tissue. But most importantly, it allows you to restore the woman's immune system. If the ointment is taken frequently, the initial stage of the disease passes very quickly.

Ointment "Vishnevskaya"

Absolutely safe drug that relieves inflammation. However, the ointment must be used correctly to cure hemorrhoids. Three days before the use of the drug, you need to start taking baths with the addition of potassium permanganate. They perfectly kill germs and disinfect. How long is the course? The effect of such treatment will come quickly.

Homeopathic preparations

A popular remedy for external hemorrhoids in this series is Fleming's ointment. It consists only of natural ingredients, for example, oils of various herbs. It is best to use an ointment with sea buckthorn oil. It quickly removes inflammation and pain, heals wounds and cracks.

ethnoscience

Many recipes have been invented by the people to combat this common disease. However, during lactation, one should be careful about treatment with folk remedies and use them only on the advice of a proctologist.

You can cure the disease with such a folk recipe. Finely chop 4 garlic heads and put in a bowl with a glass of boiling milk, boil for a minute, stirring with a spatula in the process. At night, douching with warm infusion. After 4 procedures, relief will come.
Onion is considered a good helper in the fight against hemorrhoids. You need to take 5 medium onions along with the husk and place them in a saucepan with milk. Put on a slow fire and cook until the milk turns pink. Every day over such a medicine before going to bed you need to do steam baths. The course of treatment is until complete recovery. It is good to treat cracks and swelling with such a folk method. The knots soften and gradually subside.
It is good to treat external hemorrhoids after childbirth with folk remedies such as sitz baths. Lots of recipes. It can be infusions and decoctions of chamomile, yarrow, water pepper, oak bark, onion peel. The procedure lasts 15-20 minutes, several times a day.
If itching is very annoying, you can put aspen leaves directly on the nodes for a couple of hours. Of course, it will not work to completely get rid of hemorrhoids in this way, but relief comes quickly.
You can use such a folk recipe, it acts as an antibiotic. Everything is simple. Smear the sore spot and the knots themselves with natural honey. You can make candles from candied honey, but they are more suitable for internal hemorrhoids.

No matter how effective this or that drug or prescription is, the treatment of hemorrhoids should be complex, together with diet and physical activity. Only a serious approach to treatment and expert advice will help to remove the disease once and for all.

Education: Graduated from the Russian National Research Medical University. N.I. Pirogov, Faculty of Medicine. Took advanced training courses. Primary specialization - in coloproctology at the State Scientific Center of Coloproctology. Worked at the City Scientific and Practical Center of Coloproctology of St. Petersburg.

Work experience: Proctologist. Experience in medical practice - 25 years. Author of more than 40 medical articles. A regular participant of conferences and symposia, which highlights the problems of modern medicine.

Provides highly qualified diagnostics and treatment of many diseases: hemorrhoids, anal fissures, various diseases of the colon, successfully diagnoses neoplasms of the perianal region and rectum at early stages. It also conducts examinations of children.

Postpartum hemorrhoids are a typical problem faced by almost every second young mother who had a natural birth. Treatment of hemorrhoids after childbirth has its own characteristics. During lactation with breast milk, substances that are contraindicated for it can enter the child's body, so not all drugs and methods can be used to get rid of this pathology.

Causes of pathology

Most often, hemorrhoids of the external or internal type begin to develop even during pregnancy, when there is a sharp increase in weight, displacement of organs due to the growing uterus, and the hormonal background also changes. As a rule, the disease proceeds in a sluggish form, without causing severe discomfort to a pregnant woman. But after childbirth, in which the body was subjected to serious overload, hemorrhoids become aggravated. The acute form of the disease causes not only severe discomfort, but also unbearable pain. The following factors contribute to this clinical picture:

in the last trimester of pregnancy, pressure inside the abdominal cavity increases, which causes stagnation of blood in the veins of the pelvic organs;
an increased content of progesterone in the blood by the end of pregnancy causes a strong weakening of vascular tone. Their walls are stretched, provoking stagnation of blood and an increase in hemorrhoids;
also cause the development of hemorrhoids of the initial stage;
during childbirth, there is a rush of blood to the pelvic organs, pressure on the pelvic organs increases, including the hemorrhoidal veins, and the sphincter muscles also experience a huge load. All this only worsens the clinical picture of the disease, which began to develop during pregnancy.

The relative factors provoking the development of hemorrhoids after childbirth, as well as aggravating the already existing pathology, include:

excess weight;
sedentary lifestyle;
nutritional errors;
taking hormonal drugs;
weight lifting.

Symptoms and possible complications

Postpartum hemorrhoids can manifest itself in both acute and chronic forms. The first option is characterized by a sudden onset of pain, severe discomfort in the anus (burning, itching), and the second is characterized by a long course and unexpressed symptoms: itching or burning may appear periodically, which quickly pass after the use of rectal suppositories, drops of blood may also periodically appear after the act defecation.

Unpleasant sensations in the initial stage of the development of the disease intensify after the act of defecation:

pain - occurs after the act of defecation and, as a rule, passes quickly. In some cases, mild, but constant aching pain can be observed for a long time. Most often it occurs with a slight inflammation of the external hemorrhoids. In this case, small bumps appear near the sphincter;
itching, burning - can disturb for a long time. Unpleasant sensations intensify during defecation and disturb for a long time after it.
spotting - occurs with frequent constipation, with the appearance or development of internal hemorrhoids, when feces, passing through the intestinal duct, injure enlarged hemorrhoids.

When the first symptoms of the disease appear, you should immediately seek medical help. Timely treatment will help to avoid serious complications:

in the absence will increase in size. In the future, they will begin to fall out of the rectum, which will require a radical operation to remove them;
long-term disruption of normal blood flow leads to the development of severe inflammatory processes and swelling in the tissues, which causes constant severe pain. If left untreated, complete blockage of the veins of the hemorrhoid occurs, which leads to tissue necrosis, which also requires immediate surgical treatment of hemorrhoids.
very often, small bleeding, which bothered in the first stages of the disease, becomes more abundant. Large blood loss leads to the development of anemia, the quality and properties of blood throughout the body are reduced.
hemorrhoids of the last stage, when inflamed hemorrhoids are difficult to reduce even with hands, cause deformation of the sphincter muscles, which causes leakage of mucus and feces outward (weeping hemorrhoids).

How to treat hemorrhoids in a nursing mother? Read more about this in this one.

Treatment of hemorrhoids after childbirth

How to treat hemorrhoids after childbirth? The treatment regimen depends on the stage of the disease. In acute or chronic hemorrhoids at stage 1 or 2, the use of drugs and folk remedies will be enough to alleviate the condition. The disease in stages 3 and 4 requires not only the use of medications, but also minimally invasive, in severe cases, radical surgical operations.

Surgery

With severely inflamed hemorrhoids, minimally invasive methods of surgical intervention are most often used, which are not contraindicated during lactation:

hemorrhoidal cones with latex rings;
cryotherapy;
and coagulation.

All techniques are aimed at the destruction of hemorrhoids in various ways (low temperatures, laser cauterization, impaired blood supply to the node, etc.). Procedures do not require hospitalization, quickly and effectively help to cope with the disease.

As for radical operations under general anesthesia, the decision is made only by the attending physician. As a rule, such operations during lactation are possible, but breastfeeding is stopped for up to 24 hours after general anesthesia is applied.

Conservative therapy

Ointments and can be used only after consultation with your doctor. Many plant and animal substances that are part of drugs penetrate into breast milk, and then into the body of the child. They can cause allergies and other side effects in a fragile child's body, which will negatively affect its general condition. Only a doctor can take into account all the nuances and recommend drugs that are really safe during breastfeeding.

Gel Troxevasin

The gel is used to relieve severe swelling and inflammation caused by blockage of the hemorrhoidal veins. The drug quickly relieves tissue swelling and helps restore vascular tone. The gel can be used for a long time in chronic hemorrhoids, difficult to treat. Troxevasin lubricates the affected areas 2 times a day. Data on the negative impact on the body of the mother and child during lactation have not been identified.

Heparin ointment

Improves and normalizes blood flow in tissues, relieves swelling, itching, reduces enlarged hemorrhoids. The ointment is used until the acute signs of hemorrhoids disappear. The average duration of application of the ointment is from 5 to 14 days. Longer use is possible only after consultation with your doctor. Heparin ointment is not contraindicated for use during lactation.

Relief, Relief Advance

The drug reduces the pronounced symptoms of hemorrhoids, eliminates discomfort, relieves itching and burning, reduces hemorrhoids. can be used to relieve pain in acute hemorrhoids and after minimally invasive or radical operations in the anorectal region. The ointment is used no more than 4 times a day until the acute symptoms disappear. The impact on the child's body, when using the drug for the treatment of hemorrhoids during lactation, has not been fully studied due to the insufficient number of facts. Therefore, Relief series ointments are not recommended for use without the permission of the attending physician.

posterisan

Restores damaged tissues, prevents re-inflammation, enhances the natural protective functions of the skin and mucous membranes. The duration of treatment for hemorrhoids should not exceed 3 weeks. The drug is applied to the affected area with a thin layer after each bowel movement, but not more than 3 times a day. The drug is not excreted in breast milk, so it is completely safe during lactation.

Vishnevsky ointment

The ointment relieves inflammation well and prevents the development of purulent processes in hemorrhoids. Quickly restores damaged tissue. Long-term use is possible, more than 14 days, but only in agreement with the doctor. On the day it is necessary to apply the ointment to the affected areas up to 3 times. It is allowed to use the ointment during lactation.

Candles "Sea buckthorn oil"

They relieve severe inflammation and have an antibacterial effect, killing pathogenic microorganisms that cause suppuration of the affected areas of the skin and mucous membranes with hemorrhoids. For acute symptoms of hemorrhoids, apply no more than 2 times a day for 7 days. An increase in the period of use is possible only in agreement with the doctor. absolutely safe to use during lactation.

Homeopathic candles with propolis, calendula

They quickly heal abrasions and erosions of the perirectal region, relieve pain and burning, eliminate pathogenic bacteria that cause inflammation in the tissues. From hemorrhoids after childbirth, these drugs can be effectively used only in the initial stages of the development of the disease. With acute and prolonged pain that occurs after a bowel movement, it is allowed to increase the number of suppositories used up to 2 per day. During lactation, homeopathic suppositories can be used without any restrictions.

Natalsid

Candles that have anti-inflammatory and hemostatic effects. The standard course of treatment with candles lasts 1 week. It is allowed to use the drug for longer only on the direct instructions of the doctor. Candles can be used to treat and prevent hemorrhoids after childbirth during lactation.

Neo-Anuzole

Rectal suppositories that effectively relieve pain in acute hemorrhoids. The tool prevents the development of pathogenic bacteria, thereby preventing infection of tissues with purulent microorganisms and reducing the existing inflammation. Apply no more than 2 suppositories per day. Candles can be used during lactation.

Anestezol

Candles with antiseptic and anesthetic action. Quickly relieve swelling and improve blood flow in the tissues. To normalize the patient's condition and eliminate acute signs of hemorrhoids, it is enough to use 1 suppository for 7 days. During lactation, suppositories can only be used as prescribed by a doctor in the dosages strictly indicated by him.

Procto-Glivenol

They improve blood flow in tissues, restore damaged vascular walls, and prevent the development of thrombosis in the nodes. Relieve pain during exacerbation of hemorrhoids. With severe pain up to 3 pcs. per day, after the disappearance of discomfort, the amount is reduced to 1 pc. in a day. May be used during lactation.

Hemorrhoids that appeared after childbirth are a problem that occurs in almost half of newly-made mothers who gave birth to children in a natural way. However, this disease is not always unexpected for women, because often varicose hemorrhoidal veins occur during pregnancy.

It is imperative to treat postpartum hemorrhoids, as it prevents a woman from enjoying motherhood. However, the treatment of this disease after childbirth has certain features, especially if the child is breastfed. In order not to harm herself and the baby, mom needs to know how to cure hemorrhoids after childbirth.

Why does postpartum hemorrhoids appear?

Hemorrhoids usually occur immediately after childbirth, the symptoms of the disease can therefore be found even in the delivery room. Cavernous formations that have increased during childbirth begin to become inflamed due to problems with bowel movements.

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To know how hemorrhoidal disease manifests itself after the birth of a child, it is necessary to recognize the main signs of the pathological process:

feeling of heaviness in the rectal canal and anal area;
pain syndrome, usually appearing during a bowel movement or after visiting the restroom;
and burning in the rectal canal. These signs can appear both during defecation and after a bowel movement;
feeling of being in the anal canal of a foreign object;
, which appear as a result of trauma to the inflamed nodules with hard feces, the occurrence of anal fissures.

Therefore, at the first unpleasant symptoms, the newly-made parent should consult a doctor for qualified treatment.

Treatment of hemorrhoids after childbirth

The question of how long does hemorrhoids take after childbirth is not entirely correct. In the absence of treatment, the disease will not go away on its own, but, on the contrary, either becomes chronic or is complicated by more serious conditions.

In addition, chronic postpartum hemorrhoids can harm not only the physiological health, but also the psychological state of the woman. Negative symptoms slow down recovery, exacerbate the course of postpartum depression, “take away” time that could be spent communicating with the child.

How to cure hemorrhoids in a woman who has recently given birth should be decided by a qualified proctologist.

Most often, conservative drug therapy is prescribed, and such drugs are selected that will not harm the child when the ingredients of the drug penetrate into the systemic circulation, and then into the milk secret.

The ideal option is considered to be treatment with natural medicines, which do not contain chemical ingredients. They are quite effective and are allowed during the lactation period.

In addition, if possible, it is necessary to abandon systemic drugs and give preference to local drugs - ointments and suppositories.

Ointments for postpartum hemorrhoids

Ointment for hemorrhoids after childbirth is selected with the expectation of a multiple therapeutic effect. The drug should help:

relief of pain syndrome;
reduce inflammation;
elimination of irritation, itching sensations and burning in the anus;
suspension of bleeding from the rectal canal;
strengthening venous tone.

Despite the local effect of ointments, some of their ingredients can still penetrate into the bloodstream and breast milk. That is why you should choose the safest means.

Pharmaceutical companies offer several ointments that most fully meet the above requirements and recommendations for medical products.

. The medication is used both during pregnancy and breastfeeding. This gel has venotonic and angioprotective properties. It allows you to get rid of hemorrhoids, accompanied by severe edema, thrombosis of venous accumulations. It is necessary to lubricate the affected areas with the drug twice a day until the negative symptoms disappear. Troxevasin is considered a safe remedy, there is no data on its negative effect on the child and mother.
. It contributes to the normalization of blood flow in cavernous formations, prevents the formation of blood clots, improves the outflow of blood from hemorrhoids. All this allows for a fairly short time to reduce inflammation, relieve swelling and itching, strengthen vascular tone. The average duration of treatment is 2 weeks, after talking with the doctor, you can increase the duration of therapy.
. The preparations of this series contain a unique active ingredient - shark liver oil, which improves the healing of damaged tissues, relieves pain, stops bleeding and reduces inflammation. Relief ointment additionally contains phenylephrine, which constricts blood vessels, thereby reducing swelling. Relief Advance also contains the anesthetic benzocaine, which allows the treatment of external hemorrhoids, manifested by pain.
. This drug contains inactivated bacterial material, which allows you to restore damaged areas, reduce inflammation, enhance local immunity. The duration of therapy usually does not exceed 21 days. The medication should be applied to the affected area after defecation. The ointment is considered safe for the baby, therefore it is allowed during the lactation period.
. The composition of the product includes birch tar, castor bean oil and analgesic xeroform. The drug effectively relieves inflammation, stimulates regenerative processes, prevents suppuration, forming a special protective film. Usually, 2 weeks are enough to relieve symptoms, but in some cases it is possible to extend the therapeutic course. During the day, it is recommended to lubricate the affected areas up to 3 times.
. This is one of the best anti-hemorrhoidal ointments. It contains heparin, which prevents the formation of blood clots and thins the blood. Prednisolone, which is a corticosteroid hormone, effectively relieves inflammation, swelling and itching. Lauromacrogol has an analgesic and sclerosing effect, which helps to reduce hemorrhoidal cones in size.
. The preparation contains muscone, borneol, pearl ingredient, amber, zinc compounds and synthesized bezoar. Due to such a rich composition, the ointment has an astringent, analgesic and drying effect. In addition, the drug reduces swelling, inflammation, accelerates the healing of damaged areas of the skin and mucous membranes, eliminates itching and burning, and prevents bleeding.
The medicine contains several active ingredients: extract of horse chestnut, witch hazel, calendula, menthol and zinc compounds. The use of the drug helps to reduce pain, inflammation, healing of damaged areas. Also, the tool destroys pathogenic bacteria and dries weeping areas.
. Another popular remedy for external hemorrhoids after childbirth. The ichthyol contained in the preparation has multiple therapeutic effects. The active substance anesthetizes, relieves inflammation, destroys pathogenic microbes, dries out damaged areas, prevents suppuration, accelerates wound healing and restores tissue functionality.

How is the treatment going? External hemorrhoids after natural childbirth are usually treated. The duration of therapy with these dosage forms depends on many indicators: the stage of the disease, the characteristics of the female body, the presence of contraindications to a particular drug.

Rectal suppositories

Another popular question among women who have given birth: how to treat internal hemorrhoidal disease after childbirth? Usually, with this form of the disease, they choose those that do not contain harmful ingredients.

For example, during lactation, drugs are prohibited that contain an extract of a poisonous belladonna plant that can harm a newborn baby. For women who have recently become mothers, the safest drugs are suitable.

. Common remedies for hemorrhoids based on a natural ingredient - sea buckthorn extract. Candles contribute to the rapid restoration of damaged areas of the mucosa, the removal of inflammation, and prevent infection by pathogenic bacteria. The drug is considered as safe as possible, has a minimum number of contraindications and undesirable consequences. The duration of therapy and the frequency of procedures is determined by the attending physician.
. After childbirth, it is not recommended to use drugs with chemicals, so suppositories based on a natural ingredient - seaweed extracts - are considered the most suitable for lactating women. The drug quickly removes the inflammatory process, stops the blood, reduces the intensity of the pain syndrome. Suppositories can be used for 7 days, an increase in the duration of therapy is possible only after consultation with a proctologist.
. A homeopathic remedy, which contains calendula extract, is intended primarily for the healing of wounds, rectal fissures and other damage to the anal canal. The drug is able to quickly remove the pain syndrome, but it is effective only in the initial stages of the pathological process and is suitable for complex therapy.
. These suppositories allow you to quickly stop the pain syndrome, reduce the inflammatory process, eliminate itching, relieve swelling and dry the skin. In addition, propolis suppositories help normalize blood clotting, prevent the formation of blood clots, infection by pathogenic microorganisms.
Neo-Anuzol. Rectal suppositories contain several active ingredients: bismuth, zinc, iodide compounds, tannin, resorcinol, methylene. The drug reduces pain, prevents infection, reduces the intensity of the inflammatory process. During the day, 2 suppositories are used after emptying the intestines and carrying out hygiene measures.
. The preparation contains menthol, bismuth and zinc compounds, as well as a local anesthetic benzocaine. Suppositories have a complex effect: they dry and “knit” the mucous membrane, reduce the severity of edema and inflammation, improve blood circulation in hemorrhoids. Many suppositories cannot be inserted into the anus - 1 suppository per day is enough.
. The drug contains lidocaine and tribenoside. These ingredients are local analgesics, they also relieve inflammation and itching. In addition, the use of the drug helps to improve microcirculation, strengthen capillary walls, and increase venous tone.
. These rectal suppositories have exactly the same properties as the ointment of the same name. Due to the presence of inactivated Escherichia coli in the complex, suppositories increase local immunity, accelerate the healing of damaged mucosa, and strengthen blood vessels. The drug is practically not absorbed into the bloodstream and milk secretion, which makes it safe for the baby.
. Rectal suppositories also replicate the healing effects of the ointment due to the content of benzocaine and shark liver oil. The drug, when injected into the anal canal, allows you to remove pain, heal wounds, stop bleeding, reduce inflammation and stimulate local immunity.

If hemorrhoids occur after natural childbirth, treatment should be carried out under medical supervision. This rule also applies to the use of rectal suppositories. It is the proctologist who must determine the most appropriate medication and prescribe the correct course therapy.

Surgical treatment

If, after natural childbirth, hemorrhoids come out or the disease passes to stage 3 or 4, more may be required.

In the last stages of varicose hemorrhoidal veins, minimally invasive methods for removing bumps are often prescribed, which are allowed during breastfeeding.

Among them are highlighted:

. This technique means constriction of the arterial vessels that supply blood and nutrition to inflamed hemorrhoids;
latex rings. With the help of a ligature, the surgeon pulls the "leg" of the hemorrhoidal cones, as a result of which they come out with the feces from the rectum after a while;
cryodestruction. As the name implies, in this case exposure to low temperatures is used. For this purpose, liquid nitrogen is used. Seams after this method do not remain;
photo and . Under the influence of various types of radiation, tissue coagulation occurs in cavernous formations, as a result of which the size of the cones decreases;
. The surgeon injects a substance into the hemorrhoidal nodules - a certain sclerosant, which glues the venous vessels, thus excluding the nutrition of enlarged cavernous formations. They dry up and die.

Not all of these methods guarantee the final cure for the disease. So, getting rid of hemorrhoidal cones with the help of minimally invasive techniques, you can again face unpleasant symptoms after a certain time period.

However, these methods have numerous advantages, including low trauma, a short recovery period and a minimum number of contraindications.

What to do if it is impossible to get rid of hemorrhoids using other methods? The most radical way remains - the classic operation, which is called. After it remains a seam, but there is a high probability that the disease will pass completely.

In this case, the mother will be required to stop breastfeeding for a while due to the use of general anesthesia.

Traditional medicine recipes

However, a nursing woman should be especially careful, since not all components of homemade products are useful for the female and children's body. Therefore, the mother should coordinate the use of this method with the attending physician.

The following are considered the safest for the newly-made parent and baby:

ice suppositories. Making them is very easy. To do this, pour boiled water or an infusion of medicinal plants into cardboard molds, and then place the blanks in the freezer. Such suppositories are especially useful for bleeding and severe pain;
candles made from honey or potatoes. In the first case, small “torpedoes” are formed from candied bee nectar, which are placed in a refrigerator to freeze. Potato suppositories are easy to prepare. To do this, small sticks are cut out of the peeled fetus, which are inserted into the rectal canal;
compresses. They are different: warm and cool, with water or medicinal plants. The simplest lotion is gauze soaked in cold water. In addition, applications with infusion of herbs, carrot and potato pulp, with honey or propolis can be applied to inflamed nodules;
sitz baths. There are many options for dealing with hemorrhoids with sitz baths. You can use warm or cold infusions of medicinal plants (chamomile, nettle, burdock, onion peel, etc.), a solution of potassium permanganate. The procedure is extremely simple - the patient sits down in a container with liquid and sits in it for several minutes;
cream or ointment. For the manufacture of ointments, various natural ingredients are used. Most often it is honey, mumiyo, tar, propolis, wax, herbal ingredients that are mixed with petroleum jelly or vegetable oil. Similar tools can also be used to make compresses.

It is better not to use herbal infusions and decoctions for internal use during the lactation period. No one can say how milk with components of vegetable raw materials will affect the child. In the best case, an allergy can “jump out”, but more serious consequences are not excluded.

Preventive actions

As has long been known, it is easier to prevent an ailment than to treat hemorrhoids (for a long time and persistently) with the help of medicines and, moreover, operations.

, which contains a large number of fruits rich in fiber. This substance stimulates the intestines, which prevents constipation. It is important to exclude harmful dishes from the menu - fried, fatty, salty and smoked;
competent water regime, which is necessary to soften the stool. A woman should drink the recommended amount of liquids: weak tea, mineral water, compotes (do not drink soda, coffee, alcohol, jelly);
fractional meals, involving several meals that take place at the same time. This measure will optimize the functioning of the digestive tract and prevent problems with bowel movements;

Hemorrhoids after childbirth. What to do?

Troxevasin (ointment, gel, suppositories) for hemorrhoids: reviews, how to apply?

The question of how to treat hemorrhoids after childbirth is best answered by a qualified specialist. A woman who has recently become a mother should be more attentive to her own health and monitor every unpleasant symptom.

Postpartum hemorrhoids can be cured using various methods - conservative treatment, folk remedies, surgery.

However, it is important to remember about preventive measures. Only in this case, the pathological process can be forgotten forever.

Breastfeeding, hormonal changes after the birth of a child, constipation and stress - all these factors significantly weaken the immune response of a woman and the vessels of the rectum. With artificial feeding of the baby, the therapy of this unpleasant disease can be performed according to the usual schemes. The main problem in the treatment of hemorrhoids after childbirth may be the question of the abolition or continuation of breastfeeding, because during this period, the proctologist must take into account the risks of using certain drugs or surgical techniques that require pain relief.

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

The main difficulties in the treatment of hemorrhoids after childbirth

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

These drugs include:

rectal suppositories Bellatamin, 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 as much by the doctor and taken only according to his instructions, because they can cause allergic reactions in the baby and provoke a rise in blood pressure;
suppositories Proctoglivenol, which contain tribenoside, lidocaine and other auxiliary components and are rarely used to treat nursing mothers, because their active and excipients can adversely affect the child's heart.

There are also drugs for the treatment of hemorrhoids, which can affect the amount of breast milk and even cause the cessation of lactation.

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

Treatment of hemorrhoids while breastfeeding

The tactics of treating hemorrhoids in nursing mothers is determined by the stage of the disease and the health of the mother and child.

Medical therapy

In the initial stages of the disease, local therapy agents are used: ointments, creams, gels or rectal suppositories. One of these drugs can 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, for the treatment of the initial stages of hemorrhoids, drugs based on herbs and natural ingredients can be used:

suppositories Calendula DN: promote rapid healing of wounds;
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 prednisone. For this, suppositories or ointment Hepatrombin G are prescribed. In addition to prednisolone, they include heparin, which helps thin the blood, and the local anesthetic polidocanol. The general course of treatment with Gepatrombin G can last about a week. Its use allows you to eliminate 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 preparations can have a negative effect on the child. An alternative option in such cases can be food (olive and corn oil, lettuce, bell peppers, egg yolks, etc.), introduced into the mother's daily diet and not adversely affecting the health of the baby.

Additional methods of conservative therapy

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

Folk methods of treatment

In the initial stages of external hemorrhoids, various alternative methods of treatment can be used. Before using this or that remedy, it is recommended to consult a doctor about the safety of its use.

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

lotions with a solution of clay: add a decoction of chamomile or boiled water to the clay powder in such a volume that a mass is obtained that resembles sour cream in its consistency, put the clay on a cotton cloth and apply it to the hemorrhoids for 2 hours 1-2 times a day, this the agent 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 its surrounding tissues;
lotions with beetroot juice: raw beets are rubbed on a fine grater and the resulting mass is wrapped in a gauze napkin, which is applied to a disturbing hemorrhoid, this remedy not only eliminates pain, but also contributes to a more rapid reduction of the nodes inside the rectum.

Surgery

With the ineffectiveness of conservative therapy in the second or third stage of hemorrhoids, a woman can be prescribed various minimally invasive or classical surgical methods of treatment.

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

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

With advanced stages of hemorrhoids, the effectiveness of the above methods can be minimized. In such cases, the proctologist may decide on the need to perform a classic operation to excise hemorrhoids. This takes into account the impact of the method of anesthesia of surgical intervention on the general health of the mother, breastfeeding and the advisability of its termination.

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

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