Why do hemorrhoids appear and are they dangerous during pregnancy? Why hemorrhoids appear during pregnancy at different stages: causes, treatment, prevention, nutrition and tips on how to reduce the discomfort of hemorrhoids during pregnancy symptoms.

Hemorrhoids during pregnancy are such a common occurrence that hemorrhoid prevention should begin at early stages every expectant mother. Treatment of hemorrhoids during pregnancy is difficult: firstly, not all drugs and methods can be used during pregnancy, and secondly, therapy must be as effective as possible, since even the initial stages of hemorrhoids can not only cause inconvenience and discomfort, but also affect health woman and fetus. Thirdly, hemorrhoids that are not cured before delivery can become significantly worse during the delivery process, especially during the period of pushing. And after childbirth, this delicate problem causes inconvenience for mothers both during bowel movements due to a combination with some intestinal atony, and when carrying the baby in their arms: lifting even minor weights can cause pain and bleeding. What are the reasons for the development of the disease during pregnancy, how to avoid it, and what treatment methods are available for pregnant women?

Hemorrhoids during pregnancy: causes of the disease

According to statistics, hemorrhoids develop in almost 70% of women during pregnancy, and if we talk about the ratio of the diagnosis between patients who have given birth and those who have not given birth, then there are five mothers for every woman without children.
At the same time, the process of natural childbirth with its period of pushing is often blamed for the development of hemorrhoids. However, mothers who have undergone a caesarean section also suffer from exacerbation of the disease. And childbirth itself is not the cause of the development of pathology, but only a factor in which an existing disease with hidden, not clearly expressed symptoms worsens.

The reasons for the incidence of hemorrhoids during pregnancy are associated both with the physiological characteristics of the body and with insufficient prevention of the disease. The onset of the disease can be detected at different stages of gestation: in the first trimester of pregnancy, in the second, and immediately before childbirth.

Provocateurs for the development of the disease during pregnancy are:

changing hormonal levels of the body. High levels of the hormone progesterone have a relaxing effect on the walls of blood vessels and smooth muscles;
increased intra-abdominal pressure, when the growing uterus and fetus put pressure on surrounding organs, slowing down the movement of feces in the lower intestines and affecting the speed of blood flow;
Difficulty defecating, constipation before and during pregnancy. The stretched walls of the rectum have difficulty coping with the movement of contents;
excess body weight, insufficient physical activity, unbalanced diet rich in fast carbohydrates, etc.

Some factors influencing the development of hemorrhoids are physiological and cannot be changed. However, given these data, it is necessary to be more careful about the presence of others: excess weight, physical inactivity, proper nutrition, intestinal dysfunction. It is a combination of gestational factors and those that can be avoided that often causes the onset of hemorrhoids.
An additional condition that increases the risk of the disease includes long-term use of hormonal contraceptives before conception: such drugs mostly have a negative effect on the walls of blood vessels and can also become factors in provoking hemorrhoids.
Hemorrhoids are a disease that can be prevented by proper nutrition, which promotes timely cleansing of the intestines, physical activity, and hygiene of the anus.

Does a pregnant woman need treatment for hemorrhoids?

Pregnancy is a special period when expectant mothers prefer to do without unnecessary medical intervention, limiting themselves to the recommendations of a gynecologist. Treatment of hemorrhoids is often postponed until after childbirth, which is extremely undesirable. Why?

The disease may be accompanied by hidden internal bleeding, which causes anemia - a condition that is dangerous for both the pregnant woman and the fetus.
Untreated hemorrhoids can progress during childbirth with any delivery method, moving to stages at which local therapy is no longer sufficient.
After childbirth, accomplished mothers have a lot more worries, and caring for a child not only does not leave time to take care of their health, but can also aggravate the course of the disease, as well as the peculiarities of the functioning of the body during the recovery period.

You can treat with a large selection of drugs and techniques, that’s a fact. However, often those stages that could be stopped in a pregnant woman with local therapy require a longer and more intensive course after the birth of the child. The chronic course of hemorrhoids often begins after childbirth when the pregnant woman refuses treatment during gestation: a trip to the doctor is postponed, and the disease develops into a long-term, intractable form.

Stages of development of hemorrhoids

There are four stages of the disease:

In the first stage, the pregnant woman experiences discomfort during defecation, pain is possible, and bowel movements are difficult. This stage may be accompanied by visible bleeding. Hemorrhoids are present, but are often only visible when examined by a specialist. The nodes may fall out with strong straining, but they can be adjusted on their own. This stage is often ignored and not perceived as a disease;
at the second stage, a feeling of itching in the anus, heaviness, nagging pain, which can radiate to the lumbar region, sacrum, is added to the symptom complex;
The third stage of hemorrhoids is characterized by increased pain and discharge. Hemorrhoidal nodes of the second degree fall out when visiting the toilet, physical exertion, lifting heavy objects; as the disease develops, the prolapse of nodes is accompanied by even a slight increase in intra-abdominal pressure when sneezing or coughing. The nodes are adjusted only manually, without retracting on their own;
at the fourth, most dangerous stage, the nodes are not reduced, which threatens tissue necrosis. As a rule, this stage is accompanied by severe pain, vein thrombosis and massive bleeding.

Therapy for hemorrhoids at different stages of pregnancy

Hemorrhoids, depending on the stage of the disease, can be treated with both medications and surgical methods. The choice of therapy should be entrusted to a specialist: based on the diagnosis and gestational age, he will select the best option.
TO medications, recommended for the treatment of hemorrhoids in a pregnant woman include:

in the first trimester and throughout pregnancy, you can use suppositories with sea buckthorn oil, suppositories and Relief ointment. However, it is worth remembering that in the second and further stages of the disease, these drugs are effective only as part of complex therapy;
Gepatrombin G in the form of rectal suppositories, ointments, gels can be used starting from the second trimester. This drug is also recommended in preparation for surgical treatment methods;
Neo-Anuzol in the form of rectal suppositories is allowed throughout the entire gestation period, if the patient does not have thyroid pathologies.

As systemic therapy, a specialist may prescribe Ascorutin, Troxevasin and other drugs that improve the condition of the vascular walls. It is worth remembering that pregnant women are strictly prohibited from taking medications containing belladonna extract, which is present in some suppositories, and some medications are recommended for use only during certain periods of gestation.
Hemorrhoids of the second and third stages in most cases can be treated conservatively, although the optimal treatment is often surgery. Pregnancy is not a contraindication for such non-surgical treatment methods as:

sclerotherapy, the introduction of sclerosing drugs into the hemorrhoids. The technique does not require a hospital stay and has a quick rehabilitation period;
ligation of the internal node using latex rings. The technique is minimally invasive and does not harm either the mother or the child during pregnancy;
coagulation of node tissue using infrared radiation or a laser beam is also a procedure that is safe for expectant mothers.

Every second woman who is carrying a child faces this delicate problem. Hemorrhoids during pregnancy can appear both at the beginning and at the end or after childbirth. The period of gestation is considered a provoking factor for this disease, due to changes in the body of the expectant mother.

Hemorrhoids are varicose veins in the rectal area. During pregnancy, it is the vascular system that undergoes the greatest stress, since the volume of circulating blood increases by 30%. As a result, venous problems often appear, such as varicose veins and hemorrhoids.

The mechanism for the formation of hemorrhoids during this period is as follows: the uterus, which grows throughout 9 months, begins to put pressure on the colon and rectum, which causes local stagnation of blood, and congested veins stretch, forming hemorrhoids. The latter protrude under the intestinal mucosa. This problem can greatly disturb a woman, and sometimes has a completely asymptomatic course.

note: The opinion that hemorrhoids first appear after childbirth is erroneous. If after the birth of the child it worsened, then this means that it was still present during pregnancy, but did not manifest itself in any way, because the hemorrhoids were internal.

Causes of hemorrhoids during pregnancy

There are a number of factors that provoke the appearance or exacerbation of this disease in expectant mothers:

chronic constipation (the walls of the rectum stretch excessively during bowel movements);
physical inactivity or life without a sufficient level of movement (if a woman moves little, lies or sits more, then eventually blood stagnation forms in the pelvis, which provokes hemorrhoids and thrombosis of the hemorrhoidal veins);
regular intake of hormonal hormones before pregnancy (they negatively affect the condition of the venous wall);
increased intra-abdominal pressure is formed due to insufficient blood circulation in the pelvis (due to the growing uterus);
excess weight;
changes in hormonal levels during pregnancy (an increase in progesterone causes relaxation of the smooth muscles in the body that line the walls of blood vessels and the intestines, and this in turn causes constipation).

Important: not everyone knows that hemorrhoids can worsen not only after natural childbirth, but also after cesarean section.

Stages and types of hemorrhoids in pregnant women

Most often, the disease is diagnosed in the third trimester of pregnancy, but this does not mean that hemorrhoids cannot appear during the first three months. It can be internal, that is, not noticeable during visual inspection, or external, the bumps of which are clearly visible.

There are several stages of development of hemorrhoids:

Stage 1 – hemorrhoids in the lumen of the rectum, not extending beyond its limits;
Stage 2 - the nodes sag from the anus, but when changing body position they are reduced;
Stage 3 – hemorrhoids sag from the anus and are not reduced when changing position;
Stage 4 – non-reducible nodes are accompanied by complications in the form of thrombosis and heavy bleeding.

In this case, pregnant women may experience two types of hemorrhoids:

acute, in which the disease occurs suddenly. The woman complains of pain in the posterior passage, blood in the stool, foreign body sensation, and sometimes a burning sensation;
chronic. It occurs much more often, its attacks are stopped by pharmaceutical means, but it is not completely cured, and after some time, due to provoking factors, it resumes.

Symptoms of hemorrhoids in pregnant women

The clinical picture depends on the stage at which hemorrhoids are located and may combine the following symptoms:

sagging hemorrhoids from the rectum;
pain during bowel movements;
burning in the anus;
defecation of feces with traces of fresh blood;
itching and discomfort in the anus;
nagging pain in the rectum, radiating to the lower back and sacrum.

note: the symptoms of hemorrhoids may worsen when pinchedhemorrhoidal node. This condition is manifested by severe pain in the rectal area and increased body temperature. If such symptoms appear, it is important for a pregnant woman to immediately seek medical help from a surgeon.

Signs of hemorrhoids after childbirth

If during pregnancy this disease did not manifest itself in any way, because the nodes were internal, then after childbirth the likelihood of its exacerbation is very high. A woman will be bothered by such symptoms in the anal area:

Diagnosis of hemorrhoids during pregnancy

Confirmation and diagnosis of hemorrhoids requires a visit to a proctologist. The doctor will prescribe an examination program that will help determine the stage of the disease and select the most appropriate treatment for hemorrhoids during pregnancy.

Diagnosis of hemorrhoids includes:

Inspection. During an objective examination in the anal area, the doctor will visually notice hemorrhoids that sag outward. The anal mucosa with hemorrhoids is inflamed, has a red tint and a pronounced venous pattern of small dilated capillaries. The presence of nodes is a differentiating feature that allows you to distinguish hemorrhoids from rectal cancer or anal fissures. Digital examination helps clarify the diagnosis and determine the presence of internal nodes, their location, size and quantity, and also helps to exclude or confirm the presence of anal fissures.
Instrumental studies. Sigmoidoscopy is an optical examination of the rectum using a special apparatus - a sigmoidoscope; during pregnancy it is performed in exceptional cases.
Laboratory research.

At laboratory diagnostics hemorrhoidsa pregnant woman is prescribed:

coprogram ( qualitative research feces);
blood test (will confirm anemia due to regular bleeding from hemorrhoids);
stool test for the presence of occult blood.

How to treat hemorrhoids during pregnancy

The choice of treatment method depends on the stage of the disease.

Stage I hemorrhoids during pregnancy can be treated without the use of medications. Usually the doctor recommends that the expectant mother change her diet, include enough fiber and sour-milk products (to normalize stool), move more, do gymnastics for pregnant women, walk in the fresh air, and adhere to personal hygiene rules.

Stage II hemorrhoids require medication to eliminate unpleasant symptoms. The proctologist prescribes both tablet and ointment preparations, which have a vasoconstrictor, anti-inflammatory, and analgesic effect. Preference is given to local remedies (suppositories, ointments), since most of them do not have a systemic effect on the fetus.

Important: A pregnant woman should not independently use certain remedies for hemorrhoids, because many of them can have a negative effect on the fetus (for example, Bellatamine and Anuzol - suppositories with belladonna extract provoke miscarriage or premature birth).

Among the suppositories used are those that contain lanolin, cocoa butter, anesthetic substances (novocaine, benzocaine), heparin, oils of plant and animal origin (vitamin A, shark liver oils, sea buckthorn), anti-inflammatory and astringent substances.

The treatment regimen also includes:

Duphalac;
Ginkor-forte;
Forlax;
Chime;
Prelax;
Troxerutin;
Pentoxifylline.

note: During pregnancy, it is prohibited to treat hemorrhoids with drugs that containbisacodyl, buckthorn, phenolphthalein, etc. as they cause an increase in uterine tone.

Stages III and IV of hemorrhoids are considered severe, and combination therapy is used in their treatment. In addition to changing the diet and daily routine, suppositories, ointments, and tablets are prescribed. Surgical methods are resorted to if prolapsed hemorrhoids cannot be reduced into the rectum, but surgery is performed after childbirth.

It is also possible to use such modern methods as injections with sclerosing drugs, infrared coagulation and ligation with latex rings, laser coagulation, which involve complete removal of nodes.

Indications for emergency hospitalization for hemorrhoids during pregnancy are heavy bleeding, strangulation and necrosis of hemorrhoids. In this case, bloodless technologies are used.

Suppositories for hemorrhoids during pregnancy

These drugs are always prescribed by a proctologist individually, taking into account the stage and form of the disease, the duration of pregnancy, and the characteristics of the course.

Most often, pregnant women with hemorrhoids are prescribed suppositories from the list below:

Hepatrombin - has an analgesic, anti-inflammatory and hemostatic effect.
Proctoglivenol - normalizes the tone of veins, reduces capillary permeability, has an anti-inflammatory effect, and eliminates pain.
Natalsid is a plant-based suppository (brown algae) that fights inflammation, effectively heals, softens stool and thereby facilitates bowel movements.
Relief - suppositories that contain shark liver oil, provide good pain relief, relieve inflammation, heal, and soften.
Proctosan – suppositories with a combined composition in the form of bufexamac, lidocaine, bismuth subgallate, titanium dioxide, which perfectly disinfect, anesthetize, and dry.
Suppositories with propolis have an excellent healing effect, eliminate pain and itching in the anus, and destroy pathogenic microorganisms.

In most cases, treatment of hemorrhoids during pregnancy gives the expected result and its exacerbation is eliminated before delivery. It is also important to exclude heavy physical labor.

Childbirth with hemorrhoids

Hemorrhoids are not a contraindication to natural childbirth. It may provoke some complications, but planned C-section because of him they won’t carry it out. The only exceptions can be severe grade 4 hemorrhoids, heavy bleeding from nodes, and vein thrombosis. The decision is always made exclusively by the attending physician individually in each specific case. It is important for a woman in labor to listen and follow what the doctor and midwife say during childbirth, since the correct tactics will allow the entire process to be carried out without unnecessary muscle tension, and therefore without rupture of nodes and complications. The prognosis of the disease depends on how the birth itself goes and what its duration will be.

During childbirth, when a woman experiences contractions and attempts, intra-abdominal pressure increases due to the fact that the fetal head presses the pelvic vessels directly to the rectum itself. Hemorrhoids become larger, their consistency thickens. When the contraction intensifies and the woman pushes, the veins protrude and turn blue; during the pause they become smaller.

Important: Regarding the possibility of the appearance or non-appearance of hemorrhoids, much depends on the speed of contraction of the anal sphincter after childbirth. If this process happens quickly, then there is a possibility of pinched nodes, but this rarely happens. When the reduction occurs gradually, the nodes usually return to their place on their own.

Treatment of hemorrhoids after childbirth

Therapy for hemorrhoids, both during pregnancy and after childbirth, includes the following general instructions:

lifestyle correction;
elimination of constipation;
normalization of water balance;
meals by the hour;
gymnastics to strengthen the muscles in the anal area;
daily walks;
It is better to breastfeed your baby or watch TV while lying down to minimize pressure on the rectal veins;
hygienic regime.

To activate intestinal function, it is important to consume more fiber, vegetables, bran bread, cereals, fruits, dried fruits, etc.

note: A woman after childbirth should not ignore this problem, thinking that everything will go away on its own. Contacting a proctologist will allow you to clarify the diagnosis and select a treatment that will not harm the baby if the woman is breastfeeding.

Drug therapy for hemorrhoids in a nursing mother after childbirth is the same as during pregnancy.

If the child is bottle-fed, then the drugs from the list below are allowed:

Suppositories with methyluracil. They contain an antibiotic that has a regenerating effect, heals the mucous membrane, stops bleeding, activates the immune system, stops bleeding and relieves pain.
Ginkor Procto. These are suppositories with Ginko Biloba extract - a venoprotector that normalizes the elasticity and tone of veins, local blood circulation, and relieves inflammation.
Candles with belladonna. A medicine with active substances in the form of phenol and belladonna extract. It relieves pain, has an antimicrobial effect, removes spasms, and eliminates the infectious process in the anus.
Anestezol. Suppositories with a combined composition (menthol, benzocaine, zinc oxide), which perfectly stop bleeding, eliminate pain in the rectum, dry out and have an antiseptic effect.

The main question when developing a disease such as hemorrhoids in pregnant women is what to treat and what drugs can be used for treatment so as not to harm the unborn child. A similar disorder can occur in a completely healthy woman who, during pregnancy, experiences a huge load on the intestines with an expanding fetus. can not manifest itself for a long time and proceed hidden, which can complicate the course of labor and threaten the health of the woman in labor.

Often, pregnant women, out of fear that treatment may somehow harm the fetus, categorically refuse it. Even severe cases, sometimes a clear threat to life, cannot force a woman to begin taking the necessary measures.

However, the symptoms manifested by this disease can cause no less harm and lead to undesirable consequences, namely:

What drugs are effective during pregnancy

Despite the fact that hemorrhoids are in the initial stage, treatment for a pregnant woman must be carried out. Getting rid of hemorrhoids in pregnant women is not an easy task, because it is important not only to get rid of the pathological changes that have occurred in the woman’s body, but also not to harm the baby. In such a case, it is unacceptable to decide on the choice of drug on your own; it is better to leave this opportunity to a specialist.

In the form of ointment or suppositories:

They will help eliminate the symptoms of hemorrhoids in the form of itching and have a healing effect. The safest of them, which pregnant women can use without fear, is oil. The suppository is inserted into the empty intestines after bowel movements, preferably before bedtime. You can also use suppositories for hemorrhoids with seaweed, which are used according to the same principle.

Folk remedies

The most commonly used folk remedies for the treatment of hemorrhoids are medicinal plants that are allowed to be used by pregnant women, these include:

Any procedure, as well as the use of medicinal herbs, is used only after consultation with a gynecologist.

Rules for treatment at home

Many women, being pregnant, prefer to self-treat at home. This is strictly not recommended, since any treatment for hemorrhoids during pregnancy should be used only on the recommendation of a gynecologist.

In cases where bleeding occurs, this is a reason for medical intervention and
treatment under constant supervision of specialists. If the situation is not so severe and has resolved, then therapeutic manipulations can be carried out at home.

As a safe method used by pregnant women, herbal decoctions in the form of compresses are used, as well as candles made independently from vegetables, honey, and unsalted lard. However, all rules of sterility must be observed when preparing and using these products to prevent the possibility of infection.

Prevention of hemorrhoids in pregnant women

If a pregnant woman wants to stay healthy and not think about possible complication pregnancy in , then she must adhere to necessary rules. Compliance with them is not particularly difficult and does not require the same efforts that must be made to treat an existing pathology.

When the first signs characteristic of hemorrhoids appear, it is necessary to limit
consumption of salty, spicy, smoked and canned foods. They promote blood flow to the pelvic area, under the pressure of which the veins can expand. You can use special gymnastics exercises that will improve the functioning of the gastrointestinal tract and increase muscle tone. To prevent the development of hemorrhoids, it is better to wash with cool water after each bowel movement.

It is useful to take a shower with cool water, directed from bottom to top at the anus area. Such a procedure will be of great benefit to the pregnant woman as a preventive measure against the development of hemorrhoids, and will also significantly alleviate the patient’s condition if she has the disease. Pregnant women simply need fresh air, however, walking should not be particularly long. While walking, a large load falls on the vessels located in the intestines, which contributes to the development of hemorrhoids.

Diet and lifestyle

During pregnancy, you need to adhere to a certain diet, when fatty meats and dairy products with high fat content are removed from the diet. It is also better not to consume foods that disrupt intestinal function and cause constipation.

They will help improve the functioning of the gastrointestinal tract and provide the necessary nutrients with vegetables and cereals, apples, prunes, oatmeal and pearl barley. Such nutrition will eliminate the possibility of constipation, and the pregnant woman’s body will provide complete substances for fetal development and successful childbirth.

To prevent hemorrhoids from bringing complications to a pregnant woman’s condition, it is better to be more attentive to your lifestyle and, if necessary, make some changes to it. To do this, you need to spend more time in the fresh air, not limit physical activity, eat more foods rich in fiber, give up some bad habits and observe moderation in everything.

Hemorrhoids often occur in people with a pronounced group of cavernous bodies. Other reasons why hemorrhoids develop are congenital functional deficiency of connective tissues, a violation of the nervous regulation of the tone of the venous walls.

During pregnancy Hemorrhoids Ointment
Folk method for treating hemorrhoids
hemorrhoids Complex degree

It is not uncommon for venous pressure to increase due to constipation, hemorrhoids to develop during pregnancy, or due to work that requires standing, sitting for long periods of time, or involves heavy physical labor.

Another cause of hemorrhoids is an unhealthy lifestyle - alcohol abuse, spicy food. These factors contribute to increased arterial flow to the cavernous bodies in the rectum. With prolonged exposure to unfavorable factors, hemorrhoids (changed veins) can form.

The main reason is poor lifestyle

Hemorrhoids occur due to the overflow of the venous plexus with blood, which is located in the anus. This development is facilitated by a sedentary lifestyle, poor diet, excess weight, and taking medications (for example, oral contraceptives, laxative).

Hemorrhoids develop during pregnancy due to the fact that the enlarging uterus puts pressure on the intestinal walls, and stagnation occurs in the portal vein system.

Experts distinguish several types of hemorrhoids - these are the primary and secondary types of the disease:

the primary type of disease develops due to some life situations, including during pregnancy or after childbirth;
secondary hemorrhoids develop after a severe disease of the cardiovascular system, after tumor processes, sometimes this can be a consequence of cirrhosis of the liver, etc.

If the cause of hemorrhoids is a woman's pregnancy, then usually its symptoms begin to appear in the second half of the term, and childbirth may occur with complications. The woman’s age can also influence; the younger the expectant mother, the lower the risk of developing the disease.

Main symptoms of the disease

Symptoms of hemorrhoids at the beginning of pregnancy may not appear in any way; the pregnant woman does not feel anything. At the next examination by a gynecologist, upon learning about a hemorrhoid, a woman will be unpleasantly surprised. Even if the woman did not show any signs during pregnancy, childbirth leads to a sharp exacerbation of the disease, and the longer it lasts, the greater the risk of exacerbation increases.

However, the signs of hemorrhoids during pregnancy are quite obvious. They deliver a lot discomfort such as itching, burning. Some people feel heaviness or foreign body in the rectal area. Such symptoms usually appear when moving, after physical activity or after stool.

Pain during bowel movements, blood from the anus, increased humidity or discharge (watery, mucous) - all these are the main signs of hemorrhoids. Even during bowel movements, nodes may fall out - this is accompanied by pain.

Quite dangerous

The disease develops in four stages.

The first is discomfort in the anus, pain during bowel movements, bleeding. The examination shows the presence of nodes, but they do not fall out, the intestinal lining is inflamed, and blood vessels are visible.
At the second stage of hemorrhoids, nodes fall out (as shown in the photo) during bowel movements, the pregnant woman begins to experience itching, discharge, and pain, which can radiate to the lower back or sacrum.
During the third stage, all symptoms intensify and the nodes are removed manually.
The fourth stage is the most dangerous. It is no longer possible to straighten the nodes; everything is complicated by thrombosis and heavy bleeding.

Difficulties during pregnancy

There are frequent cases of hemorrhoids developing in the second half of pregnancy. When a woman is pregnant, her uterus greatly increases in size; at the time of birth, it occupies most of the abdominal cavity. The size of the organ puts pressure on the rectum, which in turn changes its position. The venous vessels of the intestine are pinched, and this causes the blood to stagnate.

During pregnancy, the intestinal muscles become more susceptible to nerve impulses and substances that stimulate work. All this happens because the intestines and uterus have a common innervation, they work through the same nerve plexuses, any excessive intensity can activate the contractile activity of the uterus. This protective reaction exists in order to maintain pregnancy, but due to this, bowel movements are slightly difficult, the woman begins to become constipated, and against this background, hemorrhoids may develop, which must be treated.

During childbirth, during contractions and pushing, abdominal pressure increases, the fetal head begins to come into close contact with the walls of the small pelvis. The vessels and veins of the rectum are compressed. Hemorrhoids enlarge, begin to acquire a denser consistency, and during pushing they protrude and turn blue. In the intervals between them, the nodes become smaller. Therefore, a long labor process increases the risk of developing the disease.

According to statistics, pregnant women experience hemorrhoids more often, but many do not consider it necessary to contact specialists to find out how to treat it, believing that hemorrhoids are a common condition during pregnancy.

Using Hemorrhoid Remedies

Drug name	Indications for use	Price
Procto glivenol	Used for local treatment of hemorrhoids. Thanks to tribenoside, lidocaine has a venotonic and anti-inflammatory effect. Pain, itching, and skin tension are reduced.	cream – 420 rubles; candles – 480 rubles.
Gepatrombin G	The drug has antithrombotic and anti-inflammatory effects. Used for the treatment of external internal hemorrhoids, with anal fissures, eczema and itching. During pregnancy, consultation with a specialist is necessary.	ointment – 280 rubles; gel – 290 rubles.
Relief Advance	Antihemorrhoidal drug. Shark liver oil, which is part of the product, has an anti-inflammatory and hemostatic effect. Heals cracks, restores the immune environment. Used for hemorrhoids, erosion, cracks, itching. Often used for pain relief after surgery.	ointment – 408 rubles; candles – 380 rubles.
Ginkor Procto	Used to treat patients who suffer acute form illness accompanied by pain and itching. Used for rehabilitation, before and after surgery.	630 rubles
Anestezol	The drug is suitable for treating hemorrhoids during pregnancy at home if there are cracks or other inflammatory processes in the rectum. The product knits and dries. Acts as an anesthetic.	60 rubles
Ultraproct	Treatment of hemorrhoids during pregnancy, which is accompanied by thrombosis of the hemorrhoidal veins. For the treatment of fissures, proctitis. Use with extreme caution from the 2nd trimester, only as prescribed by a specialist.	543 rubles

Has an anti-inflammatory effect

Possible risks and complications

The danger of developing hemorrhoids for a pregnant woman is not only that she will feel constant discomfort. At the beginning of the development of the disease, pain will be felt during bowel movements, and the woman will visit the toilet more often. Constipation and microcracks in the intestinal mucosa, which are formed due to hard feces, may occur.

This contributes to the development of inflammatory processes, which, if not treated in time, affect other organs. Due to constipation, toxic substances accumulate in a woman’s body, which in turn negatively affect the development and health of the fetus.

Specialist upon detection of hemorrhoids on early stages will advise which suppositories a woman can use during pregnancy so as not to harm the unborn baby.

This problem can also lead to pinched hemorrhoids. In order to eliminate this pathology, surgical intervention will be necessary, which can also be bad for the child. A woman's inactivity is dangerous, as this can lead to a decrease in hemoglobin levels, anemia, skin diseases and problems with genitourinary system. Therefore, as soon as the first signs appear, you need to contact a specialist.

The use of traditional methods of treatment

In order to avoid the development of the disease, it is necessary to adhere to proper nutrition and a healthy lifestyle, but not always and not everyone succeeds.

When signs begin to appear, many use folk remedies from hemorrhoids during pregnancy. These recipes have been used by more than one generation to treat a delicate problem. For the first recipe you will need:

collect chamomile flowers, stinging nettle grass, plantain leaves;
mix the ingredients equally (there should be at least 20 grams in total);
crush them;
pour 2 liters of boiling water over the herbal mixture;
leave in a warm place (or you can use a thermos) for at least 2 hours;
then strain and dilute warm water up to a volume of 5 liters.

Mode of application.

Dilute in the bathroom, the water should be warm, but not scalding.
You need to sit in the bathroom for 7 minutes.
Take such baths every day for 12 days.

Traditional method of treatment

Before use, consult your gynecologist; such baths are contraindicated in case of increased uterine tone or other dangerous condition.

Another recipe that is suitable during pregnancy can be used to treat hemorrhoids at home:

you will need potatoes (12 pieces) of medium size;
grate one at a time along with the peel on a fine grater;
prepare a rag and cellophane.

Mode of application.

Place cellophane on the chair (it will be more comfortable this way). Place the grated potatoes in a cloth.
Place the resulting mixture on a chair, sit on top, spread your buttocks so that the contents come into contact with the hemorrhoids. Cover yourself tightly.
The entire procedure takes about three hours.
After 15 minutes, change the contents of the rag and do the same with the remaining 12 pieces.

This method is suitable for treating the initial stage of the disease.

Diseases of the rectum in pregnant women are very common! And this is not surprising. The pressure on the vessels doubles during this period. What treatment for hemorrhoids during pregnancy is considered safe for the fetus?

Proctologists identify several risk groups for hemorrhoids. One of them is pregnant women and mothers who have given birth.

The formation of such a specific group is not accidental and is dictated by medical practice. Hemorrhoids are detected in 25–40% of pregnant girls, as well as in 30–70% of postpartum women. The older the woman, the higher the likelihood of diagnosing pathology.

Features of the course of hemorrhoids in pregnant women
Manifestation	The disease most often manifests itself in the 3rd trimester of pregnancy and after childbirth.
Reasons for appearance	Increased intra-abdominal pressure on the veins and vessels of the pelvis, increased volume of circulating blood, increased progesterone levels, constipation, sedentary behavior.
Main complaints	Pain during bowel movements, itching and burning in the anal area, bleeding.
How to treat	Diet (dietary fiber, plenty of fluids, semi-liquid foods). Depending on the stage of pregnancy, after consulting a doctor, it is possible to use creams, ointments, suppositories, and phlebotropic drugs.
How to prevent	Avoid straining during bowel movements, empty your bowels every morning, replace toilet paper with warm water, eat more fruits, vegetables, grains, and drink plenty of water.

Symptoms of the disease occur suddenly, and the lump may come out after 1 bowel movement session

Hemorrhoids during pregnancy must be treated in the first stages of development. The ideal option is therapy and prevention even before pregnancy!

Why is this happening

Varicose veins are the most common ailment in pregnant women

Pregnancy and childbirth are a powerful provoking factor.

While the fetus is growing, the uterus is constantly increasing in size. Her pressure on internal organs and the blood vessels of various organs are constantly increasing. It is the hemorrhoids that are most adversely affected.

The main causes of hemorrhoids during pregnancy

Enlarged uterus
Sedentary lifestyle
Poor blood flow in the lower body
Frequent constipation
Chronic diseases: varicose veins veins and blood vessels, atherosclerosis, etc.

Constipation makes the disease worse

Signs of manifestation

Symptoms of hemorrhoids during pregnancy, which indicate the development of pathology:

Itching and burning after defecation;
Traces of blood on underwear, toilet rim;
Feeling of incomplete bowel movement;
Pain when walking, sitting for a long time;
Appearance.

What does the pathology look like? In most cases, dense red and blue hemorrhoidal bumps appear, which may burst over time.

Complication of hemorrhoids during pregnancy

Thrombosis of external hemorrhoids occurs more often. They greatly increase in size, become dense and painful. Thrombosis occurs suddenly, without even a long mention of itself.

Expectant mothers often experience internal hemorrhoids falling out after a bowel movement after going to the toilet. They can become injured, causing bleeding.

Hard stools often become a source of blood discharge after bowel movements. It is necessary to avoid constipation and prolonged sitting in the toilet. Pregnant women often complain of the appearance of anal fimbria. It does not alarm, but creates an alarming signal about the acute course of the disease.

At the first symptoms of hemorrhoidal disease, you should consult your doctor.

The specialist should refer the woman, who will conduct a thorough diagnosis and choose individual treatment tactics.

Should hemorrhoids be treated during pregnancy? Depends on the stage of development and duration of pregnancy. In the early months of gestation, conservative therapy is required. In later stages, treatment can be carried out immediately after childbirth.

Effective treatment

How to get rid of inflammation? If hemorrhoids are diagnosed during pregnancy, treatment is prescribed by a proctologist. During the period of fetal formation, therapeutic therapy is selected on an individual basis. This depends on the general condition of the patient and the duration of pregnancy.

Only a doctor can choose effective drugs that won't harm

What treatment tactics for pregnant women are considered the best today?

Research shows that a three-pronged approach produces optimal results:

Use of local remedies. This rectal suppositories, anti-inflammatory cream and ointment, anesthetic gel.
Prescribing phlebotonic medications that improve blood flow.
A diet based on high fiber foods.

This complex treatment of hemorrhoids gives excellent results in the initial stages of its development.

When a pregnant woman becomes a patient of a proctologist, the doctor is obliged to exercise maximum caution when prescribing medications taken orally. A thorough check of the effect of any drug on the fetus is necessary. After all, even medicinal herbs may be harmful in such a situation.

Until now, natural local remedies predominate in the treatment of diseases in pregnant women. As a rule, these are suppositories based on sea buckthorn oil. However, there are also proven medications for indoor and outdoor use.

All medications for hemorrhoids during pregnancy should be used strictly after consultation with a gynecologist and proctologist.

More often for cupping inflammatory process and development of the disease are prescribed:

Ointments approved for use by pregnant women are necessary if hemorrhoids are detected in their external form. Usually doctors prescribe, as well as Posterizan, Bezornil or.

All of these remedies are considered safe for the fetus and therefore can be successfully used in the treatment of hemorrhoids in pregnant women. However, each remedy must be prescribed by a doctor. It is possible that the doctor recommends a certain combination of drugs to achieve the best effect.

Traditional medicine for expectant mothers

How to treat hemorrhoids during pregnancy if medications are contraindicated? Folk remedies will come to the rescue.

For minor pain and itching in the anus, it is recommended to wash with cool water. It’s even better if you do the washing with infusions/decoctions of dandelion, chamomile, wormwood, nettle or snakeweed. If possible, you should make lotions with the listed herbs.

It is better to coordinate water procedures with your doctor

Quickly relieve itching and pain in the anus.

Compresses made from raw potatoes or beets will help get rid of hemorrhoids. Vegetables must be coarsely grated, wrapped in gauze and applied to the anal area.

You can also make your own rectal suppositories. They are cut from raw peeled potatoes or sculpted from crystallized honey. In the second case, the homemade suppository must be kept in the refrigerator before administration.

Prevention of pathology

Daily prevention will reduce the disease to a minimum

Proctologists and obstetricians-gynecologists now and then have to team up to treat pregnant patients.