Hemorrhoids during pregnancy is one of the mostmost common annoying future mother's troubles. Hemorrhoids occur in about every second pregnant woman, however, to the great regret, very few of them seek help from a doctor, experiencing a strong sense of embarrassment. However, this is not the best option, since the disease can take such a neglected and complex form of flow that will turn the woman's life into a total torture. And cure it will be much more difficult - most likely, surgical intervention is required. Until recently, doctors believed that hemorrhoids are nothing more than varicose veins located in the anus. However, the most recent studies show that there is an expansion not of veins, but of cavernous corpuscles - vascular plexuses located in the aperture of the anus. As a rule, hemorrhoids do not start their development just like that, without the presence of certain provoking factors. Such factors provoking the development of hemorrhoids are not so little - they include:
- A sedentary lifestyle of a person, bearing in medicine the name of hypodynamia.
- The presence in the diet of fatty and spicy food, the use of alcoholic beverages.
- Excess weight of a sick person, presence of liver diseases and gastrointestinal tract.
- Genetic factor - hereditary predisposition to this disease.
- Heavy physical labor, especially associated with lifting weights.
- Pregnancy of a woman, especially her second half - after the fifth month.
Very often hemorrhoids, never beforedisturbing a woman, first makes itself felt during pregnancy, usually in the second half, when the size of the tummy of a future mother begins to increase rapidly. And in the event that the hemorrhoids made themselves felt before pregnancy, it will certainly make itself felt with a vengeance. By the way speaking. Doctors say that re-pregnant women are about five times more likely than primiparous women to experience all the "delights" of this disease.
Causes of hemorrhoids in a pregnant woman
Very often pregnant women ask a doctorthe question of why they are so susceptible to the development of hemorrhoids. And their question is not without sense - there are a number of circumstances and physiological features of the pregnant woman's body that make her very vulnerable and prone to hemorrhoids. What are these reasons?
- Increased size of the uterus
As the baby grows, the uterusincreases in size. Because of this, normal blood flow in the lower part of the body, and primarily in the organs of the small pelvis, is greatly hampered. As a consequence, stagnation of blood develops, the tone of the walls of the vessels decreases. Of course, the vascular plexuses located in the anus will not slow down to expand. This is what explains the fact that hemorrhoids most often make themselves felt in the second half of pregnancy, when the uterus becomes large enough.
As you know, another very urgent problemfor pregnant women are constipation. They are found in more than half of all expectant mothers. It constipation is the main factor provoking the development of hemorrhoids. Due to the accumulation of fecal masses, a strong overgrowth of the rectum walls occurs, the walls of the vascular plexuses are constantly irritated, which are located directly under the mucous membrane. It is thanks to this constant mechanical irritation of the mucous membrane by the calves and the growth of cavernous bodies begins. Thus, the development of hemorrhoids begins. If constipation continues to progress, hemorrhoids, respectively, continue to develop. The course of the disease in a woman begins to worsen.
- A sedentary lifestyle of a pregnant woman
Another provoking development of hemorrhoidsfactor is the sedentary lifestyle that most pregnant women lead. Because of it, the blood flow in the pelvic organs is also greatly reduced, and the uterus, which is already difficult to press on it, is constantly hampered by it. By the way, a sedentary lifestyle during pregnancy is fraught with so many negative consequences. Remember that pregnancy is not a disease, and you still need to move a future mother, though without much fanaticism.
- Stress during tensions
Sometimes it happens that the woman throughout the wholepregnancy managed to successfully avoid the development of hemorrhoids. And at the very end of pregnancy - during labor, hemorrhoids make themselves felt. As a rule, in all cases, this occurs during the period of pregnancy. During attempts, the pressure within the abdominal cavity is repeatedly increased. At the moment when the head of the child passes the birth canal, the vascular plexuses of the rectum are subjected to severe compression, and sometimes even trauma. And pay attention to the following regularity - the longer the period of attempts - the higher the risk of hemorrhoids. Needless to say, it is especially hard for those young mothers who have experienced this disease before or during pregnancy.
Symptoms of hemorrhoids
Hemorrhoids are insidious enoughdisease - and its most important danger is that at the initial stages it does not manifest itself in any way. But it is at the initial stages of the disease treatment has the most positive effect. However, it can only be discovered at an early stage in the early stages, during the next routine examination by a gynecologist. But as the disease develops, the woman begins to notice the first manifestations of hemorrhoids, gradually increasing if the disease is not diagnosed immediately, and immediately the necessary treatment has not been started. In order to suspect the presence of hemorrhoids and immediately go to a doctor who will choose the optimal treatment regimen, a pregnant woman should know what are the symptoms of this disease:
- Pain sensations during the act of defecation
One of the first signs of the disease, likethe rule is the occurrence of pain in the anus, first during defecation, and as the disease progresses - and at rest. Particularly severe pain is in the event that the future mother suffers from constipation - every trip to the toilet for a pregnant woman becomes a kind of test for strength.
- The appearance of hemorrhoids
Immediately after the appearance of paindevelops another bright characteristic feature of hemorrhoids - hemorrhoidal nodes in the rectum, both internal and external. And much more often internal nodes develop, which are located in the mucous membrane. Practically after each act of defecation, these nodes appear from the outside, but after some time they are again drawn inward. A little less often, but still there are external hemorrhoids, which are in the skin around the anus. By the way, they bring much more discomfort to the expectant mother than the inner knots. As the disease develops, the hemorrhoidal nodes considerably increase in size, from the size of a pea to the size of a large plum.
- Itching and burning
Another rather characteristic featurethe presence of a pregnant woman with hemorrhoids is the periodic occurrence of a strong burning sensation and itching in the anal area. And more often these uncomfortable sensations can repeatedly amplify in the event that the woman used in food sharp products. Although they are not the best food for a future mother without hemorrhoids, they must be completely excluded from the diet of a pregnant woman.
In the event that a pregnant womantoilet paper or underwear traces of scarlet blood, she should also be worried. This is a fairly common sign of hemorrhoids. And with the more hemorrhoidal nodes in the sizes, the more bleeding will be stronger. In no case is it inadmissible to ignore this problem, because it will constantly progress. Doctors know a lot of cases when as a result of such bleeding the future mother developed iron deficiency anemia.
- Disruption of the bowel
Often, hemorrhoids entail certaindisruption of the intestine. A future mother may complain of a feeling of incomplete bowel movement, increased gas formation, bloating and other uncomfortable sensations in the abdomen.
- Thrombosis of hemorrhoids
One of the most dangerous complications thatmay entail hemorrhoids - this is a clogging of hemorrhoids with thrombi. At the same time there is a sharp compaction of the nodes - they are very dense to the touch, the slightest touch to them causes the strongest painful sensations, the skin around them swells and turns red. In addition to all this, the body temperature can increase sufficiently, the general condition of the body and the state of health of the pregnant woman worsen. In particularly severe cases, hemorrhoidal nodes may fall out and become infringed. This phenomenon is quite dangerous with the development of necrosis and is called acute hemorrhoids. In such cases, the expectant mother should, without delay, consult a doctor - a surgeon who will provide emergency medical assistance in such cases.
Treatment of hemorrhoids in expectant mothers
Of course, in no case is it inadmissibleleave the problem of hemorrhoids without attention, because otherwise he will poison the life of the future mother, not only during the expectation of the baby, but also after him. Very many women refuse to treat this disease, fearing for the health of their baby, because they mistakenly believe that the use of certain pharmacological drugs can harm him. However, doctors unequivocally assert that the treatment of hemorrhoids during pregnancy is not only permissible, but also simply vital. However, the treatment of a woman waiting for the birth of a baby has its own specifics. The first thing to pay special attention to is the diet of a pregnant woman. Nutrition should be such that to exclude the possible development of constipation, since the main key to successful treatment of hemorrhoids - timely evacuation of the intestine. This factor must be taken into account when making a menu. The main part of the diet should ideally be those foods that contain fiber in large quantities - they have a normalizing stool effect on the intestines. Such products include wheat bran, fruits and vegetables. However, try not to abuse various porridges - the exception is only rice and buckwheat, which can be consumed in unlimited quantities. Equally useful properties are and fermented milk products, such as curdled milk, yogurt and yogurt. But the use of cheeses of any sort, on the contrary, is extremely undesirable, as they provoke the development of strong constipation. No less useful are dried fruits such as dried apricots and prunes. Another important point that needs to be paid attention is the rules of personal hygiene. Doctors advise future mothers to stop using conventional toilet paper and purchase special wet wipes in the pharmacy. In the event that the future mother had external hemorrhoids, doctors recommend at least once a day, before going to bed, to make sitting baths with a decoction of chamomile. However, it should be noted that all these measures are good only as preventive and in addition to the main treatment. For the treatment of hemorrhoids, doctors use various pharmacological drugs - usually candles and creams. Below, the main treatment regimens for hemorrhoids during pregnancy will be described, but do not forget that all this information is given only for general examination - and the treatment should still be prescribed by a doctor. In the event that the constipation could not be eliminated by adjusting the diet, it is necessary to resort to the help of medicinal candles. For the future mother, the most optimal and safe option will be suppositories with glycerin, or Dufalac. These drugs are absolutely safe for both mom and baby. They can be safely consumed both during waiting for the appearance of crumbs to light, and during breastfeeding. In the event that the future mother experiences acute pain, to reduce them you can use ointments or suppositories, which include any anesthetic, for example, the drug Anestezol with the content of lidocoin. And since the second semester of pregnancy, edema and inflammation can be eliminated with a drug such as Gepatrombin G. It is absolutely harmless for pregnant women and nursing mothers. In the event that the hemorrhoids take a fairly neglected form and can hardly be treated, the doctor can decide on the appointment of Detralex. This drug largely normalizes the microcirculation of blood in the blood vessels of the pelvic organs, and also tones the walls of the vessels. Its use is possible both during pregnancy and during lactation. In the event that all of the above measures did not help, or the woman asked for help too late, and doctors diagnosed the presence of acute hemorrhoids, antibiotic treatment may be necessary, and in particularly severe cases, immediate surgical intervention. However, physicians prefer to resort to such a measure only in the most desperate case. In most situations, doctors try to do everything in order to remove acute symptoms and postpone the operation at a later time, when the child is born. In conclusion, I would like to remind future moms again - if you have found yourself with hemorrhoids, during pregnancy, treatment is not only possible but necessary. And do not put off going to the doctor for an indefinite time - the sooner you get the necessary treatment, the sooner you will get rid of hemorrhoids. We advise you to read: