Fast and reliable treatment of hemorrhoids at home in women after childbirth. How to treat hemorrhoids after childbirth After childbirth, hemorrhoids appeared how to treat

Every second woman after the birth of a baby complains of hemorrhoids. However, you should not blame the process of childbearing for the appearance of an unpleasant ailment. The reasons lie in the pregnancy itself and the physiological changes occurring during this period.

In order to avoid the progression of the disease, women need to know the basics: what are the causes and first signs of hemorrhoids, what drugs to treat after childbirth, so as not to harm the newborn.

Causes of hemorrhoids after childbirth

Hemorrhoids are varicose veins that affect the veins of the rectum. Frequent diagnosis of postpartum hemorrhoids is due to the occurrence, even during pregnancy, of several factors at once that provoke pathological vasodilation:

increased intra-abdominal pressure - an increase in total weight;
venous stasis - pressure of the growing uterus on the vascular plexuses of the rectum, compression of the veins by the fetus itself (especially before childbirth, when the baby's head is pressed tightly against the pelvic bones);
constipation - hormonal changes (an overestimated amount of progesterone often provokes indigestion), lack of fiber and fluid in the diet, physical inactivity and sedentary work;
weakening of the vascular wall - also caused by a physiological increase in progesterone synthesis, addictions (hemorrhoids in a smoking / drinking woman are the lesser of evils that can happen through one's own fault).

Under the influence of these reasons, even in a woman who never suffers from this pathology, hemorrhoids can form during pregnancy.

However, in most cases, hemorrhoids in pregnant women are not expressed. It is the process of childbirth that gives the strongest impetus to the appearance of hemorrhoidal cones. This is facilitated by the enormous tension of the pelvic floor muscles during labor and the passage of the fetus through the birth canal.

And postpartum constipation is not uncommon. The redistribution of the intestine in the abdominal space released after childbirth often causes its atony.

Feeling discomfort during bowel movements, itching and burning sensation in the anus during gestation are the first signs of incipient hemorrhoids.

According to these signs, it is highly likely that hemorrhoids will appear after childbirth. However, often expectant mothers do not pay attention to such minor symptoms.

For them, the sensations associated with the baby are much more important - his stirring and turning, changing the shape of the mother's belly and causing tenderness and delight of those watching this miracle.

A woman begins to think seriously after childbirth, when the problem “came out” and painful symptoms appeared:

varicose "bumps" around the anal sphincter (external nodes or internal ones that have fallen out);
pain during bowel movements is often unbearable, causing spasm of the rectal sphincter and difficulty with defecation;
unbearable burning sensation (during childbirth, microcracks appear in the anal area and rectum);
(traces remain on toilet paper);
mucus in the feces (a sign of inflammation, even more irritates the rectal mucosa and the skin of the perianal zone).

Even minor signs of postpartum hemorrhoids significantly complicate the life of a newly-made mother (it hurts to sit and walk) and affect the quality of child care.

In the absence of timely treatment, the disease progresses, which is fraught with profuse bleeding from damaged veins, anemia and infection of cracks with the formation of fistulas.

This will negatively affect the child if the mother feeds him with breast milk. The worst options for the development of hemorrhoids are vein thrombosis, the appearance of pathologically altered cells in the rectum (oncology).

If a woman does not breastfeed during lactation, treatment is carried out in a general regimen (drugs and treatment regimens for adults are used).

Useful: - review of rectal suppositories, comparison and choice

To quickly eliminate painful symptoms, drug therapy (ointment / suppositories Relief, Hepatothrombin, Detralex venotonic tablets) is carried out in accordance with the following recommendations:

A categorical rejection of slimming underwear.
The fight against constipation is the saturation of the diet with cereals (buckwheat and hercules are especially useful), fermented milk products (milk provokes constipation and flatulence!).
Daily drinking regime - not less than 1.5 liters of water.
Refusal of coffee, flour, animal fats, chocolate, spicy foods, alcohol.
Physical activity - simple gymnastic exercises contribute not only to the timely emptying of the intestines, but also accelerate the contraction of the uterus and quickly restore the muscle tone of the pelvic muscles.
Personal hygiene - washing with slightly cool (not cold!) Water.

Hemorrhoids after childbirth: treatment while breastfeeding

How to treat hemorrhoids after giving birth to a nursing mother, only a qualified specialist can decide. Some medicinal substances can penetrate into the baby's body with mother's milk and cause him quite serious harm.

That is why, when visiting a proctologist, a woman must definitely note the moment of breastfeeding, and the doctor will select a treatment that not only ensures the mother's recovery, but also does not harm her baby.

Remedies for hemorrhoids safe for a breastfed baby:

Heparin ointment- quickly dissolves hemorrhoids and eliminates inflammation. This topical drug is one of the mildest, approved for use in pregnant women and breastfeeding.

Proctosan- a good analgesic, reduces bleeding, quickly eliminates weeping and dries anal fissures.

Relief- especially effective in the initial stage. Candles and ointment can be used up to 4 times per day. Candles for hemorrhoids after childbirth, containing shark liver, are allowed to be used during breastfeeding.

Candles with medicinal raw materials- sea buckthorn, calendula, propolis - perfectly replace homemade recipes (there is no need to spend time preparing grandmother's ointments), the anti-inflammatory effect is most effective at the initial stage of hemorrhoids (when there are no large nodes).

Ointment with propolis is used only if the woman is not allergic to honey.

Troxerutin, Troxevasin- well eliminates inflammatory manifestations (edema, redness) and is a mild venotonic (improves the condition of the vascular wall). Topically applied ointments and creams will not harm the baby.

posterisan- immunomodulatory ointment, has a pronounced wound healing effect. Effective for deep cracks and even pararectal fistulas.

Procto-glivenol- a combined drug with analgesic (lidocaine) and anti-inflammatory (tribunoid) action. The most effective topical remedy for hemorrhoids to eliminate venous congestion after childbirth, non-toxic to newborns.

If the symptoms are pronounced (large nodes, bleeding, etc.), and conservative treatment does not work, the woman is offered surgery.

However, radical treatment of hemorrhoids after childbirth during breastfeeding is carried out as late as possible. A large-scale surgical operation with excision of hemorrhoids was replaced by less traumatic techniques:

Cryodestruction- freezing of hemorrhoidal protrusions with liquid nitrogen. It is performed under local anesthesia to eliminate internal and external nodes.

Sclerotherapy- exclusion of dilated veins from the bloodstream due to the effect of a sclerosant on them (adhesive substance injected into the lumen of a pathologically altered vessel).

photocoagulation- heating the varicose node with an infrared source and its subsequent gluing.

Ligation- clamping the base of the varicose plexus with a latex ring. After about 2 weeks, the hemorrhoid painlessly disappears.

All listed medical procedures of mini-trauma are carried out on an outpatient basis and are absolutely painless. However, they only eliminate external manifestations.

The cause of the disease - the weakness of the venous walls - will have to be treated with repeated courses of venotonic agents.

Prevention of hemorrhoids after childbirth

Hygiene procedures - for painful knots near the anus, use soft grades of toilet paper or replace with cool washing.
Nutritional hygiene - a review of the diet should be carried out during pregnancy.
When breastfeeding, to maintain the quality of milk, include dried fruits, apples (green), bananas in the diet.
Drink at least 1.5 liters of water per day, excluding lemonade, coffee.
Laxatives - only as a last resort (exacerbate symptoms), replace.
Gymnastic exercises to strengthen the abdominal wall and pelvic muscles.

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 lactating 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 stop 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, which 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 Gepatrombin 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 Hepatrombin 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 pepper, 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 beet 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 tool allows not only to eliminate 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 influence 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 recommendations are given 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.

Hemorrhoids in women after childbirth is an acute problem of modern society. Young mothers, not observing the elementary rules of hygiene and prevention, often doom themselves to trials and the fight against an insidious disease.

Proctological problems occur in every third woman before or after childbirth

Studies conducted by leading Russian proctological centers have shown that the use of phlebotropic drugs in combination with ointments, gels, creams is the safest and most effective way to treat hemorrhoids after childbirth and during pregnancy.

Features of the pathology
Causes	Constipation, fetal growth, difficult labor, sedentary behavior during pregnancy.
Complication	If the disease bothered before childbirth, then even the most successful birth act will still cause a complication of the pathology. In most patients who develop the disease during pregnancy, the symptoms worsen after childbirth.
Development	In the 1st trimester of pregnancy, the disease is diagnosed in 33%, in the 2nd trimester - in 35%, in the 3rd trimester - in 42%, after delivery - in 41%.
Who to contact	A proctologist or surgeon should help.
Treatment	Minimally invasive techniques, prenatal conservative drug prevention of acute hemorrhoidal thrombosis in the first weeks of pregnancy, drug therapy immediately after childbirth before lactation or after it.
According to the latest data, more than 50% of pregnant girls suffer from this pathology! In the postpartum period, their number increases to 80%.

What is known about pathology? Hemorrhoids is a disease associated with blockage of the venous plexuses, which are located at the anus. Distinguish between internal and external types of disease. The stage of development of internal hemorrhoids is characterized by the location of hemorrhoids directly in the rectum, bleeding and pain during defecation.

If you do not take action, the disease goes into the external stage. Hemorrhoids fall out, they can be felt by hand near the anus. They cause pain not only when performing an act of defecation, but also when sitting on a chair or armchair and walking.

Hemorrhoids in pregnant women are dangerous for the development of bleeding during childbirth!

Therefore, it is better to solve the problem before planning a child or immediately after childbirth.

There are many reasons for the development of pathology. Among them, the most common are a sedentary lifestyle, lack of exercise, obesity, eating spicy and salty foods, and heredity.

Symptoms of manifestation

Symptoms of hemorrhoids are an important signal for a woman to immediately contact her doctor.

As a rule, the disease develops in stages. Initially, itching appears at the anus.

What does a hemorrhoid look like? Most often, a compacted bump appears in the anal area, which hurts and bleeds.

In the case of hemorrhoids, itching increases after playing sports, walking for a long time or eating spicy food. Then pain appears. They gradually increase, and hemorrhoids fall out. Often this process is accompanied by bleeding after defecation. There will be a trace of scarlet blood on the toilet paper, and clots may appear on it.

If these manifestations are not enough to call a doctor, the disease will continue to progress. Bleeding will occur not only during the act of defecation, but also after lifting weights, during sports and even when sneezing. The tissue that has fallen out will slowly die, causing acute pain.

The classification of the disease distinguishes 4 stages of the development of pathology

There are two forms of hemorrhoids: acute and chronic. We have described the acute one above. Chronic is less painful for a person. Pain occurs intermittently and passes quickly.

Causes and risk factors

Pregnancy is not a pathology, but a special state of the body. For 9 months, it does everything possible to protect the baby from external and internal influences.

A sedentary image provokes the development of pathology

Why does the disease occur? Pregnant women often experience constipation, which leads to the formation of hemorrhoids. At this time, the body of the expectant mother actively produces hormones that help relax the muscles. This protects the baby from premature birth, preventing uterine contractions. As a result, the intestinal musculature works much less intensively.

The second cause of constipation is the growth of the uterus. It moves the internal organs and puts pressure on the intestines, preventing food from passing through it. At the same time, the growing uterus can compress the veins and blood vessels, which can also lead to the formation of hemorrhoids.

Women who have already given birth and women over 30 years of age are at risk. They have a higher risk of developing hemorrhoids than those who gave birth for the first time. If the pathology was observed in a woman before pregnancy, then it may be exacerbated during this period. And although the presence or absence of this disease will not be a determining factor in choosing a method of delivery, hemorrhoids can complicate the life of a young mother.

Diagnosis of the disease

You can independently suspect the development of the disease, however, the final diagnosis should be made by a proctologist.

Signs of rectal disease:

You feel itching around the anus. It is aggravated by walking, playing sports, lifting weights;
You regularly experience constipation, for a complete bowel movement you need at least 5 minutes;
On toilet paper, you notice blood with clots after a bowel movement. You often feel pain or discomfort during the process;
You felt a seal in the form of a ball near your anus;
Sometimes there is a burning sensation in the anus. There is a tendency to varicose veins, thrombosis, blockage of blood vessels;
There is discomfort in the anus. At the same time, you prefer to spend your days lying on the couch. You have a sedentary job in the office or as a driver in transport. Or spend all day on your feet;
Sometimes it seems that the rectum is full, even after emptying.

In the event that you nodded at at least one statement from the list, this is a reason to see a doctor. There is nothing shameful or humiliating in this. From a medical point of view, the rectum is the same organ as the lungs or stomach.

When diagnosing, the doctor carefully conducts an examination and digital examination. In addition, the doctor may prescribe additional tests and diagnostic methods.

How to Prepare for a Proctologist Appointment

Help and treatment

What is the safest treatment for hemorrhoids after childbirth? During gestation, therapy should be limited to topical preparations based on natural herbs. These are rectal creams, ointments and anti-inflammatory suppositories. After the lactation period, therapy can turn into effective minimally invasive procedures (excision of nodes or sclerotherapy).

Important! If hemorrhoids were diagnosed, then the treatment should be carried out by a proctologist. During lactation, independent attempts to cope with the disease can harm the baby when eating.

Therapy of the disease at home implies a whole range of actions to eliminate the inflammatory process. If hemorrhoids are diagnosed, therapy depends on the stage of development of the disease. For example, women in whom an ailment is detected by chance during a diagnostic study are prescribed only preventive treatment regimens. This is a diet, hygiene, a set of exercises, herbal baths.

In order not to harm the fetus, treatment should be prescribed by the attending physician

Girls who complain of pain, burning and bleeding are prescribed oral medications, rectal suppositories, herbal baths, herbal infusions, ointments, creams and gels, cleansing enemas.

If hemorrhoids have passed into the acute phase, when nodes fall out and bleeding is a frequent occurrence, surgical treatment is recommended for such patients.

Namely, the excision of nodes. In some cases, minimally invasive methods can be dispensed with: sclerotherapy, photocoagulation, laser treatment, ligation with a latex ring.

Medications

All patients are prescribed local treatment for hemorrhoids.

Therapy consists of healing, antibacterial, vasoconstrictor agents and agents that reduce pain and itching. Medicines are prescribed in a strict order before or after lactation.

Vasoconstrictor suppositories contain tribenoside (Procto-glivenol) or phenylephrine hydrochloride (Relief). Their action is complemented by lidocaine and various oils (sea buckthorn, shark liver, etc.). They help to quickly and reliably get rid of the bumps.

Antibacterial ointments complement vasoconstrictive therapy. As a rule, ointments based on methyluracil and chloramphenicol (Levomekol) are prescribed. It is applied externally to the affected area, preventing infections from entering the wounds. In case of vein thrombosis and incipient necrosis, gels with heparin are prescribed, which dissolves them. In case of severe pain and itching, painkillers and antipruritic ointments and suppositories are additionally prescribed.

The duration of the treatment should be determined by the doctor so that the disease does not appear immediately after the cessation of therapy. The basic principle that all physicians must follow when prescribing treatment is to do no harm. You should be guided by the same principle if you decide to treat hemorrhoids on your own with folk remedies.

Folk remedies

How to treat without pills? Bearing a fetus is the case when folk remedies can harm the child. This also applies to cases of lactation when the mother is breastfeeding. Any medicinal herbs or tinctures should be agreed with the doctor before use.

It should also be taken into account that the treatment of folk methods is based on the use of natural herbs and components. They contain many different substances, in addition to those required for treatment. Any of them can cause an allergy, even if it did not occur before. Simply because pregnancy is a special state of the body, during which the hormonal background changes significantly.

Baths with a decoction of calendula, chamomile, onion peel or just warm salt water will help relieve itching and relieve pain. Sea buckthorn, sunflower, olive or linseed oils will soften the skin and heal wounds.

You can make rectal suppositories at home. They can be prepared from beeswax by adding aloe or Kalanchoe juice, or propolis to it. Propolis contains many useful substances for the body, so it will not only help to cope with hemorrhoids, but also improve overall well-being.

Many advise to regularly make a remedy from a compress of honey, crushed aloe leaves, aspen or boiled wood lice. Additionally, you can make enemas based on a decoction of sage with honey (40 ml of decoction + 1 tablespoon of honey). The urge to go to the toilet must be endured to the last in order to achieve a therapeutic effect from the procedure. But no means, neither pharmacy nor home, will help if you do not follow a diet and lead a moderately active and healthy lifestyle. It would be great if you quit smoking.

The human body uses vitamin C to process toxins from cigarettes. Therefore, he lacks it to maintain blood vessels in the required tone. Because of this, hemorrhoids come back. Also, if a woman is expecting a child, smoking can adversely affect his health and intrauterine development.

Expert opinion: Alexander Petrov, proctologist:“Most often, hemorrhoids begin to develop after 4-5 months of pregnancy and progress after childbirth. Women who have given birth earlier and have a second pregnancy are many times more likely to develop the disease than women who are in a position for the first time.
It is also important to note the age. Young girls are less prone to varicose veins and hemorrhoidal disease during pregnancy than older women.

Why are hemorrhoids dangerous? Many girls after childbirth do not go to the doctor for help, but try to cope with the problem on their own by buying a bunch of creams at the pharmacy. In the meantime, the disease can go into a chronic stage. An advanced form of hemorrhoids can lead to a decrease in hemoglobin, vein thrombosis, and diseases of the genitourinary system. During contractions, hemorrhoids can come out, which often provokes bleeding.

It is important to consult a doctor in the early stages of the development of pathology. A well-chosen treatment regimen can minimize the problem.”

Disease prevention

Like any disease, hemorrhoids are better prevented than treated. And to prevent it, you need to avoid constipation and improve blood flow in the vessels.

You can avoid constipation by adjusting your diet. It is necessary to include more fresh vegetables, fruits, herbs in it, consume sour-milk products, make compotes from dried fruits and prunes. It is not recommended to use strengthening products during this period. For example, rice, white bread, buns. Be sure to drink clean water. It not only improves digestion, but also prevents constipation.

Berries, fruits and raw vegetables will help strengthen blood vessels

Vegetable oils are good at helping to cope with constipation, so give preference to oil for salad dressing. It is better to refuse mayonnaise during this period. This will be better for your health and for the future baby.

Many doctors advise lying on the left side for at least 20-30 minutes every five hours, thereby reducing venous pressure in the pelvic organs.

For prevention, women are not recommended to push during bowel movements. This can lead not only to the formation of hemorrhoids, but also to contraction of the muscles of the pelvic organs. Preterm labor may begin. If it doesn’t work without straining, glycerin suppositories will help. They are harmless and safe, the effect of them will be noticeable after 10 minutes.

Therapeutic exercise is the best complex to combat hemorrhoids. After exercise, blood circulation improves, increases vascular tone, and the muscles of the anal area are strengthened.

It is very useful to do gymnastic exercises while lying on your back. For example, the exercise "Bicycle", twisting imaginary pedals with your feet.

You can simply lie more often with a raised pelvis or legs.

You can improve blood flow simply by taking walks in the fresh air, doing simple housework and just moving around. The most important thing is not to lead a passively recumbent lifestyle. But it is also not recommended to lead an overly active lifestyle throughout the day. A heavy uterus with a baby presses down and compresses the veins. It is optimal to alternate periods of rest and movement.

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

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

Specialists usually distinguish the following stages:

Stage of the disease	Main characteristics
initial stage	The initial phase of hemorrhoids is characterized by the release of 3-5 drops of scarlet blood in the stool of a woman when visiting the toilet. On palpation, the nodes are almost impossible to detect.
Second stage	The transition of the pathological process to the second stage is usually judged by the release of hemorrhoids during defecation. After a short time, the inflamed sections of the vein are retracted on their own.
Third stage	If the hemorrhoids are so pronounced that the drop-down nodes do not retract on their own, there is fresh blood in the feces, experts diagnose the transition of the process to the third stage.

Acute hemorrhoids are almost always a complication of a chronic one and are manifested by the presence of inflammation in the venous nodes, severe pain in the anus. The process of infringement of the venous nodes leads to a violation of the trophic tissue in the perineum.

The development of pathology usually goes through three main stages. Initially, the infringement of the venous plexuses develops bases for the presence of inflammatory symptoms, and the pain is a consequence of irritation of the nerve endings of the walls of the hemorrhoids. From patients, you can hear complaints about a feeling of discomfort and fever in the anus.

If the disease is complicated by inflammation of the strangulated nodes, then in addition to pain in the rectal area, a picture of general intoxication of the body also arises. The woman's health worsens, the body temperature rises, in the place where the hemorrhoids fall out, there is a sharp swelling and hyperemia.

If necrosis of the venous nodes occurs, urgent help from a surgeon is required, since the pathological process can spread to the entire area of the perineum and small pelvis, cause severe complications that require surgical treatment and subsequent long-term medical rehabilitation.

Hemorrhoids after childbirth: causes

Experts regard hemorrhoids as a general disease of the venous system, in which the nodal sections of the veins of the rectum overflow with blood, come out and become inflamed. One of the factors leading to such a pathology can be attributed to pregnancy and childbirth.

Various diseases of the intestine and its excretory department may be in the anamnesis of a woman long before pregnancy and childbirth. Various pathologies of venous nodes, for example, often result from the use of hormone-based contraceptives for a long period of time. Pregnancy only exacerbates disorders of the vascular system of the small pelvis and rectum.

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

The presence of such physiological disorders in women also contribute to:

frequent constipation during pregnancy;
excessive increase in body weight;
weak physical activity of the expectant mother.

The very process of childbirth continues to worsen the condition of the vessels and contributes to the development of hemorrhoids in the early postpartum period. During attempts in a woman, venous pressure rises in all departments, the vessels of the small pelvis and rectum are no exception. This process leads to the formation of hemorrhoids and their partial loss.

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

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

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

After the end of the period of childbirth, the formations periodically fall out of the rectum; with a mild form of the disease, the woman manages to set them on her own with the help of her hands. If you do not pay attention to this problem and do not seek help from a specialist, inflammation of the hemorrhoids is possible.

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

Stool disorders lead to the development of the inflammatory process of the hemorrhoids themselves, bleeding from rectal fissures and strangulated venous nodes appear.

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

If timely appropriate treatment is not carried out, the process can turn into acute hemorrhoids. In this case, the occurrence of necrosis of hemorrhoids, the transition of the pathology to the tissue of the perineum and the development of acute paraproctitis are possible. These problems can directly threaten the health and life of a woman and require long-term treatment.

Diagnosis of this disease is quite simple. Most hemorrhoids can be observed in the area of the exit to the outside of the rectum, where they are available for palpation. If a woman has internal hemorrhoids after childbirth, there are special instrumental methods for diagnosing this process. It is possible to conduct sigmoidoscopy and irrigoscopy.

This examination practically does not bring pain, is available to all mothers and does not require the cessation of breastfeeding for the period of rectal examination.

Treatment of hemorrhoids after childbirth

Experts on the question of women, is it possible to get rid of hemorrhoids after childbirth, they answer in the affirmative. The main problem in the treatment of this pathology is that not all drugs are allowed to be taken during lactation.

These include suppositories with sea buckthorn oil, which contribute to the speedy regeneration of the rectal mucosa.
A good effect has been proven with the use of ointments and suppositories for hemorrhoids "Posterizan". The E. coli contained in this drug actively affect the flora of the rectum and accelerate recovery.
Most specialists in the treatment of hemorrhoids recommend their patients suppositories and ointment "Relief" and "Relief Advance". These funds are based on cocoa butter, are absolutely safe for the baby and give excellent results in the conservative treatment of chronic inflammation of the venous nodes of the rectum.
To relieve edema, the use of Hepatrombin ointment is indicated. This medicinal substance acts on the walls of the vessels, as a result of which the edema completely disappears, and dense blood clots do not form in this part of the vein.

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

Folk recipes for problems with the rectum after childbirth

The simplest and most effective method of preventing hemorrhoids in the postpartum period will be the stabilization of diet and home hygiene. Constipation is dangerous when inflammation of the venous sections of the rectum, and the fight against infection will help prevent inflammation in the female perineum.

Homemade suppositories from potatoes passed through a meat grinder or from candied honey help well with chronic and acute hemorrhoids. This method helps to reduce swelling and relieves pain.

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

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

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

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

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

Hemorrhoids is a disease characterized by pathological expansion and tortuosity of the hemorrhoidal veins, which form nodes or bumps around the rectum or inside it. They thrombose and become inflamed.

There are three types of hemorrhoids.

Interior. Increased internal hemorrhoids, located under the mucous membrane of the rectum.
External hemorrhoids. The nodes located around the anus are enlarged.
Combined. Combines the features of the above forms.

If the hemorrhoids got out after childbirth, then it was already there before: during pregnancy, women may not be aware of the existing problem. Most often, they learn about it after the appearance of the baby, when the internal hemorrhoids come out.

Causes of hemorrhoids after childbirth

The cause of postpartum hemorrhoids is venous stasis in the pelvis. The following factors contribute to its development.

Enlargement of the uterus. The growing uterus during pregnancy compresses blood vessels and impedes venous outflow.
Sedentary lifestyle. In the absence of regular physical activity, which women are afraid of during pregnancy, the walls of the veins weaken. They lose their elasticity, hardly push blood, easily expand and become damaged.
Constipation during pregnancy. Due to the enlarged uterus pressing on the rectum, pregnant women have trouble defecation (emptying their bowels). This contributes to additional compression of the veins.
hereditary predisposition. If a woman has relatives with hemorrhoids, then the risk of its development during pregnancy or after childbirth rises sharply.
Weight set. For women during pregnancy, an increase of 8-12 kg is considered the norm. But even such a change in weight can provoke postpartum hemorrhoids.
Prolonged and difficult childbirth. During childbirth, the tissues of the small pelvis experience strong pressure. If you push for a long time, the hemorrhoids overflow with blood and begin to fall out.
Fear of defecation after childbirth. An injured perineum and stitches prevent a woman from going to the toilet. She is afraid to push, which may cause constipation.

Usually, expectant mothers lead a healthy lifestyle, and sometimes observe sexual “peace”. But still, such factors for the development of hemorrhoids in women as smoking and anal sex cannot be ruled out.

Internal hemorrhoids have 4 stages.

There are no external manifestations of the disease, the bumps are not so large as to “pop out” of the anus.
The hemorrhoid can pop out when straining during a bowel movement. After the toilet, he independently retracts inside.
The lump appears when going to the toilet or during physical activity, but it does not retract on its own. To remove it, you have to set the knot with your fingers.
At the last stage, the dropped knot is not set either independently or manually.

In women after childbirth, a lot of blood comes out (lochia), so it is sometimes difficult for them to determine hemorrhoids at the initial stage on their own. They will not notice the main symptom in the form of bleeding after going to the toilet, and the pain can be attributed to the fact that the suture is pulling. Therefore, it is advisable for newly-made mothers to appear to a proctologist who knows exactly how to recognize hemorrhoids after childbirth. Sometimes the disease is detected by a gynecologist during an examination on a chair.

Treatment Methods

If hemorrhoids come out immediately after childbirth, how to treat them, the puerperal will be told even in the maternity hospital. The method of treatment is chosen depending on the stage of development of the disease, taking into account whether the young mother supports lactation or not. So how to get rid of postpartum hemorrhoids for breastfeeding women?

For the treatment of hemorrhoids after childbirth, the following methods are used:

medication (drug treatment);
minimally invasive (operations with minimal intervention);
surgical (removal of hemorrhoids);
folk (use of traditional medicine).

Women ask how many days does hemorrhoids go after childbirth. It all depends on the stage of development of the disease and the chosen method of treatment. The smaller the stage and the more effective the method, the faster the relief will come. This may take from several days to several weeks.

You can learn about modern methods by reading a detailed and informative article by our specialist.

To find out in various ways, you need to carefully study the material of our author.

Drug treatment of postpartum hemorrhoids is effective only in the first two stages of the development of the disease. These include the time when the nodes have not yet begun to go out or they are independently set inward.

For the treatment of hemorrhoids that have come out after childbirth, local preparations are prescribed mainly. The table below provides a brief overview of them.

Name and form	Active ingredients	Action	Contraindications
Relief (rectal suppositories, ointment)	Shark oil, phenylephrine, lidocaine.	The drug relieves swelling and constricts blood vessels, helping to reduce hemorrhoidal cones. The tool has anti-inflammatory, analgesic and wound healing effects.	Intolerance to the composition, thrombosis of blood vessels, granulocytopenia (the content of leukocytes in the blood is below normal).
Bezornil (rectal ointment)	Musk, pearl, bezoar, amber, borneol, zinc salt of carboxylic acid.	This is an ointment for hemorrhoids after childbirth, which reduces swelling and stops hemorrhoidal bleeding. It relieves pain, disinfects and eliminates inflammation.	Individual intolerance to the components of the drug.
Sea buckthorn oil (rectal suppositories)	Sea buckthorn oil.	Candles treat mildly manifested hemorrhoids, not accompanied by prolapsed nodes. They have analgesic, anti-inflammatory and antiseptic effects.	Allergy to sea buckthorn oil.
Troxevasin (gel or cream)	Troxerutin.	The use of this remedy for hemorrhoids after childbirth helps to strengthen the walls of the hemorrhoidal veins and narrow them. The cooling effect relieves pain.	Hypersensitivity to the composition of the drug.
Procto-Glivenol (rectal suppository or ointment)	tribenoside, lidocaine.	The medicine helps to quickly cure hemorrhoids after childbirth by reducing hemorrhoidal bumps, relieving inflammation and strengthening the walls of blood vessels. Thanks to lidocaine, pain ceases to bother.	Hypersensitivity to active components.

Only a doctor can prescribe medication during lactation. He will select such remedies for hemorrhoids that do not penetrate into breast milk. Then the young mother will be able to be treated without stopping breastfeeding.

A detailed overview of the best and safest after childbirth is presented in the article of our specialist.

Also carefully study the detailed description of the most effective and safe breastfeeding.

And how to cure hemorrhoids if drug therapy does not help? In such cases, minimally invasive treatment methods are prescribed.

Latex ligation (most effective at the 2nd stage). The hemorrhoid is pulled at the base with latex rings. It ceases to be supplied with blood and dies.
Cryodestruction (effective at the 1st-2nd, and sometimes 3rd stages of the development of the disease). The knot that appears is frozen with liquid nitrogen.
Laser photocoagulation (used in the 1st or 2nd stage). This is one of the safest ways to treat hemorrhoids after childbirth, which consists in reducing the nodes by exposing them to radiation of a certain spectrum.
Desarterization (suitable for all stages of hemorrhoids). The doctor tightens the arteries that supply blood to the hemorrhoidal bumps.
Sclerosis. This is a new method that allows you to remove enlarged nodes at the 1st, 2nd or 3rd stage of development without bloodshed. The doctor injects a drug into the anorectal region that causes local inflammation. The result of the inflammatory process is the fusion of the venous walls in the cones, which leads to their reduction and subsequent death.

Features of minimally invasive methods of treating hemorrhoids after childbirth:

there is no need to stop breastfeeding;
operations with minimal intervention can be done on an outpatient basis;
the risk of complications is minimal. They can appear in 1-5% of cases, depending on the chosen technique.

Minimally invasive treatment of hemorrhoids after childbirth is combined with drug therapy. Women are prescribed suppositories or ointments with anti-inflammatory and analgesic properties to reduce pain and prevent complications.

Are there radical surgeries?

What to do if, after childbirth, hemorrhoids have reached the last stage of development and hemorrhoidal bumps are constantly outside? In this case, hemorrhoidectomy is indicated - removal of cones with a scalpel or laser.

Features of the radical treatment of external hemorrhoids after childbirth are as follows.

The operation is delayed to the last, as it requires hospitalization for several days, which excludes the joint stay of mother and child.
They prefer the closed type of hemorrhoidectomy (with suturing), as it allows to reduce the recovery period from 6 to 3-4 weeks.
If the operation was performed under general anesthesia, then you can not breastfeed for 24 hours.

During the first three days, pain will disturb, then it will pass. But during this period, you will have to drink painkillers. Doctors recommend taking drugs based on ibuprofen or paracetamol: these drugs are allowed for mothers during breastfeeding.

When hemorrhoids got out of a nursing woman and the disease is in the first two stages of development, traditional medicine can give a certain result. It is recommended by a doctor in combination with drug therapy. In terms of effectiveness, folk remedies are comparable, for example, with rectal suppositories based on sea buckthorn oil.

If a hemorrhoid appears, use one of the following recipes.

You can treat external hemorrhoids by taking sitz baths with decoctions of calendula or chamomile. It is useful to add propolis, mumiyo and healing clay to the water.
Cut a torpedo-shaped piece from garlic, fresh lard, or raw potatoes. Use it like a candle by inserting it into your anus.
Form a cotton swab and soak it in honey, sea buckthorn oil or propolis. Insert it like a candle. Already passing hemorrhoids can be treated simply by lubricating the anus with the same means.
At night, enter 2 ml of cedar oil into the anus or insert cotton wool soaked in celandine juice.

Regular constipation is one of the main causes of hemorrhoids. That is why the treatment of the disease while maintaining constipation may not give positive dynamics. To normalize stools, drink 1 glass of cabbage pickle 30 minutes before meals.

Possible Complications

Often women are embarrassed to visit a doctor with such a delicate problem. They think hemorrhoids will go away on their own. But the missing treatment can lead to the following complications:

Iron-deficiency anemia. This is how low hemoglobin manifests itself: you like the smell of chalk, your skin turns pale, your nails break, your hair splits and falls out, you constantly want to sleep.
Inflammation and thrombosis of the nodes. The bumps that come out may look blue or purple, they hurt a lot, especially in the evening.

Thrombosis of the cones can lead to sepsis - blood poisoning. It is difficult to recognize thrombosed nodes on your own. Need to see a doctor.

Prevention

Prevention is better than treating hemorrhoids. To do this, carry out prevention, which includes the following measures.

Compliance with the drinking regime. The female body during pregnancy requires at least 1.5 liters of water per day, and during breastfeeding, the recommended daily volume increases to 2.5-3 liters.
Proper nutrition. Consuming enough grains, vegetables, fruits and dairy products will ensure soft and regular stools. Getting rid of constipation, you reduce the risk of developing hemorrhoids.
Mobility. If health permits, then during pregnancy and after the birth of a child, a woman needs to walk a lot. She enjoys light exercise.
Kegel exercises. By contracting the perineum and anus, you can not only prevent the development of hemorrhoids, but also strengthen the muscles of the vagina. This will make the birth process easier.

Successful treatment does not mean that you managed to get rid of hemorrhoids forever. If the factors that cause the disease persist, hemorrhoids may reappear. Hemorrhoids that appear from time to time are a serious reason to contact a proctologist.

Conclusion

Pregnancy and childbirth often provoke an increase in hemorrhoids. Having noticed the first signs of hemorrhoids after childbirth, you need to see a doctor as soon as possible. He will establish the stage of development of the disease and choose the best method of treatment, taking into account whether the woman is breastfeeding or not.

Self-medication is excluded. Consultation and regular follow-up with a doctor is also necessary if you want to treat postpartum hemorrhoids with folk remedies. This will help to monitor the dynamics of treatment and eliminate the risk of complications.