Diseases, endocrinologists. MRI
Site search

How to treat hemorrhoids after childbirth. Effective methods for treating external hemorrhoids after pregnancy

Every third pregnant woman faces a disease such as hemorrhoids and, as a rule, there is no mortal danger in this. Despite the fact that this disease does not harm the fetus in any way, it is very unpleasant. Today, many ways have been invented to treat it. To understand why nodes come out in women after childbirth, you need to consider the process of the birth of a child.

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

Symptoms of hemorrhoids after childbirth

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

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

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

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

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

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

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

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

  • candles;
  • ointments;
  • pills.

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

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

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

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

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

Causes of hemorrhoids after childbirth

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

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

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

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

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

Prevention of ruptures and hemorrhoids during childbirth

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Hemorrhoids after childbirth - methods of treating the disease

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

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

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

Causes of the disease

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

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

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

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

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

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

Clinical symptoms of hemorrhoids

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

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

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

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

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

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

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

Methods for diagnosing hemorrhoids

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

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

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

Treatment of illness after childbirth

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

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

Physical activity

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

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

Drug treatment

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

Antihemorrhoidal ointments and suppositories are used as local treatment.

Treatment with folk remedies

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

Topically used:

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

Disease prevention

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

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

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

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

Very severe hemorrhoids after childbirth


Intimate health problems often bother women. The long-awaited process of giving birth to a child, although perceived by society as an extremely positive event, is, however, extremely ambiguous from a medical point of view. The process of childbirth is not only long, difficult and painful for the woman, but also carries the risk of injury and complications.

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

Causes of severe hemorrhoids after childbirth

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

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

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

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

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

Signs of severe hemorrhoids after childbirth

Symptoms of severe hemorrhoids after childbirth include the following:

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

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

What to do if severe hemorrhoids occur after childbirth?

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

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

What to do if hemorrhoids come out before childbirth?

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

Causes of the occurrence and development of hemorrhoids in pregnant women

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

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

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

There are several causes of hemorrhoids in pregnant women:

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

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

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

Symptoms of hemorrhoidal disease

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

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

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

How to treat hemorrhoids before childbirth?

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

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

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

Normalization of stool

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

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

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

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

You can use laxatives or oil enemas.

Drug treatment method

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

The following products have an effective effect:

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

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

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

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

ethnoscience

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

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

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

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

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

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

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

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

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

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

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

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

Hemorrhoids appeared before childbirth, what should I do?

Pregnancy and subsequent childbirth always lead to certain changes in a woman’s body. Many chronic diseases worsen during this period. Hemorrhoids also include hemorrhoids - they may appear for the first time, or they may worsen if they existed before.

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

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

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

Non-drug treatment of hemorrhoids before childbirth

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

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

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

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

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

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

Drug treatment of hemorrhoids before childbirth

Pregnant women are allowed to use suppositories and ointments.

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

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

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

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

Prevention of hemorrhoids before childbirth

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

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

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

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

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

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

Read in this article

What you need to know about hemorrhoids

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

Experts usually distinguish the following stages:

Disease stage Main characteristics
initial stage The initial phase of hemorrhoids is characterized by the release of 3 - 5 drops of scarlet blood in a woman’s stool when visiting the toilet. During palpation, nodes are almost impossible to detect.
Second stage

The transition of the pathological process to the second stage is usually judged by the emergence of hemorrhoids during defecation. After a short time, the inflamed areas of the vein are automatically retracted back.

Third stage

If hemorrhoids are so severe that the prolapsed nodes do not retract back on their own, fresh blood is present in the stool, experts diagnose the transition of the process to the third stage.

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

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

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

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


Hemorrhoids after childbirth: causes

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Treatment of hemorrhoids after childbirth

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

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

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

Traditional recipes for problems with the rectum after childbirth

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

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

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

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

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

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

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

According to statistics, characteristic, very unpleasant symptoms of hemorrhoids appear in every second woman after childbirth and in every fourth during pregnancy. Treatment of hemorrhoids after childbirth is prescribed taking into account whether the woman is breastfeeding. It is known that many drugs are unsafe during lactation, as they pass into breast milk and through it enter the baby’s body. This can cause significant harm to the baby's health. Most often, treatment for hemorrhoids after childbirth is carried out using conservative or non-drug methods.

Surgical intervention is used exclusively in extreme cases, in the presence of severe forms of the disease that cannot be adequately treated by other means.

Non-drug methods for treating postpartum hemorrhoids

How to treat hemorrhoids after childbirth? This is the first question that a woman asks herself when she feels itching, pain, or an increase in the size of hemorrhoids. Taking any medications is a serious concern for young mothers, since most of them are breastfeeding. Treatment of the disease must begin immediately, as it causes a lot of inconvenience, deprives the woman of the opportunity to fully engage with the baby and aggravates the state of postpartum depression. In the initial stages of hemorrhoids, in some cases, you can only get by by changing your lifestyle, diet, maintaining good hygiene and performing certain physical exercises.

Proper nutrition for hemorrhoids after childbirth

The purpose of the diet for hemorrhoids is to normalize the functioning of the digestive organs, improve intestinal motility, change the hard consistency of stool, treat and prevent constipation. The diet recommended for treatment of postpartum hemorrhoids fully corresponds to what a woman should adhere to when breastfeeding her baby. The principles of nutrition for the expansion and inflammation of hemorrhoids are as follows:

  • the diet should contain plant foods rich in fiber in large quantities - vegetables and fruits, preferably raw, dried fruits, cereals (oatmeal, barley), buckwheat, bran;
  • Every day it is necessary to consume fermented milk products that have been stored no more than 24 hours from the date of manufacture;
  • It is recommended to exclude as much as possible the consumption of rich bakery products, sweet carbonated drinks, sweets, herbs, smoked meats, spices, fatty meat and fish, as well as broths and first courses based on them;
  • It is undesirable to eat foods that promote increased gas formation in the intestines (white cabbage, radish, legumes, etc.);
  • For cooking, it is best to use stewing, boiling, baking and steam methods.

Fruits and vegetables rich in fiber improve intestinal motility for hemorrhoids

Important: Sufficient fluid intake, amounting to at least 1.5–2 liters per day, contributes to the normal functioning of the gastrointestinal tract in case of hemorrhoids and increased lactation. The following drinks are recommended: compotes, still mineral waters, herbal and green teas.

Personal hygiene rules for hemorrhoids

Compliance with the rules of personal hygiene is an integral part of the treatment of hemorrhoids after childbirth. A good effect for inflammation of hemorrhoids is to wash with cool water after each bowel movement. They reduce pain, inflammation and help improve the condition of hemorrhoidal veins when performed regularly. To clean the anal area after bowel movements, it is advisable to use hypoallergenic wet wipes or soft toilet paper. Also, during exacerbations, it is recommended to take daily slightly warm sitz baths with the addition of decoctions of oak bark, chamomile, sage, calendula, and string. Hot baths and saunas are strictly contraindicated for this disease, as they can worsen the inflammatory process.

Women who experience hemorrhoids during the postpartum period should avoid wearing tight underwear, as they worsen blood circulation in the pelvis.

Physical activity for hemorrhoids after childbirth

Increasing general physical activity, as well as performing a set of exercises to strengthen the pelvic floor muscles, leads to improved blood circulation and vascular condition. You can start any kind of gymnastics immediately after giving birth only after consulting a doctor. If a woman has had problems such as difficult childbirth, perineal rupture or cesarean section, then the list of exercises will be extremely limited.

In the absence of contraindications, at first you can perform this exercise, which consists of squeezing and relaxing the pelvic floor muscles. At first, the load should be minimal and then gradually increase. To perform a more complex set of exercises for the pelvic and abdominal muscles, a young mother needs to allocate at least 10 minutes a day.

If hemorrhoids worsen after childbirth, a woman should not remain in a sitting or horizontal position for a long time, as this greatly increases the pressure on the hemorrhoidal veins. It is recommended to breastfeed your baby while lying down, as this process can be quite long.

Advice: If the first symptoms occur, which are a feeling of discomfort during bowel movements, a woman should consult a proctologist. The sooner treatment for the disease begins, the less likely it will be to require the use of serious medications or surgical interventions that are incompatible with lactation.

Conservative and surgical methods of treating hemorrhoids after childbirth

To treat hemorrhoids that occur after childbirth, conservative and rarely surgical treatment can be used. Conservative therapy consists of using special medications for hemorrhoids after childbirth, aimed at relieving the symptoms of the disease and preventing subsequent exacerbations. Surgical treatment consists of removing hemorrhoids, which can be performed using a minimally invasive or surgical method. The choice of one or another method of treating hemorrhoids is made by a specialist after conducting a full examination and establishing the severity of the disease.

Conservative treatment

The selection of medications for the treatment of hemorrhoids in women who are breastfeeding must be approached with special responsibility. The prescribed drugs should not pose a threat to the child. If it is necessary to use drugs that pass into breast milk and are dangerous to the baby’s health, then lactation will need to be stopped for the duration of treatment.

Currently, there is a list of topical medications approved for use after consultation with a doctor during breastfeeding. These include ointments after childbirth, which have the following effects:

  • eliminate pain, itching, burning;
  • reduce inflammation;
  • regenerate damaged tissues;
  • stop bleeding;
  • help increase venous tone.

Preparations from the Relief series based on shark liver are approved for the treatment of hemorrhoids after childbirth

Among the gels and ointments used during lactation for hemorrhoids after childbirth, one can note Relief, Procto-glivenol, Troxevasin Hepatothrombin gel, heparin and ichthyol ointments, Vishnevsky ointment. They are typically used to treat external hemorrhoids. For internal forms of the disease, drugs are prescribed in the form of suppositories: Relief, Posterisan, Procto-Glivenol, suppositories with sea buckthorn oil or calendula, Neo-Anuzol, Hepatothrombin, Natalsid.

Medications may also be prescribed to treat constipation if this problem cannot be resolved with diet. Among them, the most widely used drug is Duphalac, which improves intestinal motility and helps change the structure of stool.

Surgery

Surgical treatment of hemorrhoids in women after childbirth is avoided or, if possible, postponed until after lactation is complete, achieving remission of the disease using other methods. But in some cases you cannot do without it, especially when it comes to the last stages of hemorrhoids, accompanied by severe bleeding.

The most gentle are the so-called minimally invasive methods for removing hemorrhoids. Compared to hemorrhoidectomy (radical surgery), they are characterized by a shorter recovery period, speed of operation, the possibility of treatment on an outpatient basis and other advantages. These methods include:

  • injection sclerotherapy;
  • infrared photocoagulation;
  • laser removal of hemorrhoids;
  • ligation with latex rings.

Advice: During surgery, antibiotics are prescribed, which are incompatible with breastfeeding. To maintain lactation, a woman should express herself a certain number of times a day while taking antibacterial drugs, simulating feeding.

Hemorrhoids after childbirth are a nuisance that awaits at least half of women who have recently given birth to a child. For some, this problem occurs for the first time in their lives, for others - as an exacerbation of a long-existing disease.

How to avoid it, and if it has already appeared, how to treat it? These questions are among the most popular on any women’s forum: going to the doctor is scary, awkward, and there’s no time...

Let's try to answer them.

Delicate anatomy

The rectum is well supplied with blood: there are three arteries alone that feed it. The venous apparatus consists of several plexuses located in different layers of the intestinal walls. Through them, blood flows into the portal and inferior venous systems.

Usually in veins, valves - leaflets on the walls of blood vessels - regulate the strength and direction of blood flow. They are not present in the veins of the portal system, nor are they present in the superior rectal vein, so the function of normalizing blood circulation here is taken over by the muscles that contract during defecation and body movement. However, women often suffer from intestinal atony, constipation, and move little, which leads to chronic stagnation of blood in the vessels of the rectum.

As a result, the walls of the intestinal veins weaken, and nodes filled with stagnant blood form in them.

Hemorrhoids after childbirth occur in the lower part of the rectum due to weakening of the walls of the veins, which are subjected to significant stress during pregnancy and especially during pushing.

Why do knots appear?

Stagnation of blood in the intestinal veins is a direct consequence of the lifestyle and nutrition of women. It almost never occurs in properly nourished, energetic and active expectant mothers.

The risk group includes:

  • Overweight women;
  • Those who are accustomed to eating without a system and on dry food: eat few raw and stewed vegetables, fresh fruits, drink little liquid;
  • Office workers and everyone who moves little.

A small group of patients with hemorrhoids are women who have chronic pathologies of the thyroid gland (hypothyroidism), abnormalities of intestinal development, some systemic diseases (scleroderma), as well as those who are forced to take certain medications - for example, opiates.

It is believed that genetic predisposition and congenital weakness of the vascular walls remain factors that provoke the development of hemorrhoids.

Thus, in some women hemorrhoids appear long before childbirth, while in others they develop later, under the influence of pregnancy and childbirth, when intra-abdominal blood pressure increases significantly.

Signs of illness

"Fresh" hemorrhoids

The first signs of hemorrhoids after childbirth are characterized by a minimal set of quickly passing symptoms, if the disease did not arise long before pregnancy.

Women feel:

  • Heaviness in the anus, feeling of fullness, heat
  • Pain during bowel movements that goes away quickly

This is the initial stage of the disease. Later, minor bleeding occurs after bowel movements - this is what makes women really worried.

Later, without treatment, internal and external nodes appear. The internal ones often bleed when straining and passing stool, while the external ones are felt at the entrance to the anal canal as lumps the size of a pea or cherry. They also bleed, but not as profusely.

Exacerbation of a long-standing illness

If hemorrhoids have long been a problem, then pregnancy and childbirth aggravate it even more: after the birth of a child, bluish, purple nodes come out, causing excruciating pain and often heavy, prolonged bleeding. Severe hemorrhoids after childbirth are a sign of a long-standing pathological process in the veins of the rectum.

Moreover, it does not matter what the birth was - physiological or by caesarean section: the loss of long-formed nodes cannot be avoided. If they are not treated further, the hemorrhoidal cones become inflamed, ulcerated, and there is a danger of developing paraproctitis and other serious complications.

The older the disease is, the more difficult it is to set the nodes: at first they “go away” on their own, and in the later stages they can only be set by hand, and even then not always.

“Hemorrhoids” case: how to deal with the problem?

What to do if hemorrhoids come out? First, you need to find time to go to the doctor. Ideally, this should be a proctologist - a specialist in diseases of the large intestine. If there is no such doctor, you can contact a surgeon.

A visit to the doctor will help you determine exactly:

  • Number of nodes, their location and status
  • Stage of the disease
  • Possible concomitant pathologies - anal fissures, polyps, tumors
  • Further tactics are treatment with conservative methods or surgical removal of cones

It may also be appropriate to have blood tests done to see if anal bleeding is causing anemia.

“Fresh” postpartum hemorrhoids are treated with special preparations - suppositories, ointments and gels. The purpose of their use is to relieve pain, inflammation, heal wounds, and improve venous blood flow in the anus.

Late stages of the disease must be treated only surgically, since the hemorrhoids no longer adjust, become very painful and bleed. Local remedies have only a temporary symptomatic effect, briefly relieving pain and stopping bleeding, so you should not seriously count on them.

Modern surgical techniques make it possible to get rid of hemorrhoids very quickly and completely: removal of cones is carried out with laser, sclerotherapy, and cryotherapy sessions. These methods are relatively painless and do not require a long recovery period, which is very important for women who have recently given birth to a child.

If a woman is breastfeeding

Which product should I choose? The problem of choice is very serious for women breastfeeding: medicinal substances are quickly absorbed by the intestinal walls and enter the blood, and from there into milk. This can cause severe allergies in the child, so treatment of hemorrhoids during breastfeeding requires mandatory medical consultation before undergoing treatment.

Good results are achieved by suppositories and ointments based on plant extracts and bee products:

  • Candles with calendula
  • Suppositories with propolis
  • Similar ointments

During lactation, doctors recommend using relief, posterisan, procto-glivenol. These drugs not only relieve pain, swelling, inflammation and heal bleeding sites, but also strengthen local immunity in the tissues of the anus.

Traditional medicine

Treatment of hemorrhoids after childbirth can be carried out not only with the help of purchased and not always cheap drugs, but also with folk remedies. Of course, they are unlikely to cure severe, advanced varicose veins, but in the initial stages they can give very good results.

Remedies for external varicose veins

  • Potato compresses

Place peeled, grated potatoes in gauze and apply to the opening of the anus overnight. Before the manipulation, go to the toilet and thoroughly wash the anus area, dry carefully with a soft cloth.

Make potato compresses until the condition improves.

  • Compresses with sea buckthorn oil

Moisten a cotton pad with ready-made pharmaceutical oil or prepared at home (if available), apply to the anus overnight. The preparation is the same - bowel movement, washing with cool water.

  • Compresses with ointment

Dissolve 50 grams of good, fresh butter in a water bath, add 3-4 crushed bay leaves, boil together for 10 minutes.

Strain the resulting broth and pour into a clean jar. When the ointment hardens, lubricate the nodes around the anus with it at night, if possible, also affecting the anus inside. Apply clean gauze or cotton pad.
Apply compresses at night until complete recovery.

Washing the anus area with cool water at night is an excellent way to prevent hemorrhoids and a measure that helps improve the condition when varicose veins begin for the first time or worsen.

You should also make it a rule to wash your anus after each bowel movement. Cool water tones tissues and blood vessels.

You can also do sitz baths with chamomile, calendula, and yarrow for external hemorrhoids.

Remedies for internal hemorrhoids

These remedies are not particularly effective: internal hemorrhoids are often detected in the later stages, when surgery is the only treatment option.

However, you can try if you cannot undergo surgery in the very near future.

  • Rowan juice

If the nodes are disturbed just during frosts, when the rowan is slightly frozen, you can take several bunches and squeeze out the juice. Drink 50 grams after meals. If you are not allergic to honey, add it to the juice.

  • Candles made from aspen leaves

Wash the aspen leaf well, roll it into a tube and carefully insert it into the anus. Do the procedure at night after a bath or washing with cool water until the condition improves.

If relief does not occur within a few days, you will have to go to the doctor and agree to surgical removal of the nodes.

A few more mandatory measures

How to treat hemorrhoids after childbirth to achieve maximum results? You can’t do this with ointments and suppositories alone: ​​you’ll have to completely reconsider your diet and do therapeutic exercises.

Nutrition

A woman who is breastfeeding already has to be careful when choosing foods so that they do not harm the baby. However, during treatment and for the prevention of hemorrhoids, it is necessary to include as many vegetables and fruits in the diet as possible - they are rich in fiber, contain many vitamins and water.

Of course, raw vegetables and fresh fruits can cause intestinal cramps and gas in the baby if he receives breast milk. Therefore, a reasonable compromise here would be dishes made from stewed vegetables - potatoes, zucchini, carrots, beets.

Fresh and baked fruits and juices of a nursing mother can be gradually included in your menu as soon as the pediatrician allows the baby to be given berry purees, grated apples and juice.

It is better to take dietary bread - with bran. Bran has a good effect on intestinal motility and prevents the development of constipation. Every day, the diet should include liquid soups and borscht, cooked in light chicken or vegetable broth, and porridge from whole grains.

Drink

Pure water without gas is the basis of a woman’s drinking regime in the postpartum period. There are no special standards here: you need to drink as you wish, but in such a way as to prevent dehydration.

Homemade juices, fruit drinks, and compotes diversify your drinking diet, but you will have to completely give up coffee, tea, and store-bought drinks (even non-carbonated ones).

You should not drink, even if the child receives artificial nutrition: alcohol increases blood flow to varicose nodes and can cause an exacerbation of the disease.

The unpleasant and annoying disease hemorrhoids comes into the lives of many women already during pregnancy. After childbirth, the disease enters the acute stage, making the already difficult life of a young mother even more difficult. And women, having become acquainted with hemorrhoids for the first time, have no idea what to do, how to deal with the disease during hemorrhoids, and in most cases they simply let it go. How to remove bumps from hemorrhoids after childbirth and why is this disease so dangerous?

The best treatment is prevention

Hemorrhoids develop during guardianship slowly, step by step. At first, you may feel itching in the anus, heaviness, and discomfort. Constipation poisons life, bleeding appears after stool, time passes, and hemorrhoidal bumps appear. If you lift weights or strain, internal hemorrhoids are complicated by the fact that the nodes begin to fall out. The pain is getting stronger and stronger. Hemorrhoids - how to treat?

As soon as hemorrhoids “come out” after childbirth, the disease must be treated immediately. If you don’t waste time, then it is quite possible to cope with the disease during breastfeeding in women without the help of a surgeon. But it’s even better to start preventing hemorrhoids. And the first thing a young mother should start with is to normalize intestinal function so that constipation does not provoke illness. To do this, you don't need to do much:

  • You should drink at least 1.5 liters of fluid daily.
  • You need to eat more fruits, vegetables, and dairy products to relieve constipation.
  • Do not consume alcohol, spicy foods, or seasonings.

We should not forget about personal hygiene. You should wash yourself with cool water after each bowel movement; it is better to choose soft toilet paper.

If hemorrhoids pop up during childbirth, no matter how much you want, you need to visit a doctor - proctologist. It is the doctor who must assess the degree of development of the disease and select the correct treatment. It is recommended to use soft preparations that contain natural substances that cannot harm breast milk. You can’t start a disease by dreaming that it will go away on its own. If no measures are taken, external hemorrhoids will smoothly develop into a chronic form.

Hemorrhoids after childbirth

If the disease was treated correctly, and it was possible to keep it “in check” using preventive methods, then after childbirth more serious methods will be required.

When the birth process itself occurs, intra-abdominal pressure increases greatly, and blood begins to flow intensively to the vessels of the small pelvis. Gradually the cones swell and grow. This means that a woman recovering from childbirth has to defeat another enemy - hemorrhoids, which have “climbed” out. However, the disease is treated as soon as the disease makes itself felt.

Ointments

Which ointments best treat diseases, but are not contraindicated for nursing mothers? How to treat hemorrhoids?

"Heparin ointment"

Heparin ointment will help cure postpartum hemorrhoids. The drug is based on heparin, thanks to which inflammation is quickly eliminated, the symptoms of a local disease disappear, and the nodes begin to resolve. The ointment is gentle but effective; it can be used by any patient, including no contraindications for pregnant women and during the guard period.

"Troxevasin"

This cream or ointment for hemorrhoids can also be used to treat women with hemorrhoids. It relieves inflammation, swelling, discharge and has a positive effect on blood vessels, making them stronger. This ointment is rightfully considered the best drug for weeping hemorrhoids that do not heal for a long time. The use of ointments is local, which means the effect on the body is minimal, which is why they are prescribed to nursing mothers. What other ointment is suitable in such a situation?

"Relief"

The main component of the ointment is shark liver oil. It is not contraindicated after childbirth, and can be used up to four times a day. The ointment is especially effective in treating when the disease is just beginning to develop.

"Proctosan"

The ointment relieves pain and eliminates other symptoms of incipient hemorrhoids. The drug is based on the substances bismuth and proctosan, which reduce bleeding, inflammation, and itching. The ointment very quickly restores tissue around the anus destroyed by the disease. The sores stop weeping and heal much faster. The drug can be used during lactation.

Vishnevsky ointment"

The drug is absolutely safe for pregnant women and during guarding. The main function of the ointment is to remove swelling and inflammation. The drug must be used correctly. Before applying the ointment, you should take a sitz bath with potassium permanganate, which disinfects and dries the affected areas. The water should be lukewarm so as not to irritate the buds. The procedure must be completed for three days, and only after three days of such treatment can the ointment be applied to the sores.

Suppositories for hemorrhoids during lactation

It is a known fact that the substances included in the drugs enter the blood and milk of a woman during lactation. Thus, they are passed on to the baby through milk and can have a negative impact on his health.. That is why you should be extremely careful when choosing a medicine during guarding.

Candles with sea buckthorn oil

The most effective way to treat hemorrhoids that occur during childbirth or during pregnancy is with suppositories of natural origin. This includes suppositories with sea buckthorn oil. Even if the drug enters the baby’s body, it will not cause negative reactions, but it will even help the mother a lot. The suppositories have an excellent healing effect, relieve pain after the first dose, relieve itching, burning, and swelling. Timely treatment with the drug reduces the risk of complications.

Candles with calendula

The main function of the drug is to heal wounds. The effect of suppositories is only in the initial stages of the disease, when hemorrhoids have not yet “come out”, that is, the nodules are inside and do not particularly interfere with life. The drug is not contraindicated for the treatment of nursing mothers.

Suppositories with propolis

They are sold in pharmacies, but you can prepare the drug yourself at home. Suppositories provide a strong anti-inflammatory effect, which allows you to quickly relieve pain. They can be used by all patients, except those who have an allergic reaction to honey.

Candles "Relief"

Above we wrote about the ointment of this brand. Candles have the same set of medicinal properties. If you use both the ointment and the candles from this line at the same time, the effect will be double strength.

Suppositories "Procto-glivenol"

The drug contains lidocaine, which acts as a local anesthetic, and tribenzoide, which relieves inflammation. Candles are not toxic for babies. They effectively eliminate blood stagnation in the veins of the rectum.

Traditional medicine against hemorrhoids

To treat this disease, there are many traditional medicine recipes that are approved for women after childbirth during lactation. The doctor must decide which procedure is appropriate in a particular situation.

  • Candles made from raw potatoes, from candied honey, from fresh lard.
  • Honey, sea buckthorn, beet microenemas.
  • Herbal sitz baths that restore blood flow.
  • Lotions made from herbs, propolis, clay, mummy.
  • Applying herbal oils of sea buckthorn, propolis, honey to the affected skin...

Little-known techniques

If the remedies listed above do not bring the desired treatment result, and the disease develops further, the doctor may decide to wean the child. Then it will be possible to take more serious measures to eliminate the problem. But there are several more little-known methods for treating hemorrhoids during lactation. If such a need arises, the following types of hemorrhoid relief can be used.

Alloying

This is a fairly simple procedure that does not require hospitalization, but is effective. The essence of the method is that, using a special device, a latex ring is put on the knot and compresses it at the base. The blood stops feeding the node, and its “starvation” occurs, after which the node is simply rejected. After 10–15 days, the node disappears, and the patient does not feel any pain or discomfort.

Cryodestruction

This method destroys nodes at low temperatures, down to – 200C. A device called a cryoprobe, connected to a nitrogen cylinder, transfers gas through various tubes to the desired areas. Any stage of the disease is treated, except stage 4. It is possible to remove both external and internal nodes.

Sclerotherapy

This method involves introducing a special medicine into the body, which will cause fibrosis and sclerosis in the dilated vein. Thanks to this, the pathological vein grows together.

Infrared photocoagulation

Already from the name it is clear that the method is based on the effect of infrared radiation on the nodes. Thanks to radiation, tissues heat up and turn into an ordinary crust after a burn. A few days later everything comes out during stool. The “operation” lasts seconds; three nodes are irradiated in one session. In a couple of weeks, a new operation is scheduled for the remaining lumps. In the hands of a professional, this procedure becomes absolutely painless, and the patient has hope for a complete cure.

All of the above methods do not require hospitalization, take literally a few minutes of time, do not cause harm or pain to the patient, are low-traumatic, and treat the disease quickly and reliably. However, which of these methods is more suitable for treatment is decided together with the doctor.

Conclusion

When deciding on methods of treating hemorrhoids during lactation, you must remember that treatment should not only benefit the mother, but also not harm the baby. Therefore, you should entrust this to a professional.

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

Experience: Proctologist. Medical practice experience – 25 years. Author of more than 40 articles on medical topics. A regular participant in conferences and symposia, where problems of modern medicine are covered.

Provides highly qualified diagnosis and treatment of many diseases: hemorrhoids, anal fissures, various diseases of the colon, and successfully diagnoses neoplasms of the perianal area and rectum in the early stages. Also conducts examinations of children.