home Adviсe Why do hemorrhoids appear in women after childbirth? Suppositories with sea buckthorn oil. Proper nutrition for hemorrhoids after childbirth

Why do hemorrhoids appear in women after childbirth? Suppositories with sea buckthorn oil. Proper nutrition for hemorrhoids after childbirth

Hemorrhoids are an inflammatory disease in which the veins of the hemorrhoidal plexus expand. Simply put, lumps of varying sizes form in the perineal area. External hemorrhoids are characterized by lumps that form outside the rectum, under the skin around the anus. During the remission stage it does not cause discomfort, but during an exacerbation it greatly bothers the patient.

The main cause of hemorrhoids is impaired blood flow in the hemorrhoidal area. But various factors can provoke this condition: heavy lifting, “sedentary” work, disruption of the gastrointestinal tract, and a sedentary lifestyle.

Why does it appear after childbirth and during breastfeeding?

In young mothers, external hemorrhoids appear quite often after childbirth. Many people think that this is due to the incorrect behavior of the mother in labor or the mistakes of the medical staff. This is a wrong judgment.

In fact hemorrhoids often develop during pregnancy. The disease has several stages. In the initial stages, asymptomatic dilation of the venous vessels occurs.

But itching, bleeding, and pain in the perineum begin to bother a woman a few weeks or months after the onset of the disease. This stage of the disease often occurs during the postpartum period.

It turns out that the impetus for the development of hemorrhoids is pregnancy itself. The uterus enlarges and puts pressure on the peritoneal organs, including the rectum.

The venous blood of the pelvic area stagnates, which leads to an inflammatory process. This is how hemorrhoids are formed. During labor, it only gets worse and appears before the young mother in all its “glory.”

The main causes of postpartum hemorrhoids:

sedentary lifestyle.
Frequent constipation.
Hormonal changes.
Difficult birth.
Overweight.

Symptoms of external hemorrhoids

With external hemorrhoids, patients complain of itching and pain in the anus. Some people notice blood on toilet paper, foreign body sensation and incomplete defecation. Even with such unpleasant symptoms, some women postpone visiting a doctor and self-medicate.

In this case, the disease may progress to a more serious stage. Hemorrhoidal cones may increase in size and fall out of the anus when visiting the toilet or exercising.

Advanced hemorrhoids are difficult to cure without surgery. Therefore, do not delay visiting your doctor when the first symptoms of hemorrhoids appear. Only a specialist can prescribe you competent comprehensive treatment.

What remedies are most suitable for eliminating this disease?

The most important requirement of young mothers suffering from hemorrhoids is the safety of medications during breastfeeding. Most ointments and suppositories for hemorrhoids are allowed during lactation. They cope well with the problem, are not absorbed into the general bloodstream and do not pass into breast milk.

But hemorrhoids require complex treatment. It should include correcting the condition with the help of venotonic drugs. This often frightens young mothers. Therefore, if the disease has not yet reached a serious stage, the doctor may postpone taking special pills until the end of lactation.

A young mother needs to remember that from now on she is responsible not only for her health, but also for the health of her baby. That's why no need to self-medicate. This can not only harm the baby, but also worsen the mother’s health.

How to treat this disease?

Most young mothers after childbirth and during lactation use suppositories and ointments. They are easy to use, quickly relieve the condition and are safe for the baby.

"Relief"

Perhaps the most widely advertised and widespread drug for hemorrhoids. It contains shark liver extract. This natural component will quickly relieve pain and help cure the disease. The composition also contains vitamins, copper, zinc, iron. Such an extensive composition allows the drug to replace several other analogues.

It is better to use “Relief” in a comprehensive manner - use both ointment and suppositories at once. For external open forms of hemorrhoids, you can use Relief applications. For this purpose, each package of the drug contains a rectal tip. Thanks to it, the ointment can be easily applied inside the rectum. This way recovery will come much faster.

Suppositories with sea buckthorn oil

This natural drug is preferred by many young mothers. Its most important advantage is 100% naturalness. This means no side effects other than allergies and personal intolerance to the component. The candle dissolves very quickly, so it is better to use them at night.

Sea buckthorn suppositories will help quickly cure hemorrhoids and anal fissures. They have anti-inflammatory and antibacterial effects. Sea buckthorn suppositories prevent constipation. Suppositories can be used for prevention during the period of remission of the disease.

"Neo-Anuzol"

This drug has an improved formula compared to Anuzol suppositories. It does not contain belladonna extract, and therefore it is completely safe during pregnancy and breastfeeding.

It contains zinc oxide, which has a drying and anti-inflammatory effect. Tannin has a tanning effect, and iodine acts as an antiseptic.

Neo-Anuzol is safe to use and effective. Like any drug, it can cause allergic reactions. No other cases of side effects have been recorded.

"Posterizan"

A special feature of the drug is that it contains inactivated E. coli cells. Thanks to this, there is no negative effect on the intestinal microflora. Rather, on the contrary, the drug activates local immunity. The use of suppositories increases the rate of wound healing and prevents infection.

It is better to use it in combination - suppositories and ointments. This way the clinical effect will be achieved faster. Important: when treating with Posterisan, you cannot use other rectal suppositories. Otherwise, the ointments will deactivate each other and stop working.

Procto-Glyvenol

The main active ingredients of suppositories are Tribenoside and Lidocaine. Tribenoside increases vascular tone and fights inflammation. Lidocaine has an excellent analgesic effect.

Due to its effectiveness and almost instant pain relief, the drug is very popular. Procto-Glyvenol is available in the form of ointments and suppositories. The drug can be used during pregnancy and lactation under the supervision of a physician.

Gepatrombin-G

The main active ingredient Heparin prevents the formation of blood clots and reduces swelling. The ointments and suppositories also contain painkillers and antiallergic components. Gepatrombin-G is effective, but it must be used carefully. If you apply too many suppositories or ointments, tissue regeneration may slow down.

Doctors prescribe this drug with caution during pregnancy and lactation. In addition, along with the drug Gepatrombin-G, there is Hepatrombin. Gepatrombin should absolutely not be used to treat hemorrhoids. Carefully check the packaging upon purchase and consult with your doctor before use.

Natalsid

A natural product containing sodium alginate. This substance is obtained by processing kelp seaweed. Sodium alginate has a hemostatic and anti-inflammatory effect.

An important component is hyaluronic acid. It regulates cell division and promotes active division of healthy rectal cells. Alginic acid in the composition envelops hemorrhoids and alleviates pain.

Since the drug is completely natural, it is officially approved during pregnancy and breastfeeding. Its effectiveness and safety have been clinically proven.

Contraindications to the use of ointments and suppositories during lactation

It should be noted that it is necessary to treat hemorrhoids after childbirth and during lactation. He can't pass on his own. You just need to choose the right treatment.

The main principle of therapy for hemorrhoids in the postpartum period is effectiveness and safety. It is preferable to use natural preparations, and also to combine their use with traditional methods of treatment.

Hemorrhoids of the first and second stages are highly treatable. More advanced forms of the disease will be more difficult to eliminate. Sometimes surgical or minimally invasive therapies may be required.

Don't delay going to the doctor. Only he can choose the right medicines, ointments and suppositories. Along with treatment, try to adjust your lifestyle. This is not easy for a young mother, but try to move more and walk in the fresh air. And be sure to control your diet.

To prevent hemorrhoids and cure them faster you need to:

eat more vegetables and fruits.
Eat foods containing fiber.
Eat small portions.
Drink enough fluids.
Try to lead an active lifestyle.

Let hemorrhoids recede as quickly as possible and do not overshadow the joy of happy motherhood! Be healthy!

Useful video

Hemorrhoids after childbirth: symptoms, what to do and how to treat

It is believed that hemorrhoids are a disease of a sedentary lifestyle and only drivers, programmers, and accountants are susceptible to it. If you believe this statement, then only representatives of these glorious professions give birth to children. But in reality, this scourge affects representatives of any profession, and most of them encounter hemorrhoids just after the birth of a child.
What kind of thing are hemorrhoids?

Hemorrhoids are such a bad sore that you can’t see it yourself or show it to people. It appears in the rectum and is a kind of retribution for bipedal bipedalism. Not a single animal that moves on four legs, even a monkey, has stagnation of blood in the hind limbs and pelvic vessels, and as a result, hemorrhoids. What can we say about hemorrhoids after childbirth, when during pregnancy all favorable conditions for development have been created for it.

The length of the rectum is 15–16 cm and is divided into three sections. The distal section is located at the back of the pelvis and ends at the perineum. Close to the anal sphincter, under the skin of the perineum and inside the distal part, there are hemorrhoids. Those located in the intestine are internal nodes, and those located under the skin are external.

This is a compact group of small vascular glomeruli with a diameter of 1–6 mm, located in the connective muscle tissue and interconnected. Hemorrhoids that often appear after childbirth are an abnormal enlargement of hemorrhoids, dilation of the venous arteries of the rectum, which are accompanied by bleeding and prolapse of the enlarged nodes out of the anus.

Forms and symptoms of hemorrhoids

Hemorrhoids vary in location. In the internal form, hemorrhoidal cones are located in the intestine, and during the non-acute period, hemorrhoids may not manifest painful symptoms. You can guess its presence by traces of blood in the stool and on toilet paper. During the period of exacerbation, the nodes fall out of the anus.

With external, or external hemorrhoids, enlarged nodes are located near the anus, often just under the skin. Combined, as you may have guessed, includes both internal and external.

By stages of flow it is divided into:

Initial. The first symptoms appear - burning, itching, swelling around the anus, a feeling of bursting pressure and a foreign body.
Second. Pain and bleeding are added to the existing symptoms, appearing mainly after and during the process of bowel movement.
Third. The nodes increase significantly and fall out during physical activity and during the process of emptying, after which they are reduced on their own.
At the fourth stage, the muscular-ligamentous apparatus of the anal sphincter weakens so much that it loses the ability to hold the contents of the intestine and hemorrhoids. The disease causes severe discomfort and pain when walking and sitting. At this stage, only surgery is indicated as a treatment.

What are the dangers of hemorrhoids in women, and what happens if treatment is not carried out?

The disease is fraught with anemia. Prolonged minor bleeding reduces the number of red blood cells in the blood, which is expressed by general weakness, fatigue, and dizziness. If a woman is committed to long-term breastfeeding, then lactation with anemia will inevitably decrease.

In the later stages, when the nodules do not correct themselves, they become pinched, become inflamed and further die - necrosis. Necrosis can also involve neighboring tissues. It poisons the entire body with toxins.

Along with hemorrhoids, anal fissures often form, which are further injured by passing feces and become infected with microorganisms. As a result, inflammatory processes occur. Thrombosis, paraproctitis, fistula, gas gangrene - and these are not all the unpleasant and very painful diseases that result from hemorrhoids without treatment. And if you continue to do nothing, then a long-existing fistula can provoke cancer.

Treatment of hemorrhoids and prevention of relapses

If you do discover hemorrhoids after childbirth, getting rid of them is not so easy. The fact is that often after treatment, medicinal and surgical, relapses occur, which doctors forget to warn about. This is due to an incorrect lifestyle, diet, and bad habits leading to constipation and stagnation of blood in the pelvis.

To prevent the recurrence of hemorrhoids, it is first necessary to get rid of constipation and normalize the digestive system.

How to prepare for childbirth

It is also useful to do exercises such as birch lifting, lifting the pelvis while lying on your back, twisting your legs while lying down, etc., aimed at improving blood circulation in the pelvis. And, of course, all doctors encourage physical activity - simple walking, running and swimming. Walk with your child more often, even in bad weather - after all, nothing prevents you from dressing appropriately for her, except your own laziness.

with hemorrhoids. The question arises: how after childbirth get rid of the disease?
Hemorrhoids are a problem for many. In the old days, doctors believed that haemorrhoids- varicose veins of the rectum, but now a hypothesis has emerged that the disease is associated with damage to the choroid plexuses. Prevention of this disease during pregnancy can protect a woman from severe enlargement of hemorrhoids, but nevertheless, for many after childbirth hemorrhoids worsens and immediate measures should be taken to prevent the development of the disease and begin comprehensive treatment.

The appearance of hemorrhoids during pregnancy is caused by constantly high intra-abdominal pressure, as a result of which blood stagnation occurs in the pelvic organs. When a woman gives birth, she needs to push harder, and excessive pressure on the venous walls can lead to the formation of hemorrhoids.
Internal

hemorrhoids are enlarged nodes in the rectum, which are located behind the sphincter. If the situation worsens, patients may experience hemorrhoidal bleeding. It is not possible to examine the affected nodes; diagnosis is carried out by palpation of the passage, the procedure is carried out by a doctor.
When external hemorrhoids are clearly visible . To the touch you feel a round bulge the size of a pea or cherry. What treatment using modern methods and folk remedies will be the most effective if after childbirth hemorrhoids are increasingly causing pain continues to progress?

If a woman notices signs of hemorrhoids after giving birth, she needs to start treatment to avoid the prospect of complications (inflammation of soft tissues, hemorrhoidal bleeding). Treatment should be started only after consultation with a doctor and under his constant supervision - self-medication can provoke an exacerbation of the disease and various complications! One medication cannot eliminate the problem; an integrated approach is needed to treat the disease. In addition to medications, the patient is prescribed a diet, therapeutic exercises, and you can also turn to traditional medicine. Pharmacies are overflowing with remedies for hemorrhoids that are sold without a prescription, but after giving birth, a woman in any case needs to consult a specialist who will tell you what is the best treatment in a particular situation.

How to organize treatment of hemorrhoids after childbirth? A woman often needs to lie in a position where her legs are higher than her body. You can use suppositories against hemorrhoids (hepatrombin) or ointments containing venotonics (asklezan, venoruton, troxevasin). It is recommended to smear the areas still affected by knots and cracks with cedar and nut oils.

Every 6-7 hours, apply ice wrapped in a soft cloth to the nodes. It is better to replace toilet paper with wet wipes. Don't spend a lot of time sitting or standing; many activities can be done lying down (breastfeeding, watching TV, reading). If possible, treat yourself to warm baths.
You can relieve severe pain with ibuprofen, the drug is harmless even while breastfeeding.

Folk remedies can be used to reduce pain, but treatment of hemorrhoids after childbirth is carried out by a doctor and prescribes special medications, ointments or suppositories that will not harm your baby! Next, we will tell you about the dangers of hemorrhoids after childbirth, how to treat this disease at home, and what methods are included in complex treatment with modern methods.

Now you know what measures to take if after childbirth hemorrhoids continues to bother you, the nodes increase even more and cracks appear in the passage. Treatment of internal and external hemorrhoids after childbirth can be carried out using different methods. It is important to consult a specialist as quickly as possible - the sooner you start treating the disease, the less likely it is to develop stage 3 and 4 hemorrhoids.

NEXT ARTICLE.

Is it possible to cope with this problem, or better yet, prevent it?

The word "hemorrhoids" translated from Latin means "bleeding" - this is the most common symptom of the disease. Also, manifestations of the disease are anal itching, a feeling of discomfort in the anus and mucus discharge from it.

According to official data, about 40% of pregnant women suffer from hemorrhoids. And during the first pregnancy over the age of 30, this disease occurs in 50?% of women. There are no exact statistics on the incidence of hemorrhoids, since many people are still embarrassed to talk about this problem.

Women who have given birth experience symptoms of hemorrhoids 5 times more often than women who have not given birth. One of the main reasons is rapid labor and improper straining during pushing.

Many women mistakenly believe that the development of hemorrhoids during pregnancy and after childbirth is inevitable. Therefore, they simply try not to pay attention to this and resort to folk remedies, instead of receiving qualified, effective and timely treatment from a specialist proctologist.

In addition, in the postpartum period, most young mothers breastfeed their babies and therefore are afraid to use medications.

Causes of hemorrhoids

Normally, in the anal canal in certain places, even during the period of embryonic development, special vascular formations are formed - cavernous bodies, in which there are direct connections of the arteries and veins of the rectum.
When exposed to certain factors and/or an existing predisposition to the disease, these bodies increase in size and form internal hemorrhoids.

In modern medicine, it is customary to distinguish two main factors for the development of hemorrhoids:

hemodynamic, associated with the movement of blood through the vessels - increased flow of arterial blood to hemorrhoidal nodes and/or difficulty in the outflow of venous blood from these nodes;
muscular dystrophic - weakening of the ligaments and muscles that hold the nodes inside the anal canal. This can be either a congenital weakness of the connective tissue - a tendency to form keloidal rough scars, easily bending, loose joints, etc., or an age-related decrease in its elasticity, which most often occurs after 50 years.

Types of hemorrhoids

There are two main types of hemorrhoids – acute and chronic. But at their core, they are different phases of the same process.

Acute hemorrhoids

The disease is characterized by the following main symptoms: severe pain, enlarged hemorrhoids and inflammatory changes in the perianal area, i.e. around the anus. In all stages of acute hemorrhoids, not always, but there may be bleeding on top of the stool.

There are 3 degrees of acute hemorrhoids depending on the severity of inflammation in the anal area:

1st degree– thrombosis of external and/or internal hemorrhoids without signs of inflammation. When palpating the anus, a woman can identify enlarged, compacted hemorrhoids that are slightly painful when pressed. In the depths of the node, you can feel a small dense formation - a thrombus. Pain occurs during bowel movements and persists for some time afterward. Sometimes there may be slight redness of the skin near the anus. Body temperature does not increase.

2nd degree– thrombosis of nodes is accompanied by their inflammation. Severe pain appears in the area of hemorrhoids, which intensifies when walking, defecating and sitting. Possible increase in body temperature up to 380C. Hemorrhoidal nodes that have prolapsed, when palpated independently, are significantly enlarged, sharply painful, have a dense elastic consistency, and do not move back into the rectum on their own. They obscure the entrance to the rectum and severely deform the anal fissure, which often causes not only pain, but also difficulty during bowel movements. There is often mucus discharge from the anus, which causes itching and burning.

3rd degree– inflammation spreads to the skin and subcutaneous fat layer of the perianal area. Pain in the anus is constant and spreads to the perineum, buttocks and lower abdomen. When defecating, the pain intensifies significantly. There is a feeling of pressure and distension in the rectal area. Even walking and sitting are not possible; the most painless position is lying on your stomach. All the skin around the anus, perineum, buttocks is sharply painful, thickened, reddened. Body temperature reaches 390C.

ATTENTION! Under no circumstances should you try to reset prolapsed hemorrhoids by hand: this can cause injury to the mucous membrane of the nodes and significant bleeding, sometimes life-threatening.

Chronic hemorrhoids

Before starting a conversation about the symptoms of chronic hemorrhoids, I would like to mention its asymptomatic stage, when there are no characteristic signs of this disease, and nothing bothers the pregnant woman. But with a special proctological examination, the presence of hemorrhoids is revealed. Thanks to such an examination during pregnancy, the doctor has the opportunity to prevent exacerbation of hemorrhoids in the postpartum period.

There are 4 stages of chronic hemorrhoids:

Stage 1– there are enlarged internal hemorrhoids that protrude into the lumen of the rectum, but do not fall out of the anal canal when straining or after defecation. The main symptoms of the disease are discomfort during and after defecation, a feeling of incomplete bowel movement, and the release of a small amount of bright scarlet blood on top of the stool after defecation. These signs are not permanent and may appear only periodically.

Stage 2– hemorrhoids fall out after defecation, but are automatically reset back into the lumen of the rectum. The main symptoms appear immediately after defecation and last for some time after it. These include anal itching and burning, a feeling of a foreign body in the rectum, the release of bright scarlet blood in the form of a few drops on top of the stool, and over time - even a thin stream: this happens after stool, when lifting weights and increasing blood pressure.

Stage 3– hemorrhoids fall out of the rectum after defecation and cannot be reset on their own; there is a need for their manual reduction. Main symptoms: prolapsed nodes can be felt independently in the form of 1-3 “bumps”, they cause the sensation of a foreign body; In addition to the increasing itching and burning sensation, pain occurs, which appears after defecation and persists for some time.

Stage 4 characterized by constant prolapse of hemorrhoids and the impossibility of their reduction into the anal canal. At this stage, complications of the disease appear: thrombosis of nodes, severe bleeding, incontinence of gases and sometimes feces, and the release of large amounts of mucus from the rectum.

Risk factors

The following factors contribute to the development of hemorrhoids after childbirth:

two-stage defecation - situations when the passage of feces occurs in two stages with an interval of 5 to 30 minutes;
chronic constipation;
sedentary lifestyle.

Exacerbation of an existing problem can be caused by:

violation of the diet - excessive intake of spicy, salty foods, various marinades, spices, alcohol;
taking a number of medications, including oral contraceptives;
Difficulty in defecation after prolonged constipation. In most cases, constipation increases after childbirth. It is during this period that hemorrhoids worsen. This situation lasts about a month, and then gradually goes away (if the woman did not have a predisposition to constipation before pregnancy);
prolonged diarrhea - diarrhea;
lifting heavy objects, including for older children;
violent and prolonged labor.

In approximately 50% of women who suffered from hemorrhoids during pregnancy, the disease worsens after childbirth.

This happens for the following reasons:

when the fetal head moves into the pelvic area, compression occurs on the vessels located there, including the veins of the rectum; disruption of venous outflow, in turn, causes stagnation of blood in the hemorrhoids, their enlargement and thickening;
when the fetal head has erupted, internal hemorrhoids fall out, sometimes with rupture of their wall and bleeding;
within about half an hour after birth, a gradual contraction of the anal sphincter and spontaneous reduction of hemorrhoids occurs; if the sphincter contraction occurred faster than the nodes had time to retract, then they may be pinched.

Treatment of chronic hemorrhoids

Conservative treatment, which does not involve surgical intervention, includes the following measures.

Mode:

After each bowel movement, you must wash yourself, and use alcohol-free baby wipes instead of toilet paper;
It is recommended to wear underwear made of 100% cotton: natural fabrics allow moisture to pass through well, the skin “breathes”, which creates unfavorable conditions for the development of infection. Thong-type panties should not be worn.

Diet:

exclusion of foods that cause an exacerbation of the disease: overly spicy, salty foods, marinades, smoked meats, mustard, vinegar, spices, as well as strong coffee, alcohol;
consumption of foods that help normalize stool.

drink plenty of fluids (more than 1.5–2? l per day): still mineral water, juices;
taking prune decoction: 5-10 dried prunes should be poured with 1 glass of boiling water overnight, drink this infusion on an empty stomach in the morning;
consumption of plant fiber: bran, wholemeal bread, oatmeal, muesli, fresh vegetables, fruits, boiled beets;
Take 30 minutes before meals 2-3 times a day 1 teaspoon of vegetable oil: sunflower, olive, vaseline - or the drug TYKVEOL based on pumpkin seed oil.

Laxatives

The most commonly used drugs are DUPHALAC, MUCOFALC, FORLAX, the use of which is possible during breastfeeding. These medications increase the volume of feces and soften them, without affecting peristalsis - intestinal contractions.

Preparations based on senna leaves are contraindicated during lactation, but even if a woman is not breastfeeding, frequent use of this laxative can harm her intestines. Senna preparations have an effect by enhancing peristalsis. If you regularly force the intestines to work with external stimuli, then soon it will not want to contract on its own. In other words, long-term use of senna-based laxatives worsens the problem of constipation rather than treating it. Be sure to consult your doctor about the possibility of using this or that drug during lactation so as not to harm your baby.

Phlebotropic drugs

These drugs increase the tone of the veins, improve the function of the vascular wall, and improve lymphatic drainage. All this eliminates inflammation and significantly reduces the risk of hemorrhoid progression.

The drug DETRALEX, often prescribed by doctors, is very effective, but its use is contraindicated during breastfeeding. During lactation, various homeopathic drops are used: VENZA, ESKULUS COMPOSITUM, VENORUTON (RUTOZID), GINKOR FORT.

Vitamin therapy

It is recommended to take multivitamin complexes, preferably special ones for young mothers during pregnancy and lactation. If hemorrhoids are prone to bleeding, vitamins C and P are prescribed separately, for example ASKORUTIN, to strengthen the vascular wall.

Local treatment of hemorrhoids:

Use sessile warmers baths with potassium permanganate. The water should be light pink in color, temperature 35–400C. You need to sit in such a bath for 15–20 minutes, 2 times a day. It is also possible to use baths with decoctions of medicinal herbs - chamomile, string, calendula, eucalyptus. After the bath, the perineum is dried with clean gauze or a waffle towel, but not with toilet paper or cotton wool!

Effective microenemas with oil– Vaseline, sunflower, olive, TYKVEOL oil. For them, special rubber bulbs with a volume of 50 ml are used. Before bowel movement, using a bulb, the tip of which is generously lubricated with Vaseline, carefully inject 20-40 ml of warm oil at a temperature of 35-370C into the rectum. The oil prevents mechanical injury to the wall of hemorrhoids and facilitates defecation. In addition, regular use of oil microenemas helps strengthen the vascular wall of the nodes due to the content of tocopherols (vitamin E) and carotenoids (vitamin A) in the oil.

Also recommended microenemas with decoctions of medicinal herbs– chamomile, calendula, string. For them, a baby syringe is used, with which the solution is administered while lying on the left side. After the enema, it is recommended to lie down for 15–20 minutes. You can carry out this procedure at night.

If the main complaint in chronic hemorrhoids is bleeding, then they help very well rectal suppositories NATALSEED, which are made from brown seaweed. In addition to hemostatic, they also have an anti-inflammatory effect. The use of NATALSIDA is possible during lactation.

When the pain syndrome predominates, various suppositories and ointments: ANESTESOL, PROCTOGLIVENOL, PROCTOSAN, PROCTOSEDYL, ULTRAPROCT, POSTERIZAN and POSTERIZAN FORTE, AUROBIN, ANUSOL, NEO-ANUSOL, RELIEF, RELIEF ADVANCE. Almost all the main drugs in this group are contraindicated during breastfeeding. During lactation, it is safe to use medications such as ANUZOL suppositories, POSTERIZAN ointment and suppositories, and EMLA cream.

Homeopathic medicines– GEMOPROST suppositories, cream and HAMAHALIS suppositories – have a good effect on chronic hemorrhoids and are approved for use in nursing mothers.

Effective mud applications, for which special tubes with Tambukan mud for rectal use are used. Therapeutic mud has an anti-inflammatory, antioxidant effect, increases local immunity, improves the structure and function of the vascular wall. Mud applications can be used during breastfeeding.

The following methods are used as surgical treatment:

Standard radical hemorrhoidectomy. The operation involves ligating the hemorrhoidal vessels under general anesthesia or spinal anesthesia. Then, using a surgical scalpel, the hemorrhoids are removed, and the resulting wounds are sutured. It is also possible to use the method of radio wave surgery or a laser scalpel: with this method, wound healing is accelerated due to a more gentle effect on tissue. The main disadvantage of the operation is the long recovery period, which a young mother who is breastfeeding cannot afford.

Minimally invasive (“semi-surgical”) treatment methods:

Sclerotherapy indicated for chronic hemorrhoids stage 1 with recurring bleeding. A sclerosing drug is injected under the hemorrhoidal node with a special long needle, after which the node becomes empty and shrinks, as the blood flow to it stops. A maximum of two nodes can be sclerosed at the same time, so a repeat treatment session may be necessary. This manipulation is performed on an outpatient basis, often without the use of anesthesia.

Ligation with latex rings performed for stage 1, or less often - stage 2, of chronic hemorrhoids, when there are only internal nodes. Using a special tool - a ligator, the hemorrhoidal node is tightened and a pre-stretched latex ring is placed on its stem, which is compressed at the node to its original size. As a result, the leg of the node becomes constricted, it ceases to be supplied with blood and gradually dies - it disappears along with the ring after 3-5 days. This manipulation is performed on an outpatient basis, without the use of anesthesia. Only one hemorrhoid is ligated at a time, so multiple procedures may be required.

Infrared photocoagulation hemorrhoids is performed in the 1st and 2nd stages of chronic hemorrhoids. An infrared photocoagulator is inserted into the rectum, brought close to the hemorrhoidal node and exposed to thermal energy, which contributes to the gradual death of the node. This manipulation is performed on an outpatient basis, without the use of anesthesia. Most often, several photocoagulation sessions are required.

Transanal disarterization internal hemorrhoids (hemorrhoidal artery ligation, or HAL) is performed for stages 1 and 2 of the disease, and in combination with anal lifting - HAL + RAR - is effective for stages 3 and 4. At the moment, disarterization is one of the most modern methods of treating hemorrhoids at almost all stages - without wounds or incisions, without pain. Rehabilitation after the procedure occurs quickly: the patient is discharged the next morning. Therefore, this manipulation is most suitable for the treatment of chronic hemorrhoids in the postpartum period.

HAL is performed under ultrasound guidance. To carry out this procedure, a specially designed device is used with an ultrasound sensor to determine the location of the hemorrhoidal arteries and a special “window” for suturing the arteries. The device is inserted into the rectum, under the control of an ultrasound sensor, an artery is found and immediately sutured. All large hemorrhoidal arteries are ligated in one session; repeated procedures are not required.

For hemorrhoids of stages 3 and 4, after standard suturing of the hemorrhoidal arteries (HAL), a lifting is performed - suturing of the rectal mucosa, which is also called RAR - rectoanal repair.

As a result, hemorrhoids return to their normal physiological position and stop falling out. In the vast majority of cases, the external effect of the HAL-RAR operation (tightening of prolapsed hemorrhoids) should be visible by the end of the operation. Final scarring of the rectal mucosa occurs after approximately 6 weeks; It is precisely during this time that the sutures used to tighten the mucous membrane are reabsorbed.

It is better to perform the disarterization operation using epidural anesthesia; In this case, the anesthetic drug is injected into the epidural space, which surrounds the spinal cord, the nerve roots emerge into this space, and they are “frozen” by the injected drug - as a result, pain sensitivity below the belt disappears. But it is possible to perform the procedure under local anesthesia; in this case, discomfort may occur due to the lack of complete relaxation of the anal sphincter.

Discharge from the hospital occurs either during the day or the next morning after surgery.

Treatment of acute hemorrhoids

Conservative treatment:

Bed rest for 2–3 days.
On the first day, cold lotions are applied to the area of the inflamed hemorrhoids, for example, an ice pack is applied for 10–15 minutes at intervals of 2–3 hours.
Starting from the second day of exacerbation of hemorrhoids, it is necessary to take warm sitz baths (as with chronic hemorrhoids).

Otherwise, the treatment is almost the same as for chronic hemorrhoids - only the doses and frequency of use of the drugs differ.

In case of acute bleeding that does not stop within 1 hour, emergency medical attention is necessary. In the period before the consultation, you can use suppositories with ADRENALINE.

Surgical treatment

Radical operations aimed at removing hemorrhoids in one way or another are not performed for acute hemorrhoids. In case of thrombosis of the hemorrhoidal node, according to the doctor's decision, it is possible to perform such manipulation as removing the blood clot from the node using a surgical scalpel.

Prevention

It is necessary to think about the prevention of the appearance and exacerbation of hemorrhoids in the postpartum period even before pregnancy and during it. The following measures will help prevent the disease:

examination by a proctologist, even if nothing worries you, but there are predisposing factors;
hygiene of the anal area - washing after each bowel movement;
diet: it is necessary to exclude foods that can cause aggravation;
fight against constipation;
if asymptomatic hemorrhoids are detected, take phlebotropic drugs in prophylactic doses as prescribed by a doctor;
regular performance of a complex of therapeutic and prophylactic gymnastics to improve blood circulation in the pelvic vessels.

Timely prevention of hemorrhoids and competently prescribed treatment will help a woman feel the happiness of motherhood more fully.

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 in 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.