Many women, becoming mothers, face such a delicate problem as hemorrhoids after childbirth. Cope alone with the disease is difficult, so it is important to know the main directions and methods of therapy, the first signs of the disease, in time to see a doctor.
Causes of hemorrhoids after childbirth
The causes of hemorrhoids in women who became mothers, in most cases due to the peculiarities of the process of bearing the baby and delivery. As the size of the fetus increases, the uterus grows and begins to exert pressure on the pelvic organs. As a result, there is a violation of the outflow of blood, stagnation develops. The phenomenon becomes more pronounced as the gestation period increases.
Among other reasons provoking hemorrhoids after childbirth, it is necessary to distinguish:
- Disruption of the bowels (constipation). Because of the increased pressure of the uterus on the intestine, its tone tends to decrease. This leads to disruption of the peristalsis and prevents the normal movement of feces.
- Hypodinamy. Every day during pregnancy a woman becomes more difficult to move around, so her physical activity drops sharply. A lot of time the pregnant woman spends in a sitting position. This provokes a worsening of blood flow in the pelvic organs, creates excellent conditions for the development of hemorrhoids.
- Features of the diet. During pregnancy there is a change in taste preferences. This negatively affects the blood flow in the pelvic organs, therefore increases the risk of the disease.
Types of hemorrhoids
Postpartum hemorrhoids, like those arising outside of pregnancy, are usually divided into:
- outdoor ;
- inner .
This classification takes into account the location of the hemorrhoids. Both forms have almost the same clinical picture in the early stages, but over time it changes. Thus, with internal hemorrhoids, the nodes extend outward from the anus and are visible without special examination. With the internal form of the disease, the nodes do not go outside and are diagnosed with a hardware examination.
Signs of hemorrhoids in women after childbirth
Depending on the clinical manifestations, it is customary to distinguish 4 levels of hemorrhoids. Each has its own characteristics. In this case, the first signs of violation of a woman can be recorded while still in the maternity hospital. This is due to a sharp decrease in the tone of the intestine and a violation of its peristalsis. Accumulating stools do not go outside, constipation occurs, which strengthen stagnant phenomena in the small pelvis. There is a gradual increase in the existing nodes, develops hemorrhoids after childbirth.
At this time, the pregnant woman notices the appearance of the first symptoms indicating the development of hemorrhoids after childbirth:
- feeling of heaviness in the anus;
- discomfort, sensation of a foreign object in the rectum;
- pain during the act of defecation;
- the appearance of blood in the feces.
External hemorrhoids after childbirth
This form of pathology has a vivid clinical picture, so the signs of hemorrhoids after the birth of the mother in the forces to identify themselves. The first, which indicates possible violations, is itching and burning, localized in the area of the anus. Often there are small cracks in the rectum, which begin to bleed. These first signals should be the reason for contacting a doctor. In the absence of skilled care, the disease progresses.
As a result, new symptoms appear:
- protrusion of hemorrhoids outward;
- painful sensations in defecation, accompanied by abundant release of blood;
- severe pain when touching and palpating the knots.
Internal hemorrhoids after childbirth
Internal hemorrhoids after birth, the symptoms of which at the initial stage may be absent, in most cases it is diagnosed with a woman's examination of a woman. The resulting hemorrhoidal nodes are invisible, as they enter the lumen of the rectum and are located under its mucous membrane. Often they do not cause anxiety, absolutely painless. The first thing that a newly mum should pay attention to is small traces of blood on toilet paper after the act of defecation. Among other symptoms of the disease:
- pain while visiting the toilet;
- feeling of incomplete emptying of the intestine;
- the appearance of voluminous formations;
- discomfort, burning and itching in the anus.
Postpartum hemorrhoids - what to do?
Finding a hemorrhoids after birth, what to do and how to be in this situation - not every mother knows. First you need to see a doctor. Independent attempts at treating hemorrhoids can adversely affect the overall well-being and health of the mother. In addition, the taking of certain types of drugs adversely affects the process of lactation. Selection of the drug should be carried out individually, taking into account the stage of the disease, its severity and type. There is no universal remedy, therefore, treatment is carried out in a complex manner.
Does hemorrhoids pass after childbirth?
With proper treatment, the disease is quickly eliminated. The hemorrhoidal veins gradually decrease in volume, the inflammation goes away, the symptomatology subsides. However, it should be borne in mind that the vessels no longer have that elasticity and tone, as before the birth, so a woman must follow certain rules to avoid relapse of the disease. Doctors recommend:
- Avoid excessive physical exertion.
- Observe the rules of intimate hygiene.
- Strengthen the muscles of the pelvic floor by performing certain exercises.
Hemorrhoids - consequences, if not treated
Hemorrhoids in women after childbirth in the absence of appropriate therapy is able to impose an imprint on the state of the reproductive system and the health of women in general. It should not be forgotten that individual symptoms of hemorrhoids can mask serious pathologies of the rectum:
- intestinal bleeding ;
- injuries;
- pathological changes necrotic character;
- malignant formations.
Expanded vessels, located in the hemorrhoidal node, are prone to rupture and damage. This significantly increases the risk of bleeding. In this case, there is a need for intensive therapy, surgical operation. In addition, prolonged chronic hemorrhoids can cause the formation of thrombi. Clogging them with blood vessels causes a violation of the circulation of organs: thromboembolism of blood vessels, coronary arteries. After learning about the possible consequences, women begin to find a way to get rid of hemorrhoids after childbirth.
Hemorrhoids after delivery - treatment
Talking about how to treat hemorrhoids after childbirth, doctors talk about the need for early initiation of therapy. Timely appeal to a specialist causes a rapid recovery of the body, the disappearance of symptoms, improving overall health. In the treatment of physicians using sparing methods, the basis of treatment is medication.
The choice of medicinal mixtures is appropriate. In this case, drugs are selected that do not affect the lactation process. Preference in most cases is given to local drugs (candles, ointments), components that affect only the focus of inflammation, not penetrating into the blood. This excludes their possibility of getting into breast milk. How to treat hemorrhoids after giving birth to a nursing mother - determines the doctor.
Ointment for hemorrhoids
Often happens so that an effective ointment with hemorrhoids during breastfeeding is contraindicated. Given this fact, before using the medication you need to consult a doctor. Among the permitted liniment during lactation are:
- Troxevasin. Excellent medicine for therapy of external forms of the disease. The drug has a pronounced venoprotective action - it strengthens small blood vessels, increasing their tone.
- Gepatrombin G. One of the best drugs to help get rid of hemorrhoids after childbirth. It contains heparin and allantoin. These substances prevent the formation of thrombi and reduce inflammation.
- Relief Ultra, Relief Advance. Medicines have an excellent wound-healing effect, they stop inflammation. The benzocaine contained in their composition has an anesthetic effect, eliminating the pain symptom. Used to treat all forms of hemorrhoids.
- Heparin ointment. It has a resorptive and anti-inflammatory effect. Strengthens the tone of the vessels of the intestine and rectum.
Candles from hemorrhoids after childbirth
Candles with hemorrhoids with GV are used with caution. The choice of the drug should be agreed with the doctor. Among the suppositories allowed during lactation:
- Candles with sea buckthorn oil. One of the popular drugs used in the treatment of a disease such as hemorrhoids, after childbirth. The medicine has a pronounced regenerative effect, reduces inflammation, eliminates the symptoms of hemorrhoids (burning and itching). Applied in the treatment of cracks, internal hemorrhoids, ulcers of the rectal mucosa.
- Posterizan. Candles have immunostimulating and regenerating effects, contribute to the strengthening of blood vessels. Active substances of the drug do not enter the blood, breast milk.
- Procto-Glivenol. Lidocaine and tribenozide have a local anesthetic effect, reduce the symptoms of the disease.
- Natalside. The active substance of the drug is a polysaccharide, which is released from seaweed. He has a pronounced hemostatic effect, actively struggles with inflammation. Used for chronic hemorrhoids, with frequent bleeding, cracks in the rectum.
Folk remedies for hemorrhoids
To completely forget about hemorrhoids after childbirth, treatment with breastfeeding is often supplemented by the use of medicinal plants. Among the effective recipes are the following.
Red ashberry juice from hemorrhoids
Ingredients:
- berries of red mountain ash - 300 g.
Preparation, application
- Rowan rub or grind in a blender.
- Drain the juice through the cheesecloth.
- Take 50 ml of juice three times a day, with plenty of water.
Douching with cedar oil
Ingredients:
- cedar oil - 2 ml.
Preparation, application
- The oil is collected in a disposable syringe.
- Having assumed a position lying on the abdomen, carefully inject the oil into the anus.
- After the procedure, it is recommended to lie down for 15-20 minutes.
Juice of celandine
Ingredients:
- celandine juice.
Preparation, application
- Cotton swab impregnated with celandine juice.
- Introduce before going to bed in the anus.
Diet for hemorrhoids for women
Even before the treatment of postpartum hemorrhoids, to start taking medications, doctors recommend a review of the diet. Diet with hemorrhoids and constipation helps to ease overall health and get rid of the symptoms of the disease. The basis of the diet should be foods rich in fiber. It enhances intestinal motility, improves its functioning, so it is necessary to include more fruits and vegetables in the diet. Doctors recommend using:
- vegetable salads;
- low-fat broth;
- dietary meat (beef, rabbit, chicken);
- fermented milk products (cottage cheese, yoghurt, fermented milk).
Operation with hemorrhoids
Surgery is indicated in the absence of the effect of medication treatment. Before curing hemorrhoids after childbirth, which has passed into a chronic form, apply minimally invasive methods:
- sclerotherapy - the introduction of a substance into the site that causes its reverse development;
- the application of the latex ring to the base of the node - stops blood circulation in the hemorrhoids, causing their death.
Radical removal - hemorrhoidectomy - is rare. Indications for it are:
- frequent loss of nodes;
- exacerbation of hemorrhoids;
- hemorrhoids 3, 4 stages, complicated by thrombosis .