Hemorrhoids after childbirth symptoms. Prevention and treatment of the early stages of the disease. Treatment of hemorrhoids during breastfeeding

Pregnancy and childbirth are difficult periods that cause serious hormonal changes and are accompanied by great stress on the female body. Hemorrhoids are one of the most common and unpleasant consequences that every sixth woman faces after giving birth to a child. This problem requires immediate treatment. Ointments for hemorrhoids after childbirth are the most effective and safe means with which you can eliminate an unpleasant disease.

Why do hemorrhoids appear after childbirth?

The main reason for the appearance or exacerbation of hemorrhoidal disease is the process of childbirth itself. When pushing inside the abdominal cavity, the pressure rises sharply, and the blood flow to the pelvic organs increases several times. Weak vessels cannot withstand increased pressure. As a consequence, there is a disturbance in blood flow, stagnation of blood in the hemorrhoidal veins and the formation of nodes.

There are a number of unfavorable factors that increase the risk of developing or exacerbating hemorrhoids after childbirth:

• Chronic constipation - every second pregnant woman suffers from it. The main reason is hormonal changes and the pressure of the increasing size of the uterus on neighboring organs, deterioration of their blood supply. During the postpartum period, normal intestinal activity is gradually restored. But if you do not take measures to normalize stool, this condition can provoke the development of hemorrhoids.
• Lack of mobility - lack of physical activity during pregnancy and after childbirth, also increases the risk of developing hemorrhoids.
• Lifting weights – lifting weights in the first weeks after childbirth increases the risk of pathological changes in the pelvic vessels, including in the peri-rectal area.

Symptoms of hemorrhoidal disease

The very first sign of hemorrhoids is discomfort in the anorectal area, which increases over time. The main symptoms are manifested by the following signs:

• Pain - first occurs during bowel movements, then intensifies; it can occur both during bowel movements and after it during the day. This may be an aching or dull pressing pain, a feeling of heaviness in the rectal area.
• Irritation in the anorectal area - burning, itching, resulting from defecation, can persist for a long time.
• Blood discharge – in the first stages of hemorrhoids, after a bowel movement, drops of scarlet blood may remain on the toilet paper. As the disease progresses, the intensity of hemorrhoidal bleeding increases.

Without treatment, hemorrhoids continue to develop and hemorrhoids enlarge. In the future, this can lead to deformation of the sphincter muscles, pathological changes in blood vessels, thrombosis and necrosis of tissue in the anorectal area.

In this case, conservative therapy is not enough; minimally invasive surgical procedures are required to remove the nodes. That is why hemorrhoids after childbirth should be treated as early as possible.

Safe ointments for hemorrhoids after childbirth

You can get rid of hemorrhoids in the first stages of development with the help of medications, so treatment should not be delayed even for women who have just given birth. Today there are many drugs that can be used after childbirth while breastfeeding. They are absolutely safe, since their components do not pass into breast milk and do not affect the newborn’s body.

For the treatment of external or combined hemorrhoids after childbirth, ointments are most often prescribed. There are drugs that can be used externally and injected into the rectum, and there are drugs that are intended only for external use. Therefore, you should not self-medicate. It is necessary to contact a proctologist who will help you choose a remedy (ointment or rectal suppositories) depending on the existing symptoms that is safest during lactation.

Troxevasin

Transparent ointment of light texture, belongs to the group of angioprotectors (drugs that restore vascular function). Safe for young mothers during lactation. Effectively restores damaged blood vessels, prevents a decrease in the tone of the rectal veins and capillaries, prevents their fragility and increased permeability.

Troxevasin gel is intended for external use only. The treatment is long-term. The minimum course of therapy is 7 days. If there is no improvement in your condition within this period, you should consult a doctor.

Heparin ointment

The main active ingredient is sodium heparin. It makes the blood less viscous, thereby eliminating congestion in hemorrhoidal veins, dissolving blood clots, and preventing new blockage of blood vessels and the formation of blood clots. It is advisable to use the ointment for inflamed hemorrhoids, as well as for their enlargement, accompanied by pain.

Heparin ointment can be used after childbirth, but only in the absence of bleeding and blood diseases (increased tendency to bleeding, poor blood clotting). The active components of the drug do not pass into breast milk and have no effect on the newborn’s body. It is used externally and rectally. During the postpartum period, the ointment can be used for no more than 2 weeks.

Relief series of drugs

Relief is an ointment with a strong anti-inflammatory and vasoconstrictor effect. It is advisable to use the drug for deep anal fissures, for thrombosis of nodes, for hemorrhoidal bleeding of low intensity.

Relief Pro is a cream for the treatment of hemorrhoids, effective for severe inflammation of the peri-rectal tissues, accompanied by severe pain.

Relief Advance is an ointment containing benzocaine. Helps with severe pain and has a quick effect. It also relieves discomfort from hemorrhoids (itching, irritation, burning).

It is advisable to use any ointment from the Relief series after childbirth for no more than 7 days. The preparations are suitable for external and rectal use. They are inserted into the anus using special applicators that come complete with ointments.

Posterisan

Relieves pain, relieves inflammation, heals damaged skin due to anal fissures or irritation. Very effective at the first signs of hemorrhoids. Used externally and rectally. Safe for nursing women after childbirth. The optimal duration of treatment during lactation is 7-10 days.

Bezornil

A drug with a complex composition. Helps with hemorrhoidal bleeding, irritation, swelling and inflammation of the nodes. Accelerates the healing of sphincter wounds and mucous tissue. It is used externally and rectally. After childbirth, the duration of use of Bezornil ointment is about 10 days.

Levomekol

Ointment for hemorrhoids after childbirth with a strong antiseptic effect. For hemorrhoids, it is best used for chronic anal fissures, when other drugs are ineffective, as well as when anal fissures are suppurated and exudate is released from them. The active ingredients of the ointment quickly destroy the action of pathogenic microorganisms, protecting the affected tissue from exposure to infected flora. After childbirth, it is advisable to use it after consultation with a doctor and for a limited period of time.

Vishnevsky ointment

Liniment with a powerful anti-inflammatory effect. For hemorrhoids, it is advisable to use it for chronic anal fissures, eczema, and ulcers in the anorectal area. The ointment relieves inflammation, disinfects wounds, prevents the proliferation of purulent bacteria, accelerates wound healing, and is safe after childbirth. The ointment is used only externally, applying a thin layer to damaged areas of the skin.

Fleming's ointment

Homeopathic ointment containing extracts of medicinal plants (calendula, witch hazel, horse chestnut, menthol). Has a strong anti-inflammatory effect. Quickly relieves swelling, pain, itching and irritation in the anorectal area. It has a beneficial effect on the condition of blood vessels and promotes the healing of anal fissures. A safe ointment for hemorrhoids during pregnancy and after childbirth, used externally. The product is applied with a cotton swab to the inflamed external nodes.

Procto-Glivenol

An ointment with tribenoside that eliminates blood stagnation in hemorrhoidal veins and restores vascular function. It also reduces swelling and relieves pain. Suitable for use after childbirth. The drug is applied to the inflamed nodes or injected into the rectum using a special applicator.

Ointments according to traditional medicine recipes

There are many folk remedies that help get rid of the signs of hemorrhoidal disease. To treat hemorrhoids after childbirth, you can use natural remedies made from medicinal plants, vegetable or butter, and honey.

For inflamed hemorrhoids and swelling, 1 tbsp. l. Vaseline and butter are mixed, crushed snuff is added (at the tip of a knife) and ground through a fine sieve for uniformity. For bleeding, add 1 g of streptocide ointment to the mixture. Apply the product to the affected area up to 3 times a day.

For inflammation of the nodes and pain, use cinnamon ointment with honey. The ingredients are taken in equal quantities and mixed thoroughly. The resulting mass is distributed in a thin layer over the affected area up to 3 times a day and always before bedtime.

For swelling and irritation, ointment with calendula and Vaseline helps well. To do this, add 5 g of calendula alcohol tincture to 10 g of petroleum jelly, or use a ready-made ointment from the pharmacy. You can buy it at the pharmacy or make it yourself. To prepare it, 1 tbsp. l. dry crushed calendula flowers are poured with 100 ml of alcohol and left in a dark place for 2 weeks.

With the birth of a child, the life of every woman is filled with new worries and joys. But often the postpartum period is overshadowed by such a delicate problem as hemorrhoids.

In women, hemorrhoids after childbirth are not uncommon. Usually it manifests itself due to changes in a woman’s body: the growing uterus puts pressure on the area inside the peritoneum, which makes it difficult for blood to flow out of the rectal veins. A sedentary lifestyle, increasing weight, unhealthy diet, etc. contribute to the development of the disease.

After childbirth, the new disease begins to worsen. However, everything is not so scary. If you follow simple rules, this disease can be quickly and effectively dealt with in the first few months after the birth of the child.

Hemorrhoids are pathological enlargement and inflammation of the veins of the rectum; this disease is very common and familiar to almost everyone. As a rule, a woman notices the first symptoms of the disease during pregnancy.

While carrying a child, a woman experiences an ever-increasing load on the pelvic organs, as a result of which the blood supply to the organs is disrupted and congestion develops, contributing to the appearance of hemorrhoids.

If during pregnancy the expectant mother may experience only minor discomfort, then after the birth of the baby the problem worsens. Why do severe hemorrhoids appear after childbirth, and what reasons provoke an exacerbation of the disease?

During pregnancy, the expectant mother gains from 10 to 15 kilograms, which becomes an additional provoking factor leading to the development of hemorrhoids. During childbirth, the problem gets worse; overstrain of the perineal muscle system and strong pushing can lead to an exacerbation of the disease.

Thus, every pregnant woman suffering from hemorrhoids automatically falls into the risk group after the birth of a child. What symptoms should you pay attention to and what should you do if hemorrhoids appear after childbirth?

Symptoms - photos

Exacerbation of hemorrhoids after childbirth significantly reduces the quality of life and causes significant discomfort to the young mother. While devoting all her strength to caring for a newborn child, a woman is simultaneously forced to deal with the painful symptoms of the disease.

As a rule, the first manifestations of pathology appear in the maternity hospital. This is due to decreased tone and weak intestinal motility after childbirth. The accumulation of feces in the intestines leads to constipation and increased congestion in the pelvic organs.

As a result, existing hemorrhoids increase in size and become inflamed. The characteristic symptoms of hemorrhoids begin to appear:

• Feeling of heaviness in the anal area
• Constant discomfort, burning and itching in the anus
• Sensation of a foreign body in the rectum
• Pain during bowel movements
• The appearance of blood during bowel movements

Hemorrhoids can be either external or internal. the nodes become inflamed inside the rectum. External forms are characterized by prolapse of nodes outward; this condition can be provoked by difficult, complicated childbirth.

When the first symptoms of hemorrhoids appear, a young mother should not delay consulting a doctor. Many women are interested , Will hemorrhoids go away on their own after childbirth? We can definitely say that it will not work. Ignoring the problem or trying to treat yourself can lead to complications and the disease becoming chronic.

It will help solve a delicate problem; the doctor will select the necessary medications, taking into account the individual condition of the patient. A young mother should remember that while breastfeeding, many medications can have a negative impact on the baby’s health, so only a doctor can select safe medications and explain how to treat hemorrhoids after childbirth.

Treatment of hemorrhoids after childbirth in a woman should begin as soon as possible. The fact is that this disease seriously harms the mother’s health, including her mental health. It prevents her from recovering faster, coping with postpartum depression and taking full care of the child.

Also, constant bleeding in the rectum further aggravates postpartum anemia. As a result, a woman constantly feels tired, and this affects the quality of breast milk, and therefore the health of the child. The milk may even disappear altogether if the anemia becomes too severe.

Hemorrhoids after childbirth should not become an obstacle to happy motherhood. During this crucial period, doctors use gentle treatment methods and even in severe cases, stages 3-4, try to avoid surgical treatment and postpone it to a later date.

After the birth of a child, the choice of medications should be approached with extreme caution. Priority is given to drugs that cannot have a negative effect on the child; their active substances should not penetrate into the mother’s bloodstream, and with it into breast milk. Many potent drugs containing hormones are contraindicated during this period.

Preference is given to natural-based products that do not contain chemical components. They are no less effective and can be used to treat hemorrhoids after childbirth while breastfeeding. Since most medications are prohibited during this period, rectal suppositories and ointments remain the most popular and relevant remedies. Let's tell you more about them.

Ointments for hemorrhoids

Ointment for hemorrhoids after childbirth should have the following therapeutic effects:

• Relieve pain.
• Fight the inflammatory process.
• Eliminate irritation and...
• Prevent the development of bleeding from the rectum.
• Help strengthen vein tone.
• The active substances of the drug should not pass into the blood or breast milk.

The pharmaceutical industry produces a wide range of topical drugs that meet these requirements.

1. – used to treat external hemorrhoids. The drug has a venoprotective effect, strengthens small blood vessels, reduces inflammation, relieves itching, and eliminates swelling. It has a minimum of contraindications and side effects.
2. Hepatrombin G is the best ointment for hemorrhoids after childbirth. The ointment contains heparin and allantoin. The active substance heparin helps reduce blood clotting, which starts the process of resorption of blood clots and prevents the formation of new ones. Allantoin has a pronounced anti-inflammatory effect. In general, the drug has regenerating properties and stimulates the healing of damaged tissues.
3. Relief Ultra, Relief Advance (ointment, cream, gel) – contains shark liver oil and benzocaine. Shark liver oil reduces inflammation and has a wound healing effect. Benzocaine is a strong anesthetic that relieves pain. The drug can be used to treat different forms of hemorrhoids (internal, external and combined).
4. – often prescribed for the treatment of postpartum hemorrhoids. The basis of the drug is heparin, which has an anti-inflammatory and absorbable effect. The ointment helps strengthen vascular tone and prevents the formation of blood clots.
5. Bezornil - ointment contains musk (artificial), borneol, pearls, amber, artificial bezoar, zinc carbonate. The drug has an analgesic, regenerating, anti-edematous, astringent effect. The use of ointment allows you to relieve pain, eliminate irritation and itching, and prevent the development of bleeding.
6. – a homeopathic remedy that contains extracts of horse chestnut, witch hazel and calendula, menthol, zinc oxide. It has a mild anesthetic effect, fights inflammation and promotes the healing of damaged tissue. The ointment has an antibacterial and drying effect and is recommended for the treatment of external hemorrhoids.
7. - contains three components: birch tar, antiseptic and castor oil. It copes well with the symptoms of the inflammatory process; when applied, it forms a fatty film that prevents the penetration of air, thereby stimulating rapid tissue regeneration and healing.
8. based on ichthammol, it has a pronounced analgesic and anti-inflammatory effect, and heals anal fissures well.

Suppositories for the treatment of hemorrhoids after childbirth

The main difficulty in treating hemorrhoids during breastfeeding is the danger of active substances passing into breast milk. Preparations such as Anuzol and belladonna suppositories contain an extract of the poisonous belladonna plant, which can cause irreparable harm to a child’s health.

Therefore, the choice of a safe remedy must be entrusted to a specialist; he will select the right drug that can effectively relieve painful symptoms and not harm the baby. The most reliable means for treating internal hemorrhoids after childbirth are:

• Candles with sea buckthorn oil. These are the most popular suppositories for hemorrhoids after childbirth. The drug has a powerful regenerative effect, reduces inflammation, eliminates burning and itching, and heals mucous membranes well. Sea buckthorn suppositories are used to treat internal hemorrhoids, anal fissures and rectal ulcers. This is a safe remedy that has a minimum of contraindications; suppositories are approved for the treatment of hemorrhoids during breastfeeding, since they do not contain any substances harmful to the baby.
• Posterizan (rectal suppositories) – the drug contains inactivated E. coli, which help increase local immunity and help the body cope with the pathological process. Suppositories have a wound-healing effect and help strengthen blood vessels. The active substances are not absorbed into the blood and do not penetrate into mother's milk, which allows the drug to be used during lactation.
• . They have an analgesic, healing, hemostatic effect. The active substance of the drug copes well with inflammation and stimulates local immunity. Relief rectal suppositories are approved for use during breastfeeding, but treatment must be carried out under the supervision of a doctor, as allergic reactions to one of the components (shark liver oil) are possible.
• - The suppositories contain heparin, polidocanol and prednisolone acetate. The drug has antipruritic, antithrombotic and decongestant effects, copes well with inflammation and helps strengthen the walls of blood vessels. Heparin resolves existing blood clots and prevents the formation of new ones, speeds up the healing process by hardening dilated veins. Prednisolone relieves swelling well and relieves itching. Polidocanol has a pronounced analgesic effect.
• (suppositories) – the drug contains lidocaine and tribenoside, these substances have a local anesthetic, anti-inflammatory and antipruritic effect. The use of the drug for internal hemorrhoids improves blood microcirculation, strengthens capillary walls and increases the tone of the rectal veins.
• - a natural preparation based on a plant extract of a medicinal plant. Its main purpose is to heal cracks and wounds. Calendula suppositories are successfully used to heal anal fissures and other damage to the rectal mucosa. The drug has virtually no contraindications and is approved for use in pregnant and lactating women.
• – the active substance of the drug is a natural polysaccharide extracted from seaweed. It has a pronounced hemostatic and reparative effect, actively fights inflammation and quickly copes with the symptoms of hemorrhoids. Natalsid suppositories are prescribed for chronic hemorrhoids accompanied by bleeding, rectal fissures and complications of hemorrhoids (proctosigmoiditis). The natural drug has virtually no contraindications and is approved for the treatment of hemorrhoids after childbirth.

Postpartum hemorrhoids are characterized by an acute course. Initial symptoms (itching and discomfort in the anus) are quickly complicated by the appearance of enlarged, inflamed hemorrhoids. The act of defecation becomes extremely painful and is often accompanied by bleeding from the anus.

Not only drug therapy, but also lifestyle adjustments will help to quickly cope with the manifestations of hemorrhoids, prevent its further development and the occurrence of complications. Experts will advise the young mother to do special exercises that strengthen the pelvic floor muscles and follow a certain diet aimed at eliminating constipation and normalizing the functioning of the digestive tract.

Diet and proper nutrition

In addition to drug treatment, the woman will be advised to follow a special high-fiber diet. The diet should include as many fresh vegetables and fruits as possible.

Fiber will also help prevent constipation. It should be taken into account that if a woman is breastfeeding, it is undesirable to consume some fruits (for example, citrus fruits), they can cause allergies in the baby.

It is necessary to exclude fatty, fried, high-calorie foods from the diet, avoid spicy, salty foods, marinades and smoked foods. You should not indulge in chocolate, white bread, confectionery, coffee, or sweet carbonated drinks.

Experts advise including in the daily menu:

• vegetable salads seasoned with vegetable oil,
• low-fat broths,
• dietary meat (veal, chicken, rabbit),
• dairy products.

You should avoid vegetables with coarse fiber (cabbage, radishes, radishes, corn) and legumes, they contribute to excessive gas formation and negatively affect the digestive processes. To effectively relieve constipation, it is recommended to drink more:

• mineral water,
• juices,
• compotes.

You need to drink at least 1.5 - 2 liters of liquid per day. It is better to steam, stew or bake food.

How to treat hemorrhoids after childbirth with an active lifestyle and hygiene

In addition to following a diet, the doctor will advise the woman to move more, take long walks and perform special exercises at home, which will help restore normal blood flow in the pelvic organs and remove one of the main causes of the disease.

A set of therapeutic measures quickly gives a positive effect and helps to cope with the manifestations of hemorrhoids. Having gotten rid of painful symptoms, a woman will be able to devote all her attention to caring for her newborn baby.

Hygiene is also necessary for hemorrhoids. If the external nodes are inflamed, you should wash yourself with cool water every time after stool. This relieves inflammation and pain. It is better to use damp or at least soft toilet paper.

It should be remembered that in case of illness, hot baths and saunas are contraindicated; warm baths with herbal decoctions (chamomile, sage leaves, oak bark, calendula flowers) are useful.

Folk remedies

There are also plenty of traditional medicine recipes that successfully fight. But you should also be careful with them; advice and recommendations read on some forums or magazines may not always be useful. It often happens that harmless recommendations can cause harm to health and aggravate the situation. Therefore, be sure to first discuss the recipes you like with your doctor.

Some of the safe recipes are the following:

1. Three times a day, drink half a glass of fresh rowan juice, washing it down with water. Or 30 minutes before meals, drink a glass of cabbage pickle each time.
2. For washing, use a decoction of wild strawberry leaves.
3. At night, you can inject 2 ml of cedar oil into the anus with a disposable syringe or insert a cotton swab soaked in celandine juice into the anus. Also used for lotions is a decoction of thorn leaves or a decoction of horsetail herb.
4. If, then you can take a teaspoon of cucumber juice or fumigata officinalis juice.

Thus, to treat or at least alleviate the health condition of hemorrhoids, it is enough to eat right, prevent constipation, maintain hygiene, lead an active lifestyle, and, most importantly, consult a doctor on time.

Postpartum hemorrhoids are a typical problem faced by almost every second young mother who gave birth naturally. Treatment of hemorrhoids after childbirth has its own characteristics. During lactation with breast milk, substances that are contraindicated for it may enter the child’s body, so not all medications and methods can be used to get rid of this pathology.

Causes of pathology

Most often, external or internal hemorrhoids begin to develop during pregnancy, when there is a sharp increase in weight, displacement of organs due to the increasing size of the uterus, and also changes in hormonal levels. As a rule, the disease occurs in a sluggish form, without causing severe discomfort to the pregnant woman. But after childbirth, during which the body was subjected to serious overload, hemorrhoids worsen. The acute form of the disease causes not only severe discomfort, but also unbearable pain. The following factors contribute to this clinical picture:

• in the last trimester of pregnancy, the pressure inside the abdominal cavity increases, which causes stagnation of blood in the veins of the pelvic organs;
• An increased level of progesterone in the blood towards the end of pregnancy causes a strong weakening of vascular tone. Their walls stretch, causing stagnation of blood and enlargement of hemorrhoids;
• frequent constipation during pregnancy also causes the development of initial stage hemorrhoids;
• During childbirth, there is a rush of blood to the pelvic organs, pressure on the pelvic organs increases, including the hemorrhoidal veins, and the sphincter muscles also experience enormous stress. All this only worsens the clinical picture of the disease, which began to develop during pregnancy.

Relative factors that provoke the development of hemorrhoids after childbirth, as well as aggravating existing pathology, include:

• excess weight;
• sedentary lifestyle;
• errors in nutrition;
• taking hormonal medications;
• lifting weights.

Symptoms and possible complications

Postpartum hemorrhoids can manifest themselves in both acute and chronic forms. The first option is characterized by the sudden appearance of pain, severe discomfort in the anal area (burning, itching), and the second is characterized by a long course and unexpressed symptoms: itching or burning may periodically appear, which quickly disappear after using rectal suppositories; drops of blood may also periodically appear after intercourse defecation.

Unpleasant sensations in the initial stage of development of the disease intensify after the act of defecation:

• pain - occurs after defecation and, as a rule, goes away quickly. In some cases, mild but constant aching pain can persist for a long time. Most often it occurs with a slight inflammation of the external hemorrhoids. In this case, small bumps appear near the sphincter;
• itching, burning - may bother you for a long time. Unpleasant sensations intensify during defecation and disturb for a long time after it.
• spotting - occurs with frequent constipation, with the appearance of anal fissures or with the development of internal hemorrhoids, when feces, passing through the intestinal duct, injure enlarged hemorrhoids.

When the first symptoms of the disease appear, you should immediately seek medical help. Timely treatment will help avoid serious complications:

• If left untreated, hemorrhoidal cones will increase in size. In the future, they will begin to fall out of the rectum, which will require radical surgery to remove them;
• prolonged disruption of normal blood flow leads to the development of severe inflammatory processes and swelling in the tissues, which causes constant severe pain. If left untreated, complete blockage of the veins of the hemorrhoid occurs, which leads to tissue necrosis, which also requires immediate surgical treatment of hemorrhoids.
• very often the small bleeding that bothered you in the early stages of the disease becomes more profuse. Large blood loss leads to the development of anemia, the quality and properties of blood throughout the body decrease.
• Hemorrhoids of the last stage, when inflamed hemorrhoids are difficult to straighten even by hand, cause deformation of the sphincter muscles, which causes mucus and feces to leak out (wetting hemorrhoids).

How to treat hemorrhoids in a nursing mother? Read more about this in this article.

Treatment of hemorrhoids after childbirth

How to treat hemorrhoids after childbirth? The treatment regimen depends on the stage of the disease. For acute or chronic hemorrhoids at stage 1 or 2, the use of medications and folk remedies will be sufficient to alleviate the condition. The disease in stages 3 and 4 requires not only the use of medications, but also minimally invasive, and in severe cases, radical surgical operations.

Surgery

For severely inflamed hemorrhoids, minimally invasive methods of surgical intervention are most often used, which are not contraindicated during lactation:

• ligation of hemorrhoidal cones with latex rings;
• cryotherapy;
• infrared and laser coagulation.

All methods are aimed at destroying hemorrhoids in various ways (low temperatures, laser cauterization, disruption of the blood supply to the node, etc.). The procedures do not require hospitalization and quickly and effectively help cope with the disease.

As for radical operations under general anesthesia, the decision here is made only by the attending physician. As a rule, such operations are possible during lactation, but breastfeeding is stopped for up to 24 hours after the application of general anesthesia.

Conservative therapy

Ointments and suppositories for hemorrhoids after childbirth can only be used after consultation with your doctor. Many plant and animal substances that make up drugs pass into breast milk and then into the baby’s body. They can cause allergies and other side effects in a fragile child’s body, which will negatively affect his general condition. Only a doctor can take into account all the nuances and recommend drugs that are truly safe during breastfeeding.

Gel Troxevasin

The gel is used to relieve severe swelling and inflammation caused by blocked hemorrhoidal veins. The drug quickly relieves tissue swelling and helps restore vascular tone. The gel can be used for a long time for chronic hemorrhoids that are difficult to treat. Troxevasin is applied to the affected areas 2 times a day. There is no evidence of negative effects on the body of mother and child during lactation.

Heparin ointment

Improves and normalizes blood flow in tissues, relieves swelling, itching, and reduces enlarged hemorrhoids. The ointment is used until the acute signs of hemorrhoids disappear. The average duration of use of the ointment is from 5 to 14 days. Longer use is possible only after consultation with your doctor. Heparin ointment is not contraindicated for use during lactation.

Relief, Relief Advance

The drug reduces the pronounced symptoms of hemorrhoids, eliminates discomfort, relieves itching and burning, and reduces hemorrhoids. Relief Advance can be used to relieve pain in acute hemorrhoids and after minimally invasive or radical operations in the anorectal area. The ointment is used no more than 4 times a day until acute symptoms disappear. The effect on the child’s body when using the drug for the treatment of hemorrhoids during lactation has not been fully studied due to the insufficient number of facts. Therefore, Relief series ointments are not recommended for use without the permission of the attending physician.

Posterisan

Restores damaged tissue, prevents re-inflammation, enhances the natural protective functions of the skin and mucous membranes. The duration of treatment for hemorrhoids should not be more than 3 weeks. The drug is applied to the affected area in a thin layer after each bowel movement, but not more than 3 times a day. The drug is not excreted in breast milk, therefore it is completely safe during lactation.

Vishnevsky ointment

The ointment relieves inflammation well and prevents the development of purulent processes in hemorrhoids. Quickly restores damaged tissue. Long-term use is possible, more than 14 days, but only in consultation with a doctor. It is necessary to apply the ointment to the affected areas up to 3 times a day. The ointment can be used during lactation.

Candles “Sea buckthorn oil”

They relieve severe inflammation and have an antibacterial effect, killing pathogenic microorganisms that cause suppuration of the affected areas of the skin and mucous membranes during hemorrhoids. For acute symptoms of hemorrhoids, use no more than 2 times a day for 7 days. Extending the period of use is possible only in consultation with a doctor. Sea buckthorn suppositories are absolutely safe for use during lactation.

Homeopathic suppositories with propolis, calendula

They quickly heal abrasions and erosions in the peri-rectal area, relieve pain and burning, and eliminate pathogenic bacteria that cause inflammation in the tissues. For hemorrhoids after childbirth, these drugs can be used effectively only in the initial stages of the disease. For acute and prolonged pain that occurs after bowel movement, it is allowed to increase the number of suppositories used to 2 per day. During lactation, homeopathic suppositories can be used without any restrictions.

Natalsid

Suppositories that have anti-inflammatory and hemostatic effects. The standard course of treatment with suppositories lasts 1 week. It is allowed to use the drug for longer only on the direct instructions of a doctor. Suppositories can be used for the treatment and prevention of hemorrhoids after childbirth during lactation.

Neo-Anuzol

Rectal suppositories that effectively relieve pain in acute hemorrhoids. The product prevents the development of pathogenic bacteria, thereby preventing infection of tissues by purulent microorganisms and reducing existing inflammation. Use no more than 2 suppositories per day. Candles can be used during lactation.

Anestezol

Suppositories with antiseptic and anesthetic effects. Quickly relieve swelling and improve blood flow in tissues. To normalize the patient’s condition and eliminate acute signs of hemorrhoids, it is enough to use 1 suppository for 7 days. During lactation, suppositories can only be used as prescribed by a doctor in strictly prescribed dosages.

Procto-Glivenol

They improve blood flow in tissues, restore damaged vascular walls, and prevent the development of thrombosis in nodes. Relieves pain during exacerbation of hemorrhoids. For severe pain, up to 3 pcs. per day, after the discomfort disappears, the amount is reduced to 1 pc. in a day. Procto-Glyvenol can be used during lactation.

Folk remedies

You can treat hemorrhoids after childbirth with some traditional methods.

The list of unpleasant complications of pregnancy and childbirth includes hemorrhoids. It appears in many women already during pregnancy due to stagnation of blood in the pelvis. However, the painful symptoms associated with it occur only after childbirth, which causes internal hemorrhoids to prolapse outward. In this article we will explain in detail the causes of external hemorrhoids after childbirth, and also tell you how to cure this disease and not harm lactation.

While carrying a child, a woman’s body is rebuilt, internal organs shift and begin to work differently. This is especially true for the intestines and circulatory system of the small pelvis. A fetus that is actively developing and growing puts strong pressure on the pelvic veins, bladder and rectum. As a result, intestinal motility is disrupted in a pregnant woman, and constipation occurs, causing hemorrhoids.

In addition to the obvious reason for the appearance of hemorrhoids after childbirth, there are a number of other factors due to which a woman may experience such a complication:

• Physical inactivity. Often pregnant women, especially in the later stages, neglect physical activity, as a result of which blood stagnates in the hemorrhoidal veins, and during childbirth, these veins are compressed, forming external lumps on the anus.
• Excess weight. If a pregnant woman has gained too many kilograms and began to look obese, then she has put additional stress on her body, in particular on the anus.

Note that hemorrhoids can appear not only after natural childbirth. Those who undergo a caesarean section also need to take care of their health, because after the operation the woman will be prohibited from moving for some time and going to the toilet. As a result, stagnation may form in the intestinal veins, which will lead to constipation, and as a result, to hemorrhoids.

Hemorrhoids after childbirth: symptoms

Hemorrhoids after childbirth can acquire one of the stages of its development, each of which is characterized by its own characteristics and symptoms:

• At the first stage of hemorrhoids, after each bowel movement, a woman who has just given birth may notice traces of blood and feel discomfort in the anus - itching, burning, a feeling of heaviness in the anus.
• At the second stage of the disease, in addition to the above symptoms, one more appears - the hemorrhoid begins to fall out with strong strain during defecation. You can fix it yourself.
• At the third stage, the hemorrhoids fall out even with a slight load on the rectum. A woman just needs to cough for this to happen.
• At the fourth stage of the disease, prolapse of hemorrhoids may be accompanied by bleeding and thrombophlebitis.

What does hemorrhoids look like after childbirth? According to the symptoms immediately after childbirth, hemorrhoids may appear as if they are in the fourth stage. However, there is no need to panic; it is better to start proper and timely treatment so that hemorrhoids do not become chronic.

Hemorrhoids after childbirth: treatment

What to do with hemorrhoids after childbirth? The answer is obvious - treat, but very carefully, since the new mother begins to develop lactation, which is necessary for the child to receive the most complete and best nutrition for him - mother's milk. Therefore, before starting treatment for hemorrhoids, a woman in labor should consult a doctor to find out what medications can be used to treat hemorrhoids after childbirth while breastfeeding.

As a rule, a woman is prescribed the use of external remedies for hemorrhoids after childbirth. These include:

1. Ointments for hemorrhoids after childbirth:

• Heparin ointment;
• Fleming's ointment;
• Posterisan;
• Relief.

1. Suppositories for hemorrhoids after childbirth:

• Sea buckthorn candles;
• Hepatrombin G;
• Procto-Glyvenol;
• Natalsid.

Another way to treat hemorrhoids after childbirth is to use folk recipes. For example:

• Every day, once a day, half an hour before meals, drink one glass of cabbage brine.
• Drink freshly squeezed rowan juice three times a day (with water).
• Wash off with a decoction of wild strawberry leaves.
• Using a regular syringe, inject cedar oil into the anus (you need 2 ml of this substance).
• Insert a cotton swab soaked in celandine juice into the anus.

If hemorrhoids appear after childbirth, you need to completely reconsider your diet. A woman will have to give up fatty foods, fried, salty, pickled. Sweets and fast food are also strictly prohibited, as they will only aggravate intestinal motility and cause constipation. But vegetable salads, low-fat broths and fermented milk products, on the contrary, will help you quickly get rid of an unpleasant disease.

Prevention of hemorrhoids in women after childbirth

What can you do to prevent hemorrhoids from causing a lot of discomfort after childbirth? It is necessary to carry out some preventative measures:

• Maintain the correct daily routine.
• Do not strain during bowel movements (for this, of course, you need to eat right and avoid stagnation of blood in the intestinal veins to avoid constipation).
• Maintain personal hygiene - wash yourself regularly after each bowel movement and wipe the anus dry with toilet paper or a paper towel.
• Exercise and perform Kegel exercises, which will help keep not only the anus, but also the vaginal muscles toned.
• Walk in the fresh air to strengthen your immune system.

Video: “Proctology. Hemorrhoids after childbirth"

In this video, an expert explains how to cure hemorrhoids after childbirth as effectively and quickly as possible when a woman is breastfeeding her baby. The doctor talks about the features of treating hemorrhoids after natural childbirth and cesarean section, and also gives recommendations on the changes that every woman in labor should bring into her life in order not to develop hemorrhoids.

A woman faces a number of difficulties in the postpartum period - hemorrhoids occur. As a side effect of pregnancy, it manifests itself with varicose veins enlarged and inflamed. Veins are localized near the rectum, fill with blood, become deformed, thicken, and enlarge. Then they curl into clubs, forming formations resembling knots. The likelihood of relapse is high in women who are faced with pathology.

The disease is classified into internal and external. The internal one is more dangerous - it causes severe bleeding. The external one does not cause any problems and is easier.

The disease develops before childbirth during the late stages of a woman’s pregnancy. The disease is provoked by increased pressure of the uterus and fetus on the rectum. The longer the pregnancy, the stronger the pressure becomes - it is more difficult for blood to flow.

Frequent occurrence of constipation during pregnancy in women affects the development of hemorrhoids. The reason is the increased production of progesterones during pregnancy, which slows down the functioning of the digestive system. The hormone has a relaxing effect on the venous walls - subsequently they stretch much more easily, and the disease develops in the postpartum period.

The development of the disease is influenced by a sedentary lifestyle, junk food, and excess weight. If a girl often used laxatives, enemas, abused alcohol, drugs, or lifted weights, the likelihood of developing the disease increases. The development of the disease is influenced by congenital defects in the structure of the veins. The disease appears in girls who have given birth after natural childbirth or cesarean section. The disease occurs after the first, second and subsequent births.

Symptoms

The disease occurs in two stages. The first stage is chronic. It lasts for a long time, much milder than in the second stage - acute. The main difference is surprise.

Irritation in the anal area, burning sensation are the first manifestations of a disorder in the rectum, felt by a girl after childbirth. Continuous pain is caused by trauma to the mucous membrane, damaged by feces. Over time, after stool, the pain disappears. The feces appear with blood.

The hemorrhoidal node enlarges over time and, due to inflammatory processes, takes on a reddish tint and swelling. The pain felt by the girl in the anal area becomes long-term. Pain increases when walking, in a sitting position with inflammation of the pathology.

With an exacerbation of the disease, complications are recorded - the formation tissues die, cracks appear, and inflammatory processes occur in the tissues located in the rectal area.

The disease progresses slowly, evenly in the chronic stage. There are no obvious signs, the patient has no idea about the disease. Irritation and burning in the anus bother the patient after defecation. Worsened by a feeling of unsatisfactory bowel movements. Painful sensations are not constant and are short-lived. The node bleeds after stool - the blood flow will increase. If there is excessive bleeding after using the toilet, you should consult a doctor so as not to worsen the situation!

During pregnancy, the symptoms of the disease may not bother you. They appear later - after pregnancy, childbirth. It is caused by pressing of vascular formations by the child’s head during childbirth. We are talking about the vessels in the pelvis located in the rectum, which increases pressure. There is a disturbance in the outflow of veins. Enlarged hemorrhoids often fall out after stool. If the nodule falls out, the formations may go back on their own. The phenomenon is recorded when lifting weights. At advanced stages, the nodules cannot be reduced - this is possible with the help of hands. The lumps do not go away - a terrible pathological process of tissue cell death begins to develop, causing massive bleeding hemorrhoids to appear.

Therapeutic measures

In medicine, there are two methods of treating the disease. In the first method, patients are treated with medications - conservative. The second method is called operative - it requires surgical work. Medications in the later stages do not cope with the disease. In the first and second cases, it is important to immediately consult a doctor when the first signs are detected. The proctologist will draw up a list of necessary recommendations and personal treatment.

At the beginning of the disease, a diet and regimen will help. The main goal of the regime is compliance with hygiene rules. Drink plenty of water and coarse fiber, which helps prevent constipation and reduce pain. Vegetables, fruits, whole grains, and legumes are full of fiber. It is recommended to take warm baths and apply ice cubes wrapped in soft cloth to the sore spot to relieve discomfort.

Don't neglect physical activity. Walking will help cure the disease. Spending too much time standing or sitting can worsen your health. Carry out the actions in a supine position - it will reduce the pressure on the rectal veins.

Treatment becomes more complicated when breastfeeding a child - medications pass into the milk. Stop taking medications. An alternative solution is used in the form of external agents (ointments, creams, suppositories). The products relieve irritation, pain, heal wounds, cracks that appeared simultaneously with the release of the node, and have a positive effect on blood microcirculation.

Application of candles

Candles help treat disease:

• With sea buckthorn oil.
• With calendula.
• With propolis.
• Relief.
• Procto-Glyvenol.

Candles with sea buckthorn oil are a drug of natural origin. The advantage of the medicine is to help the mother and baby who are breastfeeding. The drug heals cracks and wounds, eliminates terrible itching, swelling, and burning. If taken on time, protect yourself from complications.

The use of suppositories with propolis causes a strong anti-inflammatory effect and gives a chance to relieve pain. Purchased at a pharmacy or made at home.

Application of ointments

1. Posterized.
2. Proctosan.
3. Ointments "Vishnevsky.
4. Heparin ointment.
5. Troxevasin.
6. Relief.

Cream number five has a positive effect on the vascular formations of women. Reduces inflammation and swelling. Prescribed to nursing mothers due to the topical use of the ointment. The impact on the body will be minimal.

The third drug is safe for pregnant and breastfeeding women. Relieves swelling and inflammation, and can be used during chronic periods during exacerbation. Before using the ointment, take a warm sitz bath with added potassium permanganate, which will quickly disinfect and dry the affected areas. The procedure is applied three times before using the ointment.

Treatment of hemorrhoids after childbirth often includes special exercises that help improve blood circulation in the affected area and strengthen the muscles located in the anal area.

In the last stage, the disease cannot be cured using traditional methods - the hemorrhoidal node falls out at first. If the node remains in advanced stages, you can only agree to the operation. The purpose of the operation is to remove hemorrhoids.

ethnoscience

A number of traditional medicines are contraindicated for patients breastfeeding. We have to look for ways to treat hemorrhoids after childbirth without the use of medications. Folk remedies come to the rescue, helping in the fight against the disease, healing cracks, reducing constipation, relieving inflammation and pain. The methods and methods of traditional medicine are consistent with the opinion of the attending physician.

Women resort to using candles made from raw potatoes, candied honey or fresh lard. Cut a potato block shorter than your little finger. Dip the bar in honey. The procedure must be repeated at night at least ten times. After treatment, the pain will subside.

An effective method is to use sea buckthorn oil. Copes with small cracks and hemorrhoids. You can buy it at the pharmacy and use it during lactation periods. At home, it is recommended to overcome a girl’s problem with beetroot, sea buckthorn, and honey microenemas.

Take sitz baths to improve blood flow. It is based on herbs that have healing properties - calendula, chamomile. If you boil an onion with its peel, you will get an effective medicinal product that has a positive effect on the patient’s health. Boil the onions with skins in four liters of milk, let cool.

If there is pain in the anus, other manifestations of the disease are felt, propolis or clay lotions will help. For hemorrhoids, applying herbal oils of propolis and sea buckthorn to the skin in the area where the lesion is widespread will have a beneficial effect.

A compress of grated carrots and an infusion of wormwood are useful. Ice cubes from chamomile decoctions are used for postpartum hemorrhoids. Rub the pine cones 3-4 times a day – you will feel relief in a month.

Preventive procedures

Pay attention to the problem in a timely manner, carry out preventive methods to check for the presence of harmful formations. Daily therapeutic exercises, an active lifestyle, and proper nutrition include prevention.

Walking, not fast running, is a proven drug in the fight against the disease. Active sports and special exercises aimed at strengthening the pelvic muscles will improve blood circulation. Clothing that is too tight or too tight will harm the patient's health. For normal bowel function and to prevent constipation, follow a diet that includes foods high in fiber.

1. Follow the rules of personal hygiene - after stool, wash with cool water.
2. Rubbing the problem area with a towel is strictly prohibited - you can blot it with a napkin.
3. There is no need to push too hard during bowel movements.
4. Avoid eating unhealthy and spicy foods, cabbage, and foods that promote gas formation.
5. Take medications that have a laxative effect.
6. Include fruits with pectin in your diet - they will help you cope with hemorrhoids easier and faster. Add meat and fish to your diet.

Preventive measures will help you avoid the disease. During pregnancy, follow the rules of hygiene, lead an active lifestyle, and do not sit on the couch. Pregnancy is not a disease! Excessive inactivity leads to unpleasant consequences. Follow preventive measures after hemorrhoids are cured.