Hemorrhoids bleed after childbirth, what to do. How long does it take for hemorrhoids to go away after childbirth?

Hemorrhoids after childbirth are one of the most common diseases. But most clinical cases suggest the onset of the disease even before pregnancy; it’s just that a wonderful period becomes a catalyst for exacerbation. If signs of intestinal dysfunction appear, you should immediately contact a proctologist.

The causes of this unpleasant disease are quite obvious. Almost all of them come down to the girl’s improper lifestyle before or during pregnancy. Sometimes pathology develops due to circumstances beyond the mother's control.

Why do hemorrhoids develop after pregnancy?

1. Poor nutrition. Junk food provokes disruption of the gastrointestinal tract, which can cause constipation. With strong straining, the rectal mucosa is injured, which can subsequently lead to serious illness.
2. Weakness of veins. This point is explained by a person’s genetic predisposition to pathology.
3. Accompanying illnesses. The gastrointestinal tract is a single system. If any organ does not function properly, the entire digestive tract will suffer.
4. Bad habits. Abuse of bad habits before or during pregnancy leads to deterioration of the blood vessels, which in turn leads to the appearance of hemorrhoids.
5. The severity of the fetus. Throughout pregnancy, the child in the uterus deforms the pelvic organs, causing blood circulation in them to deteriorate.
6. Difficult birth. During the childbirth period, a woman pushes hard, which injures her intestines.
7. C-section. If the approach to surgery is incorrect, problems with veins are also inevitable.

If the patient’s medical history contains several predisposing factors, the occurrence of hemorrhoids after pregnancy will not take long to occur. The main thing is to recognize the symptoms of the disease in time and immediately come for examination.

Signs and symptoms in women

It is possible and necessary to treat hemorrhoids after childbirth at the first stage of its appearance. But how to detect early signs of the disease? The answer is simple - just listen to your body and notice disruptions in the digestive system.

Signs of hemorrhoids in women:

• discomfort in the rectum - may be accompanied by pain, heaviness or unpleasant itching;
• violation of the act of defecation - severe constipation or upset stool;
• blood after using the toilet - hemorrhoids are characterized by scarlet blood, not brown or black;
• the appearance of hemorrhoids outside the anus - they look like bumps the color of the mucous membrane of different sizes.

Symptoms may vary slightly depending on the type of disease and the location of the hemorrhoids.

Outer

External hemorrhoids look the least aesthetically pleasing, but are the mildest degree of this disease. It is not difficult to cure if you follow the recommendations of your doctor. Most often, the clinical picture is represented only by the appearance of external nodes, without pronounced pain in the intestines. It is easier to suspect such a disease, which has a positive effect on treatment.

Interior

Internal hemorrhoids are more dangerous. It is this that is most often accompanied by intestinal bleeding, as well as pain and other associated symptoms. This type of pathology requires an individual approach to treatment and regular preventive monitoring by a doctor.

Most often, internal hemorrhoids develop not due to pushing during childbirth, but as a result of chronically poor nutrition or serious problems with the venous system.

Combined hemorrhoids

Combined postpartum hemorrhoids are the most dangerous development of the pathology. It is accompanied by severe symptoms and sometimes requires hospital treatment. You should not try to get rid of it yourself, as the disease can cause a number of different secondary problems.

Treatment of hemorrhoids during breastfeeding

Treatment of hemorrhoids during breastfeeding should be prescribed by a proctologist together with a pediatrician. It is necessary to choose medications that are as gentle as possible for the child, because all substances pass into mother’s milk. In most clinical cases, the disease can be eliminated with the help of suppositories or ointments, as well as by changing the diet.

Candles

Suppositories for hemorrhoids are the most suitable dosage form for treating the problem under discussion.

Most of them have a natural composition, as a result of which their use is allowed after childbirth and from the first days of breastfeeding.

List of drugs:

• "Procto-glivenol";
• "Natalsid";
• "Relief";
• "Hepatrombin G";
• "Opesthesin."

You need to insert the suppository into the rectum through the anus, lying on your left side. Only in this position of the body will the use of the drug be most painless. Suppositories for hemorrhoids should be used in combination with other dosage forms.

Ointments

The use of ointment is indicated if the nodes are external. Then the drug will relieve inflammation and help reduce hemorrhoidal cones. This dosage form also does not work alone, so it should be used in combination with suppositories and proper nutrition.

What ointments are indicated for the treatment of a delicate problem:

• Heparin - does not enter the general bloodstream, promotes the restoration of veins, helps the resorption of nodes;
• Vishnevsky - the main effect is to relieve inflammation and prevent secondary infections;
• “Relief” - helps to quickly stop bleeding and prevent it in the future (Relief Ultra contains a hormonal component, so it is not recommended for use during pregnancy and breastfeeding);
• “Posterizan” - promotes the healing of microcracks in the anal area;
• "Levomekol" is an antibacterial drug, therefore it is prescribed only when absolutely necessary.

These ointments are widely known among young mothers, as they have saved many women from serious intestinal problems. Typically, they are used twice daily or as per your doctor's individual prescription.

Drugs

Tablets, capsules and emulsions for oral administration in the treatment of hemorrhoids are used much less frequently. This systemic therapy is suitable for those patients in whom the disease has taken a complicated form.

Such drugs eliminate the problem from the inside, relieving inflammation and strengthening the walls of blood vessels.

What is used for treatment:

• "Detralex" - strengthens the walls of blood vessels, relieves inflammation, itching, helps remove toxins from the body;
• "Troxevasin" - eliminates inflammation, prevents the development of chronic hemorrhoids;
• "Curantil" or "Aspirin" - reduce the risk of intestinal vein thrombosis;
• "Duphalac", glycerin suppositories, "Regulax" - normalize stool.

The decision about the need to take medications is made by the doctor. The specialist also helps you choose the appropriate dosage and course of drug treatment.

Folk remedies

Homemade medications should not be the main method of treating hemorrhoids. You can resort to folk remedies only with the permission of a specialist and at an early stage of the disease. It is important to combine such treatment with a proper diet.

Effective recipes:

1. Bath. Pour boiling water over a mixture of herbs from calendula, chamomile and oak bark. Leave the medicine covered for 15 minutes. Dilute the infusion with 2 - 3 liters of cool water in a basin. The colder the bath, the better. It is forbidden to immerse yourself in hot water - this can only worsen the condition of the intestines.
2. Lotion. Mix aloe pulp with a small amount of olive oil. Wrap the medicine in a soft bandage and then apply to problem areas for 15 to 20 minutes. Procedures should be performed twice a day.
3. Cold shower. Helps very well against external hemorrhoids. It is necessary to perform hygiene procedures using cold water after each visit to the toilet. In this way you can relieve pain and reduce the diameter of the nodes.

The main rule of home procedures is regularity. Such recipes will have any therapeutic effect only after some time. You can use folk remedies together with the use of rectal suppositories and ointments.

Food should be comfortable for the stomach and quickly digestible. It is better to eat at the same time in small portions 3 – 4 times a day.

Sweets, fried foods, fatty meats, and empty fiber (for example, in the form of baked goods, semolina) should be completely excluded from the menu. Every day your diet should contain the right fiber, which is found in vegetables and fruits, and grains. You should not drink sweet juices or soda; it is better to give preference to ordinary clean water.

To select a suitable diet, you should contact a nutritionist. He will help develop the menu that a particular patient needs, based on his age, weight, height, and lifestyle.

Prevention

After eliminating the symptoms of hemorrhoids, the body should be supported with the help of prevention. If you follow all these tips and recommendations, the functioning of the gastrointestinal tract will be completely normalized.

What you need to do to prevent recurrence of intestinal bleeding:

• give up bad habits (alcohol, smoking);
• adhere to a healthy diet;
• to live an active lifestyle;
• undergo preventive examinations with a proctologist in a timely manner;
• strengthen the cardiovascular system;
• do not self-medicate;
• wash regularly with a cold shower.

A competent and timely approach to the treatment of hemorrhoids after childbirth will quickly get rid of the problem. In the future it will be quite simple to maintain the result obtained.

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-Glivenol.

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.

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

The best treatment is prevention

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

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

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

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

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

Hemorrhoids after childbirth

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

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

Ointments

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

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

"Troxevasin"

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

"Relief"

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

"Proctosan"

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

Vishnevsky ointment"

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

Suppositories for hemorrhoids during lactation

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

Candles with sea buckthorn oil

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

Candles with calendula

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

Suppositories with propolis

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

Candles "Relief"

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

Suppositories "Procto-glivenol"

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

Traditional medicine against hemorrhoids

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

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

Little-known techniques

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

Alloying

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

Cryodestruction

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

Sclerotherapy

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

Infrared photocoagulation

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

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

Conclusion

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

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What are hemorrhoids

Every second woman faces this problem after giving birth, and begins to experience an inferiority complex. Hemorrhoids are not only unsightly, but also painful, because after each bowel movement the inflamed hemorrhoid bleeds, causes acute pain, and deprives you of sleep and rest. Inflammation of the rectal veins in a woman can begin during pregnancy, but at this stage, effective treatment is very difficult. After childbirth, the list of permitted medications is also limited, since the child is breastfed.

Why do hemorrhoids appear after childbirth?

If your anus begins to hurt after every trip to the toilet, it is possible that it is hemorrhoids. The disease develops even during pregnancy, but after childbirth hemorrhoids appear, prone to systematic relapses. As the uterus increases in size, intra-abdominal pressure increases, which contributes to compression of the venous vessels. Systemic blood flow is disrupted, and blood stagnation in the rectal veins develops. Here is an explanation of why postpartum hemorrhoids may appear; all that remains is to figure out how to get rid of them. Other reasons are given below:

• genetic predisposition;
• weakness of the venous wall;
• changes in hormonal levels;
• tendency to chronic constipation;
• complicated childbirth.

Signs of hemorrhoids in women after childbirth

A characteristic illness also occurs after a cesarean section, and is caused not by increased labor, but by problems with digestion during pregnancy. The symptoms of hemorrhoids in women after childbirth are identical - protrusion of the hemorrhoid from the anus, pain during bowel movements, a feeling of discomfort in the anus. The woman sleeps restlessly and visits the ladies' room with caution. Other signs of the disease when hemorrhoids appear after a cesarean section and not only are presented below:

• itching and burning in the anus;
• blood after completion of the act of defecation;
• sensation of a foreign body in the rectum;
• feeling of heaviness in the anus;
• acute attack of pain.

How to treat hemorrhoids after childbirth

Many experts recommend that young mothers do special gymnastics at home, but such treatment cannot be called quick. Hemorrhoids after pregnancy can be eliminated using official and alternative methods, and the choice of ointments and tablets for oral administration should be made exclusively by the attending physician. These may additionally include baths of herbal decoctions or folk painkillers to make the patient feel better.

In any case, effective treatment of hemorrhoids after childbirth helps to quickly remove alarming symptoms if you take a comprehensive approach to the health problem and comply with a number of specialist conditions. This:

1. A therapeutic diet that excludes the consumption of fatty, salty, fried, smoked and spicy foods.
2. The use of local antiseptics that relieve inflammation alleviates the patient’s condition.
3. Therapeutic exercises, which prevent the protrusion of the hemorrhoid, normalize the venous blood flow.
4. Compliance with the prescribed medication regimen, while the baby can continue to be breastfed.
5. The use of anti-inflammatory, restorative and restorative drugs in a full course, which makes conservative treatment especially productive.

Outer

Such a focus of pathology may appear in a future mother at different stages of lactation. It will not go away on its own, especially since the inflamed node falls out of the anus, which is obviously observed during visual inspection. External hemorrhoids after childbirth must be reinserted into the rectum, after which medicinal ointments and suppositories must be used. A specialist will tell you how long to treat. Here is a remedy for hemorrhoids during breastfeeding for external use:

• Relief;
• Troxevasin;

Interior

In such a clinical picture, it is imperative to undergo a full examination, since the inflamed hemorrhoidal node is not visible during examination and is located directly in the rectum. Internal hemorrhoids after childbirth can also be successfully treated with ointments and creams, but the recovery process is long and causes discomfort to a woman during lactation. Superficial self-medication is excluded, especially since the woman continues to breastfeed her child. Here are effective treatments for hemorrhoids while breastfeeding:

• Detralex;
• Bezornil;
• Fleming's ointment.

How to treat hemorrhoids after childbirth

Feeding a baby with breast milk is an important task for a nursing mother, since the child’s immunity is formed. If hemorrhoids begin to appear during this period, it is important to choose a safe and effective medicine. It is advisable to choose folk remedies for hemorrhoids after childbirth, as an option - chamomile decoction or extract, belladonna suppositories. With such therapy, the child can continue to be breastfed, the main thing is that there is an effect. If treatment for hemorrhoids during lactation does not produce results, it is better to replace it with official medicine, for example, use Procto-glivenol or another drug.

Candles

If the source of pathology is internal, it is better to choose suppositories for hemorrhoids after childbirth for rectal use. One procedure at night is not enough; you need to complete the full course. Below are medications that are effective for nursing mothers and completely safe for babies during lactation. Here are the folk remedies:

• Relief;
• Hepatrombin;
• Natalsid;
• candles made from honey or potatoes.

Ointment

This remedy is suitable for internal and external pathology. When choosing an ointment for hemorrhoids after childbirth, it is important to take into account the body’s reaction, contraindications and drug interactions. The following medications are recommended for nursing mothers:

• Ichthyol;
• Levomekol;
• Hepatrombin G;
• Proctosan.

Prevention of hemorrhoids before childbirth

Normal bowel function and prevention of chronic constipation is the most effective way to avoid hemorrhoidal protrusion. Reliable prevention of hemorrhoids before childbirth involves an active lifestyle, long-distance walking, adherence to personal hygiene rules and mandatory physical therapy. It is important to know this so that you don’t have to think about how to get rid of hemorrhoids after childbirth.

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The symptoms of the disease are standard, no matter what causes it. Typically, young mothers complain about:

• A feeling of heaviness in the rectum, often localized in the anus;
• Itching and burning in the anus;
• Fresh (scarlet) blood in the stool;
• Pain and other discomfort during bowel movements;
• Swelling in the anus;
• Discomfort and pain when sitting for long periods of time.

How are hemorrhoids treated after childbirth, how long will it take to go away with proper therapy?

You should not treat hemorrhoids on your own; a proctologist should prescribe the necessary medications and procedures. Most often, doctors choose remedies in the form of suppositories, or creams and ointments. They act locally and help reduce pain and swelling. If necessary, systemic drugs approved for lactation with an anti-inflammatory effect, as well as strengthening vascular walls, can be used. Safe laxatives are used to normalize stool.

One of the keys to successful treatment of hemorrhoids is proper nutrition.

To ensure normal intestinal motility, it is necessary to consume foods rich in fiber, cereals, natural vegetable oils and fermented milk products. It is important to include more vegetables, fruits, and dried fruits in your diet and improve your water balance.

Hot spices are contraindicated for hemorrhoids, as they can increase discomfort.

With this disease, intimate hygiene is very important. After each act of defecation, the anal area must be washed. You can do this using decoctions of medicinal herbs. Instead of regular toilet paper, it is better to use special napkins with witch hazel. It is also necessary to wear breathable underwear. Special postpartum panties are perfect.

With adequate treatment, the symptoms of hemorrhoids begin to go away already on the second or third day. It will take about a week for the nodes to disappear. In their place you will find small leathery formations resembling pouches.

If drug therapy does not help, surgery is necessary, but this does not provide a 100% guarantee of cure.

How long does it take for hemorrhoids to go away after childbirth without treatment?

Hemorrhoids by themselves do not disappear. Sometimes expectant mothers feel as if they did nothing for treatment, but the symptoms disappeared. Indeed, after childbirth, the pressure on the veins disappears, and hemorrhoids may disappear. Constipation also often disappears after childbirth, which also becomes a factor that speeds up recovery.

And many women during lactation begin to pay more attention to their diet and lead a more active lifestyle, which also has a positive effect on their health. That is why it is not worth saying that hemorrhoids went away without treatment. It’s just that in this situation the therapy was unconscious.

What other problems may bother a young mother after childbirth?

Hemorrhoids are far from the only trouble that can cause discomfort to a young mother. They darken the joy of motherhood and distract from caring for the baby. That’s why it’s so important for women to know the answers to all their questions:

• How many days does it take for discharge to go away after childbirth? This usually happens after 6 weeks. But individual deadlines can vary greatly. How many days after childbirth the bleeding occurs is influenced by the woman’s health status, the severity of the birth, and complications.
• How long does it take for swelling to go away after childbirth? It depends on their reasons. Usually within a week or two everything returns to normal.
• How long does it take for the strip to last after childbirth? Depends on the balance of hormones in the body. As soon as it completely returns to its pre-pregnancy state, melanin production returns to normal. Namely, it depends on the level of melanin how long after childbirth the stripe passes and how long it takes for pigmentation to pass after childbirth.
• How long does it take for pain to go away after childbirth? She will go away as soon as all the damage heals - scars, sprains, etc. It depends on the characteristics of the body and the presence of complications.
• How long does it take for gestosis to go away after childbirth? This depends on the severity of the disease and the treatment methods chosen. In most cases, it goes away without a trace immediately after delivery.

It is also very important to ask your doctor any questions, even the simplest ones, for example, how long it takes for blood to flow after childbirth.

An Internet search provides a lot of useful information, but it cannot replace a face-to-face consultation with a doctor.

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Classification

Hemorrhoids are a vascular pathology in which varicose dilatation of hemorrhoidal veins is observed. This disease is one of the manifestations of chronic venous insufficiency.

Due to poor circulation in the lower intestine, varicose veins of the anus develop, the rectal mucosa shifts, and blood-filled nodes form. These formations cause considerable discomfort to the patient and are the main symptom of hemorrhoids.

Depending on the stage of hemorrhoids, there are:

• chronic;
• acute (exacerbation of a chronic disease).

When the process is chronic, the symptoms are weak, the nodes are practically not felt. Sometimes there is slight bleeding after defecation, and itching in the anus may be bothersome. If left untreated, the disease regularly worsens and lasts for many years.

As a rule, exacerbation of hemorrhoids prompts you to consult a doctor. Thrombosis of external and internal nodes leads to the growth and compaction of formations, which is why the patient complains of severe pain in the anus.

How long an exacerbation lasts depends on the cause of the disease and the treatment regimen prescribed by the doctor. It usually takes up to five days to relieve pain and reduce inflammation. To reduce swelling and relieve pain, special medications are prescribed.

If the external nodes are inflamed, surgical intervention is possible. If internal nodes fall out, surgery is not advisable, as complications may develop.

Causes of hemorrhoids

Among the factors contributing to the development of the disease are the following:

1. Irregular, unhealthy diet. For hemorrhoids, the doctor must prescribe a therapeutic diet. If the recommendations are not followed, the stool becomes compacted, the hemorrhoids are injured, and as a result, an exacerbation of the process develops.
2. Sedentary lifestyle. Moderate loads have a beneficial effect on the patient's condition. Lack of physical activity slows blood circulation, causing the veins of the rectum to fill with blood. Without basic exercises, exacerbations will be regular.
3. Digestive disorders due to depression, lack of vitamins, poisoning. Constipation and diarrhea are provoking factors in the development of the disease. In the first case, the veins of the rectum experience increased pressure, in the second, a favorable environment is created for the proliferation of pathogenic bacteria in the source of inflammation.
4. Pregnancy and childbirth. Chronic hemorrhoids should be treated before conception, since exacerbation after childbirth is inevitable. If there was no disease before pregnancy, its appearance is facilitated by the pressure of the child’s fetus on the internal organs, decreased physical activity, and problems with nutrition and stool.
5. Intense physical activity, heavy lifting. At the same time, all muscles tense, including the muscles of the anus. The pressure in the rectum increases, the nodes fill, and an exacerbation develops.

Identifying the exact cause of the disease allows the doctor to prescribe the most effective treatment, due to which hemorrhoids go away much faster.

Treatment

How long does it take to treat hemorrhoids? Acute hemorrhoids cannot be completely eliminated, since they are part of a chronic disease. The acute stage is treated with medications that are used until remission occurs. Usually suppositories, ointments or tablets are prescribed.

You cannot prescribe the drug yourself; this can only be done by a proctologist after identifying the exact cause of the disease. Therapy is predominantly symptomatic. In the normal course, symptoms disappear within four to seven days.

For internal nodes, glycerin, sea buckthorn and other suppositories are usually prescribed. If you follow the doctor's recommendations, regimen and diet, the symptoms disappear quickly - within a few days.

For external nodes, ointments and gels are more often used (Proctosan, Heparin ointment, Troxevasin, etc.). With the combined form, it is possible to use suppositories and ointments together.

The doctor may prescribe special tablets (Proctosedyl, Detralex) that help reduce symptoms of hemorrhoids, as well as strengthen blood vessels and normalize blood circulation.

Diet is an important condition for maintaining the normal condition of the patient. The diet should include food containing fiber (vegetables, fruits), vegetable oils, and fresh dairy products. It is recommended to take drugs that enhance immunity (phytoncides, vitamin C).

Emergency help

To ensure relief comes as quickly as possible, emergency assistance is provided:

Complications

An advanced disease does not go away quickly; moreover, complications are possible:

When does hemorrhoids go away?

If the symptoms are not severe, with adequate therapy they subside after a short time - on the second or third day. The bumps soften, shrink and become less painful. After about seven days, they completely subside, leaving small skin pouches.

With a mild exacerbation, the pain sometimes goes away on its own, and it seems that the disease has disappeared on its own. In fact, the patient himself instinctively limits the impact of unfavorable factors: eats light food, refuses alcohol, rests more, which is so important for stopping an exacerbation.

After childbirth

If a woman has hemorrhoids
before pregnancy, and she was treated, the symptoms often subside on their own and do not bother her for a long time. Under unfavorable circumstances, the disease, which first worsened during pregnancy and childbirth, often recurs after 35–40 years.

After operation

During surgical intervention, the fallen cones are excised, i.e., the pathological focus is eliminated. The cause of the disease itself is not eliminated. It turns out that the disease disappears immediately after surgery, but after some time (usually from three to five years) relapses are possible. Sometimes the disease recurs in the first year after radical treatment.

Why hemorrhoids don't go away

Sometimes, with long-term therapy, the pain either decreases or appears with renewed vigor. The reason, most likely, is that the patient uses prescribed medications, but does not change his lifestyle and does not follow a diet.

If you have hemorrhoids, you should not eat hot or spicy foods. Alcohol, smoking and lack of exercise can trigger the disease. In some cases, therapy is carried out that does not take into account the individual characteristics of the patient, and hemorrhoids last a very long time.

The disease can be hereditary in nature when there is a long-term recurrent course. For such patients, this illness will not end soon.

To prevent hemorrhoids from reminding you of themselves for a long time, you need to follow preventive measures:

• visit a proctologist twice a year;
• use preventive measures;
• adhere to a special diet;
• do gymnastics and light sports;
• stop smoking and frequent drinking of alcohol;
• observe the rules of personal hygiene.

We must remember that if a problem exists, it will not go away on its own. Timely consultation with a doctor and compliance with all recommendations can significantly reduce the time between exacerbations.

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Hemorrhoids after childbirth: causes

Hemorrhoids after the birth of a child in most cases develop for the following reasons:

1. Great pressure on the intra-abdominal cavity. In this condition, a woman develops blood stagnation in the pelvis. During childbirth and pushing, the pressure in the abdominal cavity increases even more, which leads to stretching of the hemorrhoidal veins and their further inflammation.

2. Sometimes hemorrhoids can develop due to very strong overstrain of the pelvic muscles, when the fetus is large and the woman tries to push the child through the birth canal.

3. Quite often, hemorrhoids after childbirth develop as a direct consequence of constipation, which is considered not uncommon among expectant mothers. The primary cause of constipation is the production of a hormone called progesterone. It affects digestion, slowing it down. In addition, progesterone relaxes the venous walls, making them easier to stretch.

4. Large weight gain during pregnancy can also give rise to the formation of inflammation in the intestines, especially when a woman does not eat properly and has a lack of nutrients.

5. Frequent use of enemas and laxatives can disrupt bowel movements and cause early stages of hemorrhoids. After childbirth, the disease usually worsens, manifesting itself “in all its glory.”

6. The unstable psycho-emotional state of the expectant mother, stress or depression in more than half of the cases causes the development of hemorrhoids.

Hemorrhoids after childbirth: symptoms and signs

Hemorrhoids can have four stages, each of which is accompanied by its own symptoms.

Illness in the first stage is characterized by periodic bleeding after defecation, a slight burning sensation in the rectum and weakness.

Second stage is accompanied by prolapse of hemorrhoids when straining, more heavy bleeding and the appearance of sharp painful sensations during bowel movements.

Third stage The disease is expressed in the form of elevated body temperature, chills and anemia (due to heavy bleeding).

Last stage hemorrhoids are the most difficult. In this case, the patient experiences thrombophlebitis, prolapse of nodes at rest, severe indigestion and severe pain. There may also be itching, burning in the anus, sensation of a foreign object in the intestine, increased body temperature and anal fissure.

Hemorrhoids after childbirth: how to treat

Before you begin to treat hemorrhoids after childbirth, you must consult a doctor and conduct a thorough diagnosis of the disease.

Treatment of hemorrhoids, as a rule, depends on the degree of neglect of the disease and the patient’s symptoms. Traditional drug therapy is usually carried out, but it becomes more complicated if the young mother is breastfeeding the baby (in this case, the patient is strictly prohibited from most oral painkillers and anti-inflammatory drugs, because they can be excreted along with breast milk, which the baby will then drink). For this reason, the attending physician should look for a less dangerous alternative in the form of external medications.

Typically, postpartum hemorrhoids are treated as follows:

1. The patient is prescribed rectal suppositories based on oils (Relief, Procto-glivenol).

2. Prescription of anti-inflammatory ointments and creams.

3. To strengthen the muscles in the anus and improve blood circulation in the rectum, it is recommended to practice therapeutic exercises.

4. Sitz baths with the addition of herbal infusions help very well. It is advisable to do them after each act of defecation. The duration of the procedure is at least fifteen minutes.

If there is no positive effect from drug therapy, the patient is prescribed surgical treatment. The essence of this operation is to remove inflamed hemorrhoids.

The recovery period after such manipulation is usually from two to three weeks.

How to treat hemorrhoids after childbirth: diet

Nutrition plays one of the most important roles in the treatment of hemorrhoids. During this period, a woman should completely avoid consuming the following products:

1. Canned food.

2. Salted and smoked fish.

3. Sausages.

4. Legumes.

5. Coffee and chocolate.

6. White bread and other flour products.

7. Hot sauces and spices.

8. Fatty foods.

9. Fried food.

10. Animal fats.

11. Milk.

12. Sweet carbonated drinks.

13. Semi-finished products.

14. Fast food.

The basis of the diet should be:

1. Fiber-rich foods (vegetables, herbs and fruits).

2. Teas (herbal teas and green tea are possible).

3. Porridge (it is best to eat unsalted rice, buckwheat porridge and oatmeal with water).

4. Vegetable soups.

5. Low-fat fermented milk products (cottage cheese and cottage cheese casseroles, kefir, fermented baked milk). They should be on the menu every day.

6. Vegetable oils.

7. Dried fruits.

8. Lean fish and meat.

All dishes must also be boiled or steamed.

Hemorrhoids after childbirth: how to treat, consequences

In the absence of timely treatment, postpartum hemorrhoids can cause the following complications in the patient’s condition:

1. Untreated hemorrhoids threaten the development of even greater inflammation and the appearance of terrible pain.

2. Infection in hemorrhoids when they fall out can lead to suppuration, general intoxication of the body, necrosis and abscess.

3. Heavy and frequent bleeding can cause anemia, weakness, dizziness and fainting.

4. Without treatment, hemorrhoids greatly increase the chances of developing cancer pathologies in the rectum.

5. Inflammation of nearby tissues can occur if hemorrhoids are not treated.

How to treat hemorrhoids after childbirth: prevention

In order to prevent the development of hemorrhoids after childbirth, even during the period of bearing a child, you should adhere to the following medical recommendations for prevention:

1. A woman needs to take good care of her diet. The menu should be balanced and maximally filled with useful substances.

3. It is advisable to completely exclude coffee, chocolate, cabbage and beans from your diet, as they contribute to the formation of excessive gas.

4. During bowel movements, you should not push too hard.

5. After each act of defecation, you should thoroughly wash the anal area or wipe it with a damp cloth. There is no need to use a towel to avoid introducing additional germs.

7. Enrich your diet with foods rich in pectin.

8. It is best to visit the toilet in the morning.

9. Vegetable oil helps a lot with constipation. It is best if it is olive oil (it is much healthier than regular sunflower oil). Moreover, women are allowed to take this oil either as an addition to dishes or simply by drinking it in small quantities (1 teaspoon per day will be enough).

10. The expectant mother needs to have a cheerful mood, not be nervous and not allow depression to develop, as this can give rise to digestive problems, constipation and, as a consequence, the formation of hemorrhoids.

11. In the absence of contraindications, pathologies in the fetus and the risk of miscarriage, you should definitely lead an active lifestyle. However, pregnancy does not mean a complete abandonment of sports.

Even during the period of bearing a child, the expectant mother can practice gymnastics for pregnant women, yoga and long walks. They will be extremely beneficial for the body, stabilize the psycho-emotional background, enrich with oxygen and improve digestion.

12. Kegel exercises are a very effective technique. Their essence lies in regular tension of the muscles of the vagina and anus. Thanks to this method, you can “train” the muscles of the uterus well, protect yourself from its prolapse, simplify the birth process and minimize the risk of hemorrhoids in the rectum.

13. It is important to regularly visit an observing gynecologist, gastroenterologist and therapist. If any digestive problems occur, you should immediately report it to specialists.

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How many days does it take to treat hemorrhoids?

Special medications are usually prescribed by a doctor at the initial stage of the disease. They effectively relieve symptoms of the disease, reduce inflamed hemorrhoids, remove infection in the rectal mucosa and heal anal fissures. Medicines also prevent bleeding and strengthen the walls of the blood vessels of the rectum.

The expected positive therapeutic effect from the use of medicinal ointments and suppositories is felt already on the second or third day after the start of drug treatment. Depending on the characteristics of the disease, the doctor prescribes an individual course of medication use.

Hemorrhoid tablets effectively relieve inflammation in the rectum and promote rapid recovery. The prescription of special medicinal ointments is necessary for local therapeutic effects on inflamed hemorrhoids and anal skin. A few days after the start of their use, painful anal fissures begin to heal, and the skin of the anal area is gradually restored.

External hemorrhoids can be treated with medications for a relatively short period of time. However, it is necessary to use medicinal ointments and tablets until the hemorrhoids are completely eliminated and the anus is healed.

When prescribing rectal suppositories, many patients want to know how long it takes to treat hemorrhoids with suppositories. Improvement in metabolic processes in the rectum occurs within two days after using the suppositories. Suppositories have an active therapeutic effect on pathogenic microorganisms that attack the tissues of the rectum and its mucous membrane, and also effectively eliminate the resulting inflammation and restore the mucous membrane.

The course of use of rectal suppositories is prescribed individually by a doctor and depends on how strong and effective the drug is used in the treatment of hemorrhoids. Sometimes treatment can last about a week, sometimes less or more.

How long is the recovery period after surgery?

The postoperative period for treating hemorrhoids usually takes from two weeks to a month. After surgery, it is important that the mucous membrane and tissue of the rectum are completely restored. For this purpose, additional therapy is used. The course of medication is prescribed by the doctor after surgery individually.

With transanal ligation of hemorrhoids, treatment takes two days. This procedure is carried out for several hours, after which the patient remains in the hospital for some time. The recovery period after this method of treating hemorrhoids is two weeks. After high-tech treatment methods, hemorrhoids disappear within a few days. Modern technologies for treating hemorrhoids make it possible to cure diseases even at the most advanced stages. Infrared coagulation, constriction of hemorrhoidal formation with a latex ring, or injection of a drug into the hemorrhoidal node are widely used. These treatment procedures are carried out in a clinical setting.

Minimally invasive modern treatment methods include the Longo operation. This method effectively eliminates inflammation. During the procedure, the doctor tightens the rectal mucosa and carefully inserts internal hemorrhoids. Thanks to this treatment, blood flow in the anal area is restored quite quickly. After the procedure, hemorrhoids go away very quickly, and the recovery period takes from four to ten days. This method of treatment allows the patient to regain health very quickly.

How many days will it take for hemorrhoids to go away after childbirth?

The occurrence of hemorrhoids after childbirth is a very common occurrence in medical practice. Typically, hemorrhoids occur during pregnancy. This is due to impaired blood circulation in the pelvis as a result of metabolic processes occurring during gestation. Veins dilate in the lower parts of the rectum, resulting in hemorrhoids.

Women who have given birth are often interested in how many days it takes for hemorrhoids to go away after childbirth. It is impossible to ignore the disease. It is necessary to use traditional methods of treatment, warm medicinal baths for the anal area, safe creams and other external remedies to eliminate the symptoms of the disease.

Complex treatment will prevent further development of hemorrhoids, eliminate the inflammatory process that has begun in the rectum and anus, and restore the skin of the anal area. As a result, in just a couple of weeks you can forget about the unpleasant disease and return to an active, fulfilling life.

What determines the duration of therapy?

Treatment of hemorrhoids is prescribed only by a doctor. The more acute and complex the symptoms of an existing disease, the more drugs will be needed in drug therapy for the disease, and the longer the treatment will last. Patients are often interested in how long it will take for hemorrhoids to go away with complex treatment?

The duration of drug therapy largely depends on the characteristics of the patient’s body and the functioning of local immunity in the rectum. In a hospital setting, using the latest treatment methods, hemorrhoids of any stage can be cured in the shortest possible time. Treatment in a hospital can last no more than a week.

The duration of outpatient treatment at home with proper complex therapy takes several days. Thanks to effective medications prescribed by the doctor, hemorrhoids begin to decrease in size already on the second day. Gradually, the inflammatory process in the rectum begins to be eliminated as a result of the effects of drugs on pathogenic microflora. Within a week you can feel like a completely healthy person and not feel the symptoms of the disease.

Today, hemorrhoids can be cured at any stage. Initially, drug therapy is prescribed, which does not take more than ten days. After treatment is completed, the inflammatory process in the rectum is eliminated, pain in the rectum and anus disappears. If hospitalization is indicated by a doctor, it usually does not take more than ten days.

Minimally invasive, non-surgical methods for treating hemorrhoids make it possible to cope with the disease in a very short time. Do not neglect them if they are indicated by a proctologist. Sclerosis of hemorrhoids, as well as infrared coagulation and ligation, are widespread. This treatment is carried out only in a clinical setting. For each specific case, the number of procedures is individual.

To prevent the occurrence of hemorrhoids, it is important to follow further preventive measures after recovery. This will avoid the formation of new hemorrhoids and the onset of inflammation. After recovery, you must not overload the intestines and follow a strict diet prescribed by the doctor. Prohibited foods and dishes cannot be consumed. The microflora of the rectum should be completely restored.

It is also necessary to avoid heavy lifting and increased loads. It is required to lead a healthy lifestyle - avoid smoking and drinking alcohol. It is better to postpone sports activities until the body has fully recovered after treatment. With proper treatment and subsequent compliance with all preventive measures, hemorrhoids will be completely defeated, and the patient will be able to return to a full life.

Childbirth is a big burden on the body. Physiological changes are aimed at maintaining pregnancy and providing the fetus with all the necessary substances. This does not always benefit the expectant mother. The increase in the size of the child and the growing uterus not only displace many organs, but can also compress them and disrupt blood flow. The venous system suffers more.

Many conditions resolve after the baby is born, and some require treatment. Often, the signs of developed hemorrhoids do not go away after childbirth, and may even intensify. Natural delivery itself leads to this. What to do if such a problem arises, because many medications are prohibited for nursing mothers?

What is the peculiarity of the disease

Hemorrhoids are a pathology of veins - varicose veins that provide blood flow from the rectum. The veins in the lower part of the intestine undergo changes. The disease can occur in acute and chronic form. The location of the nodes determines the type of hemorrhoids:

• interior;
• outer;
• combined.

Each form has its own stages or classification. Chronic hemorrhoids occur in the following stages:

• Stage 1 – there is bleeding, but the nodes do not fall out;
• Stage 2 – when straining, nodes appear from the anus, but are reset back on their own;
• Stage 3 – fallen nodes are reset manually, that is, by hand;
• Stage 4 – it is impossible to set the dropped nodes, or after setting them five immediately fall out.

The acute form is characterized by the addition of additional complications:

1. Thrombosis of nodes without inflammation.
2. Thrombosis is combined with an inflammatory reaction in the nodes.
3. Thrombosis with inflammation of the subcutaneous tissue, swelling of the area around the anus, necrosis of the surface of the nodes.

The acute phase is characteristic of the third chronic stage of the disease. In this case, surgical treatment is required.

It all starts during pregnancy

According to research, 33% of women suffer from hemorrhoids in the first trimester of pregnancy, 35% in the second, 42% in the third. In the postpartum period, this problem worries 41% of postpartum women. It occurs with equal frequency in the first and second pregnancies.

The course of the gestational period determines why hemorrhoids develop later, after childbirth. And some women have prerequisites even before conception. You just need to remember how regularly bowel movements occur, whether there is a tendency to constipation, and what kind of life the expectant mother leads.

During pregnancy, several factors influence the development of the disease.

Elevated progesterone levels

The action of the hormone is aimed at maintaining gestation. It reduces smooth muscle tone, which means it slows down intestinal motility. This leads to severe bowel dysfunction - many pregnant women complain of irregularity and constipation.

How do hemorrhoids manifest after childbirth?

External hemorrhoids

It is milder than internal and is rarely accompanied by complications. The first signs that a woman may notice are a slight itching in the anus or other unpleasant sensations. They often occur after bowel movements, especially due to constipation. By touch, you can independently identify soft or compacted folded formations, often resembling warts. When pressed, they do not decrease in volume. Bleeding in its external form is rare.

Sometimes external nodes can become infected. Against the background of infection, there is a risk of developing thrombophlebitis. In this case, the nodes become dense and very painful. Sharp pain appears during bowel movements.

Internal hemorrhoids

It has a characteristic arrangement of nodes. They are found in the folds of the rectal mucosa. The number and location may vary greatly between patients. These are both single nodules and entire groups that resemble a corolla. They are characterized by the following features:

• have a wide base;
• if you press, they fall off;
• when straining or coughing, they begin to bulge or become tense;
• accompanied by pain.

Mucus leaks from such nodes, which irritates the skin around the anus. Redness, discomfort or itching appears.

At a certain stage, the nodes fall out. At the same time, their surface becomes bluish-purple. As the infringement develops, the pain becomes sharp. The nutrition of the mucous membrane is disrupted, areas of necrosis appear, which is accompanied by the appearance of symptoms of intoxication:

• increased temperature;
• poor health;
• lack of appetite;
• skin itching;
• headache.

If the condition progresses, thrombophlebitis of the rectal veins joins it.

But more often a woman may notice the appearance of scarlet blood. The hemorrhoid begins to bleed during bowel movements. In this case, blood appears on the surface of the stool, or it flows out in a thin stream during straining.

These manifestations are more typical for acute hemorrhoids. If after childbirth it becomes chronic, then the pain syndrome ceases to be characteristic. Pain appears only when complications develop in the form of infection, thrombophlebitis or strangulation.

If acute pain occurs, you should consult a doctor. After the examination, it will be determined what the condition is threatening and how to deal with it.

Which doctor should I contact?

To get rid of hemorrhoids, you need to visit a doctor after giving birth. It is impossible to independently determine how to treat this stage of the disease. Initially, the doctor who will deal with this problem will be a surgeon. If there are external nodes that cause slight discomfort, this will be enough. If there are a large number of nodes, internal localization, as well as the development of complications, the problem should be dealt with by a coloproctologist.

The doctor will definitely conduct an examination. The list of mandatory methods includes:

• anoscopy;
• sigmoidoscopy;
• colonoscopy;
• irrigoscopy.

The anal reflex is also checked, and according to indications, sphincterometry and electromyography are performed to assess the obturator apparatus of the rectum.

To diagnose a woman’s general condition, routine blood and urine tests are prescribed.

What can be treated

Treatment of hemorrhoids during breastfeeding is carried out in three directions:

• diet correction;
• drug therapy;
• surgery.

The first two methods are necessary in case of mild disease. If complications arise and the pathology progresses, surgery will be required.

Diet therapy

Changing your diet can serve both as a prevention of complications and as a treatment for hemorrhoids. The menu should be structured in such a way as to prevent the development of constipation and soften stool, making stool regular. The following products are allowed in the diet:

• lean meat;
• dairy products;
• vegetable oils;
• vegetables rich in fiber: cabbage, beets, pumpkin, carrots, tomatoes;
• fruits: apricots, melon, plums or dried versions of them;
• berries: gooseberries, blueberries, lingonberries;
• eggs;
• herbs (celery, dill, parsley);
• porridge with water;
• weak soups with vegetable broth.

Be sure to drink enough water throughout the day - 30 minutes before meals or 1.5-2 hours after.

It is forbidden to consume foods that can harden the stool:

• fresh bread, any pastry and flour;
• fatty foods and dishes, including meat;
• confectionery with cream;
• legumes, mushrooms;
• viscous porridges - rice and semolina;
• soups with strong broth;
• fermentable vegetables: radishes, onions, garlic;
• astringent fruits: pear, quince, as well as grapes, which lead to fermentation.
• alcohol, coffee, strong tea.

Spicy seasonings and dishes, smoked meats, marinades, salty foods, canned foods, and sauces in the form of mayonnaise are also prohibited.

Drug therapy

How and with what to treat hemorrhoids that develop after childbirth must be determined by the doctor; self-medication is unacceptable and can aggravate the situation. For each stage of the disease, a different combination of drugs is selected. It is also necessary to determine how severe the complications are and whether surgery is necessary.

For safety reasons for the child, treatment of hemorrhoids in a nursing mother is carried out with local medications. To do this, use candles and cream. Suppositories have different effects depending on their composition, so the purposes for their use and the situations in which they are indicated differ.

What candles are best to use? It is necessary to focus on the composition and symptoms. The main drugs that are allowed for use during lactation are the following.

Relief

It contains shark liver oil. It can heal wounds, correct immunity, relieve inflammation and stop bleeding. The drug Relief-Advance is also produced, which will help both relieve pain from hemorrhoids and carry out treatment.

Relief suppositories can be used for external and internal hemorrhoids, rectal fissures and anal itching. But in case of thromboembolic disease and individual hypersensitivity, it is better not to use them. Suppositories are inserted into the rectum in the morning and evening after hygiene procedures. If there was a bowel movement during the day, then you need to reapply the suppositories. In total, up to 4 times a day are allowed.

In addition to suppositories, an ointment with the same name is used. Its principle of action is the same as that of Relief suppositories. The ointment is first applied to the applicator, and then gently rubbed into the anal area.

Glycerin suppositories

Used by both pregnant and nursing mothers. They have long shown their safety. Glycerin in suppositories has an antibacterial effect. It may have a slight antiseptic effect and prevent infection. Suppositories based on it can eliminate constipation, as well as soften and moisturize the rectal mucosa and relieve irritation. But in case of acute inflammation, as well as the development of bleeding, they cannot be used.

Natalsid

These are suppositories with anesthetic properties. If hemorrhoids hurt, you need to choose suppositories with analgesic properties. Natalsid acts only locally, therefore it is not contraindicated during pregnancy and after childbirth during lactation. It can be used for anal fissures, chronic hemorrhoids, which are accompanied by bleeding. The suppository is inserted into the anus daily after bowel movement. It is optimal to do this 2 times a day. Treatment may last 7-14 days.

Nigepan

Suppositories that are used for thrombosis of external or internal nodes. The medicine contains heparin, which is necessary for the treatment of thrombophlebitis. Benzocaine has a pronounced analgesic effect. Also, suppositories reduce the severity of inflammation. The indication for the use of Nigepan is thrombosis of external or internal nodes. The product should be used only after bowel movements.

Hepatrombin

A combined drug that is available in the form of suppositories or ointments. It contains three active components: heparin, prednisolone and lauromacrogol, which provides a complex effect and helps relieve the symptoms of hemorrhoids. The action of heparin is aimed at preventing the formation of blood clots, as well as eliminating inflammation and swelling. Prednisolone is a glucocorticoid hormone that relieves itching, swelling, and inflammation. Lauromacrogol is a sclerosing agent. It causes the walls of the node to stick together and relieves pain.

The medicine in the form of an ointment is applied to the area of ​​the nodes 2-4 times a day or injected into the rectum. Suppositories are used rectally. Indications for the drug are all types of hemorrhoids, anal fissures, fistulas, as well as in preparation for surgery and in the postoperative period.

Heparin ointment

It has a similar effect - it reduces the risk of blood clots. But it is not recommended to use it for a long time. And on the first day of use, increased bleeding may be observed due to the specific effect of the drug.

Proctosan suppositories

They have a complex composition, are approved for use after childbirth (only after consultation with a doctor) and allow you to treat hemorrhoids at home. They are used for grade 1-2 hemorrhoids, anal fissures and anal itching. The composition includes the non-steroidal anti-inflammatory drug bufexamac. It eliminates pain, reduces inflammatory manifestations and swelling. Bismuth subgalactate and titanium dioxide have astringent properties, accelerate wound healing, and reduce the likelihood of bleeding. The last component, lidocaine, is a local anesthetic and should be used with caution during lactation.

Levomekol ointment

When treating hemorrhoids during lactation, it is rarely used due to the possible penetration of its components into breast milk - the antibiotic chloramphenicol, which is contraindicated in childhood due to toxicity.

Bepanten ointment

Contains the active component dexpanthenol. In the body it is converted into pantothenic acid, which acts as a vitamin. It is involved in the regeneration of epithelial cells, therefore it is used for any damage. Including anal fissures or during the healing stage of hemorrhoids. This drug is completely safe for pregnant and lactating women and does not require stopping breastfeeding.

For treatment, the protocols indicate such groups of drugs as phlebotonics (Phlebodia, Detrolex), angioprotectors (Troxyvenol), drugs for sclerotherapy (Sklerovar). But all of them can pass into breast milk and are contraindicated for nursing mothers.

How long does it take for hemorrhoids to go away?

This depends on individual characteristics, the correct treatment method chosen and adherence to the doctor’s recommendations. But on average it takes 10-14 days. If conservative therapy has not shown its effectiveness, minimally invasive operations are performed for grade 2-3 hemorrhoids:

• sclerotherapy;
• ligation with latex rings;
• proximal ligation;
• infrared or radiofrequency photocoagulation.

If hemorrhoids do not go away from treatment, at grades 1-4, a radical Milligan-Morgan, Ferguson operation can be performed.

When to think about prevention

Prevention of hemorrhoids after childbirth should begin even before pregnancy. If you have bowel movements or a tendency to constipation, you need to take care of your diet in advance. It is adjusted to such an extent that bowel movements occur daily. If diet is not enough, even during pregnancy and the postpartum period, you can use mild lactulose-based laxatives - Duphalac. They do not cause increased peristalsis and diarrhea, but slightly soften the stool.

Lactulose is a nutrient medium for intestinal flora. Therefore, if constipation is caused by dysbacteriosis, then treatment can be supplemented with bifidobacteria preparations (Linex, Bioflor).

Doing basic physical exercises every day will help you avoid hemorrhoids. They will be useful both for pregnant women and in the postpartum period.

It is also necessary to remember the risk of developing anemia as a result of chronic blood loss. After childbirth, most women experience a decrease in hemoglobin levels. And pathology of the rectal veins, accompanied by bleeding, can increase unpleasant symptoms. This is unacceptable for a nursing mother. Therefore, treatment is supplemented with iron supplements to prevent or treat anemia.

According to statistics, half of the women who have had a natural birth face the problem of postpartum hemorrhoids. The treatment of this disease has its own aspects related to breastfeeding, so the choice of therapeutic methods and medications must be approached with extreme care.

What are postpartum hemorrhoids

Postpartum hemorrhoids are varicose veins in the rectal area that occur in the early postpartum period. The appearance of hemorrhoids after childbirth is the result of excessive accumulation and stagnation of blood in the veins, due to which they become deformed and take on the appearance of nodules or peculiar lumps. They can have different sizes and localization.

Modern medicine adheres to two theories regarding the mechanism of development of hemorrhoids: vascular and mechanical. The first suggests that the expansion of hemorrhoids occurs as a result of reflux (reverse flow) of blood into the superior rectal vein, which is accompanied by an increase in pressure inside the abdominal cavity.

According to the mechanical theory, pathology is formed due to the development of hypertrophy (pathological enlargement) of hemorrhoids with the appearance of damage in the vascular walls. Such changes get worse over time, which in turn can cause prolapse (protrusion) of the cones.

Depending on the location of hemorrhoids relative to the anus, I distinguish two forms of the disease:

• internal hemorrhoids – located inside the anal part of the rectum;
• external hemorrhoids – located outside the anus.

Symptoms

In the clinical course of hemorrhoids, several stages are distinguished depending on the severity of the main symptoms of the disease:

1. Hemorrhoids are small in size and do not manifest themselves until the urge to defecate appears. After bowel movement, itching and slight discomfort may appear due to the feeling of incomplete passage of stool from the rectum. Scanty bloody discharge from the anus may occur.
2. Hemorrhoids can appear from the anus when straining and return inside when relaxing. Local symptoms such as itching, burning, pain in the anal area progress. There are frequent cases of anal bleeding after defecation or intense physical activity.
3. Hemorrhoids come out, regardless of whether there was straining or not, and they can no longer independently return to the rectal cavity. Local pain becomes even more intense and is continuous. Bleeding becomes profuse, which is associated with frequent involuntary trauma to damaged vessels.
4. Hemorrhoids become very large. They fall out constantly and are already difficult to manually adjust. At this stage of the disease, the occurrence of thrombosis of nodes or their necrotization (death of working tissue) cannot be ruled out.

If a woman suffered from hemorrhoids before pregnancy, the risk that its symptoms will worsen after childbirth increases significantly.

Signs of postpartum hemorrhoids can be difficult to distinguish from symptoms of obstetric rupture or episiotomy (a surgical incision made during the perineum). The sutures may hurt and cause false foreign body sensations. Also, after childbirth, a psychosomatic disorder may occur, manifested by symptoms of hemorrhoids. Therefore, if such signs appear, it is necessary to seek professional help from a proctologist. Only he will be able to make an accurate diagnosis and draw up a plan for adequate treatment of postpartum hemorrhoids, applicable during breastfeeding.

Causes

For pregnant and mature mothers, hemorrhoids are the result of excessive compression of the fetus on the pelvic veins. In a healthy state, the valve apparatus of the human venous vessels prevents the reverse flow of blood and the development of stagnation. However, if the functioning of the valve system of the veins is disrupted or damaged, this mechanism is disrupted, and hemorrhoids are one of the consequences of such a pathological process.

During pregnancy, the development of venous reflux in a woman is provoked by the following factors:

Endocrine restructuring. The first half of pregnancy is caused by an increase in the level of the specific hormone progesterone in the body of the expectant mother. Its main purpose is to preserve the fetus and prevent spontaneous abortion due to contractile activity of the uterus. That is why this hormone has a relaxing effect on its smooth muscles. The consequences of this action are a weakening of intestinal motility. Therefore, in order to have a bowel movement, a woman has to push harder. In turn, an increase in intra-abdominal pressure leads to excessive blood filling of the hemorrhoids, causing their walls to stretch. Progesterone also helps to significantly reduce the tone of venous vessels.

Fetal pressure on the organs and vessels of the pelvis. As pregnancy progresses, the uterus increases in size, putting significant pressure on the intestines and blood vessels. A major role in the formation of hemorrhoids is played by compression of a large vessel of the abdominal cavity - the inferior vena cava. Through it, venous blood from the rectum moves to the heart. If venous blood regularly stagnates in hemorrhoids due to compression of the inferior vena cava, the walls of the venous vessels expand and become thinner. In this case, after the birth of a child, a woman may develop a hemorrhoidal node of significant size in the rectum.

Sedentary lifestyle. During pregnancy, many women note a loss of strength and decreased performance, especially in the last weeks of gestation. This factor also contributes to the development of congestion in the pelvic vessels.

Even more often, hemorrhoids form immediately after childbirth. Why is this happening? In order for the baby to effectively move through the birth canal, during the pushing period the woman needs to concentrate all her strength on straining her abdominal muscles and pushing as much as possible. Due to this, the pressure in the abdominal cavity increases significantly, which is a significant obstacle to normal flow in the venous vessels. Thus, the mechanism of natural childbirth itself provokes the formation of hemorrhoids even in those women who do not have predisposing factors for this.

In addition, a significant role in the development of hemorrhoids is played by the fact that when passing through the birth canal the child exerts enormous pressure directly on the rectum and adjacent vessels.

If the birth is not protracted and goes without complications, then there is a chance that the expectant mother will be able to avoid the appearance of postpartum hemorrhoids. If the period of pushing was long, then such prolonged intense straining can cause the formation of external hemorrhoids.

Diagnostics

Diagnosis of postpartum hemorrhoids is carried out by a proctologist. To make an accurate diagnosis, the specialist resorts to the following measures:

Detailed collection of information about the course of pregnancy and childbirth, as well as the presence of this disease in any family member. The survey will help the specialist determine the patient’s main complaints and the degree of their severity, so that the type and stage of postpartum hemorrhoids can be determined.

Collecting a detailed medical history of the patient. This diagnostic procedure is carried out to identify possible provoking factors not related to pregnancy and childbirth.

Examination of the anal area and digital examination of the rectum. Using these methods, the proctologist determines the localization of the pathological process and the degree of enlargement of hemorrhoids.

General blood analysis. The results of this study may indicate the development of complications of postpartum hemorrhoids, such as inflammation or anemia.

Colonoscopy is an endoscopic method of instrumental diagnostics that involves visualization of the inner layer of the rectum. Used to clarify the diagnosis, as well as determine the location, number and size of hemorrhoids.

Sigmoidoscopy is an endoscopic examination of the rectum. Used if the data obtained from a previous study were not informative enough.

Irrigoscopy is an X-ray examination of parts of the large intestine using a contrast agent. The examination is prescribed to obtain more detailed information about the nature of the disease, and also if for some reason it is impossible to perform a colonoscopy.

Gastroscopy is an endoscopic examination of the gastric mucosa. This diagnostic method can be used to exclude bleeding from the stomach.

Ultrasound examination of the abdominal organs.

After conducting all the necessary research, the specialist will finally determine how and with what in a particular case to treat hemorrhoids after childbirth.

Treatment

Treatment of postpartum hemorrhoids can be carried out using conservative methods and surgery.

How to treat hemorrhoids after childbirth for a nursing mother:

By taking medications orally. With this diagnosis, their action will be aimed at strengthening the walls of blood vessels and improving venous circulation. Such drugs are prescribed on an individual basis, taking into account the characteristics of the postpartum and lactation period.

Through the use of medications for the treatment of hemorrhoids after childbirth, which have a local effect: rectal suppositories, sitz baths, ointments, creams, microenemas, etc.

Using traditional medicine methods. Such treatment of hemorrhoids after childbirth is possible only in agreement with the attending physician.

By following a special diet.

Most often, when choosing medications for the treatment of hemorrhoids after childbirth, experts give preference to rectal suppositories and ointments. This is due to the ease of use of this dosage form, high efficiency and minimal impact on the female body as a whole, which is important during lactation. For the treatment of postpartum hemorrhoids, drugs are used whose main active ingredients are medicinal plants. They are not capable of harming a breastfed baby.

Among the most effective means for the treatment of postpartum hemorrhoids, experts highlight the following:

Ointments and suppositories "Relief". The action of these drugs is aimed at eliminating bleeding and other characteristic signs of hemorrhoids, such as itching, burning, pain. In addition, these drugs can relieve pain from hemorrhoids after childbirth, and also have an antiseptic effect, thereby preventing the development of the infectious process.

Cream and rectal suppositories "Hepatrombin G". Used when thrombosis of hemorrhoids occurs. Such drugs can prevent the formation of new blood clots and help dissolve existing ones. In addition, they have anti-inflammatory and healing effects.

Heparin ointment. Helps reduce the intensity of the inflammatory process and prevents the formation of blood clots.

Vishnevsky ointment. The use of this drug for hemorrhoids eliminates swelling in the anorectal area, reduces the intensity of the development of the infectious process, speedy healing of damaged areas, reduces pain, and cleanses damaged skin of pus and dead particles.

Fleming's ointment. It has local, venotonic, antibacterial, anesthetic and anti-inflammatory effects.

Rectal suppositories and ointments "Posterizan". Promote healing of cracks, strengthening local immunity and reducing the intensity of the inflammatory process.

Rectal suppositories and Procto-Glivenol cream. They have a healing effect on the walls and valve apparatus of venous vessels. They also have anti-inflammatory and analgesic effects.

Rectal suppositories "Natalsid". Reduce the risk of bleeding. With regular use, suppositories have an intense effect on the healing process of damaged tissue.

Rectal suppositories "Propolis DN". Prevents the development of the inflammatory process.

Glycerin suppositories. Softens the stool. Used to prevent constipation in postpartum hemorrhoids.

All these drugs are indicated for the treatment of postpartum hemorrhoids in women who are breastfeeding. For those mothers whose babies receive artificial nutrition, the attending physician may, at his discretion, expand the list of medications.

Attention! Self-medication of postpartum hemorrhoids and illiterate selection of medications can cause significant damage to the health of the woman and her child.

One of the main methods of alternative medicine in the treatment of postpartum hemorrhoids is making rectal suppositories at home using medicinal plants (for example, propolis, sea buckthorn, etc.). Honey, potatoes, and lard can also be similar natural materials. When choosing folk remedies for treating postpartum hemorrhoids, you need to consult a doctor.

Additionally, it is possible to use sitz baths or microenemas with the addition of medicinal herbs. During lactation, it is extremely undesirable to ingest various decoctions and infusions of herbs.

When diagnosing “postpartum hemorrhoids,” doctors, in addition to the main treatment, recommend following a special diet that includes a menu rich in coarse dietary fiber. One of its functions in the human body is direct participation in the process of adsorption (concentration) of water in the intestines. If this mechanism proceeds without disturbances, feces will be excreted regularly, and the woman will not suffer from constipation.

The following products are rich in fiber: cereal grains, oat, barley and corn flakes, whole grain cereals and coarse bread, beans, dried fruits, berries.

Systematic consumption of mineral water has a beneficial effect on intestinal activity; if hemorrhoids enlarge, it is better to take moderately and highly mineralized water. Mineral waters containing magnesium and sulfate ions, for example, “Moskovskaya” and “Essentuki” have a particularly positive effect in the treatment of this pathology.

What should a woman do with hemorrhoids after childbirth and constipation while breastfeeding? It is important to include foods that have a laxative effect in your daily diet. These include: prunes, olive oil, flax seeds, etc. But you should not take any medications that have a laxative effect without a special prescription from a doctor.

Also, for the therapy to be more successful, you need to limit or completely abandon the consumption of the following products: smoked meat and fish products, fried foods, spices, chocolate, strong black tea, sweet carbonated drinks, table salt, strong drinks. Alcohol intake leads to dilation of the venous vessels of the rectum, which can aggravate the course of the disease. The use of hot spices provokes a sharp flow of blood to the vessels of the rectum, which may cause the progression of hemorrhoids.

If conservative methods of treating postpartum hemorrhoids do not bring the desired result, then doctors recommend surgical correction of the pathology. There are several types of surgical treatment:

Cryodestruction is the surgical removal of hemorrhoids using a cryoprobe, through which liquid nitrogen penetrates into the pathological area. Due to this, enlarged hemorrhoids freeze and die.

Electrocoagulation is a minimally invasive method for treating postpartum hemorrhoids. Its essence is to remove hemorrhoids using electric current.

Sclerotherapy is one of the methods of treating internal hemorrhoids. It is carried out using an anoscope, which allows illumination of the affected area. During the procedure, the specialist introduces a special substance that destroys the focus of pathological enlarged veins.

Ligation with latex rings is a method of treating postpartum hemorrhoids, which involves placing a special latex ring on an enlarged hemorrhoid. It puts pressure on the hemorrhoid, preventing normal blood flow to the vessel. This leads to necrosis of the node, and after a few days it disappears.

Hemorrhoidectomy is the surgical removal of hemorrhoids.

Can hemorrhoids go away on their own after childbirth? Of course, there are often cases when the disease disappears without the use of medications and other therapeutic procedures. However, if hemorrhoids appear, it is better not to wait and still consult a doctor in order to alleviate your condition and avoid the development of complications.

Complications

Without timely treatment of postpartum hemorrhoids, various pathological phenomena may occur:

• rapid progression of symptoms;
• development of an acute purulent inflammatory process (in this case, the clinical symptoms of general intoxication are added to the local symptoms);
• persistent anemia (if postpartum hemorrhoids constantly bleed);
• the formation of a malignant tumor in the rectum;
• spread of the infectious process to nearby tissues;
• pinching of hemorrhoids protruding from the rectal cavity by the anal sphincter. If in such a situation proper treatment is not carried out in a timely manner, the compressed tissue of the vessel will begin to die.

Prevention

At the moment, a reliable method has not yet been developed to avoid the appearance of hemorrhoids directly during labor. The greatest risk of developing this disease occurs in the second stage of labor (pushing). In this situation, it is recommended to relax as much as possible in between pushing, since excessive straining can lead not only to the development of hemorrhoids, but also to soft tissue ruptures and bleeding.

The main preventive actions aimed at preventing postpartum hemorrhoids should be carried out during pregnancy. Such measures include:

Establishing a balanced diet. Portions should be small. The diet must contain products containing coarse fiber so as not to provoke constipation.

Regularly performing special exercises to strengthen the muscles of the perineum. In this way, a woman can minimize the risk of ruptures and hemorrhoids during pushing.

Gymnastics classes (if there are no contraindications). They not only strengthen muscles, but also improve vascular microcirculation in general.

Refusal to lift heavy objects. This can cause not only an increase in hemorrhoids, but also spontaneous abortion.

Bottom line

Postpartum hemorrhoids bother almost every second woman. Prevention during pregnancy can significantly reduce the risk of developing this pathology, but does not provide an absolute guarantee that after the birth of the child the woman will not feel the presence of enlarged hemorrhoids. In this case, timely, competent treatment can not only significantly alleviate the condition, but also eliminate the threat of complications. Therefore, if symptoms of hemorrhoids appear, you should not delay going to the doctor.