Signs of hemorrhoids in women after childbirth. How to treat hemorrhoids after childbirth: effective drugs and preventive measures

Hemorrhoids appear in a fairly large number of women throughout pregnancy and worsen after childbirth. Why does this disease appear? What to do in this case? I heard these questions from the doctor: do complex therapeutic measures, take immediate measures to prevent the exacerbation and development of the disease.

Why did hemorrhoids appear after childbirth?

There are several reasons for

The older the mother the more likely it is to occur. A young girl who is carrying her first child is unlikely to know about the existence of such a disease. The second and third pregnancies are most often accompanied by hemorrhoids.
During pregnancy a woman gains about 10 kilograms of weight, this is an additional factor that can provoke the onset of the disease.
An enlarged uterus , which puts pressure on the veins of the pelvic region. This can cause congestion in the veins, and later inflammation.
natural hormone (progesterone), which is produced by the female body, increases during pregnancy. Thus, the influence of progesterone causes relaxation of the veins, resulting in swelling.
At the expectant mother according to physiological signs, constipation appears, as the tone of the intestine decreases and pressure on the uterus increases.
During childbirth with attempts, intra-abdominal pressure increases, which can complicate the situation and lead to the expansion of hemorrhoidal veins and the formation of nodes.

The ailment that has arisen before pregnancy and during childbirth is aggravated after the birth of a child.

Traumatic childbirth and the large weight of the child provoke a full-fledged hemorrhoids.

How did I find out about my disease?

My life after childbirth was significantly complicated by the appearance of hemorrhoids. Caring for the baby, I was forced to overcome the disease.

In order for hemorrhoids not to become chronic, you need to know the main symptoms of this disease.

Constipation.
Feeling of heaviness and itching.
Pain immediately after or during a bowel movement.
Feeling of insufficient bowel movement.
Bleeding.
Prolapse of hemorrhoids.

A little about the stages of hemorrhoids

At the beginning of development, the symptoms appear slightly: pain, enlarged nodes and small inflammatory changes in the anus. The definition of the disease is not difficult. If you have found the initial stage of hemorrhoids, you need to adjust your lifestyle, diet, and observe a hygienic regimen. In this case, it is best to contact a proctologist, and do not be shy!

Timely contact with a specialist will help find the right approach in the fight against this disease.

The initial stage of the disease can become chronic.

Stages of development of chronic hemorrhoids

First stage

Hemorrhoidal nodes increase, they protrude into the lumen of the anus, but do not fall out of the canal.

Possible symptoms : discomfort, sometimes blood is released and incomplete emptying is felt.

Second stage

Nodules fall out after a bowel movement, but usually set back on their own.

Symptoms : feeling of itching and burning, sensation of a foreign body, bleeding after emptying.

Third stage

Dropped nodes are not set back.

Main symptoms : the appearance of one to three bumps, pain after emptying is added to itching and burning.

Fourth stage

Frequent prolapse of hemorrhoids, complicated by thrombosis of the nodes, bleeding, mucus secretion. Sometimes there are signs of gas and fecal incontinence.

How do I get rid of hemorrhoids after giving birth?

Medical methods of treatment

At the initial stage, you can cope with hemorrhoids after childbirth in a conservative way. . Eliminates pain and bleeding (if any), as well as inflammation and thrombosis. A proctologist will treat this ailment using rectal creams, gels, and suppositories.

Candles . Rectal suppositories are most often used in the initial stage. There are suppositories intended for the treatment of pregnant women and women who have given birth. The components included in their composition are harmless. Candles consist mainly of medicinal plants (extract) and analgesic components. However, do not forget to read the annotation to the medicine.
Ointments . Symptoms accompanying hemorrhoids (cracks in the anus) are healed with ointments that have anti-inflammatory and analgesic effects. Ointments are best used for external postpartum hemorrhoids.
homeopathic remedies . Candles, which consist of herbal ingredients and petroleum jelly, are prescribed to young mothers. Rapid healing of wounds and anti-inflammatory effect have essential oils and medicinal plants in the composition of homeopathic preparations. Reduces pain, cools and soothes menthol extract. Women who are prone to allergic reactions need to be especially careful when purchasing homeopathic medicines.
Microclysters . They have healing and anti-inflammatory effects. They are used to combat internal hemorrhoids. A woman emptying her bowels before the procedure. To do this, use decoctions of medicinal herbs, sea buckthorn oil, drugs with a hemostatic property.

Folk remedies for hemorrhoids

Alternative methods of treatment can be effective if used in conjunction with drug treatment.

Consider some folk remedies:

It is important to remember that sitz baths are possible only if the discharge from the rectum (mucus, blood) stops.

In no case do not cancel the medicines prescribed by the proctologist in favor of alternative methods of treatment.

Disease prevention

Proper nutrition and lifestyle

The main condition for the treatment of hemorrhoids after the birth of a child is considered proper nutrition . The health of the baby is also not unimportant diet of the mother.

Constipation accompanies a woman during pregnancy, therefore, by adjusting the diet, you need to get rid of them.

What should be in the diet of a mother suffering from hemorrhoids?

Dried fruits (dried apricots, prunes).
Fruits (apples, bananas).
Cereals (barley, barley), bran (buckwheat, wheat, oatmeal).
Vegetable oils.

You need to drink at least one and a half liters of fluid per day.

Steam cooking is preferred over frying.

In nutrition, give more preference to fruits and vegetables with small amounts of carbohydrates and meat.

Some foods should be excluded

Smoked and fatty foods.
Hot and spicy foods.
Flour products.
Carbonated sweet drinks.
Coffee and chocolate.
Legumes.

Therapeutic exercises for hemorrhoids

Many different types are known preventive and therapeutic exercises . My choice was a set of Kegel exercises. Regular Kegel exercises are said to strengthen the pelvic floor muscles, thereby increasing the blood supply to the rectal area.

Stages of exercises

Such classes should not be carried out if acute hemorrhoids have developed and or there is a threat of premature birth.

You need to start the exercises in the “lying down” position.

Bend your legs at the knee joint and place on your feet. In this position, you will feel the muscles of the pelvic floor and be able to contract them correctly, the muscles of the back and the press are not affected here.

Perform slow contractions and muscle relaxation . Tighten the muscles so that the anus retracts for 3-5 seconds, then relax them. Subsequently, increase the time to 10 seconds. It is advisable to repeat this exercise 10-15 times.
High-speed tension of the pelvic floor muscles. The bottom line is that the reductions each time should be carried out as intensively as possible. At the beginning, such muscle contractions are done for 30 seconds, and then the tension and relaxation of the muscles are brought up to 1 minute.
This exercise is similar to the natural urge to defecate or urinate. . The muscles of the pelvis tighten, as if pushing something from the inside. Increasing the strength of muscle contraction to a maximum, followed by a gradual decrease in intensity.

Push-up exercises for hemorrhoids should be done 10-15 times, it will take you 1-2 minutes.

Daily Kegel exercises will give a good result in the treatment of hemorrhoids . The complex can be repeated 2-3 times a day. If the doctor allowed this complex to be done (it cannot be performed when the disease develops) and you understand how the right muscles work, this can be done in the “sitting” and even “standing” state.

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

Causes of pathology

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

in the last trimester of pregnancy, pressure inside the abdominal cavity increases, which causes stagnation of blood in the veins of the pelvic organs;
an increased content of progesterone in the blood by the end of pregnancy causes a strong weakening of vascular tone. Their walls are stretched, provoking stagnation of blood and an increase in hemorrhoids;
frequent constipation during pregnancy also causes the development of hemorrhoids of the initial stage;
during childbirth, there is a rush of blood to the pelvic organs, pressure on the pelvic organs increases, including the hemorrhoidal veins, and the sphincter muscles also experience a huge load. All this only worsens the clinical picture of the disease, which began to develop during pregnancy.

The relative factors provoking the development of hemorrhoids after childbirth, as well as aggravating the already existing pathology, include:

excess weight;
sedentary lifestyle;
nutritional errors;
taking hormonal drugs;
weight lifting.

Symptoms and possible complications

Postpartum hemorrhoids can manifest itself in both acute and chronic forms. The first option is characterized by a sudden onset of pain, severe discomfort in the anus (burning, itching), and the second is characterized by a long course and unexpressed symptoms: itching or burning may appear periodically, which quickly pass after the use of rectal suppositories, drops of blood may also periodically appear after the act defecation.

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

pain - occurs after the act of defecation and, as a rule, passes quickly. In some cases, mild, but constant aching pain can be observed for a long time. Most often it occurs with a slight inflammation of the external hemorrhoids. In this case, small bumps appear near the sphincter;
itching, burning - can disturb for a long time. Unpleasant sensations intensify during defecation and disturb for a long time after it.
bloody discharge - occurs with frequent constipation, with the appearance of cracks in the anus or with the development of internal hemorrhoids, when feces, passing through the intestinal duct, injure enlarged hemorrhoids.

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

if left untreated, hemorrhoidal bumps will increase in size. In the future, they will begin to fall out of the rectum, which will require a radical operation to remove them;
long-term disruption of normal blood flow leads to the development of severe inflammatory processes and swelling in the tissues, which causes constant severe pain. If left untreated, complete blockage of the veins of the hemorrhoid occurs, which leads to tissue necrosis, which also requires immediate surgical treatment of hemorrhoids.
very often, small bleeding, which bothered in the first stages of the disease, becomes more abundant. Large blood loss leads to the development of anemia, the quality and properties of blood throughout the body are reduced.
hemorrhoids of the last stage, when the inflamed hemorrhoids are difficult to reduce even with the hands, cause deformation of the sphincter muscles, which causes leakage of mucus and feces to the outside (weeping hemorrhoids).

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

Treatment of hemorrhoids after childbirth

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

Surgery

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

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

All techniques are aimed at the destruction of hemorrhoids in various ways (low temperatures, laser cauterization, impaired blood supply to the node, etc.). Procedures do not require hospitalization, quickly and effectively help to cope with the disease.

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

Conservative therapy

Ointments and suppositories for hemorrhoids after childbirth are allowed to be used only after consultation with your doctor. Many plant and animal substances that are part of drugs penetrate into breast milk, and then into the body of the child. They can cause allergies and other side effects in a fragile child's body, which will negatively affect its general condition. Only a doctor can take into account all the nuances and recommend drugs that are really safe during breastfeeding.

Gel Troxevasin

The gel is used to relieve severe swelling and inflammation caused by blockage of the hemorrhoidal veins. The drug quickly relieves tissue swelling and helps restore vascular tone. The gel can be used for a long time in chronic hemorrhoids, difficult to treat. Troxevasin lubricates the affected areas 2 times a day. Data on the negative impact on the body of the mother and child during lactation have not been identified.

Heparin ointment

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

Relief, Relief Advance

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

posterisan

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

Vishnevsky ointment

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

Candles "Sea buckthorn oil"

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

Homeopathic candles with propolis, calendula

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

Natalsid

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

Neo-Anuzole

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

Anestezol

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

Procto-Glivenol

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

Folk remedies

Hemorrhoids after childbirth can be treated with some folk methods.

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

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

Non-drug treatments for postpartum hemorrhoids

How to treat hemorrhoids after childbirth? This is the first question that a woman asks herself when she feels itching, pain, an increase in the size of hemorrhoids. Taking any medication causes serious concern for young mothers, as most of them breastfeed their baby. Treatment of the disease should be started immediately, as it causes a lot of inconvenience, deprives a woman of the opportunity to fully deal with the baby and aggravates the state of postpartum depression. In the initial stages of hemorrhoids, in some cases, you can only get by with a change in lifestyle, nutrition, hygiene and certain physical exercises.

Proper nutrition for hemorrhoids after childbirth

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

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

Fiber-rich fruits and vegetables improve intestinal motility in hemorrhoids

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

Personal hygiene rules for hemorrhoids

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

Women who have experienced hemorrhoids in the postpartum period should avoid tight underwear, as it contributes to the deterioration of blood circulation in the pelvis.

Physical activity for hemorrhoids after childbirth

An increase in general motor activity, as well as a set of exercises to strengthen the muscles of the pelvic floor, leads to an improvement in blood circulation and the state of blood vessels. You can start any gymnastics immediately after childbirth only after consulting a doctor. If a woman had problems such as difficult childbirth, perineal rupture or caesarean section, then the list of exercises will be extremely organic.

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

With an exacerbation of hemorrhoids after childbirth, a woman should not stay in a sitting or horizontal position for a long time, as this greatly increases the pressure on the hemorrhoidal veins. It is recommended to breastfeed the baby in the supine position, as this process can be quite long.

Tip: At the first, which are the feeling of discomfort during defecation, a woman needs to contact a proctologist. The sooner the treatment of the disease begins, the less likely it will be necessary to use serious drugs or surgery that are incompatible with lactation.

Conservative and surgical methods for the treatment of hemorrhoids after childbirth

Postpartum hemorrhoids can be treated conservatively and rarely surgically. Conservative therapy consists in the use of special medicines for hemorrhoids after childbirth, aimed at relieving the symptoms of the disease and preventing subsequent exacerbations. Surgical treatment consists in the removal of hemorrhoids, which can be performed by a minimally invasive or surgical method. The choice of this or that method of treatment of hemorrhoids is carried out by a specialist after a complete examination and determination of the severity of the disease.

Conservative treatment

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

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

eliminate pain, itching, burning;
reduce inflammation;
regenerate damaged tissues;
stop bleeding;
increase the tone of the veins.

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

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

Also, drugs can be prescribed to treat constipation, if this problem cannot be solved with the help of a diet. Among them, the most widely used drug is Dufalac, which improves intestinal motility and contributes to a change in the structure of feces.

Surgery

They try to avoid surgical treatment of hemorrhoids in a woman after childbirth or, if possible, postpone it for a while after the end of lactation, having achieved remission of the disease by other methods. But in some cases, you can not do without it, especially when it comes to the last stages of hemorrhoids, accompanied by heavy bleeding.

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

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

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

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

In women, hemorrhoids after childbirth are not uncommon. Usually, he declares himself because of changes in the woman's body: the growing uterus presses on the area inside the peritoneum, which makes it difficult for blood to flow out of the rectal veins. Contributes to the development of the disease and a sedentary lifestyle, increasing weight, malnutrition, as well.

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

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

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

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

During pregnancy, the expectant mother gains from 10 to 15 kilograms, which becomes an additional provoking factor leading to the development of hemorrhoids. In the process of childbirth, the problem is aggravated, overstrain of the muscular apparatus of the perineum and strong attempts can lead to an exacerbation of the disease.

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

Symptoms - photo

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

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

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

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

Hemorrhoids can be both external and internal. nodes become inflamed inside the rectum. The external forms are characterized by the prolapse of the nodes outward; severe, complicated childbirth can provoke such a condition.

When the first symptoms of hemorrhoids appear, a young mother should not delay contacting a doctor. Many women are interested , Will hemorrhoids go away after childbirth? It can be unequivocally stated that it will not work. Ignoring the problem or trying to treat it yourself can lead to complications and the transition of the disease to a chronic form.

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

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

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

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

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

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

Ointments for hemorrhoids

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

Stop pain.
Fight the inflammatory process.
Eliminate irritation and.
To prevent the development of bleeding from the rectum.
Contribute to strengthening the tone of the veins.
The active substances of the drug should not penetrate into the blood and breast milk.

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

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

Candles for the treatment of hemorrhoids after childbirth

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

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

Candles with sea buckthorn oil. These are the most popular suppositories for hemorrhoids after childbirth. The drug has a powerful regenerative effect, reduces inflammation, eliminates burning and itching, heals the mucous membranes well. Candles with sea buckthorn are used to treat internal hemorrhoids, anal fissures and rectal ulcers. This is a safe remedy with a minimum of contraindications, suppositories are approved for the treatment of hemorrhoids during breastfeeding, since they do not contain any substances harmful to the baby.
Posterisan (rectal suppositories) - the composition of the drug includes inactivated E. coli, which help to increase local immunity and help the body cope with the pathological process itself. Candles have a wound-healing effect, help strengthen blood vessels. Active substances are not absorbed into the blood and do not penetrate into breast milk, which allows the use of the drug during lactation.
. They have an analgesic, healing, hemostatic effect. The active substance of the drug copes well with inflammation, stimulates local immunity. Relief rectal suppositories are approved for use during breastfeeding, but treatment should be under the supervision of a physician, since allergic reactions to one of the components (shark liver oil) are possible.
- the composition of the suppositories includes heparin, polidocanol and prednisolone acetate. The drug has an antipruritic, antithrombotic and anti-edematous effect, copes well with inflammation and helps strengthen the walls of blood vessels. Heparin dissolves existing blood clots and prevents the appearance of new ones, accelerates the healing process due to sclerosis of dilated veins. Prednisone relieves puffiness well, relieves itching. Polidocanol has a pronounced analgesic effect.
(candles) - the drug contains lidocaine and tribenoside, these substances have a local anesthetic, anti-inflammatory and antipruritic effect. The use of the drug for internal hemorrhoids improves blood microcirculation, strengthens the walls of capillaries and increases the tone of the rectal veins.
- a natural preparation based on a plant extract of a medicinal plant. Its main purpose is to heal cracks and wounds. Candles with calendula are successfully used to heal anal fissures and other damage to the rectal mucosa. The drug has practically no contraindications and is approved for use in pregnant and lactating women.
- the active substance of the drug is a natural polysaccharide extracted from seaweed. It has a pronounced hemostatic and reparative effect, actively fights inflammation and quickly copes with the symptoms of hemorrhoids. Candles Natalsid prescribed for chronic hemorrhoids, accompanied by bleeding, rectal fissures and complications of hemorrhoids (proctosigmoiditis). The natural drug has practically no contraindications and is approved for the treatment of hemorrhoids after childbirth.

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

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

Diet and proper nutrition

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

Fiber will also help prevent constipation. It should be borne in mind that if a woman is breastfeeding, some fruits are undesirable (for example, citrus fruits), they can cause allergies in the baby.

Fatty, fried, high-calorie foods should be excluded from the diet, spicy, salty foods, marinades and smoked meats should be abandoned. Do not lean on chocolate, white bread, confectionery, coffee, sweet carbonated drinks.

Experts advise including in the daily menu:

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

You should abandon vegetables with coarse fiber (cabbage, radish, radish, corn) and legumes, they contribute to excessive gas formation and negatively affect digestion. To effectively eliminate constipation, it is recommended to drink more:

mineral water,
juices,
compotes.

It is necessary to drink at least 1.5 - 2 liters of liquid per day. Food is best steamed, stewed or baked.

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

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

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

Necessary for hemorrhoids and hygiene. With inflamed external nodes, every time after a stool, you should wash with cool water. It relieves inflammation and pain. It is better to use damp or at least soft toilet paper.

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

Folk remedies

Enough and traditional medicine recipes, successfully fighting. But you should also be careful with them, not always advice and recommendations read on some forums or in magazines can be useful. It often happens that harmless recommendations can be harmful to health and aggravate the situation. Therefore, be sure to first discuss your favorite recipes with your doctor.

Some of the safe recipes are:

Three times a day they drink half a glass of fresh rowan juice, washed down with water. Or 30 minutes before meals, each time they drink a glass of cabbage pickle.
For washing use a decoction of wild strawberry leaves.
At night, you can inject 2 ml of cedar oil into the anus with a disposable syringe or insert a cotton swab soaked in celandine juice into the anus. Also for lotions use a decoction of sloe leaves or a decoction of horsetail grass.
If, then you can take a teaspoon of borage juice or medicinal fume juice.

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

Hemorrhoids - an inflammatory disease in which there is an expansion of the veins of the hemorrhoidal plexus. Simply put, bumps of various sizes form in the perineum. External hemorrhoids are characterized by the fact that lumps form outside the rectum, under the skin around the anus. In the remission stage, it does not cause discomfort, but during an exacerbation it worries the patient very much.

The main reason for the appearance of hemorrhoids is a violation of blood flow in the hemorrhoidal region. But various factors can provoke this condition: weight lifting, “sedentary” work, disruption of the gastrointestinal tract, a sedentary lifestyle.

Why does it appear after childbirth and while breastfeeding?

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

In fact hemorrhoids often develop during pregnancy. The disease has several stages. In the initial stages, there is an asymptomatic expansion of the venous vessels.

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

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

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

The main causes of postpartum hemorrhoids:

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

Symptoms of external hemorrhoids

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

In this case, the disease can go into a more serious stage. Hemorrhoidal bumps can increase in size, fall out of the anus to the outside when visiting the toilet or physical exertion.

The neglected form of hemorrhoids is difficult to cure without surgery. Therefore, do not postpone a visit to the doctor when the first symptoms of hemorrhoids appear. Only a specialist can prescribe you a competent complex treatment.

What are the best remedies for this disease?

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

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

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

How to treat this disease?

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

"Relief"

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

"Relief" is better to use in a complex way - apply both ointment and suppositories at once. With external open forms of hemorrhoids, applications of the Relief ointment can be used. To do this, each package of the drug contains a rectal tip. Thanks to him, the ointment can be easily applied inside the rectum. So recovery will come much faster.

Suppositories with sea buckthorn oil

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

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

"Neo-Anuzol"

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

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

Neo-Anuzole is safe to use and effective. Like any drug, it can cause allergic reactions. Other cases of side effects have not been recorded.

"Posterizan"

A feature of the drug is that it contains inactivated cells of Escherichia coli. Due to this, there is no negative effect on the intestinal microflora. Rather, the drug activates local immunity. The use of candles increases the rate of healing of wounds, prevents infection.

It is better to use it in combination - candles and ointments. So the clinical effect will be achieved faster. Important: when treating with Posterisan, other rectal suppositories should not be used. Otherwise, the ointments deactivate each other and stop working.

Procto-Glivenol

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

Due to its effectiveness and almost instantaneous pain relief, the drug is very popular. Procto-Glivenol is available in the form of an ointment and suppositories. You can use the drug during pregnancy and lactation under the supervision of your doctor.

Hepatrombin-G

The main active ingredient Heparin prevents the formation of blood clots, reduces swelling. The composition of the ointment and suppositories also contains painkillers and antiallergic components. Gepatrombin-G is effective, but it must be used carefully. When applying too many suppositories or ointments, tissue regeneration may be slowed down.

This drug during pregnancy and lactation, doctors prescribe with caution. In addition, along with the drug Gepatrombin-G, there is Gepatrombin. Hepatrombin should not be used for the treatment of hemorrhoids. Carefully check the packaging upon purchase and consult your doctor before use.

Natalsid

Natural preparation containing sodium alginate. This substance is derived from the processing of kelp seaweed. Sodium alginate has a hemostatic and anti-inflammatory effect.

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

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

Contraindications to the use of ointments and suppositories during lactation

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

The main principle of therapy for hemorrhoids in the postpartum period is efficiency and safety. It is preferable to use natural preparations, as well as combine their use with alternative methods of treatment.

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

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

To prevent hemorrhoids and cure it faster, you need to:

eat more vegetables and fruits.
Eat foods that contain fiber.
Eat small meals.
Drink enough liquid.
Try to lead an active lifestyle.

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

Useful video

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