Future mothers involuntarily face an intimate problem - external hemorrhoids. The condition is extremely common. Nearly half of pregnant women seek external hemorrhoid symptoms for medical attention. Since the woman is in position, the treatment is of a special nature. The variety of methods for treating external hemorrhoids during pregnancy is reduced in order to eliminate risks to the fetus. Nevertheless, it is impossible to leave hemorrhoids without treatment, otherwise complications will arise more seriously.
Causes of the development of hemorrhoids in pregnant women
First, a little theory. Hemorrhoids are divided into two types:
- Intraintestinal As a rule, such nodules are located inside the rectum under the mucosa.
- External Develop under the skin around the anus.
The pathological process of increasing external neoplasms becomes the beginning of external hemorrhoids.
The main trigger factor for the appearance of hemorrhoidal disease is heredity. Genetically weakened venous walls are not able to withstand the influence of some provocative moments. For example, changes in the body of the expectant mother, which begin already from the first minutes of fertilization of the egg. Hormonal changes aimed at preserving and maintaining pregnancy are especially influential. Active work of the hormonal background slows down the contraction of smooth muscles, which covers the internal organs of a woman and the walls of the blood channels. Such changes reduce venous tone and intestinal motility. Moreover, the risk of constipation and congestion in the pelvis increases.
Other provocateurs that contribute to the development of external hemorrhoids in pregnant women:
- Constipation and difficult fats due to a lack of fiber in the diet.
- Not the first pregnancy.
- Abuse of salted and smoked snacks, causing blood flow to the pelvis.
- Decreased or lack of physical activity.
- A constantly growing fetus in the womb displaces internal organs, compresses blood vessels and impairs the functioning of the gastrointestinal tract.
The absence of treatment increases the risk of exacerbation during the birth period, as well as after the birth of the baby.
Symptoms
The clinical picture with external hemorrhoids in pregnant women is no different from the course of the disease in other categories of patients. Pain characteristic of the disease occurs in the anorectal zone due to an increase in nodules. Often soreness occurs when visiting the toilet, but a sudden manifestation is not excluded.
Doctors warn that with hemorrhoids it is impossible to be in the same position for a long time, for example, to exclude sedentary work. The individual characteristics of each organism affect the intensity of the resulting pain. In other words, a woman either experiences severe pain, or an unusual, but quite tolerable sensation.
In addition to the described symptoms, a pregnant woman can observe:
- mucous discharge;
- irritation and burning sensation in the anus;
- wet traces on underwear.
Since nodules with external hemorrhoids bleed less often, a woman notices traces of blood on her linen or toilet paper only after emptying her bowels or washing procedure.
The difference between the external and the internal form is hemorrhoids, which are felt with independent palpation of the anus. It feels like pine cones, leading to pain when pressed.
Acute and chronic phase
The symptoms described above depend on the course of the disease. Two phases of the pathological process are known - acute and chronic. Both species have the ability to alternate. In the chronic form, the clinical picture is usually blurred. For example, a woman feels discomfort and unusual sensations in the anus, but does not suggest the onset of hemorrhoidal disease.
Without timely therapy, the acute phase develops gradually, passing through three stages:
- The occurrence of small nodules, which are accompanied by irritation by burning surrounding tissues. Discharges appear. Pain is only disturbed after bowel movement, fading away after some time.
- An increase and swelling of hemorrhoids. The area around the anus is very inflamed, and when pressing on the neoplasm, the patient experiences severe pain.
- Inflamed nodes become cyanotic, in some cases crimson. In extremely difficult situations, necrosis of the nodes was observed. Pain sensations intensify many times.
What to do?
External hemorrhoids during pregnancy are subject to mandatory treatment. If, after the detection of characteristic signs, the pregnant woman does not seek help for treatment, then the complication of the disease will manifest itself as infection. As a result, viruses can harm not only the expectant mother, but also the fetus, penetrating the placental barrier.
Bleeding during external hemorrhoids provokes the development of iron deficiency anemia. A lack of iron in a pregnant woman is oxygen starvation for the fetus, with subsequent complications.
Drug treatment
Treatment of external hemorrhoids during pregnancy is determined only in the office of the attending physician after the examination. Given the situation of the future mother, doctors prefer to choose medical therapy. Mostly experts prescribe to expectant mothers:
These funds have a local complex effect on the affected area in order to get rid of external hemorrhoids during pregnancy. How do medicines affect foci:
- reduce inflammation;
- relieve pain;
- reduce swelling;
- eliminate bleeding.
Below is an overview of the most effective treatments for external hemorrhoids during pregnancy, given the possible risks to the fetus.
"Posterisan"
Immunostimulating and anti-inflammatory drug in the form of suppositories. Used to treat rectal pathologies. Indications from the instructions for the use of candles "Posterisan":
- treatment of external hemorrhoids;
- itching in the anal area;
- perianal dermatitis;
- cracks in the rectum.
Contraindications:
- the presence of fungal infection;
- intolerance to components;
- signs of syphilis, gonorrhea, and tuberculosis.
Method of treatment: suppositories are injected into the rectum twice a day after the act of defecation. The course of treatment indicated in the instructions for the use of candles "Posterisan" - 3 weeks. Individually, the duration of treatment can be increased at the insistence of the attending physician.
"Posterisan Forte"
The active components are inactivated microbial cells of E. coli, they activate the growth of tissues resistant to pathogenic infectious agents. The drug relieves inflammatory foci, accelerates the healing of affected skin areas and increases local immunity.
The instructions for use for ointment "Posterisan Forte" indicate the following indications:
- proliferation of hemorrhoids;
- itching and burning in the anus;
- ulcerative lesions of the anus;
- perianal dermatitis.
Contraindication - allergic reactions to individual components of the composition.
Side effects in exceptional cases:
- redness of the skin;
- burning sensations;
- itching in the area of application.
The method of treatment indicated in the instructions for use for the ointment "Posterisan forte": the ointment is applied to previously cleaned affected areas (hemorrhoids) up to 4 times a day.
The average cost of the drug is 440 rubles.
"Heparin ointment"
With an increased risk of blood clots in a pregnant woman, drugs with anticoagulants in, for example, “Heparin Ointment” are prescribed. Active components of the drug: heparin, anestezin and benzyl nicotinate, reduce the risk of gluing blood cells and improve blood circulation. An anesthetic in the composition instantly relieves pain.
Indications for use:
- treatment of external hemorrhoids, including pregnancy;
- thrombosed anal vessels;
- lymphadenitis;
- joint damage;
- swelling of the soft tissues.
Contraindications:
- poor blood coagulation and a tendency to bleeding;
- open wounds;
- soft tissue ulceration;
- tissue necrosis;
- allergic reactions when using ointment.
Side symptoms are expressed by redness of the skin and a decrease in the sensitivity threshold of the area of the skin where the ointment is applied.
Method of application: with external hemorrhoids in pregnant women, ointment is applied to external nodules 2-3 times a day. The duration of treatment is at least 10 days, depending on the individual case.
The price range for the drug varies from 40 to 70 rubles.
Natalsid
The drug is presented in the form of suppositories for topical application. The main advantage of the drug is a natural and safe composition, which includes kelp and sodium alginate. Active components block the development of infection and relieve pain.
"Natalside" with external hemorrhoids during pregnancy has the following effects:
- stops bleeding;
- relieves inflammation;
- accelerates the healing of the skin.
Indications:
- external hemorrhoids;
- colitis;
- bleeding
- complications after surgery.
Method of application: dip the suppository into water and gently enter into the previously washed anus 1 or 2 times a day. The exact number of times to check with your doctor.
The course of treatment, as a rule, is 7-14 days, which depends on the severity of the disease.
The average price of a drug is 340 rubles.
Relief
The composition of the ointment included an oil extract from shark liver. An oily substance has a complex effect on the condition of the affected areas. Recovery accelerates, bleeding stops, and local immunity rises. The second component of the drug - phenylephrine, has a vasoconstrictor effect, which allows you to quickly remove puffiness and stop the inflammatory process.
Indications:
- external hemorrhoids;
- ulcerative lesions of the anus;
- itching in the anus.
Contraindications:
- thromboembolism;
- low granulocytes in the patient’s blood;
- protective reaction of the body, expressed by allergic symptoms.
Sometimes there are redness of the skin, rash and irritation in the anal canal.
Method of treatment: Relief ointment during pregnancy from external hemorrhoids is applied to the cleaned area of hemorrhoids up to 4 times a day.
Important! The content of phenylephrine in the ointment reduces the therapeutic effect of drugs aimed at lowering blood pressure.
The average cost of the drug is 365 rubles.
Relief Advance
Active ingredients - anesthetic and oil extract from shark liver. The latter stops bleeding, relieves inflammation, stimulates local immunity and accelerates the healing of damaged soft tissues. Anesthetic in ointment belongs to the class of local painkillers, relieves pain in affected areas.
Indications:
- hemorrhoids of the external form;
- erosion and ulcers of the anus;
- rectal anesthesia, in case of examination or surgery.
Contraindications:
- thromboembolism;
- an allergic reaction to the components of the drug;
- reduced number of granulocytes in the blood.
In individual cases, during the treatment of external hemorrhoids during pregnancy, for example, redness of the skin and irritation of rectal tissues are possible.
Treatment: ointment is applied daily to the affected area up to 4 times a day. The course of treatment is determined by the attending physician, depending on the situation.
The price for a tube of ointment is about 430 rubles.
"Vishnevsky ointment"
An effective drug with an antiseptic effect aimed at pathogenic flora. Ointment dries the skin. With daily use, improves blood circulation, thereby activating the recovery process in the soft tissues. The castor oil present in the composition softens the affected areas.
Indications:
- burns;
- wounds;
- ulcers on the skin;
- boils;
- eczema;
- pressure sores;
- hemorrhoidal disease of the external form.
It is not recommended to use "Vishnevsky Ointment" with pronounced allergic reactions to the drug and liver diseases.
With intolerance to any component from the composition, there are:
Method of use: "Vishnevsky ointment" is applied to a compress, given the opportunity to soak and put on the affected areas. The number of procedures per day - 3 times.
Prolonged use of the ointment increases a person's sensitivity to ultraviolet light. This suggests that with hemorrhoids you can not use the ointment in the summer.
The price is from 45 rubles.
"Troxevasin"
The active substance - troxerutin, increases the strength of capillaries and improves local blood circulation.
Indications:
- varicose veins;
- external hemorrhoids nodules;
- lymphovenous insufficiency;
- swelling and pain after bruising.
Do not use on skin with wounds, as well as ulcerated. Avoid getting ointment on the intestinal mucosa.
Side effects are manifested in the form of allergic reactions to the composition.
Treatment: Troxevasin ointment during pregnancy and not only traditionally applied to the cleaned affected areas twice a day.
Price range - from 165 to 190 rubles.
Potassium permanganate baths
Potassium permanganate is a common remedy for treating external hemorrhoids, as potassium permanganate is a powerful antiseptic. Baths with potassium permanganate during hemorrhoids during pregnancy prevent the infection from joining, accelerate the healing process and quickly restore tissue.
Inadequate use leads to burns and overdrying. Therefore, for treatment, it is better to use a weak potassium permanganate solution prepared immediately before use. For treatment, 1 liter of water at room temperature is needed. In this amount, a solution is prepared. Then, the already prepared rose water is added to the bath. The potassium permanganate solution is allowed to be used by all without restrictions. The procedure should not last more than 20 minutes. After completing, blot the anus with a paper towel and grease with oily cream or sea buckthorn oil.
Therapy is performed twice a day after bowel movement. The course of treatment is determined by the attending physician.