After the birth of a baby, many women face a lot of pleasant worries. The postpartum period is quite often complicated by the fact that a woman experiences discomfort from the fact that hemorrhoids have come out after childbirth. The development of this pathology after the implementation of labor is a fairly common phenomenon.

As a rule, the problem makes itself felt even during pregnancy, since quite serious changes occur in the woman's body in the form of an enlarging uterus, which, with its size, makes it difficult for blood flow in the pelvic area.

After childbirth, the problem does not go away, but almost always becomes more acute. You should not despair in such a situation, since compliance with minor rules will help to effectively, in just a couple of months, completely get rid of the problem.

Hemorrhoids is an unpleasant and painful condition associated with the expansion of the veins and vascular network, with various inflammatory processes that occur in the rectum. There are several reasons for the rapid development of the disease immediately after childbirth:

For the entire period of pregnancy, a woman on average gains up to 10 kg. If hemorrhoids got out after childbirth, we can assume that it was the extra weight that caused this. In the implementation of labor activity, the pathology is seriously aggravated, there is a strong overstrain of the general muscular apparatus. If hemorrhoids developed during pregnancy, after childbirth, a young mother may encounter, that is, a serious exacerbation of the pathology.

Symptoms of hemorrhoids after childbirth

The process of exacerbation of the disease in the postpartum period worsens the already difficult first time after the birth of the baby. With the harbingers of hemorrhoids, many women encounter even in the clinic. The first days after labor, muscle tone is significantly reduced, stool accumulates in the rectum, which leads to constipation, to stagnation of blood.

As a result, hemorrhoids become larger and become seriously inflamed. At this stage, the pathology is manifested by the following symptoms:

• Heaviness in the pelvic area;
• Burning, itching and other forms of discomfort in the anus;
• Sensation of something foreign in the intestine;
• Pain during bowel movements;
• In the process of emptying, blood may occur.

If hemorrhoids come out after childbirth, it can be external and internal. In the second case, the bumps and nodes become inflamed in the inside of the anus. With an external form, the nodes fall out, which quite often occurs during childbirth.

As soon as these signs of pathology appear, a woman should immediately consult a doctor. Complete disregard for the problem or the use of self-medication can lead to a severe form of pathology and its transition to a chronic disease.

Important! Such a delicate problem and the solution of the question of how to cure hemorrhoids after childbirth, will help to solve the proctologist. The specialist will conduct the necessary examination and prescribe treatment, based on numerous individual factors.

Treatment of hemorrhoids

The process of eliminating the pathology should be started as soon as possible, since this is not just a collection of unpleasant sensations. Pathology is able to bring serious harm to the health of the mother, not only physical, but also psychological. The development of hemorrhoids does not allow to fully recover, defeat postpartum psychological depression, it is impossible to take care of your baby.

, which often accompany this pathology, are able to aggravate even more. In this regard, a woman feels constant discomfort, fatigue. This adversely affects the overall quality of her milk, and therefore the health of the baby.

In the postpartum period, the choice of modern drugs should be approached with the utmost care. The doctor prescribes such means and methods of treatment that will not have an adverse effect on the baby. The main medicinal substances of the prescribed drugs should not enter the body. During lactation, strong drugs in which hormones are present are strictly prohibited.

To eliminate the problem, specialists prescribe treatments made on a natural basis, in which there are no chemical compounds at all or their meager amount is noted. Do not neglect such treatment methods, as they are no less effective, but at the same time they can be used in the treatment of problems if hemorrhoids come out after childbirth.

Important! All oral preparations fall under a strict ban, the most effective and effective means in the postpartum period are various external preparations. It can be a variety of suppositories and ointments that are administered rectally.

Antihemorrhoid ointments and suppositories

In the process of choosing the most appropriate treatment regimen, the proctologist prefers such therapeutic creams and ointments, which are characterized by the following actions:

• Complete elimination of pain;
• Fight against inflammation;
• Elimination of itching and irritation;
• Prevention of bleeding;
• Strengthening the veins in the pelvic area;
• Lack of ability to penetrate into the blood and into the composition of milk.

Modern pharmaceuticals offers a fairly wide range of different drugs that fall into the category of external use. Here are the most popular and effective ones:

1. . It is characterized by a venoprotective effect, quickly strengthens blood vessels and veins, relieves inflammation and itching, and removes swelling.
2. . It contains heparin and allantoin. The first substance thins the blood, thereby dissolving the formed blood clots. Allantoin is able to quickly eliminate all signs of inflammation and helps tissues recover much faster.
3. Relief Ultra. This is a special oil from shark liver, which ideally removes all inflammation. The composition contains such a safe analgesic as benzocaine. This tool is ideal for eliminating various forms of pathology.

   
   

4. . A unique remedy for the rapid treatment of hemorrhoids. The medicine belongs to the category of analgesic, regenerating, decongestant and astringent. After a short-term use of the ointment, pain, itching and irritation can be completely eliminated. At the same time, bleeding is completely prevented.
5. . This is a special homeopathic remedy, which consists of components such as horse chestnut, vegetable witch hazel and calendula, soothing menthol, as well as useful and indispensable in the fight against hemorrhoids zinc oxide. The ointment gives an analgesic effect, removes inflammation, heals tissues and cracks. Zinc, which is part of the composition, has a drying effect, which eliminates the signs of hemorrhoids even faster.
6. . Able to have a pronounced anti-inflammatory and analgesic effect. This tool ideally heals the cracks that accompany the course of hemorrhoids.

   
   

As for drugs such as suppositories against hemorrhoids, they need to be handled more carefully than creams and ointments. They are inserted directly into the rectum, which increases the risk of hazardous substances entering the bloodstream. After the examination, the specialist can prescribe suppositories such as:

• Posterizan - suppositories that increase the level of pelvic immunity and have a high wound healing effect. The active components of this drug do not go into the blood and into the ducts of the chest;
• . A unique analgesic, blood-stopping agent that quickly removes inflammation at the same time. The drug is relatively safe, but should be used under medical supervision.

Properly selected ointments and creams prescribed by a specialist, if hemorrhoids come out after childbirth, can quickly get rid of the problem without harming the mother and baby.

Folk methods of treatment

If hemorrhoids come out after childbirth, how to treat is the most important issue. To fix the problem, you can use not only pharmaceutical preparations, but also use folk recipes. With different forms of postpartum hemorrhoids, you can cope with traditional medicine. Despite their simplicity, the choice of a particular technique should also be entrusted to a professional, only in this way they can bring the desired benefit. Among the most popular traditional medicine, the following methods can be distinguished:

All these recipes presented to the attention are able to significantly alleviate the general condition of the patient. Even faster results can be achieved by adjusting the diet. It is possible to eliminate hemorrhoids and all its manifestations through careful observance of personal hygiene, maintaining an active life as possible and timely access to an experienced proctologist.

Summing up

It is not difficult to cure hemorrhoids immediately after childbirth. The main thing is to follow all the recommendations presented to your attention. A complex of well-chosen therapeutic and preventive measures is able to quickly give the desired positive effect, you can get rid of all the symptoms of hemorrhoids. Proper nutrition, a load that is acceptable according to physical well-being will allow you to get rid of such an unpleasant, dangerous disease for a long time and devote all your time to caring for your baby.

Experts say that in recent years, hemorrhoids are diagnosed in patients more and more often. A special category of patients are young mothers in the postpartum period.

Complications during pregnancy and childbirth lead to hemorrhoids.

The disease causes great inconvenience to a young mother, surrounded by many new worries. What to do and how to treat this disease? Read in the material.

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 hemorrhoids and softens 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:

1. eat more vegetables and fruits.
2. Eat foods that contain fiber.
3. Eat small meals.
4. Drink enough liquid.
5. 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!

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It is believed that hemorrhoids are a disease of a sedentary lifestyle and drivers, programmers, and accountants are completely subject to it. If you believe this statement, then only representatives of these glorious professions give birth to children. But in reality, this misfortune mows down representatives of any craft, and most of them are faced with hemorrhoids just after the birth of a child.
What kind of thing is hemorrhoids?

Hemorrhoids are such a bad sore that you can’t see yourself or show people. It appears in the rectum and is a kind of retribution for bipedal bipedalism. Not a single animal that moves on four legs, even a monkey, has stagnation of blood in the hind limbs and pelvic vessels, and as a result, hemorrhoids. What can we say about hemorrhoids after childbirth, when during pregnancy all favorable conditions for development are created for him.

The length of the rectum is 15-16 cm and is divided into three sections. The distal section is located in the back of the small pelvis and ends in the perineum. Near the anal sphincter, under the skin of the perineum and inside the distal section, there are hemorrhoids. Located in the intestine - internal nodes, and under the skin - external.

This is a compact group of small vascular glomeruli 1–6 mm in diameter, located in the connective muscle tissue and interconnected. Often appearing hemorrhoids after childbirth is an abnormal increase in hemorrhoids, expansion of the venous arteries of the rectum, which is accompanied by bleeding and prolapse of enlarged nodes out of the anus.

Forms and symptoms of hemorrhoids

Hemorrhoids vary in location. With an internal form, hemorrhoids are located in the intestine, and during a mild course, hemorrhoids may not show painful symptoms. You can guess about its presence by the traces of blood in the feces and on toilet paper. During the period of exacerbation, the nodes fall out of the anus.

With external, or external hemorrhoids, enlarged nodes are located near the anus, often right under the skin. Combined, you guessed it, includes both internal and external.

According to the stages of the flow is divided into:

• Initial. The first symptoms appear - burning, itching, swelling around the anus, a feeling of bursting pressure and a foreign body.
• Second. Pain and bleeding are added to the already existing symptoms, appearing mainly after and during emptying.
• Third. The nodes increase significantly and fall out during physical exertion and in the process of emptying, after which they are set on their own.
• At the fourth stage, the musculoskeletal apparatus of the anal sphincter is so weakened that it loses the ability to hold the contents of the intestine and hemorrhoids. The disease causes severe inconvenience and pain when walking and sitting. At this stage, only surgery is indicated as a treatment.

What is the danger of hemorrhoids in women, and what happens if you do not treat

The disease is fraught with anemia. Prolonged small bleeding reduces the number of red blood cells in the blood, which is expressed by general weakness, fatigue, dizziness. If a woman is set up for long-term breastfeeding, then lactation with anemia will inevitably decrease.

In the later stages, when the nodules do not reduce on their own, they are pinched, inflamed and further necrosis - necrosis. Necrosis can also involve adjacent tissues. It poisons the entire body with toxins.

Simultaneously with hemorrhoids, anal fissures are often formed, which are even more traumatized by passing feces and infected by microorganisms. As a result, inflammatory processes join. Thrombosis, paraproctitis, fistula, gas gangrene - and these are not all unpleasant and very painful diseases that are the result of hemorrhoids without treatment. And if nothing else is done, then a long-term fistula can provoke cancer.

Treatment of hemorrhoids and prevention of recurrence

If, nevertheless, you find yourself with hemorrhoids after childbirth, then getting rid of it is not so easy. The fact is that often after the treatment, medical and surgical, relapses occur, which doctors forget to warn about. This is due to the wrong lifestyle, nutrition, bad habits, leading to constipation and stagnation of blood in the small pelvis.

To prevent the recurrence of hemorrhoids, it is first necessary to get rid of constipation and normalize the digestive system.

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It is also useful to do exercises such as birch trees, lifting the pelvis while lying on your back, twisting your legs while lying down, etc., aimed at improving blood circulation in the pelvis. And, of course, all doctors welcome physical activity - simple walking, running and swimming. Walk with your child more often, even in bad weather - after all, nothing prevents you from dressing appropriately for her, except for your own laziness.

The occurrence of hemorrhoids after childbirth, many women are mistaken for the consequences of attempts, although the disease begins to develop during pregnancy. Hemorrhoids after childbirth often go into the stage of exacerbation, delivering severe discomfort to the young mother.

A lot of worries about caring for a newborn, the need for recovery, rest after delivery, and ignorance of the methods of therapy often contribute to the fact that women do not rush to the doctor with the first symptoms of the disease. When choosing a therapy, one must also remember that with a diagnosis of hemorrhoids after childbirth, treatment while breastfeeding a child will be somewhat limited by the choice of medicines, products and procedures that are safe for the baby. We understand what to do if hemorrhoids occur after childbirth, the treatment of which can be carried out at home or require a visit to the hospital for surgical intervention, depending on the stage of the disease.

The development of the disease is not rapid, although women do not always pay attention to some of the symptoms of the disease that appear during pregnancy. Hemorrhoids after childbirth are additionally provoked by stress during the straining period, but the first symptoms appear long before the acute stage. These include itching in the anus, a feeling of heaviness, discomfort, especially during and immediately after defecation. There are constipation, minor bleeding from the anus.
The course of the disease is complicated by weight lifting, frequent physical exertion, dietary disturbances, including drinking, which often happens during lactation, when the rate of fluid volume per day should be increased taking into account the production of breast milk.

An additional factor is the displacement of internal organs after delivery. Those organs that were forced to change their position somewhat under the pressure of the growing uterus, at the end of pregnancy gradually return to their places, which can lead to temporary intestinal atony, aggravate constipation, and therefore provoke and intensify hemorrhoids after childbirth.

Why does hemorrhoids occur in women: we understand the reasons

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hemorrhoids in women

Prevention and treatment of early stages of the disease

Experts recommend resorting to preventive measures before the first symptoms appear. Postpartum hemorrhoids can be prevented if the bowel function is normalized. At the very beginning of the development of the disease, at its first symptoms, compliance with preventive measures allows you to stop the progression of hemorrhoids and reverse the process. At any stage of the disease, adherence to preventive measures is also necessary for the recovery process. To do this, it is recommended to adhere to the following rules:

• daily fluid intake: water, compotes, fruit drinks with a volume of at least 1.5 liters in the absence of breastfeeding, and up to 2.5-3 liters with lactation;
• inclusion in the diet of foods rich in fiber: wholemeal bread, vegetables, bran, brown rice, etc.;
• the use of fruits, dried fruits, vegetables, dairy products daily;
• reduction in the amount of carbohydrates, especially fast ones, the exclusion of sweets, carbonated drinks from the diet;
• when using foods and drinks that contribute to the removal of fluid from the body, for example, caffeinated, it is necessary to limit their amount and increase the amount of water. They also act when taking diuretic medicines, products, herbal teas and infusions;
• physical exercises, walks, light exercises should be present in the daily routine. Young mothers can combine walks for their health with finding a child on the street, perform sets of exercises for mother and child, and visit the pool together with the baby. One of the causes of hemorrhoids is venous stasis of blood, and with physical inactivity, a sedentary lifestyle, the treatment of the disease is much more difficult and requires additional means and methods;
• categorically in the first month after childbirth, regardless of breastfeeding, it is not recommended to drink alcohol, eat fatty, spicy dishes with an abundance of spices and seasonings;
• the rules of prevention include personal hygiene: washing the anus with cool water after each bowel movement, keeping it clean.

When diagnosing hemorrhoids after childbirth, the treatment is prescribed by a proctologist based on the diagnosis of the stage of the disease and the characteristics of the course. Hemorrhoids after childbirth require treatment during breastfeeding, taking into account the possible penetration of medicines into mother's milk. Therefore, when choosing therapy, it is necessary to warn the doctor about lactation.
However, limiting the choice of treatment methods during breastfeeding should not be the basis for the lack of therapy. Untreated hemorrhoids after childbirth often become chronic, supplemented by new unpleasant symptoms and dangerous manifestations, may be complicated by severe bleeding from the anus and require surgical intervention. The symptom complex of hemorrhoids brings a lot of uncomfortable sensations: pain, itching, a feeling of heaviness, difficulty with defecation, etc., which means that it is worth starting treatment as early as possible, at the very first stage of the development of the disease.

The course of treatment of the disease includes dietary restrictions, hygiene procedures: washing, drying, soothing baths, the use of medications, mainly local action with anti-inflammatory, regenerating, analgesic effects. Most often, drugs are used in the form of ointments, creams and anal suppositories, alone or in combination, depending on the symptom complex, the stage of the disease and the patient's well-being.

Drug therapy for hemorrhoids during lactation

Thus, with the diagnosis of hemorrhoids after childbirth, treatment in the first stages is based on following the recommendations on diet, body hygiene, as well as the use of drugs in the form of suppositories, ointments and creams. Consider the options for drug therapy in terms of the use of drugs during breastfeeding.
One of the common and inexpensive remedies for hemorrhoids after childbirth and at other periods of life is Heparin ointment and suppositories based on heparin and related substances. This drug has no contraindications for pregnant and lactating women, ointment and suppositories have a local effect.
Troxevasin, a topical preparation in the form of a cream and ointment, reduces inflammation, swelling, helps to reduce the amount of secretions, and also increases the tone of blood vessels. It also has no contraindications during pregnancy and lactation.
Relief is a cream based on shark liver fats. It has no contraindications, but is not used for therapy in acute stages. This drug can be used if hemorrhoids after childbirth is at an early stage.
Posterizan - ointment for the regeneration of the affected intestinal mucosa and anus. Has no contraindications for lactation.
Proctosan in the form of an ointment has an analgesic effect and reduces symptoms if hemorrhoids after childbirth are in the initial stage. The composition contains the active substances proctosan and bismuth, which affect the reduction of bleeding, inflammatory processes,
Procto-glivenol in the form of anal suppositories contains the anesthetic lidocaine, which acts as a local anesthetic, and tribenoid as an anti-inflammatory and reduces congestion in the veins. The topical drug can be used during breastfeeding without toxic effects on the child.
There are also candles based on plant extracts and propolis. These include suppositories with sea buckthorn oil, calendula and propolis. All three varieties can be used during lactation, but they are effective only in the initial stages or as an adjuvant. All three have a regenerating and mild anti-inflammatory effect, allergic reactions to the corresponding active substance are contraindications.
Based on the wound healing, anti-inflammatory and drying effect of natural extracts, alternative methods of treatment are based. Baths with herbs, propolis, shilajit, sea buckthorn oil and other home remedies can be used as an additional therapy after consultation with a proctologist.

Operative methods for the treatment of hemorrhoids

If, with hemorrhoids after childbirth, medication treatment and compliance with the recommendations do not help, they resort to various surgical intervention techniques. Most of them do not require hospitalization and can be combined with lactation and baby care.
These methods include:

• ligation. A small latex ring, using a special device, is placed on the base of the hemorrhoid, squeezing it at the base. The cessation of blood supply to the tissues in the node causes its death and independent rejection 10-15 days after the procedure. There are no pain sensations during this process, slight and short-term discomfort is possible;
• cryodestructive method of treatment, the use of liquid nitrogen. Gaseous nitrogen with a temperature of about -195°C is supplied through a special device pointwise to areas requiring cauterization, and acts on the affected surface of the mucosa and the area of ​​the blood vessel. Cryodestruction is effectively used up to the fourth stage of the disease, both in external and internal hemorrhoids;
• the method of sclerotherapy involves the introduction of a sclerosing drug into the affected area of ​​the vein, which ensures its fusion;
• infrared coagulation, cauterization of affected areas using infrared radiation. The dead areas of the surface formed as a result of exposure fall off and come out on their own within a few days. Surgical intervention lasts a few seconds, up to three knots are cauterized in one treatment.

All of the above methods do not require hospitalization, take just a few minutes of time, do not cause harm or pain to the patient, do not affect breastfeeding, are less traumatic and cure hemorrhoids after childbirth quickly and reliably. Do not neglect or postpone the procedure if the proctologist recommends one of the surgical methods of treatment.

When deciding on the methods of treating hemorrhoids, one should pay attention not so much to the availability and insignificance of efforts when using some methods of alternative (folk) therapy, but to the effectiveness and overall effect on the body. A young mother during lactation should also be aware that the treatment should not only benefit herself, but also not harm the baby, and also help the woman quickly improve her well-being, stop feeling discomfort and focus on restoring her health and caring for the baby.

It is for this reason that the choice of drugs, treatment methods should be trusted to proctologists. Based on the diagnosis of the stage of the disease, the restrictions imposed by lactation and the peculiarities of the course of the process, the doctor will be able to recommend the optimal set of procedures and drugs to quickly get rid of this unpleasant disease - hemorrhoids.

Hemorrhoids after childbirth develop in almost every second woman who gave birth naturally; if the disease is not treated in time, complications may develop, however, therapy should be selected taking into account the possible risks for the newborn child during lactation.

Main reasons

Prerequisites for the development of hemorrhoids in the postpartum period appear during pregnancy. After conception in the body of a woman there is a huge release of the hormone progesterone, which reduces the elasticity of blood vessels and slows down blood flow. In late pregnancy, the level of relaxin increases. The hormone relaxes the cervix, preparing for childbirth, and reduces the elasticity of the vascular walls. The increase in the body weight of a pregnant woman and the volume of blood circulating in her body negatively affects hemorrhoids.

Hemorrhoids progress during natural childbirth. When the fetus passes through the birth canal, the rectal vessels are compressed. Due to the deterioration of the outflow of blood, the walls of the cavernous veins are stretched. The longer the birth process continues, the more the cavernous plexuses overflow with blood. During the birth process, hemorrhoids may prolapse. After childbirth, they can be infringed and inflamed.

The reason for the development of hemorrhoids after the birth of a child may be malnutrition. Fiber-poor food slows down intestinal motility and provokes constipation. With constipation, feces accumulate in the intestines and put pressure on the vascular walls. They damage hemorrhoids during bowel movements.

Provoke hemorrhoids can be a lot of physical activity, in which intra-abdominal pressure rises sharply and causes blood flow to the vessels of the small pelvis.

Some women gain weight rapidly after giving birth. An increase in body weight occurs against the background of excessive secretion of prolactin or hypothalamic syndrome, which has developed due to the stimulation of labor with oxytocin. Obesity also contributes to the development of hemorrhoids. Hemorrhoidal vessels experience increased stress due to the large body weight and increase in circulating blood volume. A sedentary lifestyle also contributes to the progression of hemorrhoids.

Symptoms

Often, women develop postpartum hemorrhoids associated with an increase in constipation, which causes hemorrhoids to become inflamed and enlarged. Outwardly, they look like balls of a purple-blue hue. For many women, the pain subsides almost immediately after a bowel movement. With a strong attack of hemorrhoids, pain in the anus is felt constantly. Increased pain occurs during defecation, exercise, coughing and sneezing.

As hemorrhoids progress, bleeding becomes more intense, but most often stops on its own. It is observed in 76% of patients. With a severe exacerbation of hemorrhoids, a woman's body temperature may rise to 37 ... 37.5 ° C.

When the disease becomes chronic, pain decreases and blood loss decreases. In 10% of patients, slight bleeding occurs with each emptying. In such cases, posthemorrhagic anemia (a decrease in the content of red blood cells and hemoglobin in the blood) may develop.

In the early stages of hemorrhoids, the nodes retract into the rectum after the end of the acute period. They have to be adjusted later. Prolapse of inflamed nodes is the first symptom of the disease in 39% of cases.

Patients with external hemorrhoids suffer from itching in the anus. The secretion of mucus from the rectum leads to swelling and loosening of the skin near the anus. Therefore, it becomes vulnerable to various infections. If perianal edema develops, women are tormented by heaviness in the perineum and a constant desire to empty themselves.

Methods of treatment

Hemorrhoids after childbirth should be treated immediately after the first symptoms appear. The sooner therapy is prescribed, the less likely it is to develop health-threatening complications.

Treatment of hemorrhoids is carried out by a conservative, minimally invasive and surgical method. In most cases, the conservative method is preferred. It is effective in 20-45% of cases. Cavernous submucosal plexuses are necessary for hermetic overlap of the lumen of the rectum. Therefore, they are removed only in case of emergency. Conservative therapy is used at all stages of hemorrhoids. For treatment, drugs of local and systemic action are used.

Ointments and suppositories

During breastfeeding, women with external hemorrhoids are prescribed Troxevasin ointment. Its active ingredient is an analogue of the natural bioflavonoid rutin - Troxerutin. The drug improves blood flow in the cavernous veins, tones smooth muscles and reduces the permeability of the vascular walls. Troxevasin has an anti-inflammatory effect and reduces the risk of thrombosis. With regular use of the drug, the bumps decrease and self-reset.

Heparin ointment is often used to treat hemorrhoids in lactating women. Heparin thins the blood and increases blood flow in the cavernous plexuses, strengthens blood vessels, prevents the formation of blood clots, relieves swelling and inflammation.

Hepatrombin G effectively relieves pain in hemorrhoids. It is made in the form of an ointment and suppositories. Hepatrombin G contains heparin, prednisone and polidocanol (Lauromacrogol). The glucocorticoid prednisolone reduces pain, itching and burning, has an anti-inflammatory effect and reduces the risk of developing allergies. Polidocanol also has analgesic properties, promotes rapid healing of hemorrhoids.

Bezornil ointment helps relieve pain, eliminate itching and prevent bleeding during bowel movements. It contains Borneol, Calamine (zinc carbonate), pearls, amber, artificial bezoar and musk. The components of the ointment have analgesic, hemostatic, anti-inflammatory and antiseptic effects.

The drug for hemorrhoids Relief Advance is made in the form of an ointment and rectal suppositories. It contains shark liver oil and benzocaine, which quickly relieves severe pain. Shark liver oil reduces inflammation, stops bleeding, speeds up the healing of hemorrhoids and stimulates the body's defenses.

During breastfeeding, you can use the drug Posterisan. It is made in the form of ointment and rectal suppositories. The drug in the form of an ointment can be used to treat external and internal hemorrhoids. The ointment is sold with an applicator that can be used to treat internal nodes.

For lactating women, rectal suppositories with sea buckthorn oil are prescribed for hemorrhoids, which relieves inflammation well, eliminates burning and itching. Candles with sea buckthorn oil help to quickly stop an attack of hemorrhoids and restore injured tissues of the cavernous veins.

Medical therapy

If hemorrhoids progress, treatment should be comprehensive. Simultaneously with topical preparations, a woman is prescribed Troxevasin inside. The drug penetrates into breast milk in a minimal amount, so it does not have a negative impact on the health of the child. Troxevasin can only be taken if the benefit to the mother outweighs the potential risk to the baby. The decision to prescribe the drug to lactating women should be taken by the attending physician.

During breastfeeding, it is allowed to treat hemorrhoids with homeopathic preparations with a venotonic effect (Venoruton, Aesculus Compositum, Venza). If a woman is concerned about bleeding from the rectum, she is prescribed drugs with vitamin C (Ascorutin).

If a woman does not breastfeed, with hemorrhoids, she is prescribed phlebotropic drugs (Detralex, Phlebodia, Escin, Tribenoside, Troxerutin, Cyclo 3 Fort). They improve blood circulation in the cavernous plexuses, increase the elasticity and firmness of blood vessels.

To normalize the work of the intestines and soften the feces, laxatives are used (Duphalac, Forlax, Mucofalk). They are allowed to be used for hemorrhoids during breastfeeding. Laxatives can help make bowel movements less painful and traumatic.

Surgical intervention

If conservative therapy does not give the desired result, more radical methods of treating hemorrhoids are used. When breastfeeding, it is allowed to do minimally invasive surgical procedures that help get rid of the affected hemorrhoids.

A doctor may recommend cryotherapy to a woman. During the cryotherapy procedure, hemorrhoidal bumps are treated with liquid nitrogen, the temperature of which is -195.80 °C. Ultra-low temperature causes necrosis (death) of tissues. After a few days, the treated nodes fall off.

Desarterization helps to quickly cure hemorrhoids. During the surgical procedure, the doctor bandages the vessels through which arterial blood flows to the inflamed node. When blood stops flowing into the hemorrhoid, it decreases and in most cases is replaced by connective tissue.

An effective way to treat hemorrhoids is ligation. The procedure is carried out with a special tool - a ligator. With its help, a latex rubber ring is applied to the leg of the hemorrhoid. It pinches the leg, preventing blood from entering the hemorrhoid. Due to the lack of blood supply, the node dies and disappears.

Laser photocoagulation is considered the fastest way to treat hemorrhoids. A focused beam of radiation generated by a laser is directed to the affected hemorrhoid. Under the action of a laser beam, the tissues of the hemorrhoidal node die, and the vessels are sealed.

A full surgical intervention (hemorrhoidectomy) is prescribed during breastfeeding only in the later stages of hemorrhoids. During the operation, the tissues above the hemorrhoid are excised. The knot is then pinched and removed.

Diet

To avoid the development of hemorrhoids in the postpartum period, you need to follow the diet. With regular use of foods rich in fiber, the intestines will be cleansed in a timely manner.

The menu of a nursing woman should have a lot of vegetables and fruits. Lactating women are allowed to eat apples, pears, cherries, currants, nectarines, peaches, apricots, figs, persimmons, pomegranates and bananas. You need to add zucchini, pumpkin, eggplant, celery, green onions, cauliflower and greens to dishes. It is useful to prepare side dishes from buckwheat, barley, oatmeal and pearl barley.

It is advisable not to use dishes from potatoes and rice, especially during an exacerbation of hemorrhoids. It is also necessary to abandon bakery products made from premium flour and pasta.

In the postpartum period, nutrition should be high in calories. It is necessary to eat lean meat (rabbit, turkey, veal, white chicken meat) or fish (cod, hake, tuna) every day. All products for hemorrhoids should be boiled, baked or steamed.

It is desirable to fill salads with vegetable oil (corn, olive). With hemorrhoids, you need to consume fresh fermented milk products daily (kefir, fermented baked milk, natural yogurt). It is necessary to drink 1.5–2 liters of liquid during the day, giving preference to still water, herbal teas, compotes, vegetable and fruit juices. During an exacerbation of hemorrhoids, wheat bran should be added to dishes.

Folk methods

Potato candles help to stop an acute attack of hemorrhoids. Potato has strong anti-inflammatory and analgesic properties. The root crop must be washed and peeled. A candle 3–5 cm long and 1.5–2 cm wide is cut out of it. It is inserted into the anus immediately after defecation. The candle is left in the rectum until the next emptying, during which it will come out naturally.

With external hemorrhoids, you can make baths from medicinal herbs. Yarrow grass and walnut branches are taken in equal amounts, crushed and mixed. Pour 2 liters of water into a saucepan and put it on fire. When the water boils, pour 1 cup of vegetable raw materials into it. The liquid should be boiled over low heat for 15 minutes. Then it is insisted for 10 minutes, filtered and poured into a wide basin. The anus area is immersed in a warm infusion. The procedure is completed when the liquid has cooled. Hop cones can be used instead of yarrow herb.

Dogwood berries are good for hemorrhoids. They reduce inflammation and have an antibacterial effect. Cornel berries should be eaten 3 times a day half an hour before meals. Morning and evening use 1 tbsp. l. berries, and at lunch 2 tbsp. l.

To get rid of acute hemorrhoids in the postpartum period, you can drink a decoction of nettle. The medicinal plant has a hemostatic and anti-inflammatory effect. 2 tbsp. l. dry herbs pour a glass of boiling water. After 15–20 minutes, the infusion is filtered and consumed ½ cup 3 times a day. Nettle decoction will increase lactation, have a tonic effect on the body and increase immunity.

St. John's wort tampons can be applied to external nodes. 2 tbsp. l. dry flowers of St. John's wort pour 1 glass of vegetable oil. The liquid is infused in a dark place for 3 weeks, shaking occasionally. The tincture is impregnated with a bandage folded in several layers, then applied to the bumps.

Internal hemorrhoids can be cured with candied honey suppositories. It is better to use a product collected 2-3 years ago. Honey is cooled in the refrigerator, then a candle is cut out of it. It is injected into the rectum after a bowel movement. Honey candles can cause a burning sensation in the anus. When the sensations become unpleasant, the candle must be removed. If it has melted, it is better to make a microclyster.