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Hemorrhoids after delivery: treatment with breastfeeding, symptomatology

Every second woman after the birth of a baby complains of hemorrhoids. However, you should not blame the process of procreation itself in the appearance of an unpleasant disease. The causes lie in the very pregnancy and the physiological changes taking place during this period.

In order to avoid the progression of the disease, women need to know the basics: what are the causes and the first signs of hemorrhoids, what drugs should be treated after childbirth, so as not to harm the newborn.


Causes of hemorrhoids after childbirth

Hemorrhoids after childbirth

Hemorrhoids - varicose veins, affecting the veins of the rectum. Frequent diagnosis of postpartum hemorrhoids is caused by the appearance, even during pregnancy, of several factors that provoke abnormal vasodilation:

  • increased intra-abdominal pressure - an increase in total weight;
  • venous congestion - pressure of the growing uterus on the vascular plexus of the rectum, compression of the veins by the fetus (especially before birth, when the baby's head is pressed tightly against the bones of the pelvis);
  • constipation - hormonal reorganization (an excessive amount of progesterone often provokes a digestive disorder), a lack of fiber and fluid in the diet, inactivity and sedentary work;
  • weakening of the vascular wall is also caused by the physiological growth of the synthesis of progesterone, addictions (hemorrhoids in a woman who smokes / drinks - the lesser of the evils that can occur through her own fault).

Under these reasons, even a woman who never has this pathology, during pregnancy, hemorrhoids can form.

However, in most cases, hemorrhoids in pregnant women are not expressed. It is the process of childbirth that gives the strongest push for the appearance of hemorrhoids. This contributes to the colossal tension of the muscles of the pelvic floor during labor and labor and delivery of the fetus along the generic pathways.

And postnatal constipation is not so rare. Redistribution of the intestine in the abdominal space released after delivery often causes its atony.

Signs of hemorrhoids in women after childbirth

Signs of hemorrhoids in women after childbirth Feeling of discomfort during defecation, itching and burning sensation in the anus during fetal gestation are the first signs of beginning hemorrhoids.

By these signs, it is likely that after birth, hemorrhoids will appear. However, often future mothers do not pay attention to such minor symptoms.

For them, more important than the sensations associated with the baby - his movement and twists, changing the shape of the belly of the mother and causing the emotion and delight of those watching this miracle.

Seriously to think of the woman begins after sorts, when the problem has got out and painful symptoms have appeared:

  • varicose "bumps" around the anal sphincter (external nodes or fallen internal);
  • pain during bowel movement is often unbearable, causing spasm of the rectum sphincter and difficulties with defecation;
  • unbearable burning (at birth, there are microcracks in the anal and rectum);
  • blood in stool (there are traces on toilet paper);
  • mucus in the feces (a sign of inflammation, even more irritating to the mucosa of the rectum and the skin of the perianal zone).

Even minor signs of postpartum hemorrhoids significantly complicate the life of the new mother (it hurts to sit and walk) and affect the quality of care for the child.

In the absence of timely treatment, the ailment progresses, which is fraught with profuse bleeding from damaged veins, anemia and infection of fissures with fistula formation.

This will negatively affect the baby if the mother feeds it with breast milk. The worst variants of hemorrhoid development are vein thrombosis, the appearance of pathologically altered cells in the rectum (oncology).

Treatment of hemorrhoids after childbirth

Treatment of hemorrhoids after childbirth

малыша грудью, лечение проводится в общем режиме (применяются препараты и схемы лечения для взрослых людей). If a woman does not breast- feed a baby during lactation, the treatment is performed in a general regime (drugs and treatment regimens for adults are used).

Useful: Inexpensive and effective candles from hemorrhoids - review of rectal suppositories, comparison and choice

To quickly eliminate painful symptoms, drug therapy (ointment / suppository Relief, Hepatotrombin, venotonizing tablets Detralex) is performed in accordance with the following recommendations:

  • Categorical rejection of pulling clothes.
  • The fight against constipation - the saturation of the ration of cereals (especially useful for buckwheat and oats), sour milk products (milk provokes constipation and flatulence!).
  • The daily drinking regime is at least 1.5 liters of water.
  • Refusal of coffee, flour, animal fat, chocolate, spicy foods, alcohol.
  • Physical activity - simple gymnastic exercises contribute not only to the timely emptying of the intestines, but also speed up the reduction of the uterus and quickly restore the muscle tone of the pelvic muscles.
  • Personal hygiene is the washing up of a little cool (not cold!) Water.

Hemorrhoids after delivery: treatment with breastfeeding

How to treat hemorrhoids after giving birth to a nursing mother, only a qualified specialist can decide. Some medicinal substances can penetrate the baby's body with mother's milk and cause him serious harm.

That's why when visiting a proctologist, a woman should always note the moment of breastfeeding, and the doctor will choose a treatment that not only ensures the mother's recovery, but also does not harm her baby.

treatment with breastfeeding, ointment Troxerutin

Remedies for hemorrhoids are safe for the baby who receives breast milk:

Heparin ointment - quickly resolves hemorrhoids and eliminates inflammation. This drug for topical treatment - one of the most mild, allowed for use in pregnant women and breastfeeding.

Proctosan - a good analgesic, reduces bleeding, quickly eliminates moknutie and dries anal fissures.

Relief - especially effective in the initial stage. In a day, candles and ointment can be applied up to 4 times. Candles from hemorrhoids after birth, containing a shark liver, are allowed to apply when breastfeeding.

Candles with medicinal raw materials - sea buckthorn, calendula, propolis - perfectly replace home recipes (there is no need to waste time preparing grandmother's ointments), the anti-inflammatory effect is most effective at the initial stage of hemorrhoids (when there are no large nodes).

Ointment with propolis is used only in the absence of a woman allergic to honey.

Troxerutin, Troxevasin - well levels inflammatory manifestations (swelling, redness) and is an easy venotonic (improves the condition of the vascular wall). Applying topically ointments and creams do not harm the baby.

Posterizan - immunomodulatory ointment, has a pronounced wound healing effect. Effective with deep fissures and even pararectal fistulas.

Procto-gliwenol is a combined drug with analgesic (lidocaine) and anti-inflammatory (tribenzoide) action. The most effective local remedy for hemorrhoids to eliminate venous congestion after childbirth is not toxic to newborns.

The popular Venotonik Detralex is not recommended for breastfeeding because of the lack of research data on the effect of its components on the newborn.

Operative treatment

Operative treatment

If the symptoms are pronounced (large knots, bleeding, etc.), and conservative treatment does not work, a woman is offered surgery.

However, radical treatment of hemorrhoids after delivery during breastfeeding is carried out as late as possible. A large-scale surgical operation with excision of hemorrhoids was replaced by less traumatic methods:

Cryodestruction is the freezing of hemorrhoidal protrusions by liquid nitrogen. It is performed under local anesthesia to eliminate internal and external nodes.

Sclerotherapy - exclusion of the expanded veins from the bloodstream by the action of sclerosant on them (a gluing agent injected into the lumen of a pathologically altered vessel).

Photocoagulation - heating the varicose node with an infrared source and its subsequent gluing.

Ligation is the clamping of the base of the varicose plexus with the latex ring. After about 2 weeks, the hemorrhoidal node painlessly disappears.

All the listed treatment procedures are mini-traumatics, they are conducted out-patiently and absolutely painless. However, they only eliminate external manifestations.

The cause of the disease - the weakness of the venous walls - will have to be treated with repeated courses of venotonic drugs.

Prevention of hemorrhoids after childbirth

  1. Hygienic procedures - with painful knots near the anus, use soft sorts of toilet paper or replace it with a cool washout.
  2. Hygiene of nutrition - the revision of the diet should be carried out during pregnancy.
  3. When breastfeeding to preserve the quality of milk include in the diet of dried fruits, apples (green), bananas.
  4. Drink at least 1.5 liters of water a day, excluding lemonades, coffee.
  5. Laxatives - only as a last resort (aggravate the symptoms), replace with microclysters (up to 50 ml) of warm vegetable oil .
  6. Gymnastic exercises to strengthen the abdominal wall and pelvic muscles.

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