Overcoming hemorrhoids after giving birth

Piles or hemorrhoids after childbirth: treatment of postpartum hemorrhoids in women

A large number of women face the problem of hemorrhoids after giving birth or during childbearing. In forums, profiles of prospective mothers and mothers who excel, are widely discussed. What is the essence of hemorrhoids? What are the characteristics of the course of the disease and its treatment in the period before and after childbirth? Can hemorrhoids occur after a cesarean section?

Life as a mother means having a lot of worries which are mainly related to baby care, the need for rehabilitation after delivery (especially for cesarean section), rest, and relaxation after delivery. Therefore, there is less and less time left to go to a proctologist with hemorrhoid problems.

What are the symptoms of hemorrhoids after childbirth?

The first symptoms of hemorrhoids appear even before delivery, around the third trimester of pregnancy. Namely: heaviness, itching in the anus, discomfort when going to the toilet. Constipation may also become more frequent, blood may appear on the toilet paper or in the stool. The course of the disease is additionally complicated by excessive physical and moral stress, malnutrition, heavy lifting, as well as non-compliance with the fluid drinking regimen, which disrupts the water balance and negatively affects the lactating function of the female body.

With the course of the disease, there is swelling of the perineal tissue, spasms of the sphincter of the bladder, which leads to impaired urination. In acute hemorrhoids after delivery, the hemorrhoidal tissue dies, causing bleeding, anal fissures, and very rarely, severe fistulas. Postpartum hemorrhoids occur in patients who ignore the symptoms described above. Over time, they become more frequent and cause more and more discomfort.

It is especially important to monitor the condition of the anal canal in the last months of pregnancy, when the head of the future baby naturally compresses the vessels of the pelvic floor, causing circulatory disturbances in the locally located veins and increased pressure.

Another important factor in the occurrence of hemorrhoids in women before and after childbirth is the displacement of the abdominal organs. The organs, which are shifted in position during the growth of the uterus, after childbirth, gradually return to their original place. Due to this, intestinal atony occurs, and then constipation, which means hemorrhoids after childbirth.

What are other causes of postpartum hemorrhoids in women?
genetic predisposition;
Age factor - the older the pregnant woman, the higher the risk of hemorrhoids after childbirth;
Women with one or more children are more likely to develop the disease;
Giving birth through the natural birth canal.
Diagnosis of hemorrhoids after childbirth

The course of postpartum hemorrhoids is no different from that of an ordinary person. At a reception at the Med City clinic in Kyiv, proctologists talk with patients, collect complaints and perform visual and digital examinations. If internal hemorrhoids after childbirth, then a video-rectoromanoscopy procedure is prescribed. Its essence is the introduction of a special endoscopic probe with a camera for a detailed examination of the rectum.

How to treat hemorrhoids after childbirth

There is a lot of conflicting information on the Internet that hemorrhoids after childbirth do not require treatment, especially if operative delivery is performed. Like, if you follow a special diet, avoid excessive physical activity, then hemorrhoids will go away on their own. Not necessarily that way. Hemorrhoids are a pathological condition that can lead to chronic problems, paraproctitis, and other more severe proctological diseases. Therefore, the main condition for the prompt disposal of hemorrhoids after childbirth is a timely application to a proctologist in Kyiv. Particular attention should be paid to the medical treatment of hemorrhoids during breastfeeding, as this can affect the quality of breast milk.

The basic principle in answering the question "How to effectively treat hemorrhoids after childbirth?" - complexity. A proctologist prescribes a woman not only drugs but also therapeutic exercises, as well as a special diet. During treatment, it is also necessary to prevent venous congestion of the pelvic floor vascular system. To do this, the patient must:

take a daily walk in the fresh air;

avoid lifting heavy weights or excessive physical activity;

do special exercises to strengthen the muscles of the small pelvis.

Treatment of hemorrhoids after childbirth with the help of drugs consists of the prescription of laxatives, vagotonic drugs that improve blood circulation in the veins. For local use, rectal suppositories and ointments are prescribed. It is worth considering that this drug only relieves the symptoms of the disease, but does not lead to a complete cure.

The Medical Center "Med City" in Kyiv is a private laser treatment clinic, which successfully performs conservative and bloodless surgical treatment of hemorrhoids after delivery with a laser. The center specializes in modern minimally invasive surgery, the goals of which are:

complete relief of the patient from hemorrhoids, anal fissures, paraproctitis, fistulas;

fast and convenient recovery.

Hemorrhoid surgical treatment methods after delivery at MedCity clinic

If the stage of the patient's disease has become severe, and drug therapy did not bring the desired effect, the proctologist advises choosing the surgical method. They do not require long-term hospitalization and can be combined with breastfeeding.

1. Ligation with latex ring. With special equipment, a latex ring is applied to the knot and squeezed. This results in the cessation of blood circulation in the nodes and tissue necrosis. This leads to the cessation of blood circulation in the local veins and tissue necrosis. Within 10-14 days, the knot disappears, and the patient feels little discomfort.

2. Laser sclerotherapy of hemorrhoids is a technique for inserting laser fibers into the hemorrhoids and their subsequent "sticking" and "joining". For the procedure, the Italian Smatxide DOT diode laser was used.

3. Laser removal of internal and external hemorrhoids is a minimally invasive surgical intervention performed on a CO2 laser from the Italian company DEKA. The high-frequency laser beam simultaneously cuts and burns hemorrhoids without damaging the tissue around the nodes in the anal canal. The effectiveness of this technique guarantees painless, bloodless, efficiency (the procedure for removing hemorrhoids takes about 15 minutes + time for local anesthesia is about 5-10 minutes; a few hours after the procedure, the patient can go home).

How to prevent hemorrhoids after childbirth?

Suggestions for pregnant women and achievers from Med City clinical proctologists are below:

Eat properly and in balance. Pay special attention in the diet to foods that contain a lot of dietary fiber (these are leafy greens, various vegetables, and bran). You should also limit flour and dairy products, sour-milk products. So you increase intestinal motility and get rid of constipation;

Drink plenty of fluids - the recommended amount of fluids you drink daily (water only, not including juices, teas, etc.) is 30 ml per 1 kg of body weight;

Observe cleanliness when going to the toilet - it is necessary to exclude excessive loads in the restroom, efforts. After a bowel movement, use wet toilet paper or plain hypoallergenic wet wipes without alcohol. It is better if there is a problem in the toilet to wash with warm water.

Lead an active lifestyle - sign up for a swim in the pool, do Pilates or yoga. Muscle tone and the state of the pelvic floor are greatly influenced by morning exercise or running. And if you have a sedentary office job, try to warm up every hour (this could be a trip to the cooler for hot water or tea).