Treatment of hemorrhoids in the 3rd trimester of pregnancy

Hemorrhoids in the final months of pregnancy are faced by many expectant mothers. This is a painful condition, which significantly complicates the already difficult last weeks of the term of carrying a baby. Some in the third trimester hemorrhoids appear for the first time, and some recurs. In both cases, the question of how and how to treat an unpleasant illness becomes urgent.

If judged sensibly, treatment should begin with determining the extent and type of the disease. There are two types of hemorrhoids - internal and external, and several degrees are determined - the first, for example, can be treated most quickly, and in the latter, when hemorrhoids are no longer able to be set and anal bleeding is observed, only the intervention of the surgeon helps.

Hemorrhoids during pregnancy have one interesting feature - it is rarely an extreme degree, and therefore in most cases there is no need for surgical care. However, there are exceptions, and therefore the consultation of the doctor does not hurt.

Proper treatment of hemorrhoids in the 3rd trimester is complex. There is no such magic drug that would immediately ease the state of the future mother.

The approach should be combined. It combines:

• drug treatment;

• lifestyle correction.

In other cases, treatment will have to be with the use of drugs. In the final third of the term of carrying a baby, the possibilities in this regard are wider - there are no hard restrictions on the use of medicines, since the baby is shaped and protected by the placenta, the choice of drugs available for the pregnant woman becomes greater.

The first thing you need to reconsider the future mother in the third trimester of pregnancy, if hemorrhoids appeared, this is nutrition. It is very important that a woman eats such products that will not contribute to constipation, because hemorrhoids and constipation always go side by side. If the defecation is adjusted, daily, uncomplicated, then there will be no pain in the anus, burning, or knots.

Regardless of what gastronomic preferences and attitudes the woman adheres to, whether she is on a diet, it is important to do the following.

• The entire daily diet divided into 5-6 mealsno less. Portions are smaller than with four meals, food enters the body more often and fractionally.
• It is necessary to exclude all fried, spicy, smoked meats and sweets.. Spices and seasonings, carbonated drinks also can not be consumed.
• Limit protein food costs, especially animal protein, that is, meat and fish, and milk and cottage cheese are recommended to use in small quantities.
• Add more fresh vegetables, vegetable and fruit dishes, heat treated (salads, stews, stewed or boiled vegetables, fresh and baked fruits, dried fruits).

It is necessary to eat properly not only during the exacerbation of the disease, but also after the condition has stabilized, since hemorrhoids, once appeared, can return again if the corresponding prerequisites are created for the future mother.

The second thing that needs correction is toilet issues. Moms are usually taught to babies to go to the pot and be content with it. And no one ever teaches us to walk “in great need” correctly, and this is an excellent means of preventing and treating hemorrhoids. This science is simple: you just need to remember some rules.

• Do not sit on the toilet for a long time, it should be emptied in one step, the total process should take no more than 5 minutes. A longer time spent on the toilet disrupts the blood circulation in the lower veins, and the hemorrhoidal vessels are affected, so the manifestations of the disease increase.
• If you could not go to the toilet as described above, it is better to leave the toilet room and return there in 15-20 minutes to do everything correctly.
• Forget about toilet paper, even soft. Friction does not contribute to the removal of irritation and inflammation. For cleansing, use rinsing after each toilet trip.
• Forget about enemas at home. Enema - extreme measure, the last.

The third component of successful treatment of hemorrhoids in the third trimester is adequate physical exertion.

• It is impossible: squat, lift weights, stand upright too long, sit in one pose for a long time, jump.
• Can and should: walk in a park or park (at least 2 hours a day) in a measured step, put a comfortable cushion under your feet if you need to lie down and rest in a horizontal position, do Kegel exercises with a set of exercises to strengthen the pelvic floor muscles , and for the prevention of hemorrhoids).

Very good results for the prevention and treatment of hemorrhoids, according to the reviews of women and doctors, gives a special yoga for pregnant women. It includes numerous exercises for training and keeping pelvic muscles and anus in tone. Also, yoga is perfectly combined with breathing exercises, which will not only help in the treatment of hemorrhoids, but also training before the upcoming birth.

In the pharmacy, a woman is waiting for a wide choice of drugs that can help in solving a delicate problem, but experts do not recommend self-healing. Despite the fact that the child is well protected by the placenta and the drugs can no longer have a pronounced effect on the baby, it is better to get a preliminary consultation of the doctor, since not all means are equally good for a woman, which in the near future is preparing to become a mother.

In the treatment of hemorrhoids use two approaches: systemic and local. If the stage of the disease is low (first or second), then only local preparations are enough (it is ointments and suppositories). For more pronounced hemorrhoids, both systemic treatment (venotonic tablets) and topical treatment can be applied. Also prescribed systemic drugs in the event that local funds do not help within 10-14 days after the start of treatment.

Systemic agents allowed during pregnancy include:

• "Detralex";
• "Eskuzan" (tablets only);
• Troxerutin;
• Ginkor-Forte;
• "Duphalac" (for the prevention of constipation and softening of fecal masses).

Among the local funds to the number allowed in the third trimester include:

• Relief Advance (suppositories, up to 4 times a day, after each bowel movement);
• "Natalcid" (1 suppository after bowel movement up to 2 times per day);
• "Alginatol" (after each bowel movement 1 candle, but no more than 3-4 times per day);
• "Ultraprokt" (recommended in the acute period up to 2 times a day);
• "Hepatrombin" (up to 2 times a day in the form of an ointment or suppository);
• "Anuzol Neo" (can be used frequently, up to 7 times a day, both in the form of suppositories and in the form of ointment).

Do not assume that herbal or vegetable - synonymous with the word "safe." Herbal ingredients can do no less harm than incorrectly chosen pharmaceuticals. Unfortunately, many recipes of traditional medicine, which have a pronounced effect, are not suitable for women in an “interesting position”. It is important to take this into account if you really want to cure hemorrhoids without pharmacies.

Do not take decoctions, infusions.

You can learn more about the problem and its resolution in the video below.