How to treat hemorrhoids during pregnancy in the 3rd trimester?

Unpleasant and painful disease - hemorrhoids - a frequent "guest" at the very end of pregnancy. Even if a woman has never had anything like this, it is in the third trimester that the moment can come when the symptoms of the disease manifest for the first time, because the uterus that has reached large sizes puts pressure on the inferior vena cava, disrupting the blood supply, including in hemorrhoidal veins.

How to alleviate the unpleasant symptoms and cure hemorrhoids in the last weeks of carrying a baby, we will tell in this article.

Hemorrhoids, both external and internal, are difficult and troublesome to treat during pregnancy. Not all medications can be taken, besides the most effective way of dealing with this ailment is surgery — for women in the “position” is not suitable.

Operatively during this period, only very complex cases of the disease are solved, in which the venous nodes fall outside the anus ring, there is a rather strong anal bleeding, and the nodes do not set manually.

Such hemorrhoids in pregnant women are quite rare. Therefore, in most cases there is no need for surgery. Treatment of hemorrhoids in the third trimester is taken comprehensively, combining different methods - from taking medications (systemic and local action) to correcting the future mother's lifestyle.

Regardless of the degree and nature of the disease, treatment hemorrhoids in the third trimester It is considered a task more simple than the therapy of a similar ailment in earlier periods.

The choice of medications at this time is not as limited as during the period of active growth and development of the crumbs, the laying of its internal organs. However, doctors rely not on drugs, but on changes in the lifestyle of a pregnant woman, which should have a beneficial effect on blood circulation in hemorrhoidal veins.

This is the basis of the treatment of hemorrhoids during pregnancy. When the first symptoms of the disease (pain, burning and itching in the anus) appear, the woman should definitely reconsider her daily diet, nutrition should be balanced and so that the woman does not have prerequisites for constipation.

To do this, all the daily menu is divided for 5-6 receptions, the expectant mother should be fed fractionally and in small portions, to avoid overeating. Foods that thicken the stool should be avoided.

If hemorrhoids have appeared, then you should completely abandon fried foods, smoked products, salty and too sweet. Also banned are all spicy dishes, spices and seasonings. The maximum should be limited to food with a high content of animal protein - cottage cheese, sour cream, butter; meat and fish need to eat, but in very small quantities, only to meet the needs of the growing baby in such substances. The abundance of protein food contributes to the violation of intestinal motility and problems with defecation.

Raw vegetables and fruits will benefit the future mother, since the fiber contained in them quickly and gently helps to eliminate constipation, makes the passage of feces through the intestines easier. Useful will be porridge-mash (with the exception of rice and manna), beets and dishes from it, prunes.

It is important to adhere to such a diet not only during an exacerbation of hemorrhoids, but also at other times, even if it seems that the ailment has completely receded - hemorrhoids tend to return.

An essential part of treating a sensitive disease should be the right approach to hygiene and toilet visits. Unfortunately, none of us in childhood were taught to walk in great need correctly. If hemorrhoids appear, it's time to learn how to do it.

Empty the intestines should at one time. Defecation should not last more than five minutes. Sitting on the toilet with a book or phone in the hands for half an hour or longer is a sure way to the appearance and aggravation of existing hemorrhoids.

When a pregnant woman sits on the toilet for a long time, her blood supply to the hemorrhoidal veins is disrupted, and the manifestations of the disease can increase.

During the exacerbation of hemorrhoids should not use toilet paper. Mechanical friction will only increase swelling and inflammation in the anus. It is best to wash after each bowel movement.

Enemas are not prohibited for pregnant women, but they should be done. with great care and only when necessary. In order to prevent the occurrence of dysbiosis with constant leaching of beneficial flora from the intestines, when enemas are often made, it is better to use not the usual “pear” or Esmarch’s mug, but microclysters, which are sold in pharmacies.

When using topical medications, it is important to follow all the rules of hygiene - wash out after each bowel movement, wash hands thoroughly before applying ointment or a rectal suppository to a sore spot, and ensure that the caps and applicators are clean if the drug is in the form of a gel or ointment.

Despite the large selection of various medications for hemorrhoids, the choice of a particular drug in the 3rd trimester of pregnancy should be approached with great caution. The doctor must do this, self-designation and self-medication while waiting for a child are inappropriate in principle.

When hemorrhoids 1-2 degrees is enough drugs local action. They are available in the form of ointments and candles. Sometimes candles turn out to be ineffective or bring only minor relief, despite the fact that the woman complies with all the recommendations and eats properly. If hemorrhoids fail to cure within 1-2 weeks by local means or the disease has more pronounced symptoms, systemic agents can also be prescribed - in capsules and tablets.

Local remedies for the most part have wound healing and anti-inflammatory effects, help to improve blood supply in the area of ​​inflammation, and reduce swelling.

Systemic drugs act on the scale of the whole organism and cause an improvement in blood circulation and prevent blood clots.

Allowed in the third trimester of drugs for systemic hemorrhoids - table:

Topical preparations approved in the third trimester - table:

The choice of prescriptions for alternative medicine should be approached with the same caution as the choice of drugs. Herbs can harm both the future mother and her baby. Therefore, the lion's share of funds that are advised for hemorrhoids at 7-8 months pregnant "Experts" on numerous Internet resources are not suitable for the treatment of future mothers.

In the later periods, you can use self-made candles, cut from raw potatoes. Well helps to get rid of the manifestations of hemorrhoids even before childbirth (at 38 - 39, 40 weeks) sea buckthorn oil, which can be moistened with tampons for subsequent introduction into the anus.

This is the part of the complex treatment, which is also of great importance. A woman should control her locomotor activity. You can not squat and get up sharply, do not lift weights. However, calm leisurely walks in the fresh air will only benefit.

A woman can not stand upright for a long time, and you should not lie constantly, although many expectant mothers after 36-37 weeks of pregnancy believe that it is safer and better to spend the rest time before birth. This is not true.

Of course, a woman should treat herself as gently as possible, from time to time lie down to lie down, but you should not forget that it is desirable to keep your legs above the body, placing a pillow or a roller under them. This is not only the prevention of varicose veins in the later stages, but also the treatment and prevention of hemorrhoids.

Exercises aimed at normalizing the blood circulation of the lower veins and preventing constipation, it is best to coordinate with the doctor or a specialist in physical therapy at the clinic at the place of residence. Usually, exercises are used, which include lifting the legs from a prone position and standing on all fours, as they allow the pelvic and anal sphincter muscles to strengthen.

Gymnastics is contraindicated in women who have an increased tone of uterine muscles, who have problems with the spine or have a risk of premature birth.

Enjoys great popularity kegel exercise complex. They are simple and do not require much effort. However, such a gymnastics is contraindicated in women in whom hemorrhoids proceed with loss of nodes and bleeding from the rectum. Also, gymnastics should be avoided during an exacerbation of hemorrhoids. Many pregnant women choose to treat and prevent yoga.

A detailed set of exercises for hemorrhoids, see the following video.