Hemorrhoids after cesarean section
It is usually considered that hemorrhoids are manifested mainly only in those women who gave birth naturally. Attempts were not in vain, and the unpleasant consequence of them makes itself felt in the first days after the birth of the baby.
But in this article we will talk about hemorrhoids after cesarean section, in which the attempt was not. Is it true or a myth, is it possible, and what causes can cause a delicate ailment?
Is it possible?
Despite popular opinion, the pathological expansion of hemorrhoidal veins after surgical delivery is quite possible. And the matter is not in the attempts for which all puerperas sin, but in the violation of the blood circulation of the lower veins, which the woman experienced for good reasons during the last trimester of pregnancy.
The heavy uterus, the hard fruit, the weight of the waters, the placenta - all this put pressure on all the internal organs, including the intestines. In addition, the woman recovered.
And because there is not much difference in how a woman gave birth - naturally with agony or she was made a cesarean section. Hemorrhoids are the consequences of the disruption of the blood supply to the lower veins, which occurred even during pregnancy.
A woman can object and say that during the carrying of the baby she did not feel any symptoms of an unpleasant illness. This can also be. After surgery, limited physical activity becomes a trigger factor for the manifestation of symptoms.
Many women whose children were born by caesarean section, after the operation are afraid to go to the toilet in large. It is understandable - the abdominal wall is very sensitive, painful, it hurts to hurt, but even more is just terrible. And because it develops constipation, which only provokes the appearance of hemorrhoids.
Symptoms
In the clinical picture of hemorrhoids, which appeared after natural childbirth, and a similar disease, but after cesarean section, there is no difference. An unpleasant affliction proceeds equally. A woman may feel an unpleasant obsessive burning sensation and itching in the anus, there may be a difficult and even painful act of defecation, sometimes a woman notices blood after defecation in feces and toilet paper.
A hemorrhoidal node can be located both inside the rectum, and go out, and can be mobile - to change its location, it is easy to set back with your fingers.
If such symptoms appear in the postoperative period in the hospital or already after returning home from the hospital, they cannot be ignored, because very rarely hemorrhoidal veins and the node disappear on their own.
Most often, the disease becomes chronic and causes a lot of trouble. To treat hemorrhoids running long, painful and expensive, and therefore it is best to take action immediately.
What is dangerous?
For the puerperal woman after surgery, any diseases are dangerous due to the fact that she has greatly reduced immunity. Postoperative rehabilitation requires a lot of strength and energy from the body, no less than it is required to establish and maintain normal full lactation.
Hemorrhoidal anal bleeding, which often accompany the appearance of nodes, is dangerous by the development of anemia, which will negatively affect both the woman and the baby.
Cracks in the anus and rectum contribute to infection, the development of a bacterial infection.In addition, the symptoms themselves bring a lot of physical and psychological suffering to the newly-minted mother, which is not the best effect on lactation, mood, and well-being. A child who consumes a large amount of stress hormones with breast milk from a suffering mother is also worried.
How to treat?
Women whose disease manifested itself during pregnancy know that the main difficulty in treatment was to choose safe drugs that would not have a teratogenic effect on the fetus. After childbirth or cesarean section, the problem is about the same - you need to choose a drug that will not get into breast milk and enter the baby. Exactly because of this reason Any self-treatment, the use of folk remedies is strictly prohibited.
Only a doctor, given the period of breastfeeding and recovery after operative delivery, will be able to give an accurate and safe appointment for the baby and mother.
If physical therapy aimed at improving the blood supply to the pelvis and lower veins helps pregnant women and non-pregnant women, gymnastics will be contraindicated for women after cesarean section, because it includes abdominal exercises.
If hemorrhoids appear in the first two months after surgery, conservative treatment is usually recommended. A woman is recommended to put candles with a mild anti-hemorrhoidal effect, for example, Natalsid, Relief Ultra. Systemic drugs-venotoniki tablets when breastfeeding try not to prescribe.
After the internal and external sutures have healed, the scar will form (after 8-10 weeks from the moment of the operation), you can begin to discuss with the proctologist possible surgical treatment of hemorrhoids, if its degree and severity of the flow requires surgery.
A woman should keep an eye on the stool and avoid constipation, which only worsens the condition
In the food you need to add more dishes with vegetables, fruits, rich in coarse fiber. The recommendation to take at least 2 liters of fluid per day will be useful not only in terms of preventing constipation, but also to establish uninterrupted lactation.
It is not recommended to sit in the toilet for a long time, if within five minutes there is no bowel movement, you need to get up and move around, do something around the house, and then try to empty your intestines again. Long sitting provokes loss of nodes.
A woman needs to make sure that she is moving sufficiently. The more time a young mother spends sitting and lying, the harder hemorrhoids will be and faster will be his chronization. Walking, fresh air, lack of stress will help to quickly bring to a normal tone the whole body in general and the intestines in particular.
Lifting gravity is strictly prohibited. In the first 8 weeks after the operation, any sex and masturbation is prohibited, and after this period, in the presence of hemorrhoids, anal sex must be abandoned.
About the manifestation of hemorrhoids after cesarean section can be found in the following video.