Hemorrhoids experts call too strong stretching of the walls of the veins of the rectum and anus – the anus. It occurs when the blood in the veins begins to stagnate, stretching the walls and forming knots. The disease has 4 stages:
- dense “lumps” appear under the skin of the anus, while they are slightly enlarged;
- the nodes protrude outward at the time of tension, and then they return to the site;
- seals are constantly outside;
- complications may occur (inflammation and bleeding).
The first and second stages are easy: a woman is only worried about a slight itch, but with the onset of the third, there is also pain.
To understand everything, let’s see how the circulatory system of our body works.
- It consists of arteries, veins and capillaries. Arteries deliver blood from the heart to the organs, and it moves back through the veins so that, once again enriched with oxygen, it goes down the arteries. This process is called the venous inflow to the heart.
- Our veins are equipped with valves: they leak blood and close, not allowing it to flow down. If their work is impaired, the blood does not move upwards, stagnates in the vein, stretching its walls. With varicose veins (this is what specialists call this phenomenon), the lumen of the veins gradually expands, their walls become thinner, the valves work, resulting in stagnation of blood in the venous system and its flow is disturbed. The same thing happens with hemorrhoids with the veins of the rectum.
- Varicose veins is a disease of the whole organism, the most obvious manifestation of which is a change in the veins of the legs. It often happens that the veins of the uterus, ovaries, small pelvis, and hence the rectum are in the same condition, we just do not see it.
PREGNANCY. Recall hemorrhoids bothers every third future mother. He usually declares himself in the second half of pregnancy – after the 20th week.
The fact is that under the action of hormones and the uterus growing together with the baby, the blood in the pelvis stagnates. The mechanism for the development of these events is as follows: the main keeper of pregnancy – the hormone progesterone relaxes smooth muscles. The whole calculation is that there are quite a few of them in the composition of the walls of the uterus, which means that it can not suddenly reduce them.
Thus, the baby is reliably protected from any surprises and can safely grow until the very time of birth. One problem: progesterone acts blindly and affects other organs and parts of the system with its powerful force, for example, the walls of blood vessels, consisting of smooth muscles to be relaxed. They expand, blood flow in them slows down, and venous blood begins to stagnate, risking provoking varicose veins.
All these events have the effect that the walls of the veins, including the rectum, are stretched, which is why hemorrhoids appear.
Another reason for the emergence of hemorrhoids in future mothers is difficulties in the bowels, which often appear during pregnancy, because the hormone progesterone also relaxes the muscles of the intestines, in the wall of which is also quite smooth muscle. The intestine begins to “lazy”: the movement of food on it slows down, and after eating his mistress has a feeling of bloating, and sometimes annoying difficulties during trips to the toilet.
It turns out that the inherent tendency of women to hemorrhoids is aggravated by the difficulties that make the expectant mother strain during the toilet trips.
Unfortunately, these problems will accompany the expectant mothers throughout pregnancy, because all nine months the amount of the hormone in the blood will increase, and only two weeks before the birth it will sharply decrease. Until then, the relaxing effect of progesterone continues safely, and expectant mothers need to watch how the intestines work.
AFTER BABY’S BIRTH. If the difficulties in the bowels can be avoided, then you do not need to abolish the need to push during labor, as you understand. That is why hemorrhoids bother almost half of young mothers after the birth of a baby.
The fact is that while the woman is straining, the head of the baby squeezes the blood vessels of the pelvis, including the veins of the rectum, and slows down the movement of blood even more. The combination of these two conditions can lead to the fact that hemorrhoids increase and come out.
If this happens, you need to take action in the first days after the birth of the baby – then the disease will gradually pass.
There are many tools that can help both future and young mothers, but the problem is that women rarely turn to a specialist. First, they try to be treated themselves and, only after going through a series of failures, they go to the doctor. During this time, the disease most often has time to move to a new level.
Therefore, those who have a feeling of inconvenience, constraint during visits to the toilet and after them, and even an itch, it is better not to postpone a visit to the doctor (expectant mothers – to the obstetrician-gynecologist, and young – to the obstetrician in the hospital).
Before prescribing treatment, the doctor should examine the patient, because the sensations that appear in her will not tell the doctor what stage the disease is in. This procedure may be a little inconvenient, but never painful. First, the doctor examines the anus: he is interested in whether the hemorrhoids have not come out.
Seals that are located inside, between the folds of the mucous membrane of the rectum, can not be determined by touch. Here, a special device, the proctoscope, a thin tube with optical lenses, comes to the aid of the doctors.
It helps to see the inner surface of the rectum at the exit, that is, closer to the anus.
To cope with hemorrhoids, you first need to adjust the work of the intestines, because difficulties, as we remember, make the future mother strain and cause or exacerbate the disease.
As for drugs, they should be prescribed by a doctor, because through the vessels of the rectum they penetrate into the uterus, and from there, through the placenta, to the baby. Only a doctor will be able to choose a safe tool that will not harm either the woman or her child.
- Mild laxatives – Dufalac syrup (Solvay Pharma), Forlax (Beaufour Ipsen) – will help the future mother to work the intestines.
- The doctor may also advise you to take warm baths with furatsillin or chamomile.
- Well help from hemorrhoids ointments and suppositories that reduce swelling and pain sensation (Anestezol, Anuzol, Dalchimpharm; Procto-Glevenol, Novartis).
- At the time of the exacerbation of the disease, butadion ointment, Venoruton (Novartis), Gepatrombin G (Hemo-farm), Troxevasin-gel (Antibiotic), Ginkor forte (Beaufour Ipsen) will bring relief.
- Lead and furatsillinovye lotions are considered a reliable, proven tool. They are doing this: gauze napkin needs to be soaked with one of these solutions, attach to the sore spot and lie down a bit.
If hemorrhoids bother the young mother after the baby is born, the doctor will prescribe one of those drugs that will treat women in a position, that is, a safe for the baby tool. Fortunately, hemorrhoids, which appear during pregnancy and after childbirth, then pass.
Future moms who are faced with our delicate problem can help themselves by following simple rules.
1. Do not allow difficulties in the bowels. In this case you will be helped:
- fluid (drink about 2 liters of water per day, but make sure that it does not linger in the body and does not appear swelling);
- food that contains a lot of fiber (bran bread, cereals, vegetables, fruits), dairy products, enriched with beneficial bifidobacteria and lactic acid bacteria;
- mild laxative (the doctor must prescribe it).
2. Ensure that the intestines are released from their contents at the same time.
3. After each “serious” visit to the toilet rinse the skin around the anus with warm water.
4. Move more, do gymnastics, swimming, so that the blood in the small pelvis does not stagnate.