How to cure hemroids during pregnancy and after childbirth
If the pregnancy brings a lot of joy, it also causes some inconvenience. And of all these small ailments, the hemorrhoidal pathologies are perhaps the ones we do not talk about the least.
What is it?
Everyone has hemorrhoids: it is indeed varicose veins, small venous pads that participate in the occlusion of the anal canal, so to continence. It happens that these veins dilate: we will talk about pathology or hemorrhoidal disease.
Hemorrhoids can be internal, that is, they form inside the rectum, or external. In this case, they are outside the anus.
Internal hemorrhoids are usually painless. The most common symptom, bleeding (very red blood on toilet paper), fades quickly. It happens that the veins dilate to the point of leaving by the anus, but they go back themselves in the rectum.
As for them, external hemorrhoids appear under the skin, directly to the orifice of the anus, and are more sensitive. They may take on a bluish color, but are not dangerous and usually fade after two weeks.
One in three women
Pregnancy makes pregnant women much more susceptible to hemorrhoids. Why? Because during pregnancy, a much larger amount of blood circulates in your veins which, from then on, dilate. The veins under the uterus are subject to swelling and dilation since the uterus directly supports them. Constipation, which affects many pregnant women, can also cause hemorrhoidal disorders.
It is estimated that one in three women will suffer from hemorrhoids during pregnancy. So, if you suffer from constipation, or have an inherited history, you are at risk.
How to prevent them?
- First and foremost, it is important to never hold back when you want to go to the bathroom. Remember that the best way to avoid hemorrhoids is to avoid constipation.
- Drink a lot of water (1.5 to 2 liters per day), gradually increase your daily fiber intake (25 to 30 grams per day) and stay active.
- Promote walking, swimming.
- Avoid forcing when you go to the saddle and do not sit too long on the toilet.
- Do daily exercises of the perineum, contracting the muscles around your vagina and your anus for 8 to 10 seconds, about 25 times in a row. This exercise will allow you to increase blood circulation in the rectal area. In addition, the strengthening of the muscles of your perineum and your pelvis will be helpful during delivery, as well as after.
How to relieve yourself?
It is often believed that there is no solution when one is pregnant. Suffering in silence is absolutely not the attitude to adopt. In any case, consult your doctor or ask your pharmacist for advice because pregnant, you should never take medication without medical advice. They can advise you local treatments that will relieve you punctually and even some venotonic perfectly adapted to the hemorrhoidal crisis. Good news: these drugs are not contraindicated in pregnancy especially after the first trimester. Studies concerning micronized flavonoic fractions 3 (such as Daflon 500), have proven their safety but also their great effectiveness in prevention as in crisis.
Local treatments, often ointments, will allow you to act in two ways: they have an analgesic effect and reduce the pain, and an anti-inflammatory effect (they reduce the inflammation due to hemorrhoids). For their part, the veinotonics that your doctor will prescribe will also act on the inflammation, and to tone the venous circulation, they will preferably be used from the second trimester.
It is important to clean the anal area thoroughly after each bowel movement: if the procedure is painful, use wet wipes or a witch hazel flower pad. Take hot baths or sitz baths in warm water.
If the pain is persistent, you can take acetaminophen tablets. However, avoid anti-inflammatory drugs or ibuprofen. You can also relieve the irritation with zinc oxide ointment. The situation should return to normal within a week or two.
We recommend reading the article: Hemorrhoid burst: 7 methods to treat them
You have not suffered from the hemorrhoidal disease during pregnancy? Fantastic! There remains the delivery … Indeed, the pressure of the uterus on the veins of the anal area is very intense during the push, and after delivery, many women will struggle with hemorrhoids, often painful. Professionals recommend using a bidet to clean themselves after going to the bathroom. If you do not have one, you can use a sitz bath, which matches the shape of your bowl, and which limits the damage. We wash and take care to dry well the affected area. To facilitate stool passage, you can take fecal emollients.
Some women will be relieved by the ice, others by the hot water: it’s up to you. Try to reduce the pressure on the veins, avoiding standing, or sitting, too long. And sleep on the side.