Treatment of hemorrhoids after childbirth during breastfeeding

The delicate and very unpleasant problem, which is hemorrhoids, is manifested to one degree or another in every third woman who has recently given birth. Doctors tend to believe that the reason lies not even in the childbirth itself, but in the fact that hemorrhoids developed earlier, during pregnancy. Childbirth only provoke its manifestation.

Treatment during breastfeeding can be a very difficult task, because women, for obvious reasons, do not want to take medicines. In this article we will explain how to cure postpartum hemorrhoids, what medicines can be used for nursing mothers and what methods exist?

About the presence of such an unpleasant disease associated with the pathological expansion of hemorrhoidal veins in the submucosal layer of the walls of the rectum, a woman will be notified of bright symptoms that are difficult to confuse with anything:

• there is severe itching in the anus;
• acts of defecation become painful;
• bleeding may occur during bowel movements;
• venous nodes are formed, which can be internal or external;
• loss of hemorrhoids out.

Depending on the stage of the disease, the nodes may fall out or not fall out, as well as to be set and not set. At the first stage of falling out usually does not occur. If a woman notices the formation of painful venous cones outside the anus, then this is the second degree. With it, the nodes quite simply spontaneously erect

Manual reposition and the complete lack of self-reliance is the third stage. At the fourth stage of the disease, the venous cones cannot be set even with the hands, and a surgical treatment is indicated to the woman.

How to treat hemorrhoids depends on the stage to which the ailment that occurs after childbirth. The first and second stages can and should be treated conservatively, at home, but with the obligatory preliminary examination by a doctor and appropriate prescriptions. In the third and fourth stages, surgical intervention or minor surgical procedures are indicated.

The question of choosing a method of treatment is somewhat difficult: curing hemorrhoids during lactation is not so easy due to the fact that not all drugs are allowed for nursing mothers. Many medicines can pass into breast milk and be passed to the baby.

Medicines are prescribed for women with grade 1-2. If during pregnancy, treatment was based on local therapy, then after childbirth, a combination therapy with local and systemic drugs would be more preferable for a woman.

Local remedies - ointments, gels and rectal suppositories with anesthetic, disinfecting and hemostatic effects will be advantageously complemented by the action of drugs - angioprotectors and venotonic, which will increase the tone of blood vessels. Systemic preparations are available in capsules and tablets.

It should be noted that at the appointment stage women may have a lot of questions. The fact is that most of the drugs that are recommended in the practice of doctors for lactating women, in their instructions are contraindicated for breastfeeding. To drink or not to drink pills, to put candles or not - in this situation it becomes unclear.

Contraindications in the instructions for medicines do not always appear there because the active substance damages the baby. Simply clinical trials on a group of lactating women are usually not carried out, this goes against the requirements of bioethics. And in the absence of clear clinical conclusions, the law simply obliges the manufacturer to indicate a contraindication. If it is easier to say, not all drugs that are prohibited on the paper by nursing, are such in reality. That is why you need to visit a doctor who can quickly dispel all doubts.

Nursing mothers are most often prescribed for such tablets and systemic venotonic and angioprotective capsules as Detralex, Eskuzan, Troxerutin (Zentiva), Ginkor-forte, Curantil. Non-toxic ones are recommended for constipation, which very often torments women after natural childbirth and cesarean section.Duphalac, Glycerin candles.

For topical application to the affected area, remedies are recommended that will help in a short time to eliminate edema and obsessive itching, and also will help to reduce the nodes and strengthen the walls of blood vessels. For nursing mothers, the use of candles and ointment Relief, candles Natalsid, Alginatol, Ultraprokt, Gepatrombin G, ointment and candles Proktozan, as well as funds Anuzol, which is also available in the form of candles, is allowed and ointment.

Well proven when breastfeeding a baby sea buckthorn candles, heparin ointment. Locally with anus fissures can be applied "Bepanten"And Vishnevsky ointment.

If a woman has a third or fourth stage of hemorrhoids after delivery, she is offered a prompt resolution of the problem. If she refuses, doctors will prescribe conservative therapy, but they will definitely warn you that this may not have an effect.

According to Russian statistics, up to 70% of all cases of illness are treated by surgery. But after giving birth, doctors will not hurry. The operation will be carried out only in case of a severe form of the disease, accompanied by unmanaged nodes and bleeding. In other cases, medication will be prescribed first, and the proctologist will return to the question of possible surgical intervention only if the manifestation of the disease does not decrease within a few months.

Most often, hemorrhoidectomy is used in proctology - removal of nodes with further restoration of vascular walls. Hemorrhoids can also be treated using minor surgical procedures such as sclerotherapy, infrared coagulation, and latex ligation. Small Longo's operations, which in medicine are called transanal hemorrhoidal dearterilization of venous nodes, are quite widespread.

When sclerotherapy, an agent is introduced into the knot, causing gradual gluing of its walls. Laser coagulation involves the irradiation of external or shallow nodes with infrared rays. Ligation is the introduction into the rectum of a latex ring that will hold the knot in a static position, preventing it from falling out.

These interventions do not last long, they are painless, after them there is no need for a long recovery period, as after a full-fledged hemorrhoidectomy operation.

But only pills and suppositories may not have the desired effect, since hemorrhoids are considered to be a rather intractable disease. Therefore, women are given additional recommendations that should be followed throughout the treatment, and a long time after the end of the course of medication in order to consolidate the result.

• Need to adhere to a special diet. It is well combined with a diet for HB, and therefore, a young mother should not have different interpretations. It is recommended to eat food 4-6 times a day. Servings should be small, but high-calorie enough so that breast milk is not "lean" nutrients and nutritional value.
• Forbidden all fried, spicy, fatty, salty, spices and smoked meats. In the diet must be present vegetables and fruits, because coarse fiber softens the feces and helps to prevent constipation. Prohibited chocolate and sweets, beans, cabbage, yeast dough, soda, kvass. You need to drink enough liquid (at least one and a half liters per day).

• Go to the toilet must be correct. This recommendation implies a ban on long "gatherings" on the toilet. It is not recommended to sit on the toilet for more than five minutes, since the load on the sphincter increases with longer attempts, the blood flow to the hemorrhoidal veins increases, the manifestations of the disease become stronger. If you have not managed to empty your bowels in five minutes, you should leave the toilet and return there later.
• Also, do not use all the usual toilet paper.because it annoys the anus. It is better to wash with cool water.
• Overuse of enemas is dangerous. Often put an enema to eliminate constipation is not recommended. The intestine begins to "lazy", which leads to chronic constipation, pathological relaxation of the muscles of the intestine.

• Movement is helpful. If the young mother will lead a predominantly divan lifestyle, the manifestations of hemorrhoids cannot be eliminated with any medication. When treating, adequate motor activity is important. You can take walks with a stroller, without trying, of course, to lift it and carry it up the steps, do a general strengthening gymnastics, do yoga. Two months after giving birth, you can swim, after 4 months - do fitness. Weight lifting and cycling should be avoided.
• Physiotherapy is helpful. You can take a referral from a doctor to the physiotherapy room nearest to your home. With complex treatment of hemorrhoids with HB, methods such as EHF, laser therapy, and magnetic therapy are well helpful.

Effective methods can offer and traditional medicine. A few decades ago, puerperas did not have such a rich arsenal of drugs to choose from, and the problem of rectal properties after birth was. And it was decided mainly by non-traditional ways.

If a woman is categorically against drugs, she can discuss alternative methods with a doctor. It should be borne in mind that diet, movement and other recommendations equally apply to the popular treatment of varicose veins of the rectum.

Traditional medicine strongly recommends prunes, boiled beets, dried apricots, olive oil and bran to puerperas. On the anus, you can make lotions from a slurry of raw potatoes wrapped in cheesecloth. If hemorrhoids are not only external, but there are knots inside as well, a kind of rectal candle is cut out of raw potatoes and injected into the anus.

Lubricating the anus with pain and burning is recommended sea buckthorn oil. Microclysters are made with it. Sea buckthorn oil and you can drink a teaspoon, if the child does not have an allergic reaction to this useful and valuable product.

Prevention of hemorrhoids is an important task even during pregnancy. You need to eat right, to avoid constipation.It is important to drink plenty of fluids, walk a lot, do gymnastics.

A woman during pregnancy should keep track of their own weight gain. If it exceeds the norm, you need to consult with the doctor about the possibility of arranging fasting days. Underwear during pregnancy and after childbirth must be necessarily made of natural fabrics.

Reviews of women clearly make it clear that once appeared hemorrhoids quite often becomes a constant companion of a woman. Therefore, treatment should be started as soon as possible. Dr. Komarovsky agrees with this, whose opinion is listened to by his mother. He argues that those negative emotions from pain and itching that a woman with hemorrhoids experiences may well cause a decrease in lactation or disappearance of breast milk, and therefore the treatment of hemorrhoids is necessary. The baby needs a healthy, strong and calm mother.

For more information about the treatment of hemorrhoids after birth, see the following video.