Many women find out what hemorrhoids are during pregnancy. This is a very common disease in which there is pain and burning in the anus, bleeding may occur.
Causes of disease development
Many women come to the district gynecologist with the question of what kind of ointment during pregnancy with hemorrhoids can be used. Most of them first encounter this problem during the period of bearing a baby. This is facilitated by a significant increase in the hormone progesterone. It causes constipation in women. And given that the growing uterus puts pressure on the rectum, then its vessels often begin to expand rapidly under such influence.
Provoking factors for the development of the disease are:
- constipation;
- lifestyle change (decrease in mobility);
- circulatory disorders and vasodilatation in the small pelvis.
In addition, during pregnancy, the pelvic bones slightly diverge and expand, and this contributes to increased blood flow in the area where the rectum is located. All these factors lead to the formationhemorrhoids.
Treatment tactics
To get rid of problems, doctors most often recommend using local preparations. Doctors can tell you which ointment during pregnancy with hemorrhoids is better to take. They can also advise on the most effective and safest candles.
Local remedies can quickly anesthetize, remove swelling and eliminate inflammation. They can help restore blood flow to the rectum and prevent blood clots from forming in the vessels. They act locally, so the risk of side effects when using them is minimized. Many of them are allowed during pregnancy, because they do not affect the baby in any way.
But it is worth noting that not all medicines from those that can be found in pharmacies are allowed for expectant mothers. Some suppositories and ointments contain substances that can penetrate the bloodstream and pass through the placental barrier.
It is best to contact a proctologist who can determine the stage of the disease and select the most effective treatment regimen. If a woman has 2 or 3 degrees of hemorrhoids, then it will not be possible to correct the situation with ointments alone. In this case, complex therapy will be needed.
Effective ointments
Don't start treating hemorrhoids on your own during pregnancy. After all, a woman cannot independently determine the stage of the disease and choose the most effective means.
After the examination, the proctologist can assess the condition of the expectant mother and tell what to do to get rid of hemorrhoidsduring pregnancy. Treatment (ointments are often used as one of the components of complex therapy), the doctor will select, taking into account the duration of pregnancy and the severity of the disease.
At first, you can get rid of the problem with the help of conventional local remedies. Heparin ointment during pregnancy with hemorrhoids is popular. But it is prescribed, as a rule, in cases where a woman does not complain of acute pain. Otherwise, other means are recommended. The composition of such ointments as "Relief Advance", "Emla", "Aurobin", "Proctosan" includes an anesthetic, so they are able to eliminate discomfort. But some of these products should not be used by pregnant women.
If the doctor establishes that the patient has an active inflammatory process, then the treatment tactics change. Non-steroidal anti-inflammatory ointments, such as Diclofenac, Piroxekam, Ibuprofen, can also be prescribed as a component of complex therapy.
In some cases, during the examination, the doctor can see that the surrounding tissues are already involved in the inflammatory process. In this situation, not only an ointment for hemorrhoids is selected, but also antimicrobial agents. These include such drugs: "Levomekol", "Ichthyol", "Mafenida acetate". Vishnevsky's ointment for hemorrhoids during pregnancy can also be prescribed.
With active bleeding, you will need combined agents that have a vasoconstrictive, anti-inflammatory, venotonic effect. It can be "Relief", "Procto-Glivenol" or other similar means.
But it is worth remembering that some popular hemorrhoid ointmentscannot be used during pregnancy. Therefore, it is necessary to choose the most suitable remedy with a doctor.
Features of using heparin ointment
In some cases, doctors prescribe an anti-inflammatory and antimicrobial ointment for hemorrhoids during pregnancy. It should dissolve existing blood clots and prevent the formation of new ones. Heparin ointment has such an effect. In addition, it also reduces pain due to the fact that it contains benzocaine.
This tool is used exclusively externally. On the affected area, heparin ointment during pregnancy with hemorrhoids is applied in a thin layer. Up to 1 g of ointment is enough for an area with a diameter of up to 5 cm: it is necessary to squeeze out 2-4 cm.
Effect comes after 3-14 days of use. It can be applied to problem areas 2-3 times a day. True, if a woman has thrombosis of external hemorrhoids, then it is necessary to apply the ointment on a linen pad and fix it on them. By the way, some people recommend making tampons with this ointment and inserting them into the anus.
If a woman is not hypersensitive to the components of the remedy, then heparin ointment for hemorrhoids during pregnancy can be safely used. But with an increased tendency to bleeding and thrombocytopenia, one must be careful.
Ointment "Relief"
Shark liver oil in combination with other components of the product has a wound healing, anti-inflammatory, vasoconstrictive effect. But use the "Relief" ointmentfrom hemorrhoids during pregnancy without the consent of the doctor is not worth it. Although contraindications include only hypersensitivity to the components of the drug, granulocytopenia and thromboembolic disease.
This remedy promotes vasoconstriction. Due to this, exudation, swelling of tissues decreases, itching goes away. It can be used after every bowel movement or, regardless of bowel movements, in the morning and evening.
This ointment is applied using a special applicator. Through it, it is squeezed out to the affected areas. You can lubricate the external or internal parts of the anus. The main thing is to thoroughly wash the applicator after each use and place it in a special protective cap.
Fleming's Ointment
Without restrictions, expectant mothers are prescribed external homeopathic remedies. Therefore, it is so often possible to hear that the doctor recommended Fleming's ointment for hemorrhoids during pregnancy. But it is also used for dermatological problems and diseases of the ENT organs. It contains calendula, esculus, witch hazel, menthol and zinc oxide. Vaseline is an auxiliary substance.
According to the instructions, it is necessary to use this tool for 5-7 days. It is applied to problem areas up to 3 times a day. In the absence of an allergic reaction, everyone can use the product, including pregnant and lactating women.
Means "Troxevasin"
If it was found that the cause of hemorrhoids are weak venouswalls, then drugs are prescribed that can have a venotonic, decongestant, venoprotective and antioxidant effect. The most famous is the Troxevasin ointment. With hemorrhoids during pregnancy, it can be used to alleviate the condition and reduce the intensity of the inflammatory process.
Ointment should be applied to the problem area twice a day, rubbing it until it is completely absorbed. 6-7 days should be enough to resolve the symptoms.
Usually this ointment during pregnancy with hemorrhoids is well tolerated. There is no information about any undesirable effect on the fetus when using it. But with sensitivity to the components of the product, an allergic reaction is possible - dermatitis, urticaria, eczema.
Vishnevsky's ointment
A mixture of birch tar, castor oil and xeroform helps to calm the inflammatory process and accelerate tissue regeneration. All these components are included in Vishnevsky's ointment. From hemorrhoids during pregnancy, both a proctologist and a district gynecologist can advise you.
Of course, this diagnosis is not in the list of indications in the instructions, but this remedy is used for many skin diseases. The ointment is able to dry the wound surface, slightly anesthetize the affected area and reduce vascular permeability.
But you have to be careful with this tool. The tar included in its composition can irritate the skin receptors. It promotes the fact that blood flow to the site of inflammation begins. But thisaccelerates the process of tissue regeneration.
You can not use Vishnevsky's ointment with individual intolerance, hypersensitivity and acute purulent diseases of soft tissues and skin. But, despite the relative safety of the remedy, it can only be used as directed by a doctor. He may recommend not only applying ointment to the anus, but also making compresses with it at night.
Doctors usually warn that the sensations during the procedure cannot be called pleasant. But at the same time, the effect becomes noticeable immediately.
Ointment "Posterisan"
Unpleasant sensations in the anus can be caused by both hemorrhoids and anal fissures. You can get rid of discomfort if you choose the right ointment during pregnancy with hemorrhoids. Doctors do not recommend doing it yourself, because some drugs are forbidden to use during the period of bearing a baby.
The Posterizan ointment contains inactivated E. coli microbial cells. They are able to increase local tissue resistance to active pathogenic microflora. The drug is able to stimulate T-lymphocyte immunity. At the site of exposure, it increases the activity of leukocytes and nonspecific immunity factors. In addition, its use helps to reduce the exudation of blood vessels, normalize their tone and permeability. Tissue regeneration is also stimulated.
Without special restrictions, this ointment for hemorrhoids during pregnancy can be prescribed. Reviews indicate that Posterisan can relieve swelling and relieve pain. Appoint herwith hemorrhoidal diseases that cause discharge and a burning sensation in the anal area. It is also recommended to use it for anal itching and anal fissures.
Wound healing drugs
You can quickly restore the integrity of the skin with the help of Levomekol ointment. This is a fairly inexpensive antimicrobial and anti-inflammatory agent. It easily penetrates tissues without damaging cell membranes and stimulates the regeneration process.
This ointment during pregnancy with hemorrhoids is often prescribed. When applied, the body's defenses are activated. Methyluracil, which is part of the Levomekol product, helps to stimulate the process of protein production in the mucous membranes. Thanks to this, tissues recover faster.
Also, this ointment is an adsorbent. It cleans the surface of hemorrhoids and prevents the development of the infectious process. Bacteria cannot reproduce and the affected areas regenerate.
For treatment, gauze pads soaked in ointment can be applied to the anus. Treatment should be continued until discomfort is relieved.
Painkillers
If in pregnant women hemorrhoids are accompanied by severe pain, then it is necessary to choose an effective ointment with a pronounced analgesic effect. You can temporarily alleviate the condition with the help of Emla ointment. But you can use it only on the advice of a doctor. It contains lidocaine and prilocaine. These substances can pass throughplacental barrier. But no violations in the process of intrauterine development of children or negative effects on the reproductive process have been identified.
Also, the doctor may recommend the use of Diclofenac ointment. It helps reduce inflammation and has an analgesic effect. If the doctor suggests Ibuprofen ointment as an anti-inflammatory pain reliever, then the following must be remembered: in the 1st and 2nd trimester it can be used with caution, only as directed by the doctor, and during the last 3 months of pregnancy it should not be used.
Reviews from expectant mothers
Finding out which hemorrhoid ointments can be used during pregnancy, you need to focus on the data indicated in the instructions. But if you do not self-medicate, but go to the doctor with this delicate problem, then he will select the best drugs for you.
If the doctor offers several remedies to choose from, then you can learn about the effectiveness of certain remedies from other pregnant women. For example, many doctors say that heparin ointment for hemorrhoids during pregnancy is the most effective. Reviews confirm that it helps with the formation of hemorrhoids, itching, pain and minor bleeding. Its regular use helps to reduce the manifestations of this disease. If the nodes are bleeding, then it is better to do compresses.
Also, many expectant mothers praise Fleming's ointment. This tool is considered absolutely safe. It can be used both during pregnancy and after childbirth. When appliedointment appears a pleasant chill. With regular use, the pain disappears. Puffiness is also noticeably reduced.