Hemorrhoids are varicose veins in the rectum and are often triggered by cesarean section surgery. Women face the problem already in the postoperative period and experience quite unpleasant sensations. Due to the fact that the disease requires mandatory treatment, sometimes cardinal, there may be problems with breastfeeding. That is why hemorrhoids after caesarean section must be controlled, use all the drugs prescribed by the doctor and not let the disease take its course.
Causes of the problem
Doctors recognize that after a caesarean section there is a high risk of developing hemorrhoids. This is due to the fact that during the bearing of a child, the vessels located in the rectum increase significantly. The problem is caused by the pressure of the fetus on the walls of the pelvic floor. Hemorrhoids after caesarean sectiona consequence of the increased stress experienced by the body, and the characteristics of the blood vessels of a particular woman.
After a caesarean section, it is difficult for a woman to even get up for the first day, so she spends almost all the time lying down. This situation leads to stagnation of blood in the pelvis and, accordingly, overfilling of the blood vessels. If the patient already had the initial signs of hemorrhoids, then there is an exacerbation of it.
Also, the likelihood of constipation after caesarean is much greater, which is associated with a small number of movements of a woman. It is also a factor that provokes the development of hemorrhoids.
Symptoms of hemorrhoids in women after caesarean section
The problem can be detected within a couple of days after the birth of the child. A provoking factor is also the weakening of the immune forces after surgery. However, the clinical signs in each patient may be different and depend on the severity of the disease, the presence of complications and other concomitant factors.
In any case, hemorrhoids after pregnancy and caesarean section manifest as anal itching, burning and pain. A woman may complain of a constant feeling of heaviness in the rectum and discomfort, which only intensifies after going to the toilet. If the problem is ignored, it progresses rapidly, and in addition to pain, the patient has massive bleeding, which can be dangerous.
Stages of development of hemorrhoids
The first stage is characterized by mildsigns. A woman may experience discomfort and, for the first time after childbirth, observe blood impurities after defecation. But doctors associate this factor with the pathology of blood vessels, which become pathologically dilated after pregnancy.
In the second stage, the bleeding becomes more pronounced. If a woman lifts heavy objects or performs other physical exercises, then prolapse of hemorrhoidal bumps may be recorded. These nodes can already be easily palpated by the doctor during the examination.
If you ignore the previous stages, then hemorrhoids after cesarean section goes to the next one. In this case, the prolapse of nodes occurs even during sneezing or coughing. However, you can set the bumps on your own and the treatment is probably conservative. But you should immediately consult a doctor to receive appropriate treatment. Otherwise, the disease proceeds to the next stage, when the patient has profuse bleeding and thrombophlebitis may develop.
How to treat
How to cure hemorrhoids after caesarean section only a practicing proctologist knows. If the pathology is diagnosed, then it must be treated immediately. But for the doctor, the difficulty in prescribing therapy lies in the fact that the woman is breastfeeding, and in most cases does not want to switch to formula.
In this regard, it is absolutely impossible to prescribe medications on your own and use any methods that supposedly can help. Only a doctor will be able to choose such medicines that will be not only effective for a woman, but also safe for a baby. It is knownthat the baby is very sensitive to changes in the composition of breast milk and may give an unwanted reaction in the form of a rash, redness or indigestion.
In addition, an integrated approach requires hemorrhoids after caesarean section. The treatment that a specialist prescribes usually consists of various medications and procedures. These could be:
- rectal suppositories;
- ointments, creams;
- baths.
However, tablets are also on the list of recommended drugs. But the doctor treats their choice very responsibly. Pills, unlike suppositories, act systemically.
Choice of Medication
A fairly common problem is hemorrhoids after a caesarean section. How to treat the disease, only a proctologist will tell you, who takes into account the special situation of a woman. In this case, rectal suppositories will be effective, but quite safe. Among them, the most popular are:
- Hepatrombin;
- "Relief";
- "Natalsid".
Usually candles should be inserted once a day, at night. The course can last up to ten days or until the patient's condition improves significantly.
In order for the medicinal components of the suppository to penetrate the intestinal mucosa as best and as quickly as possible, experts recommend pre-setting a microclyster. It is known that the effect becomes minimal when the drug is mixed with masses of feces in the intestine. In addition, the useRectal suppositories in many provoke a desire to go to the toilet, which in this case cannot be allowed, otherwise the effect of the candle on the problem will not happen. However, if the natural act of defecation was no more than six hours ago, then such requirements would be redundant.
Relief treatments
Proctologists often advise taking warm sitz baths with the addition of potassium permanganate to alleviate the condition, relieve pain and discomfort. Do not be zealous, the water should be slightly pink, otherwise you can get burned. This procedure has been proven to have the following effect:
- antiseptic;
- prevents the attachment of a secondary infection;
- reduces pain;
- reduces itching and burning.
The duration of the procedure should be about 15 minutes.
From grandma's pantry
Our grandmothers knew very well whether hemorrhoids could appear after a caesarean section. At the same time, folk wisdom has accumulated many recipes that are successfully used now. At the heart of almost all methods of treatment are medicinal herbs that have:
- anti-inflammatory;
- hemostatic;
- pain-relieving effect.
Decoctions of plants are recommended for the preparation of medicinal baths, and they must also be taken orally. But it is worth considering that some herbs have their own contraindications, so their intake should be agreed with the doctor. Although the effect of such therapy is not immediately apparent, it will certainly be. Among medicinal herbs for the treatment of hemorrhoidsafter caesarean section, the most effective and safe are:
- chamomile;
- Highlander bird or snake;
- wormwood;
- bay leaf.
In addition to decoctions of herbs, you can use natural oils. Doctors usually recommend the following:
- camphor;
- fir;
- sea buckthorn;
- castor.
It is necessary to soak a homemade tampon with oil and insert it into the anus. Such treatment leads to healing of skin cracks, pain relief and stopping rectal bleeding.
Complications of hemorrhoids
Dilation of rectal veins after caesarean section can lead to complications. If bleeding develops, then this situation threatens the development of anemia, which negatively affects breastfeeding. A bacterial infection may join, which is fraught with the appearance of an inflammatory process. As a result, antibiotics will be required and, as a result, breastfeeding will be stopped.
Preventive measures
Can there be hemorrhoids after a caesarean section? Of course yes, but it is possible and necessary to prevent the problem. For this, even before planning a pregnancy, it is necessary to undergo a comprehensive examination. If the doctor finds a problem, he prescribes treatment. Therefore, by the time of delivery, a stable remission can be achieved.
Also, a pregnant woman is advised not to stay too long, but to lead an active lifestyle. In order to prevent stagnation, it is important to eat welland take regular walks in the fresh air. Good nutrition not only helps a pregnant woman provide the developing fetus and her own body with the necessary energy, but also relieves constipation.
Patient testimonials
Many women experience hemorrhoids after a caesarean section. Those who do not pay attention to this problem, then suffer from profuse bleeding, acute pain and the inability to lead a normal life. But many patients who were treated using the drugs prescribed by the proctologist were able to get rid of the problem, while not giving up breastfeeding and without experiencing problems in defecation.
It is worth highlighting the positive feedback about rectal suppositories. They do not harm the he alth of mother and baby, but at the same time they quickly get rid of the problem. Folk methods also work well. Medicinal herbs and oils eliminate pain, promote tissue regeneration and do not harm the he alth of a woman and a child.
