What to do about hemorrhoids during puerperium

Women need to take care of themselves for a period of time after giving birth, especially within the first month. Moreover, since the mother has to breastfeed the baby, she must ensure her own health. Some women develop hemorrhoids during the postpartum period and often suffer from constipation and bloody stools. They are worried that it will affect the baby, so they want to seek treatment as soon as possible. So, what should we do about postpartum hemorrhoids?

What are postpartum hemorrhoids

Do you know what postpartum hemorrhoids are? According to a global survey report on women before and after pregnancy, 80% of women suffer from hemorrhoids before and after pregnancy. Conventional hemorrhoids often do not attract people's attention. Once they occur before or after pregnancy, they should be treated in time. Next, we will introduce detailed information about postpartum hemorrhoids.

1. The development of the uterus of females during their puberty period affects their rectum, causing it to tilt backwards and increase its curvature. The stool passes more slowly than that of men, which can easily cause constipation and lead to hemorrhoids.

2. During pregnancy, the enlarged fetus compresses the rectum, causing obstruction of venous return to the rectum and anus, causing varicose veins and forming hemorrhoids.

3. During childbirth, it may cause local hemorrhoidal venous reflux obstruction in the anus, causing hemorrhoids, and even causing damage to the hemorrhoidal veins, leading to thrombosed external hemorrhoids and inflammatory external hemorrhoids.

4. After delivery, due to the empty abdominal cavity and slow bowel movement, there is often no bowel movement for several days. In addition, due to long-term bed rest and weak bowel movements, feces stay in the intestines for too long and become highly hardened, which can easily injure the anus and cause illness during defecation.

The increased pressure in the pelvic cavity due to the enlargement of the uterus cannot be changed, but the aggravation of hemorrhoids can be prevented by avoiding constipation, avoiding standing or sitting for long periods of time, and adjusting diet. After delivery, with the delivery of the fetus, the stomach, small intestine, and large intestine return to their normal positions. Due to the removal of compression factors, intestinal peristalsis slows down. In addition, the pelvic muscles and muscles around the anus are overly tight after delivery, causing pain in the perineum wound and hemorrhoids. The mother dare not strain to defecate, and tends to lie in a supine position after delivery, with less activity, loose abdominal wall, and eating more low-residue food, which makes constipation prone to occur and aggravates hemorrhoids.

Postpartum hemorrhoids are one of the obstetric emergencies; this is because after pregnancy, as the uterus grows, abdominal pressure increases, especially in the late pregnancy, the inferior vena cava becomes congested and dilated, and especially during delivery, uterine contractions gradually strengthen, and the mother is very likely to develop hemorrhoid incarceration when holding her breath and pushing. After hemorrhoids are incarcerated, the internal hemorrhoids protrude outside the anus. The sphincter spasms and cannot be reset on its own, causing congestion and edema. The protruding inner core also stimulates the peripheral nerves around the anus, causing swelling and pain. In severe cases, ischemic necrosis may occur. Using a combination of Chinese herbal medicines with the functions of clearing away heat and dampness, promoting blood circulation and removing blood stasis, and astringing, fumigating and washing hemorrhoids, improving blood circulation in local tissues, combined with reasonable dietary therapy and nourishment, can often achieve satisfactory results in the treatment of postpartum hemorrhoids, not only eliminating clinical symptoms but also ensuring long-term efficacy. ...

Symptoms of postpartum hemorrhoids

It is very necessary for mothers to know the symptoms of postpartum hemorrhoids. After knowing the symptoms, mothers can check their bodies anytime and anywhere to see if there are any abnormalities, so that they can find and treat them early. Early treatment can also cure them early. The following will introduce the symptoms of postpartum hemorrhoids. For your own health, you must read it carefully!

1. There is blood during bowel movements, with spurting bleeding, spotting, blood on toilet paper, etc. The blood is bright red.

2. A nucleus-like object may come out during defecation and then go back on its own after defecation.

3. When defecating or when abdominal pressure increases due to coughing, fatigue, or weight bearing, a nucleus-like object may protrude from the anus and need to be returned manually.

4. Skin tags of varying sizes and shapes grow around the anus.

5. The skin around the anus is wrinkled and protruding, and there is redness, swelling, heat, pain, edema, and obvious congestion. There is tenderness, and the pain worsens during defecation. There is a small amount of secretion, and some may be accompanied by general discomfort and fever.

Kind tips:

During the menstrual period, women with hemorrhoids should participate in physical activities reasonably, such as walking, Tai Chi, abdominal breathing, and they can also perform self-abdominal massage: the right hand is placed on the four fingers above the navel, and reasonable pressure is applied around the navel to rub clockwise. Rub once with each inhalation and exhalation, repeat 3 times, rest for a while and then continue massaging. During the massage, the pressure under the hand should be gradually increased. Finally, the entire palm is placed on the navel, and the navel and abdomen are rubbed clockwise for 30 weeks.

Treatment of postpartum hemorrhoids

Postpartum hemorrhoids are caused by physiological changes. It is often the most difficult for women to take medication during this period. It is not good to leave it untreated. Surgical removal is not suitable because the hemorrhoids will still regenerate after removal. Traditional oral and topical medications are even less suitable during this period. So do you know how to treat postpartum hemorrhoids? Next, I will introduce to you the treatment methods for postpartum hemorrhoids.

The early symptoms of hemorrhoids are blood on the surface of the stool or blood dripping from the anus. In severe cases, blood may spurt out. Internal hemorrhoids generally have a feeling of heaviness and swelling. Some stool may protrude from the anus and then recover on its own. If it cannot recover, it may cause incarceration edema, pain, swelling of external hemorrhoids, and muscle fatigue. When it becomes inflamed or thrombosed, the pain is severe, walking is difficult, and sitting is restless. Frequent bleeding causes anemia, dizziness, shortness of breath, fatigue, and poor spirits. Once a pregnant woman gives birth, the intravascular pressure decreases, the venous return obstruction is relieved, and the hemorrhoids will shrink on their own within 3-4 months. Therefore, the key to hemorrhoids in pregnant women is prevention, and non-surgical treatment is the main method.

First of all, keep your bowel movements smooth to prevent constipation. In addition to paying attention to the completeness and sufficient quantity of nutrients in food, pregnant women should also eat more vegetables rich in fiber, such as leeks, celery, loofah, cabbage, spinach, broccoli, radish, etc. to increase intestinal peristalsis, and pay attention to drinking plenty of water. Too little exercise is also one of the causes of constipation. Pregnant women should avoid sitting or standing for long periods of time and should participate in more physical activities. It is best to develop a habit of regular bowel movements every morning, and do not hold it in when you feel the urge to defecate. When the stool is hard to pass, you can take some honey, sesame oil, bananas or oral paraffin oil and other laxatives. Do not use Glauber's salt, rhubarb, senna and other laxatives to prevent miscarriage.