Why are pregnant women prone to hemorrhoids? How to deal with it?

It is common for pregnant women to be seen for hemorrhoids, which may flare up more severely or frequently in the second trimester of pregnancy. Why are pregnant women prone to hemorrhoid attacks? According to the literature, the incidence of hemorrhoids in pregnant women is as high as 70%. The reason may be related to the following factors: (1) the uterus and rectum adjacent to the pregnant uterus gradually increased, affecting the end of the rectum hemorrhoidal venous plexus reflux, venous stasis expansion aggravated; (2) pregnancy uterine compression of the rectum and the amount of movement is relatively reduced, prone to constipation or constipation aggravation, defecation struggle, hemorrhoids aggravated; (3) after pregnancy, pelvic arterial blood flow is increased in the past, the original hemorrhoidal arteries congested (4) pregnancy hormone can make blood vessel expansion, tissue relaxation. Due to the above physiological factors, especially pregnant women who have had hemorrhoids in the past are more prone to seizures, outpatient clinic due to acute embedded hemorrhoids (i.e., hemorrhoids can not be returned in a timely manner after the prolapse of the hemorrhoids, anal sphincter spasm, hemorrhoids, hemorrhoids edema, thrombosis, pain is obvious) and the pregnant women who consult the clinic mostly appear in the 6-7 months after pregnancy. For pregnant women suffering from hemorrhoids should be based on different pregnancy, different conditions using different treatment. If the condition is light, hemorrhoid prolapse is very small or anal pain is not very serious, I advocate as much as possible without medication, such as edema can be used to edible honey with a spoonful of sugar stirred, external hemorrhoids to play a high osmosis, swelling, pain relief, can also be applied to clear the heat and dampness swelling and pain relief of traditional Chinese medicine decoction drying temperature after the anal periphery of the local wet compresses, such as constipation can be used to advise pregnant women to eat more vegetables, fruits, and when necessary, plus the use of honey to ensure that the bowel movements, the effectiveness of the treatment! Not obvious, should also consider the relatively small impact on pregnancy laxative treatment (lactulose oral solution, the drug is not absorbed by the body, can inhibit the absorption of water in the intestinal tract, feces volume increases, soften); because most of the drugs can pass through the placenta into the fetus, so pregnancy, especially in the early stages of avoiding medication as far as possible. The first three months and the second three months of pregnancy due to the strong contraction of the uterus can cause miscarriage or preterm labor, during this period should be avoided surgery, mid-pregnancy, if the disease is more serious, the use of drugs is ineffective, the patient’s pain is abnormal before you can consider surgical treatment, the patient is clearly admitted to the risk of induced miscarriage, the operation should pay attention to the fetal heartbeat, uterine contraction situation. Since pregnancy often aggravates hemorrhoids, it is recommended that women should treat hemorrhoids before pregnancy, especially patients who often have prolapse after bowel movement should be psychologically prepared to avoid unnecessary trouble caused by the pain of the disease. For women with mild hemorrhoids before pregnancy and no history of prolapse, they can adjust their diet, moderate activity, work and rest, regular bowel movements, and good mood during pregnancy to minimize hemorrhoid flare-ups. For breastfeeding women if hemorrhoids flare-ups, the temporary conservative treatment is appropriate, because after giving birth to lower abdominal pressure, constipation is gradually relieved, with the topical medication, hemorrhoids will gradually reduce the need for patients to breastfeed their babies, it is best not to take medication orally, can be used externally decoction of Chinese herbal medicines to reduce swelling and relieve pain external wash (such as An’s anal and intestinal fumigation agent) to reduce swelling and relieve pain of the external application of traditional Chinese medicines (such as blood-swelling and analgesic powder honey toned compresses), the majority of hemorrhoids will be obviously Most of the hemorrhoids will be significantly reduced, the pain is severe, the medicine is ineffective, there is a risk of infection, necrosis and bleeding, the application of surgical treatment.