Talking about the top common problems of hemorrhoid disease during pregnancy

For patients with hemorrhoids within 3 months of pregnancy, conservative treatment should be used as much as possible. For patients with internal hemorrhoids of degree II and III with bleeding, dragging out and thrombosed external hemorrhoids, treatment should be postponed to 3 months later. For acute thrombosed external hemorrhoids, anal fissures with severe pain and bleeding internal hemorrhoids of degree I and II, less invasive treatment is feasible during the 4th-7th months of pregnancy, but complex and more invasive surgery, as well as habitual abortion and preterm delivery should be contraindicated to prevent preterm delivery. During 8-10 months of pregnancy, inflammatory external hemorrhoids, internal hemorrhoids prolapse and bleeding are prone to occur, during this period, conservative treatment should be based on Chinese medicine, PP powder bath, and sclerotherapy should not be used as much as possible. Treatment In principle, hemorrhoids during pregnancy should be treated as conservatively as possible. Patients are advised to eat a diet high in dietary fiber, drink plenty of water, have regular bowel movements, maintain local hygiene, take hot water sitz baths, etc., and use laxatives (psyllium, psyllium pellets) or rectal mucosal protectors and lubricants as appropriate. If conservative treatment is ineffective and symptoms persist, injections, ligatures, photocoagulation, freezing and instrumentation can be considered, and sclerotherapy is an effective means of preventing the nucleus from increasing in size. The timing of surgery for hemorrhoids that must be treated surgically during pregnancy is in principle chosen between 20 and 32 weeks of gestation, and surgery is not advisable after 36 weeks. Prevention of hemorrhoids during pregnancy Acute hemorrhoids during pregnancy are very painful for pregnant women, so prevention is important for this disease. It is recommended that women who are preparing for pregnancy should visit an anorectal specialist to assess their condition if they have frequent blood in the stool and a swelling that comes out of the anus when they have a bowel movement. At the same time, develop good habits, do not sit and stand for a long time squatting toilets, keep the bowels open, prevent constipation, diarrhea, etc.. Drink more water, eat more fruits and vegetables, etc.