After pregnancy, as the fetus grows, mothers-to-be enjoy the joy of pregnancy while occasionally being disturbed by some “hiccups”. This “hiccup” is actually no stranger to the common anorectal disease – hemorrhoids. For all the mothers-to-be, it is easy to suffer from hemorrhoids due to various factors such as constipation during pregnancy and increased intra-abdominal pressure! However, because of their special constitution, mothers-to-be need to be treated with extra care, and the treatment is very different compared to ordinary hemorrhoid patients. If the mother-to-be does not experience significant discomfort after suffering from hemorrhoids, she can adjust her lifestyle, diet and bowel habits to avoid continued aggravation of the hemorrhoids or induce discomfort to the greatest extent possible. You can also take a warm water bath 2-3 times a day to reduce inflammation and edema and relieve perianal discomfort and pain. The water temperature should not be too hot to avoid scalding, and care should be taken to avoid falling when taking a sitz bath. When the mother-to-be’s internal hemorrhoids come out of the anus, they need to be reset in a timely manner, and reset with gauze to block the anal opening to prevent them from coming out again, in order to prevent embeddedness, necrosis and infection of the prolapsed hemorrhoids. 2, drug treatment If the mother-to-be’s hemorrhoids cause some discomfort, but the symptoms are relatively mild, you can promptly consult a professional doctor, under the guidance of the doctor to use some drugs for treatment. Local use of local anesthetic creams containing lidocaine to relieve pain; anal fumigation drugs can choose diluted potassium permanganate or Chinese herbs; anal local topical hemorrhoid creams and hemorrhoid plugs, but the drugs should not contain musk ingredients. Oral medications are mostly not used, you can take oral medications that promote hemorrhoid venous reflux and promote the edema of hemorrhoid mass to subside. Those with blood in the stool can take oral hemostatic drugs; those with constipation can take oral laxatives, such as lactulose oral solution, but try to avoid taking them in the first trimester of pregnancy. In case of secondary infection of hemorrhoids in pregnant women, attention should be paid to the application of anti-infective medication to control the infection. Due to large individual differences, there is no absolute best, fastest, or most effective medication. In addition to commonly used over-the-counter medications, appropriate medications should be selected under the guidance of a physician with full consideration of individual circumstances. However, there is no shortage of serious clinical cases where the effect of conservative treatment may not be particularly satisfactory and the mother-to-be has to consider surgery as a last resort. If conservative treatment does not work, hemorrhoidectomy can be considered. The surgery is usually performed in the bladder position and can be done with epidural anesthesia, and the operation time can be shortened as much as possible to avoid discomfort for the pregnant woman. Hemorrhoids are common during pregnancy, and although they are recurrent and unpleasant, they generally do not interfere with normal delivery, so mothers-to-be do not need to be particularly worried, as long as they attend pregnancy tests regularly. References [1] Chinese guidelines for the diagnosis and treatment of hemorrhoid disease (2020) [J]. Colorectal Surgery,2020,26(05):519-533.