What to do when a pregnant woman can’t sit or stand with swollen and painful hemorrhoids?

When hemorrhoids become enlarged, painful and unable to sit or stand during pregnancy, intervention can be made through general treatment, medication, surgery and other measures.
1. General treatment: after an acute attack of hemorrhoids, it is recommended to improve the diet to avoid spicy and stimulating food, can eat bananas, dragon fruit and other foods to promote laxative; after defecation, timely local irrigation; and it is recommended to adhere to the anal lifting exercise.
2. medication: for the local presence of redness, swelling, pain and other symptoms of infection, you can use potassium permanganate solution, magnesium sulfate and other drugs for local sitz bath or wet compresses, or local application of erythromycin ointment and other drugs for anti-infective treatment; at the same time, you can use liquid paraffin, keserol and other drugs for enemas to improve the constipation and other symptoms, so as not to aggravate the discomfort of hemorrhoids.
3. Surgery: pregnancy hemorrhoids usually do not advocate surgery, but for the mid-pregnancy hemorrhoids acute attack of conservative treatment is ineffective, hemorrhoidal nuclei embedded necrosis and other cases, can be considered for surgical treatment, anesthesia using perianal local block anesthesia, as far as possible without antibiotics, and at the same time need to pay attention to fetal heartbeat and contraction of the situation of the monitoring.
If the above symptoms occur, or if you suspect an acute attack of hemorrhoids during pregnancy, it is recommended that you go to the hospital in time; the above medications should be used under the guidance of a clinician.