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Acute internal haemorrhoids during pregnancy

Pregnancy is a serious stage in a woman’s life, which for physiological reasons can lead to the occurrence or exacerbation of haemorrhoids.
The rapidly growing uterus puts pressure on the organs and veins of the pelvis: blood flow is impeded, haemorrhoidal tissue expands. Chronic constipation, low physical activity, and unbalanced nutrition increase the risk of developing the disease.

Causes and symptoms

Acute haemorrhoids occur when veins and nodes are blocked (thrombosed) by blood clots. Predisposing factors include blood clotting disorders and venous congestion against the backdrop of a hormonal storm in a pregnant woman.
The initial stages of internal haemorrhoids are asymptomatic. A woman learns about the presence of an acute process when the typical clinical picture develops:

  • burning pain in the anus, worsening with walking, defecation;
  • pathological discharge from the rectum – blood, mucus;
  • sensation of hard lumps in the anal canal.

The condition occurs suddenly, leads to impaired regional venous blood flow, ischemia, tissue necrosis. Without treatment, acute internal haemorrhoids are fraught with dangerous complications or progression to a chronic form.

Features of treating acute haemorrhoids in pregnant women

It is believed that pregnancy is not a time for serious therapy. However, many methods of conservative and even surgical treatment are used in women carrying a child.
In cases where the patient is concerned about certain symptoms, a doctor consultation is necessary. After examination, a proctologist will select an effective treatment plan. A pregnant woman, following the recommendations, will feel relief and will not worsen her problem.

Conservative treatment

If a woman is not ready for surgery – psychologically, or due to contraindications, the doctor offers other treatment options: changes in diet, physical activity, medications.

Suppositories

The main effects of rectal suppositories are anti-inflammatory, pain-relieving, and hemostatic. Advantages: convenient to use, do not cause side effects.

Ointments

Preparations with antibiotics and anesthetics relieve inflammation, pain syndrome, and swelling. Ointments with heparin are used for the prevention of node thrombosis, while those with vasoconstrictive substances are used to stop haemorrhoidal bleeding.

Systemic drugs

Laxatives and probiotics normalize stool and prevent constipation, but with prolonged use, they stop working. Uncontrolled use of venotonics – drugs for improving venous blood flow – and painkillers is harmful to the health of both mother and child.

Folk remedies

Herbal baths and short-term enemas relieve symptoms but do not address the cause of the disease. Self-treatment with what helped other people is a dangerous activity, especially during pregnancy.

Minimally invasive surgical methods

A safe and effective alternative to medications is gentle laser methods. The light beam acts directly on the affected area without affecting healthy tissues.

It is easier for the patient to adjust to such a “one-day” procedure:

  • possible discomfort during recovery is minimal;
  • rehabilitation is faster and calmer;
  • the risk of complications is reduced to zero – tissues are not cut, and no stitches are applied.

Leaving haemorrhoids uncontrolled or suffering from pain until breastfeeding is finished is the wrong approach. It is important to consult a doctor in time: by the time the baby is born, the situation may worsen significantly. As a result, complex and costly treatment may be required.
Schedule a consultation (cost to be confirmed when making an appointment) with a proctologist. We will definitely find ways to eliminate haemorrhoids and ease your condition.

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    Sources and clarifications

    The material clarifies identified medical inaccuracies. Methods, contraindications, and recovery depend on the individual situation; the information helps to prepare for a consultation.

    ASCRS: Haemorrhoid Guidelines, 2024 · NIDDK: Haemorrhoidal Disease · NHS SPS: Treatment During Pregnancy

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