Symptoms, treatment and prevention of hemorrhoids during pregnancy

Hemorrhoids are among such delicate problems that women are embarrassed to talk about it out loud. In fact, hemorrhoids during pregnancy are a very common phenomenon, according to statistics, its symptoms are observed in about 70% of expectant mothers.

Few seek qualified medical help. The rest are trying to find as much information as possible on the Internet, to find out how to alleviate their condition. Do not be shy. We will tell you in this article about why hemorrhoids develop in expectant mothers and how to treat it.

What it is?

Around the rectum in humans are hemorrhoidal veins. With a load on them, with an unfavorable influence from the outside or from the inside, the veins expand, thrombosis occurs, the veins become inflamed and form hemorrhoids. This is hemorrhoids - a disease that has been known for a long time. In the old days it was called "pochechuy".

Hemorrhoids are abruptly sudden, in most cases it develops gradually and for a rather long time. Medicine divides the disease into primary and secondary. What happens to pregnant women belongs to the category of primary hemorrhoids. Secondary is considered to be a violation of blood supply in the pelvic organs and in the area of venous plexuses in the rectum due to growing tumors, cirrhosis of the liver, severe pathologies of the heart and blood vessels.

An unpleasant disease that causes a lot of trouble and greatly darkens the process of carrying a child, usually develops in women in the second half of pregnancy, when the uterus becomes large and heavy, and the pressure on the choroid plexus increases significantly.

In some cases, hemorrhoids make themselves felt after childbirth, the appearance of venous nodes in this situation provoke the actual childbirth, attempts. Sometimes signs of hemorrhoids appear in the early stages.

Depending on how long ago the first unpleasant symptoms arose, the disease is divided into acute and chronic. In acute hemorrhoids, thrombosis of the nodes occurs. This is a painful condition, since there are a large number of nerve receptors in the affected area.

With chronic hemorrhoids, there is no acute pain, because of this, women tend to underestimate the threat. From time to time, venous nodes that fall outside the anus already become familiar, and the expectant mother perfectly sets them on her own. But this is only a visible relatively well-being. Chronic hemorrhoids are much more dangerous and insidious than the acute form.

Causes of occurrence

The main reason why hemorrhoids appear in women in an "interesting" position is a growing fetus. In the second trimester, the pressure of the growing uterus on all internal organs of the abdominal cavity increases significantly. At the end of the period of bearing a baby, hemorrhoids are a frequent companion of pregnant women, especially the problem becomes noticeable in the last weeks.

This does not exclude the early onset of the disease - in some pregnant women, signs of hemorrhoids appear at the very beginning. In this case, other reasons are considered.

The hormone progesterone, which has an important “preserving” function for a child, has unpleasant side effects - it causes emotional instability, mood swings and constipation. By itself, partial constipation is also a risk factor for the development of hemorrhoids.

In addition, the likelihood of developing the disease is influenced by:

Woman's weight. Extra pounds and obesity contribute to the development of hemorrhoids.
Heredity. If close blood relatives have a similar problem, then the likelihood that an unpleasant illness will make itself felt during pregnancy is high. Even if before that there were no manifestations of hemorrhoids.
Lifestyle. If the expectant mother leads a sedentary lifestyle, her work is associated with long sitting in one place, she does not go for walks, does not do gymnastics, a painful ailment can manifest itself in the first trimester and in later periods. Exercise too much can also cause inflammation and impaired blood flow in the hemorrhoidal veins. That is why hemorrhoids are often diagnosed in pregnant athletes.
Psychological ill-being. Expectant mothers who are under constant stress are more likely to suffer from hemorrhoids than women who remain calm.
Bowel and liver diseases. Some pathologies, especially those associated with tumor processes, cause secondary hemorrhoids.

Smoking during pregnancy. If the expectant mother cannot part with this bad habit even while carrying a baby, which also happens quite often, then the risk of developing an unpleasant disease increases.
Anal sex. Proctologists pay special attention to this point, since this type of sexual relations is often practiced by spouses during a woman's pregnancy. One cannot, of course, say that all sexual contacts in this way are definitely harmful. Anal sex should be gentle, partners should not forget about precautions. If the expectant mother has the prerequisites for the development of hemorrhoids - overweight, poor heredity, she is tormented by frequent constipation, then it is better to temporarily abandon anal sexual experiments, especially in the later stages.
Multi-stage defecation. This reason is considered one of the most common. Normally, the process of emptying the intestines from feces should not take more than five minutes, the process should proceed in “one approach”. If a woman sits in the toilet for a long time, if one moment of defecation does not bring relief, you have to wait for the second, push, then the likelihood of developing the disease increases. This occurs due to prolonged relaxation of the anal sphincter in anticipation of a new wave of peristalsis, as a result of which the pressure in the rectum increases.

Symptoms and signs

The onset of the disease can be "signaled" by specific sensations that are almost impossible to confuse with anything else. The woman has itching and discomfort, "burning" in the anus. Pain can be observed, constipation occurs.

Unpleasant sensations during this period intensify when the expectant mother eats spicy or salty foods, and she also has the need to increase physical activity, for example, she needs to go somewhere on foot.

If short hemorrhoidal bleeding occurs, at the initial stage - only after or at the time of defecation, the woman feels some relief, the pressure on the veins temporarily decreases, the pain recedes. The blood that is released has a bright scarlet color, sometimes (infrequently) small blood clots can be seen in it.

Loss of nodes also does not appear immediately. At the very beginning of the disease, a woman will be able to feel the release of the node outside the anus only at the moment of attempts to defecate, later, with the progression of the disease, the nodes may begin to fall out even with minor loads - when coughing or sneezing, when lifting objects of small weight.

The fallen out venous nodes at first correct themselves well, then they require manual reduction, in advanced cases it is impossible to correct them even manually.

Acute hemorrhoids have 3 stages of thrombosis:

the venous nodes become inflamed, slightly turn blue, the woman experiences pain on palpation;
the inflammatory process spreads to adjacent tissues;
necrosis begins - the nodes turn black, die off.

Chronic ailment has 4 stages:

pain sensations are weak, internal nodes are enlarged, but a woman may not even guess about this, because they usually do not fall out, but are detected only during proctological examination;
at the second stage, the loss of internal nodes becomes habitual, they are easily adjusted back;
at the third stage, manual reduction of the nodes is required, they no longer go inside on their own;
the fourth stage implies a complete inability to adjust the external knot inward.

During the period of exacerbation, all signs and symptoms develop like acute hemorrhoids.

The danger

Hemorrhoids are dangerous for a pregnant woman. This fact does not cause doubts among experts. The unpleasant and painful sensations that torment the expectant mother do not go unnoticed for the child either, because his well-being and development largely depends on the well-being and well-being of the mother.

At any stage of hemorrhoids there is a risk of thrombosis and necrosis of the venous nodes. These conditions will require compulsory surgical care.

The most common complication is paraproctitis or perrectal abscess. This disease most often occurs due to the effect of E. coli on the injured intestinal mucous membranes. Fistulas appear, and abscesses can break through anywhere, both outside and into the internal cavities, which creates a threat of intrauterine infection of the fetus, the occurrence of peritonitis.

Frequent anal bleeding with hemorrhoids is fraught with anemia. It is called that - hemorrhoidal anemia. In addition, there is always a risk of massive bleeding, dangerous for both the woman and her baby.

If during pregnancy you do not get rid of this delicate problem, then during childbirth the woman will experience additional pain, the likelihood of complications of hemorrhoids will increase, as well as the opening of severe anal bleeding.

The most dangerous complications of hemorrhoids during pregnancy are phlegmon of the pelvis, the development of fecal incontinence, sepsis. Infringement of hemorrhoids, which is also not excluded, is accompanied by a strong intense pain syndrome.

Diagnostics

In order to prevent severe and even fatal complications, it is important to consult a doctor at the first signs of an unpleasant ailment. It is best to immediately go to an appointment with a proctologist who can quickly and correctly assess the current situation.

To begin with, a survey of the expectant mother is carried out. You will have to honestly talk about your eating habits, about how often constipation and other juicy problems occur. There is no need to be shy, because their own health and condition of the unborn child is much more important than the feeling of false shame.

To assess the situation, a finger examination of the anal area is used. On palpation, the doctor determines the presence and number of venous nodes, establishes their nature - external (external) or internal.

At an early stage, the examination is carried out in a special chair, with which women are well familiar from visiting the gynecologist's office. At a later date, the proctologist examines a woman who has taken a knee-elbow position, as well as in a lying on her side.

In doubtful cases, rectal ultrasound is prescribed, as well as sigmoidoscopy - a method that allows you to examine the mucous membranes of the rectum using a special device. It looks like a tube with a light bulb and an air supply system.

The intestine is slightly "inflated", and then an eyepiece is inserted into the tube in order to carefully examine the features of the problem "from the inside". X-ray diagnostic methods are used in proctology, but they are not used in relation to pregnant women, since the potential benefit from such a study does not exceed the harm caused by X-rays to a child growing in the mother's womb.

When diagnosing hemorrhoids, it is important not to confuse it with some other diseases and conditions similar in symptoms:

anal fissures;
prolapse of the rectum;
rectal polyps;
tumors of the rectum;
villous adenoma.

Medical errors in the diagnosis of hemorrhoids are rare. Sometimes the doctor may not notice concomitant pathologies, and with hemorrhoids, there are often concomitant problems, for example, a fissure of the anus.

Treatment

There are two ways to deal with an unpleasant disease - radically (surgically) and conservatively (with medication). Both methods are used to treat pregnant women, however, experts try to resort to surgical intervention only if the drugs did not help, if the woman cannot take them for individual indications, if the degree and stage of hemorrhoids cannot be conservatively corrected.

When pregnant women ask when a doctor can prescribe an operation, the answer is quite simple - the first two stages of the disease do not require surgical intervention, but the third and fourth stages of the disease may require surgical correction. The fourth degree is always an indication for an operation.

Conservative methods

When choosing treatment tactics, the specific period of pregnancy is of great importance. Hemorrhoids are much easier to treat if they appear late in the third trimester.

During this period, the doctor has a wider choice of "tools" - he can prescribe many medicines. Such an opportunity is often not possible if hemorrhoids began in the first trimester, when the effect of drugs can affect the growth and development of the baby, on the laying of his internal organs. The choice of drugs in this case is significantly limited.

Therefore, the basis for the treatment of a delicate disease during the period of bearing a child is the correction of the expectant mother's lifestyle. She is assigned a special diet aimed at avoiding constipation.

You should eat fractionally, 5-6 times a day, in small portions, foods that can soften feces are introduced into the diet. At this stage, the main thing is not to overdo it and prevent the appearance of diarrhea. Loose stools cause additional irritation to the anus, and pain, itching, and swelling may worsen.

Spicy and salty foods, fried and saturated with various spices and seasonings are strictly forbidden to the expectant mother.

Protein food - cottage cheese, fish, meat - should be reduced only to the minimum necessary for the development of the child, since the abundance of protein foods contributes to constipation. All sweets, chocolate, baked goods, baked goods made from yeast dough are banned.

In order to reduce the amount of intestinal gas, you should completely stop drinking lemonade and other carbonated drinks... For the same purpose, you should not eat white cabbage, peas and other legumes, as well as rye bread.

Diet is important not only during periods of exacerbation of hemorrhoids, but on all other days too, otherwise relapses are inevitable. The diet must necessarily contain raw vegetables and fruits, they are rich in fiber, which softens the stool and makes the bowel movement more gentle.

Compliance with special rules will also require a visit to the toilet. The expectant mother will have to make an effort to learn how to defecate in one moment. If within five minutes the feces did not come out or did not come out completely, it is better to get out of the toilet and try to empty the intestines again after half an hour.

An expectant mother, if she has hemorrhoids with blood, should stop using toilet paper. It additionally irritates the anus. It is better to use washing after bowel movements.

Expectant mother to combat constipation enemas are prescribed. They should be done with care so as not to harm the growing child.

Frequent use of enemas poses an additional danger - the leaching of beneficial microflora from the intestine, the occurrence of a state of dysbiosis.Therefore, an enema should be considered an exceptional measure if a diet rich in fiber has failed. Microclysters, for example, the drug "Microlax", have a significant advantage over conventional enemas.

The doctor will definitely advise a pregnant woman on feasible walks, morning exercises, an active lifestyle. Among the recommendations may be a referral to the physiotherapy room, where the expectant mother can undergo a course of magnetotherapy, EHF, laser therapy.

In the early stages, the doctor can give direction to Exercise therapy - physiotherapy exercises. A trained instructor will work with the expectant mother.

A special place in the treatment will be given to antihemorrhoidal drugs, which will be described in more detail below.

Surgical methods

Doctors are in no hurry with surgery during pregnancy. First, they will try all conservative methods, and only if relief does not come, they will decide on radical therapy.

Hemorrhoidectomy - the most common surgery to remove venous nodes (another name is Milligan-Morgan operation) and another method of surgical intervention to remove nodes - Widehead operation - try not to carry out during pregnancy. The task of the doctor is to provide the maximum of supportive therapy, and to postpone the hemorrhoidectomy to a more suitable time, to perform the operation after childbirth.

However, there are also minor surgical procedures - these include sclerotherapy, infrared coagulation, latex ligation of hemorrhoids.

Pregnant women can be shown a new minimally invasive method - transanal hemorrhoidal dearterilization, better known as "Longo operation".

Modern methods guarantee quick and painless correction of hemorrhoids. During sclerotherapy, a special drug is injected into the nodes, which causes gluing of their walls. Laser coagulation helps well with hemorrhoids of 1-2 degrees, the essence of the method is to treat the nodes with a large beam of infrared rays. When ligating, a special latex ring is put on the knot, which prevents the knot from falling out.

Operation Longo involves excision of a part of the rectal mucosa and pulling up the node, cutting it off from the blood vessels. The operation takes no more than 10-15 minutes under local anesthesia, and within a day the expectant mother can return to her usual way of life.

Drugs for the treatment of pregnancy

The selection of medicines with antihemorrhoidal properties on the shelves of modern pharmacies is quite large. They are available in the form of ointments, rectal suppositories, tablets. Some drugs have a narrowly targeted effect, some have a systemic effect.

Despite the large number of drugs, it is rather difficult to choose those that can be used during pregnancy, especially in the early stages. Therefore, we have prepared a list of drugs that are acceptable during pregnancy.

Systemic

Detralex

It is a popular vein tonic in film-coated tablets. The drug is used for the symptomatic treatment of hemorrhoids.

In the acute form of the disease, 6 tablets are taken a day (three in the morning and in the evening) for four days, and then for three days - 4 tablets (two in the morning and in the evening).

The manufacturers do not indicate in the instructions that pregnancy is a contraindication, moreover, they argue that studies conducted on animals have not shown a negative effect of the drug on the embryo. However, pregnant and lactating women are advised with caution. due to lack of information about the effect of the drug on the human embryo - this effect was tested only on animals.

"Escuzan"

This drug is made from horse chestnut, it is available in the form of tablets, a solution for systemic use and in the form of an ointment and gel for topical use.

The product tones the veins and prevents edema, and also has a pronounced anti-inflammatory effect. It is not recommended to use the product in any form in the first trimester of pregnancy.

Tablets are taken 2-3 pieces two or three times a day. "Aescusan" drops are not recommended for pregnant women at all.

"Troxerutin"

This is another well-known venotonic, which is produced in the form of a gel and in the form of capsules under the trade name Zentiva and Vramed.

The gel is applied to a gauze bandage and applied to the sore spot. After the edema subsides, the drug is simply applied in a thin layer and rubbed in easily. The capsules are taken whole, together with a meal, 1 piece three times a day.

In the first trimester of pregnancy, the drug is prohibited to take, but after 14 weeks, in agreement with the doctor, the drug can be taken.

"Ginkor-forte"

The drug increases the tone of blood vessels, strengthens their walls. It is used for both acute and chronic hemorrhoids. It reduces inflammation, reduces pain.

The usual dosage is 1-2 capsules twice a day. It has no contraindications for early admission, but consultation with a doctor is required, as the drug can cause a severe allergic reaction.

"Courantil"

The drug prevents the formation of blood clots, improves the condition of blood vessels. This drug should not be taken with increased anal bleeding, but hemorrhoids that flow without bleeding from the rectum can be treated by adding this drug to the complex therapy.

The safest reception is "Kurantila" in the first trimester... In the second and third, this should be done with caution and only with the permission of the attending physician.

"Duphalac"

It is a lactulose-based non-toxic laxative. This transparent, viscous syrup will help a woman fight constipation and will not harm the baby growing in her womb. The only limitation is diabetes. If the expectant mother has high blood or urine sugar, it is better to refrain from taking "Duphalac".

With frequent constipation and hemorrhoidal symptoms, a woman can take syrup 1 time per day, 15-30 ml diluted or pure with meals. Best of all - at breakfast. This will allow the intestines to function normally.

Local

"Relief" (candles, ointment)

This drug is very often prescribed to expectant mothers suffering from hemorrhoids. The tool allows you to quickly cope with the main unpleasant symptoms, such as burning and pain, as well as itching in the anus.

Among all the variety of release forms, one should opt for "Relief Advance", because the "Relief Ultra" pregnant women are contraindicated due to the hydrocortisone present in the composition.

The most optimal option is the choice of "Relief" ointment. The drug consists of natural ingredients. The attending physician will tell you the exact dosage, it depends on the degree of rectal lesion. It is allowed to take "Relief" up to 4 times a day.

"Natalsid" (candles)

These suppositories have a complex effect aimed at stopping bleeding, wound healing, and reducing inflammation. Candles are inserted into the rectum after bowel movement twice a day. This drug has no systemic effect.

The drug is allowed for pregnant women at any time, the average course of treatment is 1-2 weeks.

"Alginatol" (candles)

These suppositories, which are popular among pregnant women, are analogous to the above-described Natalsid drug. The tool helps to quickly relieve puffiness, stop bleeding. If the anus is inflamed, the drug will have a mild anti-inflammatory effect.

Suppositories are well tolerated and have no side effects. Up to 3-4 suppositories can be administered per day, the most optimal dosage is 1-2 suppositories.

"Ultraproject"

The drug is available in the form of an ointment and rectal suppositories. The medicine helps to cope with itching, relieves inflammation, and has a local anesthetic effect. The drug acts quickly and for a long time, and this is very important if a woman has a very strong pain syndrome.

The tool cannot be used by expectant mothers for up to 13-14 weeks. In the second and third trimester, the drug can be used, but first you need to consult with your doctor.

Ointment is usually prescribed two injections per day, and suppositories - no more than 2-3 suppositories per day. If the knots fall out, then it is preferable to choose an ointment, the knots are abundantly lubricated with it and carefully set them inward. If there is no loss, then you can use candles.

"Hepatrombin G"

This drug dissolves blood clots well, restores the affected tissues. On the shelves of pharmacists, the remedy is available in the form of an ointment and rectal suppositories. The package with ointment includes a special tip that facilitates the introduction of the drug into the rectum.

After the procedure, you should lie down a little horizontally. The ointment is used externally twice a day, and candles are used with the same frequency. In the first trimester, it is better to refrain from treatment with "Hepatrombin", but in the second and third, the list of contraindications is minimal.

"Proctosan"

This remedy is also available in two forms - rectal suppositories and ointment. In terms of the strength of the anti-inflammatory effect, the drug surpasses many similar antihemorrhoids.

German manufacturers indicate that their remedy is contraindicated in pregnancy due to insufficient evidence base of the absence of harm to the child. But in Russian practice, the drug is often used by pregnant women in the second and third trimester. The dosage must be determined by your doctor. The drug is taken with caution.

"Anusol"

Candles and ointment with this name are widely used in proctology. But you should know that pregnant women can only use a drug called "Anusol Neo".

The difference is fundamental - "Anusol" contains an extract of belladonna, a very poisonous plant that can harm both the fetus and the child who has already been born if the product is used by a nursing mother. "Anusol Neo" does not contain a poisonous component. Depending on the severity of the manifestations of hemorrhoids, a woman is assigned from 3 to 7 suppositories per day.

Other means

"Phlebodia-600"

This drug from the category of flavonoids helps to restore the tone of the vascular walls. It is especially effective for thrombosis of the inferior vena cava. With hemorrhoids, the remedy is prescribed quite often, but it is better for nursing mothers to refrain from taking the medication, since the manufacturers honestly admit that the effect of the drug on the baby has not been sufficiently studied

"Phlebodia" helps to quickly relieve swelling, relieve pain. You can take 2-3 tablets per day with meals, drinking plenty of clean drinking water. The course of treatment is about 7 days. When treating with this drug, you can and should use local remedies - candles or ointment.

Folk remedies

Since hemorrhoids have been known to mankind for a long time, not only official medicine has accumulated extensive experience and an arsenal of medicines for the treatment of this ailment.

Alternative medicine also has a lot to offer the expectant mother. True, it should be noted that all folk recipes should be used exclusively in agreement with the attending physician, because pregnancy is a crucial period when a woman is responsible not only for her life.

Treat hemorrhoids at home with the same approach that traditional medicine uses. A complex of measures is needed, and one should start with a revision of the diet, the introduction of a special diet (it was mentioned above). A future mother suffering from this unpleasant disease should have prunes and boiled beets, dried apricots, olive oil, bran.

The folk remedies that mankind has invented to cure hemorrhoids should be chosen as carefully as medicines. It is a mistake to believe that decoctions and lotions are not capable of harming the expectant mother and her baby. With the wrong and inept approach, the harm from them can be even greater than from pharmacy drugs.

Candles and potato lotions are considered the safest. The most common raw tuber is washed, peeled, grated, lightly squeezed out the gruel and wrapped in a gauze napkin. The resulting mass is applied to the sore spot when it comes to external hemorrhoids.

If the inflammatory process is located deeper, then a small torpedo-shaped candle can be cut out of raw potatoes, lubricated with vegetable or sea buckthorn oil and inserted into the rectum for the whole night. You don't need to get it out, in the morning during a bowel movement, the potato candle will leave the intestines by itself.

A real helper in home treatment of hemorrhoids in pregnant women can be sea buckthorn oil. When burning and itching in the anus, they lubricate the affected areas. With deeper lesions with sea buckthorn oil, you can make a micro enema.

With constipation, you can drink two tablespoons of oil every morning before breakfast, and if the venous nodes fall outside the anal sphincter, lubricate the nodes with this agent and carefully adjust them inward. Tampons for rectal use are also made with sea buckthorn oil.

Alternative medicine also offers an effective drink that can help relieve pain and stop anal bleeding. For him, take in equal amounts rowan berries and beets, squeeze the juice, mix. The resulting product should be taken half a glass twice a day - in the morning and in the evening.

Not all folk recipes are equally good for women in an "interesting" position. So, advice to use celandine juice for introduction into the rectum is not acceptable for expectant mothers, and for non-pregnant women too, because the juice of this plant in undiluted form can cause severe enough burns to the mucous membranes.

An old recipe with aspen leaves applied to the place of prolapse of hemorrhoids does not stand up to criticism at all, since the effect of the leaves of this tree is unknown to medicine. In any case, traditional and evidence-based medicine.

But the pregnant woman will obviously benefit from her grandmother's recipe for a sweet dessert for tea drinking. Through a meat grinder, you should crank out the prunes, a small amount of walnuts, add finely chopped dried apricots, fill it all with a tablespoon of high-quality honey (if you are not allergic to it). You can take such a sweetness two tablespoons twice a day. It will be useful both in terms of preventing constipation and relieving the symptoms of hemorrhoids.

Reviews of expectant mothers

According to numerous reviews on women's forums on the Internet, the problem of hemorrhoids is one of the most burning problems for pregnant women.

Among the most effective remedies that women themselves recommend are Karavaev's balms, heparin ointment, Fleming's ointment. There are a lot of positive reviews about Detralex and Phlebodia.

At the very initial stage, when the first unpleasant sensations are just beginning to appear, mothers with experience recommend doing a micro enema with raw potato juice. At the initial stage, according to reviews, candles with sea buckthorn oil also help.

Many mothers note that subsequent pregnancies after gestation against the background of hemorrhoids also proceed with an exacerbation of an unpleasant delicate disease. Moreover, the symptoms appear earlier - if in the first pregnancy pain and venous nodes appeared at 29 weeks, then in the second they worsen at 14-16 weeks of pregnancy.

There are also many who have hemorrhoids after childbirth, although for most women the symptoms of this unpleasant disease still recede a few months after the baby is born.

Pregnant women rarely agree to surgery, and doctors themselves do not really like to give such appointments. but reviews about Longo's operation during pregnancy are quite positive. Women, whose happy waiting time for the baby was clouded by pinching of the nodes, bleeding, uncontrolled nodes, with the help of this procedure, were able to get rid of an unpleasant disease even before childbirth. The disadvantage of the method is its high cost.

Prevention

During pregnancy, hemorrhoids are always easier to prevent than to cure later. And therefore, as soon as it became known that there will be a child, it is important to establish proper nutrition, a sufficient motor regimen, and make sure that the amount of fluid you drink is sufficient.

To avoid hemorrhoids, simple gymnastics will help, which is aimed at maintaining the normal tone of the anal sphincter and normal blood supply to the lower veins. Here are some exercises:

alternating leg swings from a prone and standing position;
tilting the body in different directions;
“Gait of a heron” - steps with bending of the knees;
"Frog pose" - squats with knees apart in different directions;
buttock tension for 15 seconds or more.

It is useful for a pregnant woman at any time several times a day for 10-15 minutes to take a horizontal position with a raised pelvis (placing a pillow under the buttocks) and raised legs. This is not only the prevention of hemorrhoids, but also the prevention of varicose veins.

The expectant mother should pay special attention to the hygiene of the genitals and anus. After defecation, it is advisable to wash off without soap, so as not to dry out delicate mucous membranes. Once a day, you can make warm sitz baths with a decoction of chamomile. It is important to ensure that the water is not too hot.

If all the precautions did not help and the hemorrhoids still appeared, one should not wait for a miracle and hope for the magical properties of potatoes and aspen leaves. Primarily you need to visit a doctor, and the method and means of treatment can be chosen together.