“Hemorrhoids are frequently encountered during pregnancy. Although it occurs in the early stages of pregnancy in some women, it is more common in recent times when the abdomen is getting bigger and pressure is increasing. Op Dr. Alper Mumcu talks about the curiosities.
What is Hemorrhoids?
Hemorrhoids or hemorrhoids are not different from the varicose veins seen in the legs or other parts of the body. Basically, the dilation of the veins around the hemorrhoid rectum and anus and the pooling of blood within these enlarged vascular structures. It may be inside the rectum or hang out from the anus. The size of these hemorrhoids hanging out from time to time can be as large as a grain of grapes. Their number can be one or more. These protruding vein packs are felt as soft masses from the outside. Internal hemorrhoids are called internal hemorrhoids and external hemorrhoids are not visible.
Hemorrhoids are frequently encountered during pregnancy. Although it occurs in the early stages of pregnancy in some women, it is more common in recent times when the abdomen is getting bigger and pressure is increasing. In some women who have never had hemorrhoid distress before the second stage of labor may occur during straining. Most of the hemorrhoids that occur during pregnancy or delivery disappear spontaneously after the postpartum period.
Why are hemorrhoids common during pregnancy?
Pregnancy is a period that increases both the formation of varices in the legs and the development of hemorrhoids. Very rarely, varicose veins may occur in the vessels of the external genital area. As the uterus grows, it creates pressure effect on the abdominal organs.
Especially because of this pressure on the main veins, which is called vena cava and carries dirty blood from the lower parts of the body to the heart, the blood flow in all the veins in the lower part of the body slows down. As a result, the walls of these vessels expand and swell, increasing the resistance they are facing and slowing the rate of blood flow inside.
Constipation, another common complaint during pregnancy, may trigger the development of hemorrhoids. Here, as a result of prolonged straining, intra-abdominal pressure may increase and cause swelling of the vessels.
In addition, the progesterone hormone secreted in high amounts during pregnancy causes the relaxation of the tiny muscles on the walls of the veins. This effect helps the vessels expand more easily. Progesterone also causes intestinal constipation by slowing down the intestines.
The prolongation of the second stage during labor and difficult births can also cause the emergence of hemorrhoids during the postpartum period.
What are the main risk factors for hemorrhage?
• Poor diet by fiber
• Difficult births that require episiotomy during delivery
• Previous rectal surgery
• Or positive family history
What are the signs and symptoms of hemorrhoids?
Internal hemorrhoids are located in the last part of the base, that is in the rectum. Since they do not have pain nerves, they are generally painless. Blood in the stool, mild itching and burning, a mucous discharge or wetness are the most common complaints. These internal hemorrhages may occasionally hang out of the rectum. In this case, the palpable mass can be noticed. If the blood in the vein clots, it can cause severe pain. The prolapse is called prolapse, and such hemorrhoids are called prolapse hemorrhoids. Hemorrhoids may prolapse during defecation or when the person is standing for a long time and this is usually painful.
External hemorrhoids often present with palpable mass, pain and itching during defecation. After sudden trauma such as increased pressure or severe scratching, the vessel wall may rupture and cause bleeding. Another complaint is that the defecation is incomplete. Anemia due to hemorrhage and fatigue caused by this, such as complaints can be seen quickly fatigue. Both diarrhea and constipation may increase the severity of the symptoms.
Are there any measures to reduce the formation of hemorrhoids?
Yeah. With some precautions, you can reduce the risk of this disturbing condition.
• Try to reduce constipation as much as possible. For this, you need to consume high fiber foods and plenty of water. Regular exercise also reduces the risk of constipation. If severe constipation persists despite this, the use of probiotics or stool softening drugs will be beneficial.
• Do not wait when there is a need for defecation. Be careful not to push the toilet for a long time
• Strengthen your muscles with Kegel exercises
• Do not sit or stand for too long. If you work constantly, get up and walk around for 5-10 minutes
• Pay attention to the left facing
What can you do to reduce complaints?
There are a number of applications that you can take if you have hemorrhoids and cause symptoms, and these usually provide relief
Cold application: Applying ice to the affected area several times a day is very effective in relieving pain and discomfort. Cold also helps to shrink enlarged vessels.
Warm sitting bath: Just like cold, warm sitting baths have an effect on relieving pain. The effect is more pronounced when applied in cold and hot succession
Cleaning after toilet: Cleaning should be done with a slightly damp and soft toilet paper.
Pushing the packs inside: If there are vascular pockets proliferating outwards, pushing them in slightly will reduce the pain. However, there is a risk of malfunction and bleeding.
Your doctor may give you some relaxing creams if all these precautions are useless
Although hemorrhoids are common, they usually do not pose a risk for pregnancy and baby and do not constitute an obstacle to normal birth.