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Treatment of hemorrhoids in pregnancy

, medical expert
Last reviewed: 06.07.2025
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Treatment of hemorrhoids during pregnancy should be as early as possible to prevent complications during pregnancy and directly during childbirth. Therefore, given the possible harm of medications for the unborn child, local remedies and folk methods of treatment are of great importance. Hemorrhoids are a common problem for pregnant women, even if they have not encountered it before. This is due to physiological and anatomical changes during pregnancy. Therefore, it is necessary to know some recipes that will help combat these problems.

Features of the use of various means for the treatment of hemorrhoids during pregnancy

Hemorrhoids during pregnancy develop due to anatomical and physiological changes in the woman's body during pregnancy. This is due to the fact that the uterus, when increasing in size, presses on all the organs of the small pelvis - the rectum, bladder, and also the inferior vena cava. All these changes contribute to the fact that the normal outflow of venous blood from the rectum is disrupted and its stagnation is formed with a gradual expansion of the venous sinuses. This process is also facilitated by a gradual increase in intra-abdominal pressure. There are other factors that affect venous blood stagnation - this is a sedentary lifestyle of a pregnant woman, a decrease in intestinal motility, as well as the nature of nutrition.

The severity of symptoms may be insignificant, but there may also be acute manifestations of the disease that require immediate treatment. It should be noted that treatment of the acute period should be carried out with caution.

Local remedies are of priority in the treatment of hemorrhoids during pregnancy, since they have the fastest action and are less toxic to the child. Remedies for the treatment of hemorrhoids during pregnancy should not only have a pronounced therapeutic effect, but should also be safe - this is another statement in favor of local remedies.

Treatment with creams and ointments is used most often, since this is an accessible local pharmacological form of the drug. At the same time, any ointment has some features of use. It is better to use ointment for the treatment of hemorrhoids in pregnant women after defecation, when the intestines are empty. In this case, there may be unpleasant sensations in the rectum or pain, in which case the ointment will just relieve the pain due to the presence of anesthetic properties in its composition. Also, the ointment should be used after light toilet of the genitals to prevent ascending infection. It is better to do these procedures at night, but if there is a need to use the ointment several times a day, then you need to lie down for a few minutes for better absorption.

The main ointments that are used at different stages of hemorrhoids and with different clinical manifestations are the following: Roxerutin, Aescin, Doxium, Misvengal, Proctoglivenol, Hepatrombin.

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Remedies for the treatment of hemorrhoids during pregnancy

Treatment of hemorrhoids should be approached differentially. That is, different stages of the disease, different localization of the process, presence or absence of complications - in all these cases, the treatment is different.

First of all, it is necessary to distinguish between hemorrhoids of different localizations - external and internal. The difference between these two concepts is that external hemorrhoids are localized in the anus itself and can be seen with the naked eye. Such hemorrhoids are more favorable in terms of diagnosis and treatment. At the same time, in case of inflammation of the nodes, burning, pain, and discomfort appear, which requires immediate action. In this case, the treatment aims to reduce the severity of clinical manifestations and relieve swelling and inflammatory reaction. For the treatment of external hemorrhoids during pregnancy, the following are used: "Ginkor-Forte", "Doxium", "Misvengal". These drugs have the ability to strengthen the muscular layer of the venous wall of hemorrhoidally dilated veins, increase the tone of the veins and reduce blood stagnation and thrombus formation in them, strengthen the vessel wall, and also have an anti-inflammatory, anti-edematous and antiseptic effect. This contributes to the fact that the drug is used during the acute period of hemorrhoids during pregnancy, especially with its external localization. It is better to use drugs in the form of ointment, since they are easier to use, so as not to injure enlarged hemorrhoids and not to cause bleeding.

For the treatment of internal hemorrhoids, you can also use the above-mentioned drugs, but it is better to use them in the pharmacological form of suppositories, since this form allows for a longer and more pronounced therapeutic effect. Sea buckthorn suppositories are also widely used to treat hemorrhoids during pregnancy. They have a herbal composition that affects hemorrhoids in the case of their active inflammation. Sea buckthorn suppositories have anti-inflammatory, analgesic, antispasmodic, regenerating and antibacterial effects, which also prevents the occurrence of bacterial complications.

Treatment of bleeding hemorrhoids during pregnancy should first of all be aimed at stopping these bloody discharges. Therefore, the priority means are drugs that contain a hemostatic component. Therefore, in this case, "Hymopsin" and "Gepatrombin" are used. Sometimes, in a chronic process, correction of the developed anemia may be necessary.

Folk treatment of hemorrhoids during pregnancy

Folk treatment of hemorrhoids during pregnancy is used very often, especially during the period of remission. Many medications, tinctures, and other treatments are used.

First of all, it is important to note the importance of gymnastic exercises. In the case of the first stage of the disease, with proper prevention, it is possible to stop the process at this stage of the disease until the very birth. Therefore, it is important to use various exercises that strengthen the pelvic floor muscles, which improves the outflow of venous blood from the rectum and increases vascular tone. It is necessary to periodically walk with the exception of a sedentary lifestyle.

An important element is also nutrition - you need to eat light protein foods and vegetables, without complex, long-digesting proteins. You need to have your own diet so that the process of bowel movement is not disrupted.

Treatment of hemorrhoids during pregnancy at home involves special gymnastic exercises, diet, and folk remedies that are always at hand.

The main folk remedies are the following:

  1. It is useful to take sitz baths with herbal infusions. To do this, take equal amounts of chamomile leaves, oak bark, calendula flowers - boil all of this for five to ten minutes, then cool and pour into a container while warm, then sit in it for about ten minutes.
  2. Herbal infusions for internal use - St. John's wort is boiled in hot water for several minutes, then infused for another hour or two and can be taken on an empty stomach, one teaspoon at a time.
  3. Black chokeberry is good for strengthening the tone of veins. You need to squeeze the juice out of it and take a tablespoon three times a day.
  4. Three medium apples should be cut into pieces, poured with a liter of water and boiled for half an hour, then left for another hour, strained and this compote taken in a glass three times a day.
  5. Treating hemorrhoids with potatoes during pregnancy is very common and effective, especially since such a remedy can be made at home. There are several ways to do this. You can cut the potatoes into long strips and use them instead of a suppository twice a day. You can also grate the potatoes, squeeze out the excess juice and wrap the remaining potatoes in gauze, making a tampon, which also needs to be inserted into the anus.

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These are the main folk remedies that are used to treat hemorrhoids during pregnancy, but they are often used precisely because they cause less harm to the child.

Treatment of hemorrhoids during pregnancy can be carried out by medications and folk methods. At the same time, in the treatment with medications, local forms - ointments and rectal suppositories - have a better and less harmful effect. Folk methods of treatment play an important role in the treatment of hemorrhoids during pregnancy, so they are often used by women.

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