How can pregnant women prevent hemorrhoids after childbirth? Why are women more likely to suffer from hemorrhoids after childbirth?

Postpartum hemorrhoids are a very common disease. Many pregnant women will suffer from postpartum hemorrhoids after giving birth. Postpartum hemorrhoids are pathological hemorrhoids. Generally, they can be relieved and treated with good conditioning. If the hemorrhoids are severe, they will seriously affect our personal life.

Good prevention is worse than good cure. No matter how much the body can recover after treatment, the body will be more or less damaged after the illness. If a pregnant woman suffers from postpartum hemorrhoids, it is not only difficult to cure but also extremely painful. Female friends should learn to love themselves. Pregnant women are particularly prone to hemorrhoids; this is because pregnancy can cause increased abdominal pressure. As the uterus gradually enlarges, the inferior vena cava is increasingly compressed, especially when the fetus is in an abnormal position, the compression is more obvious, which directly affects the venous return of the lower rectum and anal canal, causing congestion and expansion of the hemorrhoidal veins, thereby inducing hemorrhoids.

On the other hand, during pregnancy, there is generally less activity, gastrointestinal motility slows down, and feces stay in the intestinal cavity for a longer time. The water in the feces is reabsorbed, causing dry stools and difficulty in defecation. In short, after suffering from hemorrhoids in the late pregnancy, it is generally not recommended to undergo surgical treatment immediately. The above conservative treatments can be selected and further treatment can be performed after delivery. This is because after delivery, with the reduction of abdominal pressure and the removal of venous return obstacles, the progesterone content in the body gradually decreases, and hemorrhoids generally shrink or atrophy within 4 months. At this time, if the symptoms disappear, the pain of surgery can be avoided; if hemorrhoids still exist, surgical treatment is performed again. At this time, the hemorrhoids have become significantly smaller than during pregnancy, the pain of surgery will be relatively reduced, and the course of treatment will also be significantly shortened.

Postpartum hemorrhoids are often directly related to hemorrhoids during pregnancy. There are three specific reasons:

1. Excessive luteinizing hormone during pregnancy

Pregnant women secrete more flavonoids, which causes the tension of the gastrointestinal smooth muscles to be much lower than before, reducing the frequency and intensity of gastrointestinal motility. These directly prolong the time it takes for food to be empty in the stomach, and then the feces in the colon will become dry and hard due to staying too long, which makes postpartum hemorrhoids very likely to occur.

2. Excessive force during childbirth

Another major factor that makes postpartum women more susceptible to hemorrhoids is that during childbirth, women hold their breath too hard, which increases the pressure on the rectum and causes hemorrhoids.

3. The recovering uterus still presses on the internal organs

After a woman gives birth, her uterus will not immediately return to its pre-pregnancy size, so for a period of time, the enlarged uterus will still put pressure on the surrounding organs. The poor pelvic venous return and anal compression will aggravate the formation of varicose veins and induce hemorrhoids.

4. Postpartum constipation and straining during bowel movements

Mothers are particularly prone to constipation after childbirth due to various reasons. If the stool is dry and hard, it will take more effort to defecate naturally, which may induce hemorrhoids.

In fact, it is the abnormal swelling and bulging of the veins around the anus, which are divided into internal hemorrhoids and external hemorrhoids. Postpartum hemorrhoids are mainly caused by the pressure on the uterus during pregnancy and the poor blood return caused by standing for a long time.

Postpartum hemorrhoids are caused by physiological changes. Women are often the least likely to take medicine during this period. If they do not take medicine, they will not be cured. If they do not have surgery, they will still regenerate. It is even more unfavorable to use traditional oral and topical medicines during this period. The early symptoms of hemorrhoids are blood on the surface of the feces or blood dripping from the anus. In severe cases, it can spurt out. Internal hemorrhoids generally have a sense of heaviness. Some stools can be squeezed out of the anus and then recover on their own. If they cannot recover, it can cause incarceration and edema, pain, swelling and muscle fatigue of external hemorrhoids. When inflamed or thrombosed external hemorrhoids are formed, the pain is severe, walking is difficult, and sitting is restless; frequent and repeated bleeding causes anemia, dizziness, shortness of breath, fatigue, and poor spirits. Once the pressure in the pregnant woman's sac is reduced after delivery, the venous return obstruction is relieved, and the hemorrhoids will shrink on their own within 3-4 months. Therefore, the focus of hemorrhoids in pregnant women is prevention, and non-surgical treatment is the main treatment.

First of all, keep the bowels open to prevent constipation. In addition to paying attention to the completeness and sufficient quantity of nutrients in food, pregnant women should also eat more vegetables with more fiber, such as leeks, celery, loofah, cabbage, spinach, radish, etc., to increase intestinal peristalsis, and pay attention to drinking more water. Too little exercise is also one of the causes of constipation. Pregnant women should avoid sitting or standing for long periods of time, and should participate in more physical activities. It is best to develop the habit of regular bowel movements every morning, and do not hold back when you feel like defecating. When the stool is hard to pass, you can take some honey, sesame oil, bananas or oral paraffin oil and other laxatives. Do not use drugs such as Glauber's salt, rhubarb, senna leaves, etc. to prevent miscarriage.