H – morrhoids and h – morrhoids in pregnancy – general

“Hemorrhoids are common during pregnancy. Although it occurs in some women in the early stages of pregnancy, lately it has become more common as the abdomen grows and the pressure increases. Alper Mumcu speaks about the curiosities.

What is hemorrhoids?

Hemorrhoids or hemorrhoids are no different from the varicose veins in the legs or other parts of the body. Basically, the expansion of the veins by the hemorrhoid rectum and anus and the accumulation of blood within these enlarged vascular structures. It can be in the rectum or attached to the anus. The size of these hemorrhoids that hang out from time to time can be like this large be like a grape grain. Their number can be one or more. From the outside, these protruding vein packs are felt as a soft mass. Inner hemorrhoids are referred to as inner hemorrhoids, and outer hemorrhoids are not visible.

Hemorrhoids are common during pregnancy. Although it occurs in some women in the early stages of pregnancy, lately it has become more common as the abdomen grows and the pressure increases. Some women who have never had a hemorrhoid load before the second stage of labor may experience stress during exercise. Most hemorrhoids that occur during pregnancy or childbirth disappear spontaneously after birth.
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. Varicose veins can very rarely occur in the vessels of the external genital area. When the uterus grows, it affects the abdominal organs.

In particular, due to this pressure on the main veins, called vena cava, which carry dirty blood from the lower parts of the body to the heart, blood flow in all veins in the lower part of the body slows down. As a result, the walls of these vessels expand and swell, increasing the resistance to which they are exposed and slowing the rate of blood flow inside.

Constipation, another common complaint during pregnancy, can trigger the development of hemorrhoids. Here, the intra-abdominal pressure can increase due to prolonged exercise and cause swelling of the vessels.

In addition, the large amounts of progesterone released during pregnancy relax the tiny muscles on the vein walls. This effect allows the vessels to expand more easily. Progesterone also causes constipation by slowing the gut.

Prolongation of the second stage during labor and difficult births can also cause hemorrhoids to occur during the postpartum period.
What are the main risk factors for bleeding?

• Poor diet through fiber
• Obesity
• pregnancy
• Severe births, which require an episiotomy during childbirth
• Previous rectal surgery
• Or positive family history

What are the signs and symptoms of hemorrhoids?

Internal hemorrhoids are in the last part of the base, i.e. in the rectum. Since they have no pain nerves, they are generally painless. Blood in the stool, slight itching and burning, a slimy discharge or wetness are the most common complaints. This internal bleeding can occasionally hanging from the rectum. In this case the tangible mass can be noticed. If the blood clots in the vein, it can cause severe pain. The prolapse is called prolapse, and such hemorrhoids are called prolapse hemorrhoids. Hemorrhoids can occur during defecation or when the person stands for a long time and this is usually painful.

Outer hemorrhoids often show palpable mass, pain, and itching during defecation. After a sudden trauma such as increased pressure or severe scratching, the vessel wall can burst and cause bleeding. Another complaint is that the defecation is incomplete. Anemia due to bleeding and fatigue caused by it, such as discomfort, can quickly see fatigue. Both diarrhea and constipation can increase the severity of the symptoms.

Are there any measures to reduce hemorrhoid formation?

Yes. With some precautions, you can reduce the risk of this troublesome condition.
• Try to keep constipation as low as possible. To do this, you need to consume high-fiber foods and plenty of water. Regular training also reduces the risk of constipation. If severe constipation persists, the use of probiotics or stool softeners is beneficial.
• Do not wait if there is a need for defecation. Be careful not to push the toilet for a long time
• Strengthen your muscles with Kegel exercises
Sit or don’t stand too long. If you work continuously, get up and walk around for 5-10 minutes
• Pay attention to the left side

What can you do to reduce discomfort??

There are a number of uses that you can use if you have hemorrhoids and cause symptoms. These usually provide relief
Cold application: The repeated application of ice on the affected area relieves pain and discomfort. Cold also helps to shrink enlarged vessels.
Warm hip bath: How cold warm soothing baths relieve pain. The effect is more pronounced when applied in cold and hot succession
Cleaning after the toilet: The cleaning should be done with a slightly damp and soft toilet paper.
Push the packs in: If vascular pockets multiply outwards, you can alleviate the pain by pushing them in slightly. However, there is a risk of malfunction and bleeding.
Your doctor can give you relaxing creams if all of these precautions are useless
Although hemorrhoids are common, they usually pose no risk to pregnancy and baby and are not an obstacle to normal birth.


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