Treatment of external hemorrhoids during pregnancy: a list of drugs, instructions for use

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

Expectant mothers unwittingly face an intimate problem - external hemorrhoids. The condition is extremely common. Almost half of pregnant women seek medical attention with symptoms of external hemorrhoids. Since the woman is in position, the treatment is of a special nature. The variety of methods for treating external hemorrhoids during pregnancy is reduced in order to eliminate risks to the fetus. However, hemorrhoids should not be left untreated, otherwise, more serious complications will arise.

Causes of hemorrhoids in pregnant women

A little theory first. Hemorrhoids are divided into two types:

1. Intraintestinal. As a rule, such nodules are located inside the rectum under the mucosa.
2. External. Develop under the skin around the anus.

The pathological process of increasing external neoplasms becomes the beginning of external hemorrhoids.

The main provoking factor in the appearance of hemorrhoidal disease isheredity. Genetically weakened venous walls are not able to withstand the influence of some provocative moments. For example, changes in the body of a future mother, which begin from the first minutes of fertilization of the egg. Especially influential are hormonal changes aimed at maintaining and maintaining pregnancy. The active work of the hormonal background leads to a slowdown in the contraction of smooth muscles, which covers the internal organs of a woman and the walls of the blood channels. Such changes reduce venous tone and intestinal peristalsis. Moreover, the risk of constipation and congestion in the pelvis increases.

Other provocateurs that contribute to the development of external hemorrhoids in pregnant women:

• Constipation and difficult bowel movements due to dietary fiber deficiency.
• Not the first pregnancy.
• Abuse of s alty and smoked snacks, causing blood flow to the pelvis.
• Decrease or lack of physical activity.
• The constantly growing fetus in the womb displaces internal organs, compresses blood vessels and impairs the functioning of the gastrointestinal tract.

Lack of treatment increases the risk of an exacerbation during the birth period, as well as after the birth of a child.

Symptoms

The clinical picture of external hemorrhoids in pregnant women is no different from the course of the disease in other categories of patients. Pain characteristic of the disease occurs in the anorectal zone due to an increase in nodules. Pain often occurs duringtime to go to the toilet, but a sudden manifestation is not excluded.

Doctors warn that with hemorrhoids you can not stay in one position for a long time, for example, exclude sedentary work. The individual characteristics of each organism affect the intensity of the resulting pain. In other words, a woman either experiences severe pain, or unusual, but quite tolerable sensations.

In addition to the signs described, a pregnant woman can observe:

• mucus secretions;
• irritation and burning sensation in the anus;
• wet marks on underwear.

Because external hemorrhoid nodules bleed less often, women only notice blood on their laundry or toilet paper after a bowel movement or cleansing.

The difference between the outer and inner forms is hemorrhoids, which are palpated with independent palpation of the anus. They feel like bumps that cause pain when pressed.

Acute and chronic phase

The symptoms described above depend on the course of the disease. There are two phases of the pathological process - acute and chronic. Both species have the ability to alternate. In the chronic form, the clinical picture is usually blurred. For example, a woman feels discomfort and unusual sensations in the anus, but does not assume the onset of a hemorrhoidal disease.

Without timely therapy, the acute phase develops gradually, passing through three stages:

1. The occurrence of small nodules, which are accompanied by irritation and burning of the surrounding tissues. Discharges appear. Pain disturbs only after a bowel movement, fading after a while.
2. Enlargement and swelling of hemorrhoids. The area around the anus is very inflamed, and when pressing on the tumors, the patient experiences severe pain.
3. Inflamed nodes become bluish in color, in some cases purple. In extremely severe situations, necrosis of the nodes was observed. Pain intensifies many times over.

What to do?

External hemorrhoids during pregnancy are subject to mandatory treatment. If, after detecting characteristic signs, a pregnant woman does not seek help for treatment, then a complication of the disease will manifest itself as infection. As a result, viruses can harm not only the expectant mother, but also the fetus, penetrating the placental barrier.

Bleeding during external hemorrhoids provokes the development of iron deficiency anemia. Iron deficiency in a pregnant woman - oxygen starvation for the fetus, with subsequent complications.

Medicated treatment

Treatment of external hemorrhoids during pregnancy is determined only in the office of the attending physician after the examination. Given the position of the expectant mother, doctors prefer to select drug therapy. Mostly experts prescribe to expectant mothers:

• ointments;
• gels;
• creams.

These remedies have a local complex effect on the affected area to get rid ofexternal hemorrhoids during pregnancy. How medicines affect lesions:

• reduce inflammation;
• relieve pain;
• reduce puffiness;
• eliminate bleeding.

The following is an overview of the most effective treatments for external hemorrhoids during pregnancy, given the possible risks to the fetus.

Posterized

Immunostimulating and anti-inflammatory drug in the form of suppositories. Used to treat pathologies of the rectum. Indications from the instructions for the use of candles "Posterizan":

• treatment of external hemorrhoids;
• anal itching;
• perianal dermatitis;
• fractures in the rectum.

Contraindications:

• presence of a fungal infection;
• component intolerance;
• signs of syphilis, gonorrhea and tuberculosis.

Method of treatment: candles are injected into the rectum twice a day after the act of defecation. The course of treatment indicated in the instructions for the use of posterisan candles is 3 weeks. Individually, the duration of treatment can be increased at the insistence of the attending physician.

Posterized Forte

Active ingredients - inactivated E.coli microbial cells, they activate the growth of tissues resistant to pathogenic infectious agents. The drug removes inflammatory foci, accelerates the healing of affected skin areas and increases localimmunity.

In the instructions for use for the Posterizan Forte ointment, the following indications are indicated:

• proliferation of hemorrhoids;
• itching and burning in the anus;
• ulcerative lesions of the anus;
• perianal dermatitis.

Contraindication - allergic reactions to individual components of the composition.

Exceptional side effects:

• reddening of the skin;
• burning sensation;
• itching in the application area.

The method of treatment indicated in the instructions for use for the "Posterizan forte" ointment: the ointment is applied to previously cleaned affected areas (hemorrhoids) up to 4 times a day.

The average cost of the drug is 440 rubles.

Heparin ointment

With an increased risk of blood clots in a pregnant woman, drugs with anticoagulants are prescribed, for example, "Heparin ointment". The active components of the drug: heparin, anestezin and benzyl nicotinate, reduce the risk of agglutination of blood cells and improve blood circulation. The anesthetic in the composition instantly relieves pain.

Indications for use:

• treatment of external hemorrhoids, including during pregnancy;
• thrombosed anal vessels;
• lymphadenitis;
• articular injuries;
• soft tissue swelling.

Contraindications:

• poor blood clotting andtendency to bleed;
• open wounds;
• ulcerative lesions of soft tissues;
• tissue necrosis;
• allergic reactions when using the ointment.

Side symptoms are expressed by redness of the skin and a decrease in the sensitivity threshold of the skin area where the ointment is applied.

Method of application: for external hemorrhoids in pregnant women, the ointment is applied to external nodules 2-3 times a day. The duration of treatment is at least 10 days, depending on the individual case.

The price range for the drug varies from 40 to 70 rubles.

Natalsid

A drug presented in the form of suppositories for topical use. The main advantage of the drug is a natural and safe composition, which includes kelp and sodium alginate. Active ingredients block the development of infection and relieve pain.

"Natalsid" with external hemorrhoids during pregnancy has the following effects:

• stops bleeding;
• reduces inflammation;
• accelerates the healing of the skin.

Indications:

• external hemorrhoids;
• colitis;
• bleeding;
• complications after surgery.

How to use: dip the suppository into water and gently insert into the pre-washed anus 1 or 2 times a day. Check with your doctor for the exact number of times.

The course of treatment is usually 7-14 days,which depends on the severity of the disease.

The average price for a drug is 340 rubles.

Relief

The ointment contains shark liver oil extract. The oily substance has a complex effect on the condition of the affected areas. Recovery is accelerated, bleeding stops, and local immunity increases. The second component of the drug - phenylephrine, has a vasoconstrictive effect, which allows you to quickly remove swelling and stop the inflammatory process.

Indications:

• external hemorrhoids;
• anus ulcers;
• itching in the anus.

Contraindications:

• thromboembolism;
• reduced granulocyte count in the patient's blood;
• protective reaction of the body, expressed by allergic symptoms.

Sometimes there is redness of the skin, rash and irritation in the anal canal.

Method of treatment: Relief ointment during pregnancy from external hemorrhoids is applied to the cleaned area of hemorrhoids up to 4 times a day.

Important! The content of phenylephrine in the ointment reduces the therapeutic effect of drugs aimed at lowering blood pressure.

The average cost of the drug is 365 rubles.

Relief Advance

Active ingredients - anesthetic and oil extract from shark liver. The latter stops bleeding, relievesinflammation, stimulates local immunity and accelerates the healing of damaged soft tissues. The anesthetic in the ointment belongs to the class of local painkillers, relieves pain in the affected areas.

Indications:

• external hemorrhoids;
• erosion and ulcers of the anus;
• anesthesia of the rectum, in case of examination or surgery.

Contraindications:

• thromboembolism;
• allergic reaction to drug components;
• reduced number of granulocytes in the blood.

In individual cases, during the treatment of external hemorrhoids during pregnancy, for example, redness of the skin and irritation of rectal tissues are possible.

Treatment: ointment is applied daily to the affected area up to 4 times a day. The course of treatment is determined by the attending physician depending on the situation.

The price for a tube of ointment is approximately 430 rubles.

Ointment Vishnevsky

Effective drug with antiseptic action aimed at pathogenic flora. The ointment dries out the skin. With daily use, it improves blood circulation, thereby activating the recovery process in soft tissues. Castor oil present in the composition softens the affected areas.

Indications:

• burns;
• wounds;
• skin ulcers;
• boils;
• eczema;
• bedsores;
• hemorrhoidal disease of the external form.

It is not recommended to use Vishnevsky's Ointment in case of pronounced allergic reactions to the drug and liver diseases.

In case of intolerance to any component from the composition, there are:

• rash;
• redness;
• puffiness.

Method of use: "Vishnevsky's ointment" is applied to a compress, allowed to soak and placed on the affected areas. Number of procedures per day - 3 times.

Prolonged use of the ointment increases a person's sensitivity to ultraviolet light. This suggests that ointment should not be used for hemorrhoids in the summer.

Price from 45 rubles.

Troxevasin

The active substance - troxerutin, increases the strength of capillaries and improves local blood circulation.

Indications:

• varicose veins;
• external hemorrhoids;
• lymph venous insufficiency;
• swelling and pain after bruises.

Do not use on skin with wounds or ulcers. Avoid getting the ointment on the intestinal mucosa.

Side effects are manifested in the form of allergic reactions to the composition.

Treatment: Troxevasin ointment during pregnancy and not only is traditionally applied to cleansed affected areas twice a day.

Price range - from 165 to 190 rubles.

Baths with potassium permanganate

Potassium permanganate is a common remedy fortreatment of external hemorrhoids, since potassium permanganate is the strongest antiseptic. Potassium permanganate baths for hemorrhoids during pregnancy prevent infection, accelerate the healing process and quickly restore tissues.

Inept use leads to burns and overdrying. Therefore, for treatment, it is better to use a weak solution of potassium permanganate, prepared immediately before use. For treatment, 1 liter of water at room temperature is needed. In this amount, a solution is prepared. Then the already prepared rose water is added to the bath. A solution of potassium permanganate is allowed to be used by everyone without restrictions. The procedure should not last more than 20 minutes. After completion, blot the anus with a paper towel and grease with a fat cream or sea buckthorn oil.

Therapy is done twice a day after a bowel movement. The course of treatment is determined by the attending physician.