With the full liberalization of the national second-child policy, more and more families have joined the pregnant army, so the number of female friends suffering from anorectal diseases during pregnancy or lactation in the outpatient clinic will also increase! I encountered a few patients who came to see a doctor during pregnancy or lactation in the past week and suffered from hemorrhoids and anal fissures. Today we will focus on the treatment of anorectal diseases during pregnancy and lactation.
1. Which anorectal diseases are easy to get during pregnancy and lactation?
Pregnancy and lactation are the periods when women's physiology changes greatly. Various factors such as increased abdominal pressure and postpartum constipation can cause anorectal diseases to occur or worsen.
The most common ones are hemorrhoids and anal fissures!
Symptoms include prolapse of anal swelling, irresistibility, blood in the stool, pain, etc.
2. Treatment of common symptoms of anorectal disease during pregnancy and lactation!
1. After suffering from anorectal disease during pregnancy, surgery is generally not recommended immediately. Conservative therapy can be used, and further treatment can be performed after delivery.
2. During the lactation period, depending on the situation, stop breastfeeding if necessary, and surgical treatment is feasible.
Since many drugs cannot be used during pregnancy, the patient is often very painful. What should I do if an anorectal disease occurs during pregnancy? It is a difficult choice for patients and doctors!
Below we introduce some common symptoms and treatments of anorectal diseases during pregnancy and lactation:
Pain and bleeding during stool, no prolapse of mass, consider anal fissure.
Sit bath with warm salt water 2-3 times a day, about 5 minutes each time, to improve the perianal vascular circulation, so as to relieve irritation and burning, eliminate pain and prevent infection. Apply a small amount of non-irritating moisturizing ointment locally. If an anal fissure is infected, a perianal abscess may occur. If the stool is bloody, suppositories or anorectal doctors can be used as appropriate.
There is bright red blood after defecation, and there is no painful defecation, which is considered to be internal hemorrhoid bleeding.
At this time, you can rinse the anus with cold water to quickly stop the bleeding. During pregnancy, hemorrhoid bleeding can be used with Taining suppository. The suppository is inserted into the anus to relieve internal hemorrhoid bleeding and promote smooth bowel movements.
Anal orifice mass prolapsed, dark purple in color, consider thrombotic external hemorrhoids.
You can use ice to stop bleeding and relieve pain in time. After 48 hours, the bleeding of subcutaneous capillaries stops. You can apply hot compress twice a day. There are also cases of inflammatory external hemorrhoids, and ointment can be applied to relieve pain.
There is a prolapse of a swelling after going to the toilet, and the surface of the prolapsed object is pink. Consider prolapse of internal hemorrhoids.
You need to dip your hands in lubricant or cooking oil and push it back into the anus in time. Avoid secondary symptoms such as incarceration, edema, pain, and necrosis.
During pregnancy, the tumor prolapses outside the anus and cannot be absorbed, accompanied by severe pain. Consider prolapse and incarceration of mixed hemorrhoids.
When this happens, push the swelling into the anus as soon as possible. If it cannot be brought back in time and has been incarcerated, rest in bed more often, and hot compress is the main treatment. Some drugs can be used in small amounts depending on the situation, such as diosmin tablets and some topical drugs (but under the guidance of a doctor).
3. Can anorectal diseases be operated during pregnancy and lactation?
Pregnancy is generally treated conservatively. If surgery is necessary, simple thrombus stripping or edema decompression should also be performed. Do not perform too thorough surgery to emphasize the long-term effect. The purpose of surgery during pregnancy is to relieve pain symptoms and improve the quality of life. The long-term effect is not Should be used as a major consideration.
During the lactation period, due to postpartum deficiency of Qi and blood and low activity levels, it is easy to cause constipation, so the symptoms of hemorrhoids or anal fissure will aggravate, and medical treatment is ineffective, so surgery can be chosen. The operation itself has no effect on breastfeeding. What is affected is the drugs used during surgery and treatment, that is, the effects of some antibiotics and anesthetics, which can be avoided by using a small amount of drugs or suspending breastfeeding for about a week.
4. How to prevent anorectal disease during pregnancy and lactation?
Measure 1: Keep stool smooth
Pregnant women should actively perform some physical activities to promote gastrointestinal motility and blood circulation to prevent constipation; eat more vegetables and fruits that contain more fiber in their diet, and keep enough water every day to promote bowel movements and defecation; usually avoid Standing for a long time.
Measure 2: Keep the anus clean and reduce irritation
Try to eat less spicy and irritating food during pregnancy to reduce the adverse stimulation to the rectum and anus. The anus should be cleaned after going to the toilet to avoid irritating the skin around the anus with residual feces. Normally strengthening anal function exercise for pregnant women also has a certain preventive effect. The action is very simple. Just contract the anus on its own, and then contract after relaxation. Do it 3 times in a row, 1 minute each time, 3 to 7 times a day.
Measure 3: Check hemorrhoids in the pre-pregnancy clinic
As the proportion of pregnant women suffering from hemorrhoids is as high as 70%, it is best to check for anorectal diseases in advance when preparing for pregnancy. If so, you can use medication or surgery in advance to avoid pain and helplessness during pregnancy.
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