2021年11月3日星期三

"10 pregnant 9 hemorrhoids", does hemorrhoids affect the fetus during pregnancy?

Guangzhou reader Du said: "after pregnancy enters the middle and late stage, hemorrhoids become more and more serious and bleeding becomes more and more frequent." will this lead to infection and affect my baby in my stomach?

Huang Hongxiang, deputy chief physician of anorectal surgery of Shanghai Xinhua Hospital, said: "it is generally called '10 pregnancies and 9 hemorrhoids'. During pregnancy, pelvic arteriovenous blood flow increases (pelvic arterial blood flow increases by about 25%), inferior vena cava blood flow slows down, and anal pad arteriovenous anastomosis control obstacles lead to venous blood flow stagnation, tissue edema and thrombosis." with the increase of pregnancy, the uterus will become larger, The inferior vena cava will be under pressure, which will affect the reflux of hemorrhoid veins and induce or worsen hemorrhoids.

Hemorrhoids are benign diseases that generally do not affect the fetus. However, severe hemorrhoids bleeding leads to anemia in pregnant women, or severe thrombosis and pain stimulate uterine contraction, which will affect the fetus. Therefore, hemorrhoids in pregnancy must be treated in time.

For pregnant women, hemorrhoids prefer conservative treatment. For example, 2 ~ 3 times a day warm water hot flux, especially humiliating edema, anal swelling, etc. Bathing in the next seat is not recommended. Especially in the middle and late stages of pregnancy. Proper use of fructose and probiotics by pregnant women can regulate intestinal function and improve constipation. If drugs are needed, it is recommended to use them under the guidance of anorectal experts.

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