30-year-old Mr. Li was pregnant for 28 weeks. His stool was dry and difficult to defecate. He took out the anal tumor from the anus and couldn't return to the anus. He had serious pain and went to the anorectal Department of Haizi medical team. The examination results showed that the patient had perianal mass congestion, mucosal valgus and erosion, and purplish red nodules. He was diagnosed as mixed hemorrhoids with thrombohemorrhoids. After synthesizing the patient's condition, the anorectal and director Li Shangyang group repaired traditional Chinese medicine, external use and other traditional Chinese and Western medicine for the patient, effectively controlled the condition, and there was no recurrence after delivery.
Li Shangyang, director of anorectal and hemorrhoids, said that during pregnancy, there were not only symptoms such as pregnancy vomiting, edema and low back pain, but also constipation and hemorrhoids during pregnancy. Hemorrhoids are a chronic disease. The incidence rate of hemorrhoids in women is 76%. Because the fetus grows day by day after pregnancy, the hypertrophic uterus oppresses the inferior vena cava, increases the intra-abdominal pressure, affects the blood reflux, and the hemorrhoids become congested, dilated and curved. Pregnant hemorrhoids will bring unspeakable pain to pregnant women, affect the food nutrition of pregnant women, and indirectly affect the development of the fetus in the stomach.
The anorectal and Li Shangyang director's team is checking the room
What is the reason for pregnancy?
During pregnancy, the human body secretes a large amount of progesterone, which weakens the peristalsis of the large intestine, prolongs the residence time of food residues in the large intestine, absorbs too much water by the intestinal wall, and the final excreta becomes hard and difficult to discharge. During pregnancy, the pelvic blood supply increases, followed by venous compression pressure and relaxation of pelvic tissue during pregnancy, which further promotes the occurrence and deterioration of hemorrhoids. In addition, the rectum and anus will be oppressed by the uterus, the blood circulation will be interrupted, and the occurrence of hemorrhoids will be promoted. Other reasons include the imbalance of dietary composition during pregnancy, high protein and high-fat food, and too little exercise, which will peristalsis, reduce the decline of gastrointestinal digestion ability of food, aggravate the occurrence of abdominal distention and constipation, and indirectly lead to the occurrence of hemorrhoids.
What are the unique symptoms of hemorrhoids during pregnancy?
The early symptoms of hemorrhoids are constipation, massive bleeding and pain. Constipation and massive hemorrhage are not only the causes of hemorrhoids in pregnant women, but also the symptoms of hemorrhoids in pregnant women. Hemorrhoid pain will cause pregnant women's fear of defecation, deliberately reduce defecation, worsen constipation, and the toxins in the body cannot be discharged in time during constipation, resulting in difficult skin diseases such as acne, acne and pigmentation, leading to anemia and malnutrition.
The second symptom of hemorrhoids is anemia. Hemorrhoids bleed repeatedly, and many pregnant women are easy to feel symptoms such as fatigue and dizziness. Anemia worsens, pregnant women look pale, and there will be symptoms such as burnout, loss of appetite, palpitation, increased heart rate, asthma and edema after physical activity.
The third symptom of hemorrhoids is pain. Hemorrhoids patients often feel pain due to the swelling of anal blood vessels. Now most women sit, their blood circulation is blocked and their metabolism is slow.
How to prevent and improve hemorrhoids during pregnancy?
This is a prerequisite for the prevention of constipation and hemorrhoids during pregnancy. Pregnant women should develop regular eating habits and maintain a balanced diet. They should not only eat brown rice, malt, whole wheat bread, milk and other foods rich in cellulose, but also eat fresh vegetables and fruits (celery, leek, cabbage, agaric, dried white bamboo shoots, bananas, apples, etc.), but also pay attention to diet nutrition.
Insufficient water in the body will worsen constipation. Insufficient water can't defecate. Too little excreta won't stimulate the rectum, shrink or produce urine. Therefore, supplementing water is an important method to reduce constipation.
Adequate sleep and proper exercise
Avoid lying and sitting for a long time and carry out appropriate outdoor activities, which can enhance physique, promote intestinal peristalsis, increase appetite and prevent constipation. At the same time, when sleeping, try to take the left lying position to relieve the pressure of rectal vein, which can prevent the blood reflux and blood accumulation in the lower body.
Form the habit of defecating regularly every day. Don't hold it when there is a toilet, don't use too much force when defecating, don't squat in the toilet, read newspapers when defecating, don't play with mobile phones, and "concentrate on defecating".
Keep your body and mind happy
Tension and stress can also lead to constipation. Therefore, pregnant women should reasonably arrange their work and life to ensure adequate rest and sleep, maintain a good mental state and optimistic attitude towards life. Doing more interesting things and listening to comfortable music will not only help prevent constipation, but also help the baby's growth.
Perform various anal movements
Three times a day, 30 times each time, improve local blood circulation, improve the muscle strength at the bottom of the pelvis, and prevent the occurrence of defecation and hemorrhoids. After defecation, wash the part with warm water, cover the anus with a steaming towel, and massage 15 times clockwise and counterclockwise respectively, which can improve the local blood circulation.
In case of severe bleeding or severe pain, seek medical attention in time.
Good at: Integrated Traditional Chinese and Western medicine diagnosis and treatment of various hemorrhoids, hemorrhoids, anal fissure and other anal diseases, rectal cancer preservation, PPH surgery, constipation and inflammatory bowel disease.
Confirmation time and place:
Wednesday morning, Friday afternoon
Surgical diagnosis and treatment area, 2f, building a, Guoyi hall, Hisilicon medical group