2021年11月25日星期四

When you encounter hemorrhoids during pregnancy, what do you do?

At the 28th week of pregnancy, 30-year-old Ms. Li came to the anorectal Department of Haici medical group for treatment because of dry stool and difficult defecation, resulting in anal mass prolapse, unable to return to the anus and severe pain. After examination, the patient's perianal mass was congested and swollen, mucosal valgus, erosion and purple black nodules. She was diagnosed as mixed hemorrhoids incarcerated with thrombohemorrhoids. After synthesizing the patient's condition, the team of director Li Xiangyang of anorectal Department paid equal attention to conservative treatment of both Chinese and Western medicine, such as external application of traditional Chinese medicine. The condition was effectively controlled and did not relapse until the smooth production.

According to Li Xiangyang, director of anorectal department, women during pregnancy will not only have symptoms such as vomiting, edema and low back pain, but also often accompanied by constipation and hemorrhoids during pregnancy. Hemorrhoids are a chronic disease. The incidence rate of hemorrhoids in women is 76%. This is because after pregnancy, as the fetus grows up day by day, the expanding uterus compresses the inferior vena cava, and the intra-abdominal pressure increases, which affects the blood reflux, resulting in hemorrhoid vein congestion, expansion and bending into a mass to form hemorrhoids. Hemorrhoids during pregnancy bring unspeakable pain to pregnant mothers, affect their diet and nutrition, and indirectly affect the development of the fetus in the abdomen.

Anorectal department director Li Xiangyang team rounds

Causes of hemorrhoids during pregnancy?

During pregnancy, the human body will secrete a large amount of progesterone, which will weaken the peristalsis of the large intestine, the retention time of food residues in the large intestine is long, and the water is absorbed too much by the intestinal wall, resulting in the final formation of feces hard and difficult to discharge; During pregnancy, the blood supply in the pelvic cavity increases, the uterus increases, and then compresses the veins, resulting in the obstruction of blood reflux. In addition, the relaxation of pelvic tissue during pregnancy promotes the occurrence and aggravation of hemorrhoids. In addition, because the rectum and anus are oppressed by the uterus and blood stasis, this will also promote the occurrence of hemorrhoids. Other reasons, such as the imbalance of diet structure during pregnancy, eating a large number of high protein and high-fat foods, and too little activity, will also reduce the gastrointestinal digestion ability of food with reduced peristalsis, aggravate the occurrence of abdominal distention and constipation, and indirectly lead to the occurrence of hemorrhoids.

What special symptoms does pregnant hemorrhoids have?

The first symptom of hemorrhoids in pregnant women is constipation, bloody stool and pain. Constipation and bloody stool are not only the causes of hemorrhoids in pregnant women, but also the symptoms of hemorrhoids in pregnant women. Hemorrhoids attack pain, so that pregnant women have a sense of fear of defecation, consciously reduce defecation and aggravate constipation. When constipation, due to the inability to discharge toxins in the body in time, it will lead to persistent skin diseases such as acne, acne and pigmentation, and anemia and malnutrition for a long time.

The second symptom of hemorrhoids in pregnant women is anemia. Because hemorrhoids will bleed repeatedly, many pregnant women often feel prone to fatigue and dizziness. With the increasing severity of anemia, pregnant women will also have pale complexion, fatigue, loss of appetite, palpitation, accelerated heart rate, shortness of breath and edema after physical activity.

The third symptom of hemorrhoids in pregnant women may cause pain. Hemorrhoids patients often have tingling sensation because of anal tissue vascular swelling. In addition, most women now often sit for a long time, their blood circulation is blocked and their metabolism slows down.

How to prevent and improve hemorrhoids during pregnancy?

Reasonable diet

This is the premise of preventing constipation and hemorrhoids during pregnancy. Pregnant women should develop regular eating habits, maintain a balanced diet, eat more foods containing cellulose, such as brown rice, malt, whole wheat bread, milk, as well as fresh vegetables and fruits (such as celery, leek, cabbage, agaric, dried bamboo shoots, bananas, apples, etc.), eat less spicy food and drink less carbonated drinks.

Replenish water

If the water in the body is insufficient, constipation will aggravate. Because of insufficient water, feces cannot be formed, and too little feces can not stimulate the contraction of rectum, so there is no defecation intention. Therefore, supplementing water is an important method to reduce constipation.

Get enough sleep and exercise properly

Avoid lying down and sitting for a long time. Proper outdoor activities can enhance physique, promote intestinal peristalsis, increase appetite and prevent constipation. At the same time, try to take the left lying position when sleeping, reduce the pressure of rectal vein, help the blood reflux of the lower body and avoid blood stasis.

Regular defecation

Develop the habit of regular defecation every day. Don't bear not to defecate when you want to defecate, don't use too much force when defecating, don't squat in the toilet for too long, don't read books and newspapers, play with mobile phones when defecating, and "concentrate" on defecating.

Keep your body and mind happy

Tension and stress are also causes of constipation. Therefore, pregnant women should reasonably arrange their work and life, ensure adequate rest and sleep, and maintain a good mental state and optimistic attitude towards life. You can do more things you are interested in and listen to soothing music, which will not only help prevent constipation, but also be beneficial to the growth and development of your baby.

Do more anal lifting exercises

Three times a day, 30 times each time, can improve local blood circulation, enhance the muscle strength at the bottom of the pelvis, facilitate defecation and prevent hemorrhoids. You can also often do anal massage to improve local blood circulation. After defecation, wash the part with warm water, press the anus with a hot towel, and massage 15 times clockwise and counterclockwise.

If severe bleeding or severe pain occurs, see a doctor in time.

Expert recommendation

Li Xiangyang

Good at: all kinds of anal diseases such as hemorrhoids, anal fistula and anal fissure, anus preserving surgery for rectal cancer, PPH surgery, integrated traditional Chinese and Western medicine diagnosis and treatment of constipation and inflammatory bowel disease.

Visit time and place:

Wednesday morning, Friday afternoon

Surgical clinic area, 2f, building a, Guoyi hall, Haici medical group

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