Hemorrhoids in women. Treatment of hemorrhoids in pregnant women


About 80% of women, after bearing and giving birth to a baby naturally, suffer from such an unpleasant disease as hemorrhoids. The disease causes a lot of trouble for young mothers. Pain, discomfort, burning, itching cause not only physical, but also moral discomfort. This prevents a woman from fully fulfilling her responsibilities in caring for the baby and reduces the quality of life in general. Treatment of pathology during lactation has its own characteristics. Ointment for hemorrhoids during breastfeeding, suppositories and any other medications must meet certain requirements and be safe not only for the mother, but also for the child. How to cope with the problem without harming your health?

What should the medications be?

Every woman should understand that many drugs used for hemorrhoids have the ability to be absorbed into the blood, and therefore reach the baby through milk. There are a number of medications that are strictly prohibited for hepatitis B. Anuzol and Bellatamine suppositories include belladonna extract. The plant is extremely dangerous for the baby and has toxic properties for the child’s body.

In addition, many medications can affect the quantity or quality of breast milk. Drugs containing hormones, benzocaine and other aggressive substances are prohibited. Among such drugs it is worth noting Relief Ultra, Hepazolon, Nigepan.

Remedies for hemorrhoids during lactation must have maximum safety and include herbal components or substances that are not absorbed into the blood.

Stages and symptoms of hemorrhoidal cones

Hemorrhoids during lactation in their symptoms are no different from the standard manifestations of the disease:

  • discomfort in the perianal area, itching, burning;
  • sensation of a foreign body in the anus with incomplete bowel movement;
  • pain after defecation with or without bleeding (traces of blood on toilet paper, blood in the stool, a trickle of blood from the rectum);
  • sagging of hemorrhoidal cones through the anus;
  • thrombosis or strangulation of nodes.

Varicose cavities can be located rectally or externally, around the anus, but the symptoms of the disease do not change. The severity of clinical manifestations of hemorrhoids in a nursing mother depends on the severity of the pathology:

  1. First stage (degree). Hemorrhoidal disease most often occurs latently: there is no pain, there is discomfort in the anal area, itching, burning, and a feeling of a foreign body with incomplete defecation. Pain occurs when lifting the stroller or rocking the baby in your arms for a long time. It is very rare to pick up nodes with traces of blood on toilet paper. Hemorrhoid cones do not fall out, the vascular pattern of the rectal mucosa and anorectal zone is enhanced.
  2. Second stage (degree). Vague discomfort is transformed into pain with each bowel movement, bleeding often occurs due to injury to the mucous membrane of the rectum with feces, hemorrhoidal cones fall out of the anus with physical effort, but return to their place on their own. Mucus and blood from the anus irritate the skin of the perianal area, cause dermatitis, and stain underwear.
  3. Third stage (degree). It differs from the previous one in the impossibility of independently moving the nodes into place (only manually), increasing bleeding, the addition of rectal fissures, constant pain in the anus due to the addition of a secondary infection, sometimes with proctitis, paraproctitis, abscess formation.
  4. Fourth stage (degree). Hemorrhoids turn blue, sharp pain occurs due to thrombosis or strangulation, the temperature rises, general health is disturbed, weakness occurs, the ability to work is lost, the tissues surrounding the anus become inflamed, an ascending spread of infection in the pelvic organs is possible, sepsis with a fatal outcome. Cavities due to degeneration of muscles and ligaments constantly fall out, cannot be reduced, bleed with any effort, and require emergency intervention.

Review of approved ointments

Ointment for hemorrhoids during lactation must meet all the requirements for breastfeeding and not cause harm to the mother and child. When choosing a product, preference is given exclusively to proven drugs that have proven themselves in practice.

List of ointments allowed during breastfeeding:

  • Heparin ointment is a popular remedy used for the treatment of hemorrhoids during lactation and pregnancy. The components of the drug have a local effect without being absorbed into the blood. The ointment has an anti-inflammatory, analgesic effect, prevents the formation of blood clots;
  • Natalsid - ointment includes sodium alginate, a natural component obtained from brown algae. The medicine relieves inflammation well, has a regenerating effect, stops bleeding, and has a beneficial effect on the condition of blood vessels;
  • Levomekol is a topical application with antibacterial effects. Despite the fact that the drug is an antibiotic, you should not be afraid to use it while feeding your baby, since when used topically, Levomekol cannot enter the bloodstream and harm the baby;
  • Calendula ointment is a homeopathic remedy that has anti-inflammatory, bactericidal, regenerating, and analgesic effects.


Any ointments for the treatment of hemorrhoids during breastfeeding are selected by the doctor on an individual basis.

Hemorrhoids should be treated with ointments during breastfeeding under the supervision of a specialist. The doctor will help you choose a medication in accordance with the characteristics of the disease, its type, stage and general well-being of the mother.

Important! When choosing medications for the treatment of hemorrhoids during breastfeeding, you should pay attention not only to their safety for the baby, but also to personal intolerance to the components of the medicine.

Physical activity, hygiene

What can safely treat hemorrhoids while breastfeeding are exercises to strengthen the pelvic floor muscles. After childbirth, obstetricians-gynecologists and proctologists recommend visiting a fitness center or doing independent exercises at home. The only condition is the absence of fallen hemorrhoids.

You can do yoga, callanetics (a type of fitness gymnastics that includes a system of static exercises), Pilates (physical exercises to strengthen posture and develop coordination), and swim in the pool. Or you can: take a walk, walk a lot, get enough oxygen and positive emotions. Just remember that you cannot lift the stroller yourself!

Intimate hygiene is the routine rules of life. With hemorrhoids, they have their own characteristics: regular washing with a weak solution of potassium permanganate and herbal decoctions helps eliminate infection of the skin around the anus and hemorrhoids

. The procedure should be performed after each bowel movement. Proctologists do not recommend using toilet paper. If defecation occurs outside the home, use wet disinfectant wipes.

An effective and safe laxative for the treatment of hemorrhoids in nursing mothers is Microlax - microenemas that have a laxative effect.

Suppositories for hemorrhoids

Hemorrhoid suppositories for nursing mothers are another group of medications that help effectively combat the symptoms of the disease. Suppositories are used primarily for the treatment of internal hemorrhoids, but they are also often effective for external hemorrhoids. What suppositories for hemorrhoids are allowed for women during breastfeeding? During lactation, medications based on natural substances and components that are not absorbed into the blood are allowed.

Suppositories for hemorrhoids allowed for nursing mothers:

  • Suppositories with sea buckthorn - based on natural sea buckthorn oil, have an antiseptic, bactericidal, restorative effect in case of illness. Even if the components of the medicine get into the blood and milk, they are not capable of harming the baby;
  • Procto-glivenol - eliminates the main symptoms of the disease thanks to lidocaine, which is included in the drug. The effect of using suppositories occurs within an hour, and symptoms of hemorrhoids such as pain, itching, burning, and redness are reduced;
  • Relief is a widely used product based on shark liver oil, which has a healing, drying, anti-inflammatory, and analgesic effect. This drug can treat hemorrhoids at all stages of the disease, both internal and external.

A remedy for hemorrhoids for nursing mothers in the form of suppositories is prescribed by the attending physician after diagnosis, taking into account the individual characteristics of the patient.


Suppositories for the treatment of hemorrhoids are one of the most effective and safest methods of combating the disease.

Venotonic drugs

In case of severe hemorrhoids, in addition to ointments and suppositories, the use of systemic medications may be required. For this, patients are prescribed medications that have a tonic and strengthening effect on blood vessels. These drugs help eliminate swelling by strengthening the vascular walls, help normalize blood and lymph flow, eliminate the inflammatory process and pain.

During lactation, the following drugs in tablet form are allowed:

  • Detralex is a venotonic that includes natural herbal ingredients. The active substances of the product reliably cope with the manifestations of hemorrhoids at various stages of pathology, without causing harm to the body of the mother and child;
  • Troxevasin in capsules is approved for nursing mothers under close medical supervision if there are serious indications for use. Troxevasin has a tonic effect on blood vessels, strengthens their walls, prevents fragility, and increases local immunity.

Important! Treatment of hemorrhoids during breastfeeding with systemic medications cannot be carried out independently. This entails dire consequences for mothers and their babies.

Forecast and prevention of postpartum hemorrhoids

If diagnosis and treatment were carried out in a timely manner, hemorrhoid treatment will be successful. A properly performed operation will allow you to completely get rid of it. Prevention requires proper nutrition, water consumption and sufficient physical activity.

The Doctor Nearby network of clinics invites you to undergo diagnostics and treatment for postpartum hemorrhoids in Moscow. We have a powerful diagnostic base that allows us to correctly identify the existing problem and find effective ways to eliminate it. Our staff is staffed by highly qualified doctors with many years of practical experience. They will individually develop treatment tactics and achieve complete recovery! Make an appointment with them by filling out and submitting the form online or by calling us!

Use of folk remedies

A nursing mother can treat hemorrhoids after childbirth using traditional medicine. To avoid side effects, before starting therapy, it is recommended to consult a specialist to make sure there is no allergy to the components used to prepare the medicine.

To treat hemorrhoids during breastfeeding, the following recipes are used:

  • potato candles. To prepare suppositories, small candles are cut out from raw vegetables and dipped in sea buckthorn oil. The suppositories are wrapped in a bandage and inserted into the anus overnight;
  • ointment with honey and aloe. The homemade ointment includes natural honey (100 g) and pre-prepared aloe juice (2 tbsp). The components are combined, mixed thoroughly, and applied to the hemorrhoids. For internal pathology, honey and aloe can be used to place tampons;
  • nettle decoction. Nettle is used to prepare many medicines for various diseases. For hemorrhoids, a decoction of the plant is used internally. To prepare it, 2 tbsp. l. dry herbs are poured with a glass of boiling water, boiled for several minutes over low heat, allowed to brew for about an hour, filtered. Take the decoction warm, one tablespoon three times a day.


Many medicinal herbs have anti-inflammatory, analgesic, wound-healing effects and are successfully used in the treatment of hemorrhoids

Treatment of postpartum hemorrhoids using traditional recipes should be done with caution. The first doses of medication should be small, and it is important to observe the body’s reaction. In the absence of allergies and other undesirable consequences, the dose of the drug can be gradually increased.

Prevention: TOP 5 ways

It is difficult to prevent the appearance of hemorrhoids after childbirth, but preventing its further progression is quite possible. To do this, you need to follow five simple rules:

  1. control stool regularity, constipation: a balanced diet and maintaining water balance;
  2. regulate (dosage) physical activity: lifting heavy objects, as well as physical inactivity, contribute to the development of the disease;
  3. wear comfortable, natural underwear: synthetic tight underwear (thongs) contributes to impaired blood supply to the pelvic organs;
  4. carry out daily hygiene of the genital organs: ideally, after each act of defecation you need to take a cool shower;
  5. Visit a proctologist in a timely manner: it is easier to treat the disease in the early stages than to deal with its complications later.

Nursing mothers very often encounter the problem of hemorrhoids, not knowing how to treat the disease, so the best thing to do is consult a specialist.

Gymnastics for the treatment of hemorrhoids

Many mothers while breastfeeding are interested in how to treat hemorrhoids at home without using medications. An effective type of therapy for the disease is special gymnastics aimed at preventing venous stagnation, stimulating blood circulation, increasing local immunity, eliminating swelling, inflammation and other symptoms of hemorrhoids.

The treatment complex includes the following exercises:

  1. Scissors. To perform the exercise, you need to lie on your back, hands behind your head or along your torso. Raise your straight legs at an angle of 45 degrees from the floor, perform movements with them that imitate the work of scissors. Repeat 2 sets of 20 seconds.
  2. Back arches. Get on all fours, bend your back up as much as possible, lock in this position for 5-10 seconds, return to the starting position. Repeat the downward arch of your back. Perform 5–7 approaches.
  3. Movement on the buttocks. To perform, sit on the floor, try to move forward on your buttocks, then back.
  4. Step in place with knees raised high. This exercise eliminates congestion well and improves blood circulation.
  5. Raising the pelvis from a lying position. The exercise is performed while lying on your back. Place the arms along the body, bend the knees at an angle of 90 degrees. As you inhale, lift your pelvis, leaning on your hands and feet, and as you exhale, return to the starting position. Repeat at least 5-7 times.


Gymnastics for the treatment of hemorrhoids will help cope with the disease and quickly recover after pregnancy

Important! Women with high blood pressure are prohibited from performing exercises after cesarean section. In such cases, exercises should be discussed with your doctor.

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