Due to the special status of pregnant women, it is difficult to deal with the disease once it occurs. There are three difficulties in treatment: (1) Difficulty in medication. Many hemorrhoid medicines contain ingredients that may affect fetal development. Those marked contraindicated or used by pregnant women in the instructions should be avoided. (2) The operation is difficult. In order to ensure the safety of pregnancy, surgical treatment is generally not recommended, and surgery is often chosen after the pregnancy is over. (3) Difficulty in recovery. The longer the pregnancy, the more serious the factors causing hemorrhoids. If not treated in time, recovery will be very slow.

So for pregnant women who do not have hemorrhoids, or who have hemorrhoids in the first or second stage, the best strategy is to use conservative treatment to prevent the occurrence of hemorrhoids or relieve the symptoms of hemorrhoids, avoid medication and surgery, and use commonly used conservative treatment methods. As follows:

1. Make sure the perianal area is clean. Wiping with paper will only rub stool into the folds and wounds of the anus. The harder you try to wipe it clean, the deeper the stool will embed, causing bacteria to multiply and aggravate inflammation. and edema. Therefore, after each bowel movement, rinse the anus with running water. At the same time, water can avoid pain. Some pregnant women do not dare to touch hemorrhoids, not to mention wiping them with paper. You can install a smart toilet seat at home, and you can also shower and flush it after defecation. A more convenient method is to prepare a handheld cleaner, which can be filled with water to rinse the anus after defecation. It can also be carried with you when going out or going to work. At the same time, it can also be used to clean excessive leucorrhea and other secretions from the vulva of pregnant women to prevent secretions from irritating the vulva and causing inflammation.

2. Keep the anus in the air when sitting and not compress the perianal blood vessels. You can prepare an anal healing pad. The hollow shape allows the anus to be suspended and breathable, promotes venous blood return, accelerates the elimination of edema and wound healing, and avoids tenderness. Many pregnant women with severe hemorrhoids cannot even ride in a car when traveling. With an anal protective pad, they can sit down normally, work or eat comfortably, and maintain a good mental state during pregnancy.

3. Take a sitz bath with warm water around 37℃ for at least ten minutes every night. Although no medicine is used, this may be the best "prescription" for treating hemorrhoids in pregnant women. Sitz bath can accelerate venous blood circulation, eliminate edema and promote healing. However, it is difficult for pregnant women to squat, and squatting will also increase the risk of wound tearing. Therefore, it is necessary to use a healing medicated bathtub, place it on the toilet, and complete the sitz bath in a comfortable sitting position.

Pregnant mothers can prepare anal healing packs in advance to be prepared, which are generally available in large anorectal specialty hospitals. The anorectal recovery kit contains the above-mentioned handheld washlet, anal protective pad, and anal hydrotherapy device, three essential items for accelerating the recovery of hemorrhoids.

4. Treatment method for hemorrhoid prolapse: If hemorrhoids prolapse during defecation, timely treatment should be carried out: clean the anus, lie on the bed, elevate the buttocks, put some cooking oil on soft toilet paper or gauze, and Take oil paper, gently push the hemorrhoid deep into the anus, and then insert an anal plug. Don't get up immediately and do levator exercises for 5-10 minutes. If the hemorrhoids prolapse while walking or coughing, after treatment according to the above method, multiple layers of gauze should be used at the anal opening for additional fixation.

Pregnant women with severe bleeding in the first and second periods, or those who have progressed to the third and fourth periods, should go to a specialist anorectal hospital in time and receive professional treatment from a specialist to avoid worsening of the condition and affecting the pregnancy.

What other precautions should pregnant women with hemorrhoids pay attention to in their daily lives?

1. Scientific defecation: Do not bring books or mobile phones into the toilet. Defecation time should be limited to three minutes. Going to the toilet also requires mothers to concentrate on solving tasks quickly. Develop the habit of defecating at a fixed time. Do not hold back and go to the toilet whenever you feel the urge to defecate. Because feces has been accumulated in the body for a long time, too much water in it is absorbed by the intestines, which will aggravate constipation.

2. Drink more water and eat less spicy food. Drink at least 1000ml of water every day. If there is insufficient water in the body, the feces will be dry and hard, making it difficult to transport in the intestines. Straining to defecate will aggravate hemorrhoids, and the mucous membrane will easily bleed when passing through the anus. Drinking more water is not a temporary thought, but a conscious insistence every day. Don't wait until you are thirsty before drinking too much. In addition, a light diet is also very necessary. A diet heavy in oil, salt, and spicy food will aggravate constipation and hemorrhoids.

3. Eat more fruits and vegetables and whole grains.

Vegetables, fruits and whole grains contain a large amount of dietary fiber. You should eat more foods with laxative effects such as mushrooms, celery, fungus, pears, and oranges.

By using conservative treatment with anorectal care packages, scientific defecation, and developing good eating habits, the hemorrhoid symptoms of most expectant mothers can be effectively relieved. For a small number of serious symptoms, please seek standardized treatment under the guidance of an anorectal specialist.