Hemorrhoids are seen in one of every 3 women during and after pregnancy. During pregnancy, many reasons such as the baby’s pressure on the intestines, inactivity, and fiber-poor diet cause constipation and straining. Especially after normal delivery, it increases the complaints of hemorrhoids, breech rupture, abdominal pain, bloating and constipation in the puerperal period when the mobility is already low. Anemia and iron deficiency, which develops due to blood loss during childbirth, progress further with hemorrhoidal bleeding and cause fatigue, drowsiness and loss of appetite in the mother.
Non-surgical treatment methods that can be applied in pregnant and postpartum hemorrhoids do not harm the mother and the baby. Infrared treatment known as laser method or hemorrhoid ligation treatment known as ligation can be corrected in a few sessions with local anesthesia. After the treatment, the mother should be supported with sufficient liquid and pulpy foods so that the mother does not become constipated again.
Ligation of hemorrhoids It is done by evaluating the anus with a special speculum with light called an anoscope, with a tool with rubber rings at the end called a ligator. After the hemorrhoid gland is removed by vacuum, rubber rings are placed on the base. The hemorrhoids, whose blood supply is prevented in this way, dries up and disappears in a few days.
In infrared method A local coagulation is formed in the hemorrhoid with a device in which infrared light is given from its tip, preventing its feeding and drying it. The same process can be done with laser and high temperature.
After these procedures, the patient can continue his daily activities. Especially in the first week, it should not be strained during defecation. Some drugs can be used for a while to make the stool soft. But the basic rule is to eat 2 meals a day with pulpy foods and drink enough water between meals.
Sclerotherapy: It is another method used in the treatment of hemorrhoids. Enlarged balls are injected into the veins and form a plug. However, since the risk of thromboembolism is high both during and after pregnancy, it should not be applied.