Anal fissures and Haemorrhoids in pregnancy

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Haemorrhoids in pregnancy

This article explains to important problems called Anal fissures and Haemorrhoids in pregnancy.

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Ana fissure

An anal fissure is an acute, extremely painful condition in which there are tears in the anal area which are the result of forcefully passing hard stools. The pain lasts for several minutes and may persist for hours and may feel difficulty in sitting on a hard surface.


Though most fissures are acute, they may become a chronic problem, especially during pregnancy.

Way to avoid getting anal fissures

The most effective way to avoid getting anal fissures is to eat a fibre-rich diet, drink plenty of water and get regular exercise. If you are constipated, avoid straining when you are passing stools and ask your doctor about using a fibre supplement or stool softener.


Kegel is the exercise which decreases the chance of fissures by increasing circulation in the rectal area and strengthens the muscles.

Relief from anal fissure

Taking warm tub baths for 10-15 minutes a few times a day reduces the pain and discomfort. Eat high fibre foods such as cereals and pulses like rajma, chana, oats, fresh fruits and vegetables every day and drink plenty of fluids like fresh fruit juice, coconut water, nimbu Pani, lassi, buttermilk etc. It is believed that a glass of warm water with a squeeze of lemon early in the morning is believed to help bowel movements.

Common treatment procedures for anal fissures include anaesthetic ointments containing diltiazem a muscle relaxant. Consult your doctor for the best course of treatment for you.

Haemorrhoids

Haemorrhoids

Haemorrhoids are the swollen blood vessels in the anorectum, the terminal portion of the large intestine i.e., rectum from where one passes stools. They vary in size from that of a pea to a grape and can be inside the rectum or protrude through the anus.


Haemorrhoids are common during pregnancy and typically manifest in the third trimester. If you have had them before you conceived, you are quite likely to have them again during your pregnancy. They may also develop during labour and are a common early post-partum complaint.
Haemorrhoids that developed during pregnancy will begin to resolve soon after you give birth, especially if you are careful to avoid constipation.

Symptoms of Haemorrhoids

Haemorrhoids can be itchy and mildly uncomfortable or downright painful. Sometimes they can bleed especially during bowel movement and stool passing.

Reason for Haemorrhoids during pregnancy

During pregnancy, women are more prone to developing Haemorrhoids and also dilation of veins in the legs known as varicose veins. The growing womb pushes on the pelvic veins and the inferior vena cava which receives blood from the anorectum and lower limbs. This prevents the return of blood and causes them to become more dilated or swollen.

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