Got hemorrhoids during pregnancy, can it be operated on or not?

Hemorrhoids, also known as hemorrhoids, are conditions in which the veins around the anus become inflamed or swollen. This condition is also commonly referred to as hemorrhoids. Hemorrhoids can happen to anyone, but it is more common in pregnant women and patients with chronic constipation or diarrhea. Hemorrhoids during pregnancy are common and affect many pregnant women, especially at the end of the second trimester to during the third trimester of gestation.

Hemorrhoids during pregnancy occur because your uterus gets bigger and bigger with pregnancy. It compresses the pelvic veins and the lower vena cava (inferior vena cava), the large vein on the right side of the body that receives blood from the lower leg.

This pressure can slow down blood flow back from the lower part of the body to the heart, which in turn increases the pressure on the uterine blood vessels. As a result, these blood vessels become dilated and swollen. Even so, hemorrhoids during pregnancy are not a very worrying condition. Hemorrhoids during pregnancy can be cured.

Do you need hemorrhoid surgery during pregnancy?

Hemorrhoid surgery, also known as hemorrhoidectomy, is not the main option for treating hemorrhoids during pregnancy. Even so, hemorrhoid surgery is possible and not very rarely performed during pregnancy or immediately after delivery.

Many women develop hemorrhoids during pregnancy or childbirth. Some women may need more intensive care than others because of a more severe condition.

In fact, both women who are pregnant and not pregnant do not need hemorrhoid surgery right away. Usually the doctor will provide medication or other treatments first to prevent symptoms from getting worse.

Your doctor will prescribe a stool softener to prevent constipation and a topical cream that can help relieve symptoms. The doctor will also recommend doing this treatment accompanied by changes in your diet and activity.

In addition, you can do simple ways to reduce the pain and swelling of hemorrhoids.

Soak the buttocks with warm water (sitz bath) for 10-15 minutes every day. Don't put soap or foam in the water. Do it 2-3 times a day.
Drink lots of water and eat lots of fiber to avoid constipation.
Do Kegel exercises.
Use a pillow that has a hole in the middle as a cushion.
Don't sit too long. If you must sit down, change positions every few minutes and move around as often as possible.
Ice your anus.

If the above-mentioned treatments are not effective, your doctor will also provide you with non-invasive treatment, which is carried out depending on your symptoms and condition.

Doctors will try to avoid surgery by trying to shrink the inflamed tissue with noninvasive treatments or managing symptoms until you can give birth.

Surgery is the last resort for hemorrhoids during pregnancy

Hemorrhoid surgery is sometimes needed in certain cases. Hemorrhoid surgery can be done during pregnancy or immediately after delivery.

Pregnant women may need to have hemorrhoid surgery if other treatments are ineffective and very painful or symptoms get worse. If hemorrhoids in pregnant women cause uncontrolled bleeding or deep hemorrhoids, hemorrhoid surgery is necessary.

Generally, hemorrhoids during pregnancy often get worse during the third trimester. However, if the condition does not get worse or other problems do not appear until after the 27 or 28 week of pregnancy, the doctor will determine whether to need surgery immediately or should wait after delivery. This decision depends on your condition.

Choice of hemorrhoid surgery during pregnancy

If a pregnant woman needs to have hemorrhoid surgery, a local anesthetic will be given during the operation. There are 3 options for hemorrhoid surgery during pregnancy.

1. Procedures for prolapse and hemorrhoids (PPH)

This procedure provides an effective alternative to hemorrhoid surgery during pregnancy. This procedure is effective in dealing with internal hemorrhoids and provides less pain after surgery.

2.Transanal hemorrhoidal dearterialization (THD)

This procedure is performed by identifying the blood vessels through the Doppler system and does not require removal of the hemorrhoid tissue. Once identified, the hemorrhoid bundle is ligated. Because no tissue is removed, the recovery time can be shorter than with traditional hemorrhoidectomy.

3. Traditional hemorrhoidectomy

In some cases, traditional hemorrhoidectomy is the best option to remove internal hemorrhoids and stop symptoms. This procedure is performed by stopping blood flow to the tissue, then cutting it with a scalpel. This procedure may require stitches, and the procedure may bleed.

You may need to stay a night or two in the hospital after this procedure. The pain after this surgical procedure will usually last for a few weeks and may take 6 or more weeks to completely heal.