THE HEMORRHOIDAL DISEASE IN WOMEN
AFTER DELIVERY

About 90 % from women, present, immediately after delivery, a pain caused by the hemorrhoidal disease.

By hemorrhoids we define the clinical expression of the varicose dilations of the veins which are at the level of the anal channel and the rectum. The volume growth of those veins is produced through the disturbance of the reversion of the venous circulation. Unfortunately, this circulation, richly represented, is realized against gravitation. Sometimes, to this thing are added deficiencies in the alimentation which lead to constipation, the irritation of the rectal area through alcohol consumption or excessive spices.

Pregnancy and birth amplify an already existent pain through the volume growth of the uterus and the compression effect on the venous pelvic system.

But the most frequent cause is considered to be the long sitting position. It is also known as the clergywomen’ and drivers’ disease. The mechanism of its production is very simple. The rectum is an elastic cylinder which can be easily crippled under the pressure of the intra-abdominal organs producing the calibration of the blood-vessels which drive the venous blood from the periphery. The result is the rise of the venous pressing in the hemorrhoidal system with accumulation in the vascular rectal cushions and their dilatation. Generally, the process is reversible till one point. From now on the integrity of the conjunctive system appears, namely if we succeed an elastic tissue less elastic, after every new rise of volume, those vascular cushions do not return to their initial dimension. They lead to greater and greater vascular varicose dilations.

The only wise thing you can do is to go immediately to a proctology.

You will receive good advice in what concerns the way of living, the daily diet and the most efficient treatment. We perceive lately a great variety of terapeutical methods from the administration of local ointment to simple and easily supported interventions which can be done by the patient. The classical surgery remains the emergency for the advanced forms of the disease, of the neglected forms, with an evolution which lasts from a longer period of time.

We have to explain the fact that the hemorrhoids are of two types, internal, that come out first, as venous dilatations of varix type situated in the gear, in the INTERIOR of the anal channel, at about 4 cm depth (which are the cause for non-comfort, bleeding and complications), and external hemorrhoids, which appear as a result of the decomposition of the venous drain from the internal hemorrhoids already dilated. The latter have more an esthetical involvement, being noticed by the patient, but they can get complicated when the external hemorrhoidal thrombosis appears, (an external hemorrhoid clots and a painful, bluish swelling, appears on the rim of the anal channel).

The idea is that the internal hemorrhoids are the ones responsible for the suffering, discomfort, bleeding, pain characteristic for the hemorrhoidal disease, although the regular patient, who does not know, thinks that the external hemorrhoids are responsible for all these.

Another myth that has to be destroyed is the fact that the hemorrhoids are present at women immediately after a natural birth, and less in the case of a caesarean operation.

Actually, the hemorrhoids develop from little venous lakes (the hemorrhoidal plexus) which are present under the form of some small venous cushions that assure the normal tightness for gases of the anal channel. The venous drain is made upwards, the blood has to rise, to fight against gravitation, that is way, not the BIRTH, BUT THE WHOLE PREGNANCY PERIOD, when we deal with venous compression in the inferior cave system, in other words a deficit, late, hobbled venous drain, makes this venous cushions to get dilated, being transformed  gradually in hemorrhoids.

The delivery, especially the natural one, has a bad influence for the HAEMORRHOIDAL DILATATIONS THAT ALREADY EXIST, because, during the expulsion, it can cause the thrombosis of the hemorrhoids, leading to hemorrhoidal crises considered by the patients as a start of the hemorrhoidal disease.

You have to retain that any woman, during pregnancy and after birth, can have varicose hemorrhoidal internal dilatations. Some can be treated with a treatment with drugs, but when we deal with family antecedents like varix, hernia, hemorrhoids, flat leg or bad working conditions such as long sitting position – jobs like clergywoman, driver etc – the those dilatations do not regress after the postnatal period  of de pelvic congestion, but they evolve bad towards complications.

In conclusion, the hemorrhoids are a problem that you usually meet in the childbed period, and that is the reason why every woman, after birth, has to go to a proctology if she feels discomfort in the anal area.

Besides the negative impact for the mother, recently after delivery, these hemorrhoids can REFLECT INDIRECTLY IN THE CHILD’S EVOLUTION, who can be put in danger through ablactating inclusively!

THE BREAST FEEDING PERIOD IS A GREAT STRESS FOR THE MOTHER, because, although she suffers of hemorrhoids, she does not go to a doctor because she thinks that she will receive a treatment with drugs not compatible with nursing.

False, there are now modern treatments, easily to be supported, which are realized in the Proctomed clinics.

WHAT DOES TREATMENT MEAN
IN THE PROCTOMED CLINICS

The modern treatment based on well known techniques, with a large spread and appreciation in countries like Germany, Italy, USA, England.

The endowment of the clinic are according the most severe standards of the EU, combining the modern technology with an experience greater than 8 years of the medical staff regarding the non operatory treatment of hemorrhoids.

On the other hand, the doctor from the staff is good surgeons, with professional and teaching experience, what makes the indication for the non-operatory treatment to be the right one.

The treatment does not suppose internment, being made in several meetings, at an interval of about 2-3 WEEKS, with minimum risks regarding the mother and the child.

The meeting last about 20 de minutes, and the mothers can come to the clinic with the child, who will stay in a nice ambience, there being a special staff for nursing. After the meeting, the patient can go back home and he can have a normal way of leaving, with no need for rest in bed and medical leave etc.

The treatment is structured under the form of a package of services, which includes the essential investigations for the hemorrhoidal disease such as rectosigmoidoscopy, to exclude other diseases of the anal channel, benign or malignant, done by gastroenterologist with competence in the digestive inferior endoscopy, with modern devices, and also the abdominal ultrasound examination.