There are small veins located in the perianal area and inside the lower portion of the rectum. Sometimes they will become edematous and inflamed, while these hemorrhoids do not potentially cause any genuine harm, they can be very bothersome to pregnant females. There are two different types of hemorrhoids including:
- Internal hemorrhoids are normally found in the lower portion of the rectum
- External hemorrhoids are normally found under the skin, in the perianal area
Internal hemorrhoids are known for causing the most problems, because they will sometimes prolapse (protrude) though the anal opening, when this occurs the victim will begin to experience mild to severe symptoms.
Hemorrhoid in Pregnancy
Hemorrhoids have been reported to be diagnosed more often in women that are pregnant and individuals between the ages of 45-65 (NIH). It is not uncommon for pregnant females to suffer from intermittent constipation, which can be a huge factor for hemorrhoids.
What is Hemorrhoids
Some individuals will have asymptomatic (no symptoms present) hemorrhoids, while others will have a flurry of symptoms. Prolapsed hemorrhoids will cause severe pain, anal itching, and discomfort. Sometimes it may be difficult for the individual to remain seated for a significant period of time.
Hemorrhoid symptoms will vary with each type including:
- Internal with prolapse – severe pain, bright red anal bleeding, anal itching, extreme discomfort
- Internal without prolapse – asymptomatic or mild pain with bright red anal bleeding
- External – rectal pain, with bright red anal bleeding
A thrombosis (blood clot) may form in the perianal area in external hemorrhoids. The clot will feel like a hard lump, this will cause edema, bleeding, and pain. Most often than not the clot will dissolve without treatment, which may cause perianal itching and irritation.
Treatment for Hemorrhoids in Pregnant Females
Hemorrhoids will normally resolve on their own, without treatment. They often appear during the end of the second or beginning of the third trimester of pregnancy. They are far from being life threatening, but they definitely can cause grief, if they become prolapsed.
As the fetus continues to grow and gain wait, so will the risk of getting hemorrhoids. If you suffer from chronic constipation, you should speak with your OB/GYN about some type of treatment. Low or lack of fiber in the diet will cause constipation. It is crucial to not sit on the toilet for long periods of time or strain, during bowel movements, because this will cause the rectal and anal veins to become edematous.
If you are pregnant and suffer from internal or external hemorrhoids, do not fret, because they will shrink on their own or dissolve completely postpartum. You should use sitz baths and avoid constipation at all costs.
Older adults will also suffer from intermittent to chronic hemorrhoids, because as we age the anal and rectal connective tissue will weaken.
Diagnosis of Hemorrhoids
Most doctors can diagnose hemorrhoids, without any type of diagnostic tool, but sometimes a sigmoidoscopy, colonoscopy, or barium enema x-ray will be scheduled.
Hemorrhoid Removal Surgery
While most hemorrhoids will dissolve on their own, without treatments, sometimes more aggressive forms of treatment is required.
- Hemorrhoidectomy – the entire hemorrhoid is surgically removed, along with any inflamed tissue. This procedure is utilized to remove symptomatic internal and thrombosed external hemorrhoids and remains to be the most effective treatment.
- Rubber band litigation – small rubber band is placed around the hemorrhoid to block off all blood flow, so it will shrink naturally
- Stapled Hemorrhoidectomy – treats prolapsed hemorrhoids. Circular staple is utilized to excise hemorrhoid tissue
- Closed Hemorrhoidectomy – most common treatment, which consists of using a scalpel to excise hemorrhoidal bundles
- Open Hemorrhoidectomy – uses the same method, as closed, but the incision is left open to heal. This option is most often chosen, when the disease has damaged a large area or the location compromises closure.
- Lateral internal sphincterotomy – open procedure to reduce sphincter pressure and pain, while a Hemorrhoidectomy is completed, as well.