Treatment of Hemorrhoid in Unusual Condition-Pregnancy

Abstract

Hemorrhoids are varicose veins of the rectum that are located in or near the anal canal and are covered by mucosa. They can occur at any age, are generally symptomless, and affect both sexes equally. Hemorrhoids are a common complaint among younger women and are more likely to occur during pregnancy and the menstrual cycle. In this article, we discuss the many approaches in the treatment of hemorrhoids. Laxatives, stool softeners, and fiber supplements are all considered safe for use by pregnant women. Moderate use of laxatives is also acceptable. Since there is a lack of sufficient evidence to support the safety and efficiency of topical medicines or oral phlebotomies during pregnancy, these treatments must to be utilized with an increased degree of extreme caution. In the case that considerable bleeding occurs, anal packing may be a straight forward and helpful operation to implement. A hemorhoidectomy is the treatment option for hemorrhoids that have become strangulated, badly thrombosed, or have bleeding that cannot be controlled. Incidence or Pathogenesis of Hemorrhoidal Disaease in PregnancyHemorrhoidal disease is often symptomatic and bothersome for pregnant women. It affects 25-35 percent of pregnant women [10], primarily presents in the third trimester, and can be

Efficacy and Safety of Oral Euphorbia prostrata Tablet and Topical Cream in the Management of Hemorrhoids During Pregnancy: Results From a Prospective Multicenter Study

“…Conservative treatment strategies include intake of dietary regimen with fiber supplements, sitz bath, use of stool softeners and laxatives, local anesthetics, astringents, vasoconstrictors, corticosteroids, analgesics, and antipruritic drugs. Currently, the use of oral and topical flavonoid treatments is considered the most effective conservative treatment approach for the management of patients with hemorrhoids [1,4]. The Association of Colon and Rectal Surgeons of India (ACRSI) practice guidelines recommend the management of hemorrhoids during pregnancy using a conservative approach, including diet and lifestyle modifications (intake of fiber-rich diet, high liquid intake, constipation cessation, personal cleanliness, and lying on the left side to relieve pain and other symptoms) and medical therapy.…”