Many women are tormented by aggravated hemorrhoids before menstruation. This is a problem of a large number of young women, about which they do not like to spread, therefore, they turn to a doctor only in case of extreme need. The peculiarity of this disease is the almost complete absence of complaints in the interval between menstruations, a slight discomfort can disturb the patient only when the disease is neglected. Monthly pass, and along with them the symptoms of hemorrhoids, which worsened the day before, disappear.
Causes of disease
Women who did not bear a pregnancy and did not give birth, suffer from hemorrhoids quite rarely. The disease develops, usually during the waiting of the baby and after childbirth. The mechanism of the onset of pathology is as follows:
- excessive rush of blood to the pelvic organs,
- pressure of internal organs on hemorrhoids,
- reduced mobility
- nutritional errors,
- muscle tension during labor.
Women often suffer from varicose veins. The disease is inherited, there is a sharp increase in hemorrhoids in women who have given birth to their first child at a young age. With this diagnosis, the veins have a low elasticity of the wall, change shape, become knotty. All this provokes an aggravation of hemorrhoids during menstruation, when hormonal background promotes fluid retention, blood flow to the uterus, intestines, rectal ampoule.
One of the causes of hemorrhoids is considered a hereditary tendency to thrombosis of venous networks, stagnation, thickening of the blood.
That is why proctologists and vascular surgeons recommend that patients with characteristic complaints be examined in the period between successive bleeding.
Menstruation leads to the fact that the pelvic organs receive a rush of large amounts of blood to them, at the same time its outflow is disturbed. As a result, there is a stagnation of venous blood in the small pelvis vascular plexuses and hemorrhoids. Exacerbation of hemorrhoids before menstruation can be triggered by the pressure of the uterus, which also increases its mass during this period. The bladder fills faster than usual, which additionally prevents the outflow of blood from the lower intestine.
Hemorrhoids during menstruation can be quite a painful condition - it worsens shortly before the onset of bleeding, symptoms appear that disrupt the daily routine. Hemorrhoids with menstruation gives, in addition to physical suffering, additional problems with hygienic care, which brings some inconvenience to the usual schedule of life.
Causes of deterioration
Hemorrhoids during menstruation is exacerbated for several reasons:
- excess blood in the vessels of the pelvic organs,
- additional loads during menstruation,
- eating unhealthy foods
- decrease in normal physical activity.
Exacerbation of hemorrhoids during menstruation may have a sluggish course for many years after the initial manifestation, which occurs during pregnancy and childbirth. After the process of postpartum adaptation is completed, the menstrual cycle is established, and hemorrhoids may not be felt. Just before menstruation, some symptoms of an exacerbation of the pathological process appear. Gradually, especially if provoking factors act, hemorrhoids become aggravated during menstruation. After the bleeding is complete, the symptoms of the disease disappear - hemorrhoids bring the woman some inconvenience only sporadically.
Symptoms of hemorrhoids
A few days before the onset of bleeding, a woman begins to feel changes in her subjective state. This statement is especially true for those who suffer from premenstrual syndrome. In addition to emotional fluctuations, there is a feeling of swelling of the limbs and face, especially in the morning.
The fluid is actively retained in the vascular nodes of the lower intestine, so patients complain of a feeling of distention in the area of the ampulla of the rectum, anus, there is a heaviness in this zone. As menstruation approaches, hormones change, which affects the biocenosis of the skin.
Such a symptom as itching in the anus, appears a few days before menstruation, then there is pain in the anus, foreign body sensation.
Itching can cause significant inconvenience, create difficulties for the usual way of life. During the act of defecation, small bleeding from the fissures of the anus appears - they arise as a result of straining associated with difficulty in emptying the intestines due to significantly increased hemorrhoids.
First, a woman notices only small streaks of blood on toilet paper. As the process worsens, there may be a significant increase in the volume of blood released, bleeding occurs even without a load. There is a burning sensation or soreness around the anus, a certain amount of mucus is released. Anal fissures are fraught with infection due to the proximity of the intestine, which becomes a source of bacterial contamination.
With a protracted course and a constant increase in provoking factors, the nodes increase in size so much that they can crawl out. This is fraught with infringement, which further injures the vessels and tissues of the rectum. The area around the anus may swell, which aggravates soreness, pain and itching.
This clinical picture is observed in most women with hemorrhoids. At the same time, the emotional state worsens: irritability, tearfulness, absent-mindedness appear, working capacity suffers. The need for additional care and careful hygiene does not always allow you to visit the gym or pool during menstruation.
It is important to remember: even acute chronic hemorrhoids after menstruation can independently come into a state of stable remission until the next menstruation.
Why does hemorrhoids worsen during menstruation
Exacerbation of hemorrhoids during menstruation occurs for quite natural and regular physiological reasons.
During menstruation, the blood volume in the female body increases, it circulates vigorously in the pelvic organs, which means that the hemorrhoids are also filled with blood, respectively, become larger, which causes swelling and pain, and often bleeding.
The body prepares for menstruation, increasing blood volume and stimulating blood circulation, that is, the blood begins to flow strongly to the pelvic organs long before the onset of menstruation.
That is why, even if menstruation has not yet begun, many women feel discomfort in the anus, they are worried about swelling, soreness, a feeling of distention.
In addition, before menstruation due to a hormonal surge, many women experience an increased appetite - one wants sweet, the other salty and spicy, and more.
Such products contribute to constipation and irritation of the intestinal mucosa, which further increases the discomfort during menstruation and manifestations of hemorrhoids.
What to do when exacerbation of hemorrhoids during menstruation
Exacerbation of hemorrhoids during menstruation is treated the same way as in their absence, no significant changes are required.
- You can use all those drugs that were prescribed by a doctor and used before, according to the same scheme and in the same dosage. What you should pay attention to: if you practiced treatment with ice, ice candles and cold compresses or sitting baths, then during menstruation, these procedures are contraindicated,
- It should be possible to limit physical exertion - not to lift heavy objects, including bags with products from the supermarket or baby carriage (and the child himself during bathing, for example, too), not to do cleaning and workouts in the fitness club, this is not worth doing during menstruation and without hemorrhoids,
- You need to follow the calendar of menstruation and two or three days before you start to remove from the diet of heavy and spicy foods, eat less liquid, salty and fatty. Such a diet for hemorrhoids for a few days will help prevent the worsening of hemorrhoids and relieve the menstruation itself - they will not be as plentiful and painful
- During menstruation, the uterus increases in size and presses on the rectum - this makes it difficult to defecate and provokes constipation. To avoid this, it is recommended to use glycerin or sea buckthorn candles - they will facilitate the process of bowel emptying and at the same time relieve incipient inflammation.
To reduce the pain and cramps, you should not bring the state to a critical state - it is better to start taking No-silos on a regular basis from the first day of menstruation 1-2 tablets twice a day.
After defecation, do not use toilet paper in order not to accidentally injure the inflamed hemorrhoids and in addition not to irritate the mucous membrane.
It is better to use wet wipes impregnated with an oil antiseptic solution, or rinse.
Immediately after that, you can enter the candle anti-inflammatory, disinfectant and disinfecting action, or make a compress.
What else you need to know and do
Many women are embarrassed to tell their husband or partner that they suffer from a disease such as hemorrhoids, and it can worsen before menstruation, causing suffering and discomfort. However, in this case, maidenly embarrassment is inappropriate - it is about health.
Strictly forbidden with a tendency to hemorrhoids engage in anal sex before menstruation or during them. Such experiments can lead to the saddest consequences, up to extensive bleeding and hospitalization.
Do not forget about the prevention of hemorrhoids. Girls will only benefit from the inclusion in the diet of foods rich in fiber:
- Raw carrots, beets, cabbage of all varieties.
- Cereals - buckwheat, oatmeal, barley.
- Solanaceae - eggplants, tomatoes, zucchini.
Be sure to eat fermented milk products, vegetable oils, fresh fruits and berries. Avoid starchy foods (rice, potatoes, bananas), confectionery, marinades and pickles, spices, alcohol.
To prevent constipation, you can drink a glass of warm water every morning on an empty stomach with a spoonful of honey and a few drops of lemon juice. What to do with acute hemorrhoids will tell a specialist in the video in this article.