Pregnancy and Thrombosed Bleeding Hemorrhoids
Pregnancy hemorrhoids are a common problem for women, with up to 50% of women suffering through them.
There are a few ideas that pregnancy makes you more prone to hemorrhoids (as well as varicose veins in the legs and seldom even in the vulva). It is a form of a varicose vein. The symptoms of hemorrhoids during pregnancy are identical to those of ordinary internal or external hemorrhoids.
During pregnancy, hemorrhoids affect women because the veins around the anus are dilated or swollen.
The pressure of the fetus in the woman's abdomen, coupled with changes in hormone levels, causes the hemorrhoidal vessels to enlarge, and during actual childbirth, the pressure on these vessels continues to increase.
It can slow the return of blood from the lower half of your body, thus increasing the pressure on the veins beneath the level of your uterus and causing them to become more dilated or swollen.
Constipation, another common problem during pregnancy, can also cause or aggravate hemorrhoids because you tend to strain when having a hard bowel movement.
Besides, an increase in the hormone progesterone during pregnancy causes the walls of your veins to relax allowing them to swell more efficiently (and also contributes to constipation by slowing things down in your intestinal tract).
Hemorrhoids in the woman are very common, in fact, they are common in both women and men. About half of the population would have hemorrhoids by age 50.
Pregnancy hemorrhoids for most women, however, are a temporary problem. It does not mean, though, that a pregnant woman should feel compelled to live with hemorrhoidal discomfort.
Thrombosed hemorrhoids are hemorrhoids that have clotted on the inside of the anus (a ‘thrombus’). These clots form in the veins of the rectum just under the skin. External thrombosed hemorrhoids can be seen and felt. Sometimes they are soft. Other times they are hard.
Because they consist of the strangulation of a vein that is just under the skin, thrombosed hemorrhoids most commonly turn blue. Also, the outer skin can redden if hemorrhoid in question is irritated and becomes inflamed. Although they are quite often very painful, thrombosed hemorrhoids do not require surgery.
Persons with thrombosed external hemorrhoids usually experience pain when standing, defecating or sitting. The body gradually absorbs the thrombosis during several weeks. A resolving thrombosis may erode through the skin and produce bleeding or drainage.
Usually, thrombosed hemorrhoids do not cause bleeding unless the skin over the blood clot gets rubbed away. Then, the blood clot can ooze out and cause bleeding.
If the pain is relatively mild, the pain seems to be getting better, and the thrombosis appears to be shrinking, then it is best to leave the thrombosis alone and let it resolve by itself.
For more serious thrombosed hemorrhoids, not resolved with the more common treatments, surgery is usually indicated so that the clot can be drained or excised.