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Haemorrhoid Treatment In Pregnancy?

(15 Posts)
woopsidaisy Mon 23-Jul-12 12:24:48

Hi. My friend and I were just discussing the joys of haemorrhoids in pregnancy-we both just have a few weeks to go.
I have been using Proctosedyl ointment and suppositories, which I find fab. She was told that she can't use anything until after the baby is born. She hurts! Has anyone else used treatment?

BlueChampagne Mon 23-Jul-12 14:19:01

I was prescribed proctosedyl when I was pg. Has her GP really told her that she can't use anything? shock. Check germaloids etc ointments in chemist; I'm sure they say they are safe to use while pg and bfing. Poor thing.

Clarella Mon 23-Jul-12 14:29:05

I am confused as pharmacists have said proctosedyl is a no no in pregnancy much to my annoyance as its so good. I haven't been to gp or mentioned at hospital though. I've been taking anusol suppositories (pharmacist said must clear it with midwife though) and a boots own cream - ok but I have slight pain deep inside at times. It's currently manageable, I do suspect the doc would say proctosedyl ok if I were in dire need ( I hope!)

31down Mon 23-Jul-12 14:29:24

I'm 32 weeks and was given proctocedyl suppositories and ointment too. It is good in that it has stopped them getting worse, but I think they are not going to go away completely until after the birth.
I did worry though that it says on the packet to not use for more than 7 days, I think it's going to be a lot longer than that! Will need to check with my midwife about that I think. Anyone else used it for more than 7 days? (Sorry for gatecrash!)
Your friend should not be suffering alone and has been told the wrong info I reckon!

Clarella Mon 23-Jul-12 14:47:56

I used to find only 2 to 4 days and I was ok when not pregnant, with a month or two between uses ( its so good) but perhaps mine are not too bad. I'm glad they are prescribing it in case I need to!

woopsidaisy Mon 23-Jul-12 17:39:00

Thanks for the responses ladies. Will tell her to query it with Doctor.

Jobeesthoughts Sun 14-Oct-12 14:51:44

New to this talk thing so here goes...
Having experienced the worst haemorrhoids ever over the last 5 days (with a little improvement in the last 24hrs), it would be wrong of me not to put a few thoughts down for others to consider. I do have knowledge in this area, I'm a nurse specialist (particularly of bottoms!!) but suffice to say was not able to prevent, nor successfully treat (or at least obtain adequate pain relief) these nasty suckers.
I'm now 38+5 weeks pg with 2nd and had similar problem (though not as bad) with first. Throughout this pregnancy I avoided constipation through regular laxatives (movicol/mag hydrox (milk of magnesia), high insoluble fibre diet and fluids. These laxatives were my choice following discussion with my consultant but GPs often prescribe lactulose. This is an appropriate choice but all laxatives work better when you increase yr fluid intake too.
So, despite not getting constipated and "straining at stool" I got 'em. About 4 external, thrombosed piles. Very, very painful. My bum looks like the Himalayas (climbed my explorers wearing crampons!). All thanks to the weight and pressure of my long awaited unborn child and hormones some of which can cause blood vessels to thin. These are sooo painful, excruciating in fact. And despite my knowledge, I started trawling the Internet for remedies.
I used the usual I would prescribe: proctosedyl ointment and frozen peas. But tears and hysteria ensued when nothing helped and panic set in. A surgical colleague (again specialist field) advised NO surgical treatment. The pain wouldl be intolerable, but (with sympathy) advised continuing with the above. This wasn't what I wanted to hear. I wanted them removed/lanced/injected but no. And using my professional head, I could understand this. The cause is not being removed and the wound wouldn't heal before "d-day". And no, they won't do a c section for painful piles!
So as the pain continues, I'm having warm salt baths (no evidence for this but does seem to help), instillagel (a local topical analgesia from GP) and intermittent proctosedyl ointment. And of course wedging a bag of frozen peas between butt cheeks. I'm pretty much sofa/bed bound as walking is impossible. My dd (3.5yrs) is very aware that mummy has a sore bottom (difficult to hide!), my dh is amazing looking after my every day to day needs as well as putting instillagel on my bottom, covering it with damp cotton wool (the pain and need for relief far outweighed the embarrassment 'n' all) and my mum helping out (even holding my hand while I did a poo on one occasion!!).
So, points to note:
*don't be embarrassed - go to yr GP - the sooner the better. Steroid based ointments are ok in pregnancy (proctosedyl, etc) but do thin the skin over prolonged use (this is why it says don't use for longer than 7 days). They help reduce inflammation and contain stuff to help shrink the pile and numb it a bit.
*if you are really suffering, ask for some instillagel (local aneasthetic) and use damp cotton wool to keep the gel on the area. It may sting a bit but goes off quickly.
*Thrombosed piles tend to be self limiting. This means they'll resolve on they're own or at least shortly after delivery. If pregnant, they should NOT be surgically treated (cut and squeezed).
*although being mobile can help resolve rhoids (improving blood flow) and is promoted when pregnant, it may be too painful to even walk. Don't panic, employ yr family and friends and talk to yr midwife.
*DONT, whatever you do, sit on a ring cushion. This is a very old practice and will in fact, make yr piles worse. The blood pools down in the vessels in yr bottom as yr bottom sinks into the ring and can't return easily thus engorging the vessels more. And don't spend any longer than absolutely necessary on the loo - same concept as the ring cushion. Wait till you need to go, go and then get off.
*wash yr bottom after a poo, avoid using loo roll or perfumed wet wipes - use a shower head with your bum over the bath side -use no soap just luke warm or cool water, pat dry with soft towel, then apply yr ointment etc
*immediate, effective relief is unlikely to be achieved. Sorry to be bearer of bad news. Cry, be hysterical, lie still and push on through. It will improve albeit slowly. Keep putting those frozen peas on and numbing gel. I know, you wouldn't let an animal suffer like this.
*take regular paracetamol. This will help the deep, constant ache in your bottom. You can take a max of 4g in 24hrs - don't exceed this. If yr pregnant, this is really the only oral analgesia you can take. Ibuprofen/Nurofen (NSAID's) are a NO NO in pregnancy. In the third trimester they can cause problems with the baby's heart and circulation. Codeine is also effective however this can constipate you (not a good idea given the circumstances!!!) so best avoided.
*increase fibre and fluid intake, take approved laxative if needed.
*Dont get annoyed with the mw/GP/HCP that says "delivery of yr baby is the only treatment" - this is true but hard to hear.
I hope that this has been helpful. There's lots on the internet but for the most, everything you try either doesn't really work or works initially with no long term gain.
BTW, although you think you won't be able to do the whole labour/delivery thing with piles, you will. My contractions started last night although very intermittent and along with them came that surge of the "bring it on, I can do this" hormone, the baby's shifted down a bit and there is some (albeit it small) relief on said piles.
My greatest sympathy and empathy to all sufferers.
I will answer any questions to the best of my knowledge but know my limitations... So if I don't know, I won't guess but will endeavour to find out.

MacMac123 Sun 14-Oct-12 15:05:33

Wow great response jo bees. Thought I had bad piles but they are not like yours. Am 37 weeks and basically when they went mental I spent 3 weeks using germaloids suppositories and various external creams. And ice packs. Currently using preparation H but found Anusol better. They are still present but the pain and itching calmed down so I could live a normal life again (rather than one in which they were all I could think about!). Am told they will go after baby born. But not so sure as the main one has lingered since last pregnancy 4 years ago. It's been very small most of time (till now!) with occasional flare ups, but never completely went. So will prob be looking into more extreme solutions!
They are a right pain (literally!)

Jobeesthoughts Sun 14-Oct-12 15:32:20

3weeks macmac that's awful poor you. Piles don't always resolve (unless surgically or otherwise) removed but as the thrombosis is reabsorbed the pain resolves. Then, as you say, they flare up from time to time. Generally, better to leave alone unless problematic in the future. Surgery very painful. Treat as and when with preferred treatment.
If planning more babies, might be worth a referral to a colorectal consultant who will assess and treat (likely band or inject) any internal piles with the intention of preventing (or limiting) their development when pregnant. I had one banded prior this pregnancy but didn't stop me getting these. Being in the trade has been beneficial to a degree but when there is no absolute 100% cure it doesn't matter what field yr in eh?!
One things for sure... This is my last pregnancy!

Jobeesthoughts Sun 14-Oct-12 15:32:50


Jobeesthoughts Sun 14-Oct-12 15:38:54

Another point I forgot!
*itching.... Whatever you do, DON'T scratch! Try yr hardest to ignore it-honest it will go off.
Scratching will give relief for about 3 milliseconds!!! Then the itch comes back worse than ever. Give yr bottom a wash using the shower, patting dry with a soft towel. Or apply yr cream/ointment, frozen peas etc.
Definitely don't itch the itch!

femmeaufoyer Sun 14-Oct-12 17:01:03

I'm 31 weeks and just getting over my second bout, it's been horrendous and I have definitely cried! I've been prescribed Daflon tablets which have really worked. I'm in France though and I'm not sure if they are prescribed in the UK.

Jobeesthoughts Sun 14-Oct-12 17:51:00

Poor you. Do you know what the ingredients of daflon are? In French is fine - I'd be interested to know!

Jobeesthoughts Sun 14-Oct-12 18:48:06

Daflon is a dietary supplement it seems. It, nor any of it's ingredients are in my drug bible therefore I can't comment on its effectiveness or safety in pregnancy. I'm sure if yr doctor has prescribed its ok though. Hope you get continued relief!

Jobeesthoughts Mon 15-Oct-12 11:01:32

Found a small study on Daflon and its effects on haemorrhoids. Outcome looks favourable but needs a bit more reading (only small sample group). Going to discuss with colleague!

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