Will postpartum hemorrhoids go away on their own?

Hemorrhoids in mothers after giving birth can be caused by many causes, such as straining during childbirth, constipation,... In most cases, if not timely intervention, the disease will usually get worse, but not impossible. self-healing.

Hemorrhoids (also known as Hemorrhoids) is a disease that occurs due to excessive dilation of the hemorrhoidal plexus around the anus. These varicose veins are dilated, which means the veins become enlarged and pooled with blood.
Hemorrhoids mainly have 2 types:
External hemorrhoids: When the hemorrhoid originates below the dentate line (also known as the anal-rectal line), it is called an external hemorrhoid. Internal hemorrhoids: If hemorrhoids arise above the dentate line, they are called internal hemorrhoids. Hemorrhoids are divided into 4 levels with different manifestations and degrees of hemorrhoid prolapse:
Grade 1: bloody stools, hemorrhoids have not yet prolapsed. Grade 2: The hemorrhoid prolapses during defecation but retracts on its own. Grade 3: The hemorrhoid prolapsed, could not retract on its own, but had to be pushed in by hand. Grade 4: Permanent hemorrhoids in the anus, easily infected. In postpartum women, some early signs that can help identify hemorrhoids are:
Blood in the stool. In the early stages, blood appears with a relatively small frequency and quantity. Women may accidentally notice blood on the toilet paper or see blood in the stool. However, over time bleeding during bowel movements will worsen with increased blood volume and frequency. You can even feel the blood stream clearly. Moreover, the bleeding from hemorrhoids is more likely to clot in the anus and cause blood clots to appear during defecation.

Prolapse hemorrhoids. Depending on the extent that the mother will feel different symptoms of the disease. At a mild level, hemorrhoids usually do not cause much difficulty to daily activities. When hemorrhoids begin to prolapse at level 3 or higher, it will cause discomfort to the patient, especially when they have to move a lot or carry heavy objects. The patient may feel that it is a little clumsy when sitting, making the patient uncomfortable. Anal itching. This is a common symptom of hemorrhoids. You will feel extremely uncomfortable and lose confidence when meeting people. Pain: You may feel pain when the hemorrhoid is clogged, anal fissures. Cracking and burning anus. When the condition persists without treatment, the anus can begin to crack and cause burning and discomfort. This also makes you more likely to bleed when you go to the bathroom.

The main reason why women are prone to postpartum hemorrhoids:
Straining during childbirth: During labor and childbirth, pregnant women push a lot or improperly, the uterus expands, increasing pressure on the pelvic cavity. , hematoma, swelling of the anus, causing the hemorrhoids to prolapse. Constipation: There are many causes of mother's constipation during pregnancy as well as after birth, for example, because pregnant women sit or lie down a lot, causing stools to stay in the intestines longer, reabsorption of water causes constipation. Inappropriate diet, less green vegetables, less water, more calcium, ... can also be the cause of constipation for the mother. Chronic constipation often leads to hemorrhoids. Body weight of the fetus: The large fetus puts pressure on the rectal area, causing the veins to be pinched, blood difficult to circulate, swelling, dilating the blood vessels to form hemorrhoids. Ever had hemorrhoids: Having had hemorrhoids before pregnancy makes hemorrhoids in postpartum mothers tend to become more severe and cause bleeding, hemorrhoid embolism, hemorrhoid edema inflammation. In addition, during pregnancy, the level of progesterone in pregnant women increases, causing veins to dilate and increasingly blood stasis, making people who have had hemorrhoids more prone to recurrence of the disease.

Having postpartum hemorrhoids is not a serious problem if the disease is detected early and treated promptly. However, in fact, due to subjective psychology, trying to endure, many women when they come to the clinic are in a serious condition and need to have hemorrhoidectomy.
Therefore, as soon as there are early signs of the disease, postpartum mothers should visit the hospital to be evaluated by specialists, conclude on her condition as well as receive early treatment, it will be effective. More efficient, simpler.

For safe and definitive treatment of postpartum hemorrhoids, the first priority is to use conservative medical treatments, minimizing the use of drugs to safe breast milk.
However, if the disease is severe, leading to complications such as acute bleeding, hemorrhoid necrosis, and obstruction, surgery is required (when hemorrhoids prolapse grade 4, ring hemorrhoids, mixed hemorrhoids ie there is a bridge between the hemorrhoids). internal and external hemorrhoids, the hemorrhoids are no longer able to slide above the dentate line inside the anus).
For grade 2, 3 and 4 internal hemorrhoids and ring hemorrhoids, postpartum mothers can use Longo surgery with the advantages of less postoperative pain, no scarring after surgery, short hospital stay and rate Recurrence after surgery is very rare.
About 85% of patients can walk normally, self-catering on the day of surgery and can be discharged from the hospital only 1 day after surgery. In particular, hemorrhoidectomy by the Longo method has cut off the blood supply to the hemorrhoids and repaired the anal canal structure to almost normal. Therefore, recurrence is very rare.
Longo surgery is currently being applied at most of the surgical centers in developed countries and the Vinmec health system nationwide.

If you want to speed up the healing of hemorrhoids, you can do the following:
Prevent or treat constipation. You should go to the bathroom immediately if you want to defecate. Don't hold back for fear of pain. The longer it is left, the harder the stool will be and the heavier the hemorrhoids will be. Do Kegel exercises to tone the pelvic floor muscles.