Fissures after childbirth in the rectum. How to treat anal fissures in the anus during pregnancy and after childbirth.

17.08.2019 -

Childbirth is quite a stress for the whole organism. Often the rectum also suffers. Therefore, many women develop a crack after childbirth. Such a defect brings a lot of discomfort in everyday life.

Often, rectal fissures are accompanied by hemorrhoids. Such complications after childbirth should be treated conservatively. For this, medicines, traditional medicine, diet are used.

For a normal birth, jurisprudence does not currently require special explanation, because it is a natural process. The same goes for vaginal operative delivery and episiotomy. The latter is carried out in most cases without consent, since it is a standard intervention or "intercourse" in which the pregnant woman agrees to enter into a contract for treatment, although there are several medical indications with guaranteed benefits for mother and child. Against the background of recent data on the impact of vaginal birth on the pelvic floor, individual obstetricians are expected to offer a birth announcement on early pregnancy which can then be performed on request during the pregnancy week.

It happens that the anal fissure after childbirth does not heal when using drugs. In this case, the patient may be prescribed a radical surgical intervention or a minimally invasive procedure.

Causes of postpartum fissures

Hemorrhoids and anal fissures after childbirth are far from uncommon. The fact is that during pregnancy hormonal background women undergoing change. Accordingly, the uterus becomes larger, and some organs are displaced.

These changes are likely to be offset; it is only through additional vaginal delivery, lack of physical activity, increasing age and hormonal changes at menopause that fecal incontinence can develop. During pregnancy and childbirth, there are various options for preventing damage. pelvic floor, some are considered safe, others should be evaluated in prospective studies. The desire for a precautionary caesarean section is understandable and justified with medical point vision according to a well-documented, thorough explanation of complications and risks.

The enlarged uterus has high pressure to the rectum. As a result, hemorrhoidal veins are clamped, blood flow in the pelvis is disturbed. Moreover, with an increase in the uterus, ruptures of the rectal mucosa can form.

There are a number of predisposing factors to the development of anal fissures after labor activity:

Anxiety about quality of life caused by vaginal pelvic floor delivery and as a result of physical and psychological consequences, will increasingly confuse women and midwives, as well as physicians from other disciplines, with the desire to carve out the emperor. However, in this discussion, the complications known in connection with the section should not lose their significance. Operations are used for skin incontinence in two places.

Sphincter repair with tears

The so-called sphincter repair is complex operation. Damage to the sphincters caused by birth defects is reversed. Sometimes such cracks are misunderstood as superficial and only superficially crosslinked. The best time repairs immediately after delivery. Here, an experienced obstetrician is in demand, or patients must be transferred to a special department of proctology.

Unbalanced nutrition. Some pregnant women take the expression "eat for two" literally and increase their calorie intake significantly. As a result, constipation appears, and then linear ruptures of the rectal mucosa. “Eating for two” means that a woman should consume more vitamins during the period of gestation, and not dramatically increase the caloric content of the diet or include simple carbohydrates in the menu.
Vascular diseases and other pathologies of the intestines. If the patient before delivery had chronic diseases blood vessels, Crohn's disease, hemorrhoids, chronic paraproctitis, rectal prolapse, then after labor, the likelihood of rectal fissures increases.
Passive lifestyle. Pregnancy is not a reason to sit all the time and not move. Hiking and yoga will be helpful. They will help strengthen the muscles of the pelvic floor, and prepare the body for childbirth.

If produced cesarean section, then the likelihood of rectal defects and intestinal motility disorders increases significantly.
Not every patient who has had dam problems has a severe sphincter injury. Often the problem disappears after a few days or weeks. These patients are no longer helped by sphincter repair and other methods are used. Patients with sphincter injury after childbirth should be repaired within the first year.

Nerve roots are electrically stimulated by electrodes. The direct effect of this is the contraction of the sphincter and the pelvic floor, as the nerves that mediate this are directly stimulated. The sphincter is so tight. In addition, there are also effects in the sacred nervous system which are not yet fully understood.

Symptoms and alternative methods of treatment

How do rectal fissures manifest themselves if they occur after childbirth? characteristic feature- These are pains in the anal canal that appear during defecation. Moreover, the process of defecation is often accompanied by burning and itching in the anal canal.

The chairman's diary is held for two weeks, during which the frequency of toileting and incontinence events is recorded. First of all, during the hospital stay, the test electrodes are inserted and connected via cables to a box that you carry in your pocket. The strength of stimulation can be adjusted by itself. To turn off the device, remove the device.

During the two-week test phase, you should check if you are using this measure. in fact, fewer cases of incontinence occur. Also, you have to ask yourself if you can handle such a system. After the testing phase, the wires are removed and the stool diary is started again within 2 weeks.

If the crack is large, then the pain, itching and burning intensify, and haunt the woman throughout the day. Moreover, the symptoms become more pronounced even due to minor physical exertion.

Often, anal fissures are accompanied by the appearance spotting from the anus. Moreover, the peculiarity is that with deep damage, full-fledged rectal bleeding. Outwardly, they resemble bleeding that occurs during inflammation. hemorrhoids.

In yet another inpatient operation, certain electrodes are inserted with small hook-shaped hooks and connected to an assembly that looks like a heart pacemaker. The block is located to the right or left of the pelvic crest. All electrodes, cables and stimulator are under the skin. With a small remote control, you can always turn off the system during toilets. Of course, we will teach you how to use the remote control.

We have very good experience in this process. The test is not very stressful for you, ie. without painful operations and high risks. The final system is set only when it's done well. You must be able to adapt to the technique and be able to control the device.

There are cases where the occurrence linear break rectum is accompanied by an increase in body temperature. Usually this happens either with an acute course of the disease, or with the development of such a complication as purulent paraproctitis. If the body temperature rises, you should immediately consult a doctor. Any delay is life-threatening.

Here the muscles are released from inside the thigh and tied up under the skin around the anus. This sphincter replacement method had poor results in the early years. The muscle from the leg is only for short contractions and does not allow the anus to be held tightly all the time. Therefore, the procedure was modified and an electrode similar to sacral nerve stimulation was inserted into the muscle. The muscle is stimulated by a stimulus that is under the skin. Over the course of months, the muscle fibers transform so that they can be permanently retained.

The procedure is very complicated and should be carried out only in specialized center. If such an intervention suits you, we will refer you there, if necessary. Complications, unfortunately, are not rare and often new interventions, such as in the case of bruises. In case of circulation problems in the transport muscle or severe wound infections, it can also unfortunately lead to total destruction method.

With symptoms, everything is clear. But how to treat cracks in anus after childbirth? If a woman has recently given birth, then you can use folk remedies. This must be done very carefully, because the use of any folk remedies may lead to the development of allergic reactions.

It is quite useful. With it, you can make healing lotions. To do this, dip the gauze in sea buckthorn oil, and then attach it to the anus for 15-20 minutes. It is necessary to repeat this procedure several times a day.

A complex intervention that we do not offer. The artificial sphincter consists of a water-filled system with an annular cuff implanted under the skin around the anus, and by filling and draining water, stool contamination is made possible. All other parts, such as hoses and valves for work, are also placed under the skin. After a few minutes, the system automatically closes and closes the anus.

If such an intervention suits you, we will transfer you there, if necessary. Complications are not uncommon. Especially in the case of serious infections, it may be necessary to expand everything. Problems with the mechanical and/or hydropneumatic components of the system may also require follow-up interventions.

If there is no sea buckthorn oil, then coconut, castor or linseed oil. Also very useful method treatments are baths. Potassium permanganate, chamomile decoction or calendula decoction can be added to warm sitz baths.

If not postpartum complications, then you can enter rectally home-made candles from raw potatoes or lard.
Artificial intestinal discharge
The system requires manual skill and is not suitable for everyone. As a final measure in case of refusal of conservative or operative therapy, an artificial intestinal exit can be considered. In this case, the descending part of the colon is unloaded through abdominal cavity in the left lower abdomen. Through a bag system glued to the skin, the stool is caught. The consistency of the chair is practically no different from normal bowel movements. Also, as a rule, the bowel movement is only 1-2 times a day.

Conservative treatment of pathology

If the birth of a child has led to the formation of cracks in the rectum, then a woman needs to use certain medications. The drugs are selected exclusively by the attending physician, since during lactation some drugs are strictly contraindicated.

To eliminate cracks, anti-inflammatory ointments and suppositories are used, which have a pronounced regenerating effect. The safest medicines are Relief suppositories, Vishnevsky ointment, suppositories with sea buckthorn oil, suppositories Natalsid.

Therefore, the bag does not have to be taught very often, and the exit to the pool can be closed with a lid. Even if the prospect of an artificial bowel dreads you, you can lead an almost completely normal life. They have absolute control over stool flow and no more incontinence.

The anus and a short piece of intestine remain unused in the body. Once a week, the remaining intestines should be cleansed at home with an enema, as mucus can accumulate. For example, by psychological reasons unable to cope with the colostomy, the intestinal junction and therefore normal paralysis can be restored at any time.

In addition to the use of rectal ointments and suppositories, the patient needs:

Normalize intestinal motility. If the anus fissure is accompanied by constipation, then the woman is prescribed laxatives.
Do not use hard toilet paper. After the act of defecation, it is better to wash the anus with warm water.
Avoid anal sex, especially in cases where a caesarean section was performed.
Follow the rules of intimate hygiene.
At acute pain take painkillers or antispasmodics.
Eat a balanced diet. rectum is an integral part of the treatment. A properly constructed diet will normalize intestinal motility, get rid of constipation or diarrhea.

If a woman develops rectal bleeding, then she may be prescribed phlebotropic agents.

In advance, if you like, you can have colostrum. We will be happy to contact you. Pregnancy usually takes nine months. If the baby does not volunteer at times, the doctor initiates the birth. But sometimes a child leaves too much time. Thus, the longest pregnancy lasted 375 days.

In a Japanese study, researchers measured the length of the fetal penis using real-time ultrasound. According to the data, they concluded that the penis was flaccid 77 percent of the time and 23 percent of the time. The study was conducted in women at the week of pregnancy.

When conservative treatment does not help, therapy can be performed with the help of radical surgical interventions or minimally invasive techniques. To get rid of the pathology can be used:

Excision of a fissure of the rectum. The procedure is carried out under local anesthesia in one session. During the operation, the surgeon cuts the defect in one block, and leaves the wound open. After excision, you need to undergo a long course of rehabilitation.
Laser therapy. Laser removal is a painless procedure that takes no more than 1 hour. Laser therapy is effective and does not require a long course of rehabilitation.
Cryodestruction. This procedure involves freezing the defect of the rectum with liquid nitrogen. Cryodestruction is enough effective technique but is often difficult to implement in practice.

If a woman is going to give birth, then it is best to be observed by a proctologist, eat right and spend more time on fresh air. By following these simple rules, the risk of cracking can be minimized.

Radiant skin during pregnancy should be taken literally. Because the amount of blood increases by 50% as mothers get older. It shimmers, especially across the cheeks through the skin. In addition, hormones cause active sebaceous glands which makes the skin softer and shinier.

The sense of taste and smell suddenly becomes much more pronounced. Scientists say to help the expectant mother eat food with a small amount of contaminants. In order to bring healthy child into the world, it is enough for a mother to consume an additional 300 calories per day. Therefore, there is no need to consume double portions to eat for two.

After childbirth, women complain of problems with bowel movements. Difficulty in isolating stool most often caused malnutrition. Anal fissures after childbirth are also considered frequent. They worry many new mothers. After identifying characteristic symptoms you need to see a proctologist. The doctor will tell you how to treat rectal fissures after childbirth in order to avoid negative effects on the baby's body during breastfeeding.

Through the pregnancy hormone, the tissue is torn so that the uterus can grow. The larger it is, the more it presses on the lymphatics and veins in the pelvic area. Thus, the blood from the legs can circulate more slowly to the heart, and there are backwaters. As a result, more water enters the tissue from the water and is deposited there. The legs become flatter and, above all, wider. This condition usually begins towards the end of pregnancy and is temporary. However, it was already the case that the change was permanent and the woman could finally buy new shoes.

Lack of control over excreta

During childbirth, it often happens that a woman accidentally does her business. This is due to the same muscle group that tightens up to push the baby out. Previously, enemas were missed before birth. However, this did not help to avoid the mess and even led to the dehydration of the woman.

If you suspect an anal fissure, you should consult a doctor

Causes

During childbirth female body experiencing heavy load. This is especially displayed on the organs located in the small pelvis. A negative effect is also produced on the rectum. When a child passes through birth canal the woman is very tense. This causes an increase in pressure in the anal region, which leads to damage to the mucous membrane.

Nine out of ten women rupture at birth. In most cases, a few stitches are enough to restore the vagina. But in very bad cases, the fissure reaches the anus and can even affect the muscles beyond anus. But don't worry, this only applies to every hundredth mother.

The baby is there, but a few days after delivery is still to be expected after that. Muscle cramps ensure the reconstruction of the uterus and maintain blood stasis. The contractions are especially noticeable when breastfeeding, as the hormone oxytocin is released, which stimulates the uterus.

Cracks in the anus after childbirth can also be formed due to the following reasons:

chronic constipation. Caused by improperly organized nutrition, overexposure strict diet when breastfeeding;
absence proper preparation women in labor to the first chair. To facilitate the passage of feces, mild laxatives or enemas are used;
insufficient physical activity. A sedentary lifestyle, lack of hiking leads to congestion in the rectum;
Availability concomitant diseases. In chronic hemorrhoids, colitis, dysbacteriosis and other problems with the presence of foci of inflammation in the rectum, the risk of ruptures on the surface of the mucous membrane is significantly increased.

Symptoms of the disease

Anal fissure after childbirth is manifested as follows:

A US-Australian researcher found that before the age of 28 weeks, unborn babies move in low tones, such as babies crying. To find out, the scientists stimulated the fetus with short, deep sounds and looked with an ultrasound, which resulted in a stimulus. Like babies, babies opened their mouths and lowered their tongues as if they were exhaling for a long time, then took three movements that resembled deep breaths before they calmed down.

Babies drink water from water and urine. Therefore, it may be very good that sooner or later they will also drink their own urine. It is safe and excreted from the mother's body after ingestion of the baby's blood and placenta. What all moms want to know after birth but don't dare to ask directly: the pain of sitting before the first sex after giving birth. You good birth you and your child are doing well. The follow-up midwife who comes at the expense of the insurance company is also aware of issues from the intimate area.

pain during defecation. Going to the toilet causes suffering, a woman feels fear. Often there is a phenomenon when a person artificially restrains defecation. This further worsens the situation, leads to chronic constipation;
bloody issues. A woman can see blood droplets on toilet paper;
feeling of throbbing in the anus. Occur due to spasm of the sphincter;
discomfort, itching in the anal area. Unpleasant sensations aggravated while sitting, after going to the toilet.

If discomfort is detected in the anus after childbirth, it is necessary to seek advice from a proctologist. Early diagnosis diseases will prevent the development of complications or a chronic process. If the problem has just appeared, it can be fixed with conservative methods. Treatment of a chronic process requires surgical intervention.

Self appointment medications also fraught negative consequences. During breastfeeding, it is difficult to find drugs that are safe and effective. This can only be done by a qualified proctologist. The doctor will be able to choose medicines that are safe for the child and the mother.

An anal fissure is a vertical tear in the mucous membrane of the lower part

Patient lifestyle

It is impossible to cure anal fissures if the following rules are not observed:

diet compliance. It is recommended to eat a lot of plant foods, dairy products. If desired, you can introduce bran, whole grain bread, prunes into the diet. It is recommended to completely exclude fatty, fried foods, confectionery;
drinking enough fluids. A woman is recommended to drink at least 1.5 liters of water daily;
stool normalization. If the diet did not bring positive result It is recommended to take laxatives for some time. When breastfeeding, "Duphalac", "Fitomucil", "Normaze" are allowed;
personal hygiene. After going to the toilet, thoroughly clean the anus with antibacterial soap and water;
moderate physical activity. Includes hiking, uncomplicated physical exercise, classes in the pool.

The use of medicines

Treat anal fissures in postpartum period can be with the help of candles, ointments. They locally affect the damaged areas without a negative effect on the body. Exist safe drugs not absorbed into the blood. Drug components do not penetrate into breast milk, which is the main thing during lactation.

For treatment, suppositories or ointment are used

To the group safe means includes:

"Posterized". It has an immunostimulating effect, accelerates wound healing, relieves inflammation, and prevents the development of a secondary infection.
"Natalsid". Contains sodium alginate derived from brown algae. Suppositories are used to eliminate the inflammatory process, bleeding. The drug accelerates the regeneration of mucosal tissues;
Solcoseryl. The ointment contains an extract extracted from the blood of animals. The drug stimulates metabolic processes in tissues, accelerates the regeneration of the mucosal surface;
"Ultraproject". Medicine with a wide range actions. Ointment or suppositories "Ultraprokt" are used to eliminate itching, foci of inflammation, pain;
suppositories with propolis. Used in the absence of allergies to bee products. Suppositories with a natural composition produce an antibacterial, anti-inflammatory effect. Candles with propolis are used to accelerate the healing of the mucous membrane;
candles with sea buckthorn. Allow to accelerate the healing of damaged tissues, eliminate inflammatory process, destroy pathogenic microflora.

The use of folk remedies in the treatment of anal fissure

Folk remedies

The crack in the anus disappears if you use self-prepared remedies in addition to the main treatment. ethnoscience collected many recipes shown after childbirth while breastfeeding. Local impact on the affected areas does not cause a negative effect on the child or the mother's body.

A positive result shows the use of sitz baths or compresses. Prepare infusions from medicinal herbs- chamomile, St. John's wort, calendula, sage, oak bark and others. They have anti-inflammatory, wound-healing effect, eliminate pathogenic microflora. Procedures using herbal infusions are recommended to be done before using suppositories or ointments. Then there will be a better result from the treatment of rectal fissures after childbirth.

Specialization: infrared coagulation hemorrhoids; sclerotherapy; ligation of hemorrhoids with latex rings. Education: Diploma in Pediatrics, Omsk State medical Academy(1995) Residency in the specialty ...