Normally, in healthy people fecal no red blood cells (blood). The appearance of feces with blood during pregnancy can be a sign of stomach and intestinal diseases. In the presence of this symptom pregnant women should seek medical advice immediately (coloproctologist or gastroenterologist).
Why is there blood in the stool
Why kro feces, do not know everything. Causes impurities of red blood cells in the stool while carrying a child are:
- anal fissure;
- varicose veins;
- Crohn's disease;
- ulcerative colitis;
- acute and chronic intestinal infections (dysentery, enterovirus infection, salmonellosis, amebiasis);
- peptic ulcer disease;
- anorectal syphilis;
- swelling;
- helminth infections;
- proctitis;
- intestinal tuberculosis.
The causes of blood in the stool during pregnancy can be Mallory-Weiss syndrome, leukemia, cancer of the stomach and intestinal tuberculosis. Blood can be crimson or dark brown, almost black (curled).
Hemorrhoids
A common cause of impurity of red blood cells in the stool in pregnancy - hemorrhoids. When this pathology anus formed nodes. They are the result of stagnant processes, thinning and expansion of hemorrhoidal veins. This is facilitated by a sedentary lifestyle, constipation and changing nature of nutrition during pregnancy.
If there is bleeding hemorrhoids during bowel movements. Blood drops found on top of the faeces and toilet paper. Most often they are scarlet and not mixed with feces. This symptom is combined with pain during a bowel movement, discomfort, burning and pruritus ani.
Anal fissures
Blood in the stool in pregnant women after a bowel movement can be a symptom of an anal fissure. This defect bowel wall size of 1-2 cm. This pathology is often detected at the same time with hemorrhoids. The crack can be formed as a result of mechanical damage to mucous solid faeces, weight lifting, vascular disorders and errors in the diet (lack of fiber).
At the crack of blood droplets released. Rarely observed massive bleeding. Additional symptoms include tenesmus, painful bowel movements, pain and perianal itching. The disease can cause anemia (cause - constant bleeding), abscess (inflammation of the tissue of the rectum) and the formation of fistulas.
Inflammation
Causes impurities of red blood cells in the stool in women may be ulcerative colitis (inflammation of the large intestine) and ulcerative proctitis (inflammation of the rectum). Chair with erythrocytes in colitis refers to a local (local) symptoms. Blood is released by contact with the feces of ulcers. It is located on top of feces.
Ulcerative proctitis develops against the background of infection. This condition is dangerous that can develop severe scarring that contribute to narrowing of the channel. Bloody stool in ulcerative proctitis often contains a lot of mucus and pus. Sometimes in a chair no feces. Proctitis differences is more severe and large amounts of blood released.
What pregnant woman
When bloody stools need to see a proctologist. Need general urine and blood samples, examination of feces occult blood test, colonoscopy, digital inspection, FEGDS and sigmoidoscopy. If rectal blood released, the treatment will depend on the underlying disease.
Treatment options include:
- Dieting. In inflammatory diseases, fissures and hemorrhoids during pregnancy should be excluded from the menu coarse food (crackers, chips, nuts, seeds), alcoholic beverages, spicy and fried foods, meats, pickles, spices, bakery and confectionery products, coffee. Help soften the stool figs, dried apricots, vegetables and fruits. You also need to drink more to enrich the diet and sources of fiber.
- Eliminating the root cause (limitation of physical activity, increased motor activity, anti-lock).
- Taking medicines. Hemorrhoids are used flebotoniki (Diosmin), healing agents (Methyluracil), suppositories (Relief, Natalsid). In 2 and 3 trimesters can be used Ultraproct. In Crohn's disease and ulcerative colitis are shown salofalk and immunosuppressants permitted during pregnancy. Vikasol can be used in severe bleeding.
- Enemas, baths, physiotherapy (ozone).
- Invasive procedures (sclerotherapy, laser therapy, coagulation, ligation, electrocoagulation, open surgery).
Scheme of treatment depends on the duration of gestation.