Pregnant women 32 weeks prolapsed hemorrhoids grade 4 can cut hemorrhoids?

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Ask
Hello doctor. I am 32 weeks pregnant. I have prolapsed hemorrhoids grade 4, very uncomfortable and painful. Doctor, can I have hemorrhoids surgery now? I hope you can give me some advice, thanks.
Anonymous question
Answer
Hello!
Hemorrhoids in pregnancy give priority to medical treatment with vasoactive and anti-inflammatory drugs. If in case there is a risk of hemorrhoid necrosis, acute inflammatory hemorrhoids, medical treatment does not respond, only hemorrhoidectomy is indicated. Because of the risks associated with pregnancy, use of antibiotics after surgery. To ensure health safety, you should see a gastroenterologist for a more specific examination. Wishing you good health and a round mother and a square baby!
Thank you for your question to Vinmec Health System. Best regards!
Master, Doctor Nguyen Ngoc Thang - Gastroenterologist - General Surgery Department - Vinmec International General Hospital Da Nang.