Hemorrhoids are veins in or around the anus that become swollen and inflamed. They’re itchy, uncomfortable, and, unfortunately, more likely to occur during pregnancy. The pressure from your growing baby on your intestines can increase your chances of developing hemorrhoids as you progress in your pregnancy. This is because you’re more likely to have constipation that can contribute to hemorrhoids. Fortunately, there are steps you can take to treat hemorrhoids. Let’s take a closer look. Pregnancy can cause hemorrhoids, in large part due to the greater likelihood of constipation during pregnancy. Constipation is when you have difficulty passing stool or aren’t able to pass stool as frequently. There are a few aspects of pregnancy that make constipation more likely, such as:
When the uterus gets larger throughout pregnancy, it can also slow down fecal movement. When you’re constipated and stool gets dry or harder to pass, you may strain when you try to make a bowel movement. This straining can put extra pressure on the veins and lead to hemorrhoids. You may also sit on the toilet longer to try and pass your stool, which can increase the likelihood for hemorrhoids. A low-fiber diet can also contribute to hemorrhoids, as can a history of chronic constipation or diarrhea before you were pregnant. Hemorrhoids are usually at their most irritating after you’ve had a bowel movement or engaged in strenuous activity. Some of the symptoms include:
You won’t always be able to feel a hemorrhoid — sometimes the hemorrhoid is inside your rectal area. Treating hemorrhoids involves a combination of reducing symptoms and preventing them from coming back. If your hemorrhoids don’t respond to at-home treatments and the cause is constipation-related, your doctor may recommend taking laxatives or stool softeners, which make stool easier to pass. When you’re pregnant, it’s always best to get the go-ahead from your doctor before taking a medication, even if it’s available over-the-counter. According to the journal Canadian Family Physician, there haven’t been many studies about the safety of laxatives in pregnancy. However, because of the way many of the treatments work (they aren’t absorbed systemically), doctors usually regard them as safe. Examples include:
However, it’s important to be aware of the side effects of any medications you may take. For example, some of the medications can cause lots of fluid losses through your stool. As a result, you may need to up your water intake to prevent dehydration and electrolyte imbalances. While there are surgical treatments for hemorrhoids, your doctor won’t usually recommend any type of surgical approach while you’re pregnant. Ideally, after you have your baby, your hemorrhoid symptoms should improve. For most expectant moms, some at-home steps can help to reduce hemorrhoids and their symptoms. Some examples include:
A study published in the journal Women and Birth looked at applying a topical cream or using sitz bathsto treat hemorrhoids in 495 pregnant women. At the conclusion of the study, researchers found sitz baths to be 100 percent effective in treating hemorrhoids. These baths consisted of sitting in a bath of salty, warm water three times a day. You can also purchase a shallow bath pan, such as this one from Amazon, that fits over your toilet seat to create a sitz bath without having to fill your bathtub. While you can’t change the rise in hormones and growing belly during pregnancy, your diet and exercise routine can go a long way in treating hemorrhoids during pregnancy. Some preventive steps you can take include:
Always check with your doctor before upping your exercise routine to ensure you can exercise safely during your pregnancy. While hemorrhoids are a literal pain, there are treatments that can ease the discomforts. If at-home methods don’t work well, you’re having difficulty passing stool, or you see more than a small streak of blood on your toilet paper, talk to your doctor. These symptoms may require more aggressive interventions to promote bowel regularity and reduce hemorrhoid discomfort. We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process. Hemorrhoids are swollen veins that develop around the anus. When they occur, they can cause pain and bleeding. Anyone can develop hemorrhoids, but pregnant women are at higher risk According to the Office on Women’s Health (OWH), up to 50% of pregnant women develop hemorrhoids. According to an article in World of Gastroenterology, hemorrhoids are common during the third trimester. Healthcare providers divide hemorrhoids into two different types— internal and external hemorrhoids. Internal hemorrhoids may require treatment, including medication or non-operative methods, such as rubber band ligation. However, external hemorrhoids do not require treatment unless they cause discomfort. This article will discuss the symptoms, causes, and treatment options available for hemorrhoids during pregnancy. The symptoms may vary depending on whether the hemorrhoids are external or internal. Share on Pinterest InternalInternal hemorrhoids form inside the rectum. Symptoms include:
If a person has a prolapsed hemorrhoid, they may experience pain and discomfort. Otherwise, internal hemorrhoids are not typically painful. Increasing pressure from the growing uterus can also cause hemorrhoids to become distended. ExternalExternal hemorrhoids form on the outside of the anus. Symptoms may include:
The hemorrhoids may bleed or become more painful if a person strains or aggravates them too much. Symptoms may disappear after a few days. When veins function normally, blood flows through them, traveling in one direction. Extra weight and pressure on the pelvis can cause the veins to swell in the lower body causing unpleasant issues, such as hemorrhoids. Hemorrhoids are common during pregnancy, and according to the OWH, reasons include:
According to the National Institute of Diabetes and Digestive and Kidney Diseases Health Information Center, other common causes of hemorrhoids include:
Hemorrhoids due to pregnancy may gradually resolve by themselves after delivery. However, a woman can relieve the symptoms by:
A person can purchase a donut cushion here. A pregnant woman can also have a sitz bath. A sitz bath may help to alleviate the symptoms of hemorrhoids, before and after birth. A person can purchase a sitz bath online here. Although mild laxatives, stool softeners, and fiber supplements are generally safe for pregnant women to use, topical ointments may not be safe. Pregnant women should talk to their doctor about which medications are safe for them to use. If a pregnant woman is experiencing a large amount of bleeding, a healthcare provider may suggest anal packing, which is an internal dressing. In some cases, a doctor may recommend surgery to remove the hemorrhoids. Prevention of hemorrhoids during pregnancy is not always possible. However, it might be possible to prevent hemorrhoids by:
A pregnant woman should see a doctor if the symptoms of hemorrhoids become painful and interfere with daily life. A person should also see a doctor if:
Women who are pregnant should talk to a doctor before starting home treatments for hemorrhoids. Hemorrhoids are common during pregnancy, typically during the third trimester. This is usually due to constipation, increasing pressure on the pelvis, and an increase in blood volume. Symptoms typically include itching, rectal bleeding, and painful lumps. Treatment usually involves managing symptoms at home with cold packs, warm baths, or over-the-counter creams and ointments. A woman should talk to her doctor before taking any medication or ointment for her symptoms to make sure they are safe. Following pregnancy, the hemorrhoids should start to resolve by themselves. If they do not resolve, or they get worse, a woman should talk to a doctor about additional treatment options, such as surgery. |