Medical Treatment For Hemorrhoids
During pregnancy, always talk with your doctor before taking any medication, including those you apply to your skin . This will ensure treatments do not pose a risk to your baby.
Topical over-the-counter or prescription treatments may help hemorrhoids. These medications often include pain-relieving or anti-inflammatory ingredients.
Creams or ointments that contain hydrocortisone-pramoxine can be especially effective for reducing pain, inflammation, and itching caused by hemorrhoids. But these ingredients may not be safe for pregnancy. Make sure to discuss them with a doctor.
The doctor may also be able to recommend a safe laxative or a suppository to relieve constipation.
Some prescription oral treatments, like , are available for treating hemorrhoids, but they may not be safe during pregnancy or if youre breastfeeding or chestfeeding.
Other medical treatment options for hemorrhoids includes:
Your doctor may suggest packing the site of the hemorrhoid with absorbent bandages to avoid excessive bleeding.
You can try to reduce hemorrhoids or prevent them from developing in several ways.
Physical Changes After Childbirth
The changes in your body may include sore muscles and bleeding.
- Contractions calledafterpains shrink the uterus for several days after childbirth. Shrinking of the uterus to its prepregnancy size may take 6 to 8 weeks.
- Sore muscles are common after childbirth. This is because of the hard work of labor. The soreness should go away in a few days.
- Bleeding and vaginal discharge may last for 2 to 4 weeks and can come and go for about 2 months.
- Vaginal soreness, including pain, discomfort, and numbness, is common after vaginal birth. Soreness may be worse if you had a perineal tear or episiotomy.
- If you had a cesarean , you may have pain in your lower belly and may need pain medicine for 1 to 2 weeks.
- Breast engorgementis common between the third and fourth days after delivery, when the breasts begin to fill with milk. This can cause discomfort and swelling. Placing ice packs on your breasts, taking a hot shower, or using warm compresses may relieve the discomfort. For more information, see the topic Breast Engorgement.
Call your doctor if you are concerned about any of your symptoms. For more information, see When to Call a Doctor.
Postpartum Hemorrhoids And Other Pains In The Butt
Reviewed by Kimberly Langdon M.D.
One of the most common complaints after childbirth is hemorrhoids, with 28% to 48% of women reporting symptoms at 4 weeks postpartum. They are actually very common during pregnancy as well, thanks to constipation and the extra pressure on your veins in your lower half from your enlarged uterus. If you successfully avoided them during pregnancy, you still might have them after childbirth, due to straining during labor and constipation afterward. If you did have them during pregnancy, they might get worse. Heres what to expect and what you can do about them.
What are hemorrhoids?
Whats the difference between hemorrhoids and varicose veins?
Varicose veins are enlarged veins and can be found anywhere on your body. During pregnancy, they occasionally develop on the vulva, and referred to as vulvar varicosities. When varicose veins develop in the rectum, they are referred to as hemorrhoids.
What causes postpartum hemorrhoids?
Also, during labor and delivery, there may be a lot of pushing and straining, which can cause hemorrhoids.
How long do hemorrhoids last after giving birth?
How are postpartum hemorrhoids treated?
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What Treatments Can You Get From Your Doctor
Treating hemorrhoids involves a combination of reducing symptoms and preventing them from coming back. If your hemorrhoids dont 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 youre pregnant, its always best to get the go-ahead from your doctor before taking a medication, even if its available over-the-counter.
According to the journal , there havent been many studies about the safety of laxatives in pregnancy. However, because of the way many of the treatments work , doctors usually regard them as safe.
- bulk-forming agents, such as bran and psyllium
- stool softeners, such as docusate sodium
However, its 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 wont usually recommend any type of surgical approach while youre 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:
Always check with your doctor before upping your exercise routine to ensure you can exercise safely during your pregnancy.
What Can Cause Hemorrhoids During Pregnancy
The increase in the hormone progesterone during pregnancy can also contribute to the development of hemorrhoids, as it relaxes the walls of your veins, making them more prone to swelling. An increase in blood volume, which enlarges veins, can also contribute to hemorrhoids during pregnancy.
Three common additional causes of hemorrhoids during pregnancy include:
- Straining during bowel movements
- Straining from carrying extra pregnancy weight
- Sitting or standing for long periods of time
Hemorrhoids are most common in pregnant women who experience constipation.
As many as 38 percent of pregnant women become constipated at some point during their pregnancy, according to research published in the journal BMJ Clinical Evidence.
One cause of constipation during pregnancy may be when the growing uterus pushes against the bowel. Iron supplements you may take can also contribute to constipation, so its worth trying to get the iron you need naturally through your diet.
Pregnancy hormones can also slow down the movement of food through the digestive tract, making constipation more likely.
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Home Care For Hemorrhoids In Pregnancy
One of the most recommended treatments involves a high-fiber diet. This is mostly done to achieve an easy and soft stool to prevent strain or pressure. Drinking sufficient quantities of water to keep the bowel movement going is also highly recommended. Other common home remedies include the following.
- A sitz bath can ease the itching, pain, or any sort of irritation and get the blood flow going.
- Ice packs or pads of witch hazel could be used to reduce swelling and also soothe the pain.
- Sitting or standing for long periods of time exerts pressure on the veins. Frequent body movement, such as walking or Kegel exercise, can relieve the pressure. This may also help with constipation .
- You may use pregnancy-safe creams or medications for external or internal hemorrhoids as prescribed by your doctor.
- In order to avoid straining during constipation, stool softeners are sometimes prescribed for ease of pressure.
- Change in the sleep position could also help. Sleeping sideways might induce a better blood flow .
What Are The Symptoms Of Hemorrhoids And Varicose Veins In Pregnancy
Varicose veins often look like large, twisted, raised blue or purple veins on the legs often on the backs of the calves or inside the legs. They may cause mild swelling in the ankles and feet, or aching, heaviness, or throbbing in the legs. They can also cause leg cramps. If varicose veins occur in the genital area, they also appear as large, twisted, raised veins.
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What Are The Signs And Symptoms Of Thrombosed Haemorrhoids
Haemorrhoids are swollen blood vessels in the region of your bottom which can occur internally or externally. They can happen to anyone but are also fairly common during pregnancy â affecting around 35% of expectant mothers, particularly during the third trimester.
In the later stages of pregnancy, as your body prepares to deliver your new bundle of joy, the pregnancy hormone, progesterone, causes the walls of your blood vessels relax and swell up. On top of that, as your baby grows and your uterus becomes more enlarged, its increasing weight can put pressure on the surrounding areas, including your bottom, causing haemorrhoids.
Although they can be unpleasant, piles are not generally harmful to you or your baby and can be treated quite quickly.
Other common causes of haemorrhoids which may also affect you during pregnancy are over-straining during a bowel movement or when delivering the baby, constipation, and a low fibre diet.
You may find that your tastes and diet changes during pregnancy but its worth keeping in mind that eating enough fibre helps to keep stools soft, which keeps things moving through the digestive system. A low fibre diet can result in harder stools that are difficult to pass and even constipation, which in turn can lead to haemorrhoids.
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Best Medication For Hemorrhoids During Pregnancy
There are plenty of medications available that are safe to use during pregnancy, but it is also important for you to consult your doctor before using any medication for hemorrhoid treatments.
Creams like Preparation H are safe to use while pregnant, as well as hemorrhoid wipes that include natural ingredients like witch hazel. Witch hazel has anti-inflammatory properties and wipes with witch hazel have a cooling and soothing feel when applied.
For pain relievers that can be taken orally, acetaminophen and ibuprofen are both safe to use during pregnancy.
However, you should talk to your doctor about dosage before taking either medication.
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Helpful Tips On How To Get Rid Of Hemorrhoids During Pregnancy
So far, there are two major causes of hemorrhoidsweight gain and constipation. If youre wondering how long pregnancy hemorrhoids last, Dr. Folch-Hayek OBGYN says that they start healing as soon as the cause goes away. But there are ways to get rid of hemorrhoids during pregnancy, and several things that you can do to lessen your risk or relieve the pain.
Diet and exercise
Since constipation is a primary factor for developing hemorrhoids, make sure to increase your fiber and water intake. These will help with digestion, which happens slowly during pregnancy. Exercises also help with fluid and blood circulation, as well as speed up the metabolism a little.
If pain is present, Tylenol will help alleviate it. Although it is perfectly safe for pregnant individuals, you should consult your primary care provider to know how to take this medication. Some topical creams that are safe for use during pregnancy may also help ease the pain and itching but, once again, ask your OBGYN for recommendations. Usually, what we can only do during this time is pain management, says Dr. Folch-Hayek.
Donut cushions may also provide relief. They wont necessarily treat the hemorrhoids, but they help reduce the pressure in the inflamed area and can provide pregnant individuals comfort, suggests Dr. Folch-Hayek. These soft pillows can also help if youre having discomfort after childbirth.
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When To See The Doctor
If you dont find any improvement in your condtion after using the natural cures at home, you should definitely contact your doctor. If you see that the hemorrhoids are persistent, or getting worse, dont delay in getting proper medical treatment.
Timely detection and prevention is the best way to cure postpartum hemorrhoids. If you feel there is no improvement after using the home remedies, get immediate medical attention. Get treatment before the condition becomes worse.
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When To See Your Healthcare Provider About Postpartum Hemorrhoids
These home care tips should make your hemorrhoids shrink. If you’ve tried them for more than a week and your symptoms haven’t improved, call your doctor.
Hemorrhoids can be an embarrassing topic to talk about, even with your doctor. But getting treatment will end your discomfort and help you avoid hemorrhoid complications like anemia, a blood clot, or an infection.
- Pain in your rectum
- A hemorrhoid has become hard and painful
If the hemorrhoids don’t go away or they bother you, your provider has treatments for them. One uses rubber bands to cut off the hemorrhoid’s blood supply. Others get rid of hemorrhoids with an electrical current or heat. Rarely, eliminating hemorrhoids requires minor surgery.
BabyCenter’s editorial team is committed to providing the most helpful and trustworthy pregnancy and parenting information in the world. When creating and updating content, we rely on credible sources: respected health organizations, professional groups of doctors and other experts, and published studies in peer-reviewed journals. We believe you should always know the source of the information you’re seeing. Learn more about our editorial and medical review policies.
ACOG. 2022. Exercise after pregnancy.
Cleveland Clinic. 2021. Hemorrhoids.
How Can You Prevent Hemorrhoids During Pregnancy
Your body undergoes a lot of changes when youâre expecting, and swelling veins can be one of them. Talk to other expectant moms during prenatal classes, share experiences or ask your instructor about natural remedies.
These steps may help you avoid hemorrhoids during pregnancy:
- Eat a high-fiber diet. Choose from fresh avocados, beans and other fruits and vegetables sold in Arizona.
- Donât delay going to the bathroom when you feel the urge to have a bowel movement. Make sure you donât sit on the toilet longer than necessary because this puts pressure on your rectal area.
- If youâre already constipated, ask your healthcare provider about a fiber supplement or stool softener.
- Choose a food-based prenatal vitamin. Synthetic vitamins, especially iron, can cause constipation. Food-based prenatal vitamins are more absorbable.
- Get regular and safe exercise right up to your due date as long as your provider says itâs OK.
- Donât sit or stand for long stretches of time. If your job involves sitting at a desk, get up and move around for a few minutes every hour or so.
Promote good habits
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When To Call A Doctor
Speak to your doctor immediately if you notice any rectal bleeding. If your homecare results have not yielded any results, it is time to speak to a professional. Hardening of the haemorrhoids and increasing pain are also indicators of needing medical intervention. There could be a blood clot inside which may need a small procedure for removal.
Postpartum Haemorrhoids are not life-threatening but can cause pain and discomfort. However, it can be prevented and controlled by maintaining an active lifestyle and natural remedies coupled with medications can help overcome this condition.
Consume Bananas On A Regular Basis
Bananas offer great benefits when pregnant. This wondrous food is not only a rich source of folic acid, potassium and vitamin B6, but also extremely beneficial for the development of the foetal nervous system. Rich in fibre and a good source of pectin-a kind of fibre that effectively manages the food in the digestive tract bananas should be consumed on a regular basis to prevent piles during pregnancy.
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Key Points About Hemorrhoids And Varicose Veins In Pregnancy
Both hemorrhoids and varicose veins are swollen, twisted veins. These veins are often in the legs, but when they form in the rectum, they are called hemorrhoids.
Many normal changes in pregnancy can increase the risk for hemorrhoids and varicose veins.
Hemorrhoids and varicose veins in pregnancy are a short-term problem, and they get better after your baby is born.
You can do things to ease the discomfort they can cause. These include sitz baths, ice packs or cold compresses to reduce swelling, and creams or other medicines, such as stool softeners, your healthcare provider may recommend.
The best way to help prevent hemorrhoids during pregnancy is to prevent constipation. If you are constipated, dont strain during bowel movements.
How Are Postpartum Hemorrhoids Treated
For temporary pain relief, you can take acetaminophen or ibuprofen , even if you’re breastfeeding. Just be careful not to take more than the dose recommended on the package. Since aspirin is linked to Reye’s syndrome in children, it may be best to avoid it while you’re breastfeeding.
After each bowel movement, gently clean your bottom using the plastic squirt bottle the hospital gave you. Or you might use wipes premoistened with witch hazel that are made just for people with hemorrhoids. You can also take a shower after a bowel movement, use a bidet if you have one, or take a shallow bath to clean the area.
After using the bathroom, wipe or pat dry with soft, unscented toilet tissue. It’s less irritating than other varieties.
You’ll find many hemorrhoid creams, ointments, pads, and suppositories on drugstore and supermarket shelves. It’s safest to check with your doctor before trying one on your own. And keep in mind that most of these products are meant to be used for a week or less. Using them for too long might make your hemorrhoids even worse.
If you had an episiotomy or a tear in or around your rectum, it’s especially important not to put anything including suppositories in there until you get the okay from your doctor.
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Best Hemorrhoid Cream During Pregnancy
The secret in finding the best hemorrhoid cream to use during pregnancy is finding a cream with natural ingredients.
Studies have concluded that the use of natural ingredients like beeswax, honey, and olive oil are effective in treating symptoms of hemorrhoids.
Products that have accumulated a number of 5 star reviews on sites like as being both safe and effective treatments for hemorrhoids that occur during pregnancy.
Other popular creams like Preparation H are also safe to use when pregnant.
As with any other treatmentnatural or notconsult your doctor before use.
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