What Causes Hemorrhoids In Pregnant Women
In general, hemorrhoids can be caused by a variety of factors like straining during bowel movements, sitting on the toilet too long, the overuse of laxatives, or even lifting heavy objects. Chronic constipation and chronic diarrhea are also potential causes, mostly because of regularly straining and wiping associated with irregular bowel movements. Also, one of the reasons they affect half of people over 50 is that aging weakens the tissues and muscles that surround and support the rectum and anus.
For pregnant women, hemorrhoids tend to show up during the third trimester, when the fetus is larger and puts pressure on the pelvic floor and many of the organs of the digestive system. This pressure is especially notable on the perineum, the space between the anus and the vulva. As the fetus grows and the body prepares for childbirth, the combination of increased blood flow to the area and the pressure of the fetus weight can cause them to swell and become inflamed.
Ask A Pharmacist About Treatment For Piles
Talk to a pharmacist to get advice on:
- creams to ease the pain, itching and swelling
- treatment to help constipation and soften poo
- cold packs to ease discomfort
You can ask the pharmacist to talk to you in a private area if you do not want to be overheard.
It can feel embarrassing to talk to your pharmacist or GP about your piles. But piles are very common. Your GP is used to diagnosing and treating piles.
When Do Hemorrhoids Start During Pregnancy
Although people can get hemorrhoids anytime during their lifetime, pregnant women are more susceptible to it. They generally occur during the third trimester of pregnancy and could get stretched until after pregnancy due to extra pressure applied during birth . In such situations, simple home remedies or suggested treatments can prove effective.
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Tips For Managing Hemorrhoids During Pregnancy
Perhaps the best news about having hemorrhoids during pregnancy is that they usually improve or heal not long after the baby is born. In some cases, they can get worse or originally form postpartum as a result of pushing hard during delivery. Either way, there are numerous methods and home remedies for avoiding or easing the discomfort of hemorrhoids even while still pregnant:
Key Points About Hemorrhoids And Varicose Veins In Pregnancy

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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.
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Many normal changes in pregnancy can increase the risk for hemorrhoids and varicose veins.
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Hemorrhoids and varicose veins in pregnancy are a short-term problem, and they get better after your baby is born.
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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.
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The best way to help prevent hemorrhoids during pregnancy is to prevent constipation. If you are constipated, don’t strain during bowel movements.
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Unwind During Solid Discharges
Pushing excessively hard during defecation squeezes the rectal veins, which can cause or demolish hemorrhoids.
Put your feet up on a stool during defecations. This can assist with assuaging the tension on the rectal region and permit you to pass the stool all the more without any problem.
Utilize the restroom promptly on the off chance that you want to go this can lessen the danger of hemorrhoids.
The passing stool can turn out to be more troublesome on the off chance that you stand by.
Go When You Need To Go
This sounds like common-sense advice, but too many people ignore it. If you delay using the bathroom, your stool may become hard and dry in your bowel, which makes it harder to pass. If you strain to pass stool, your risk for developing hemorrhoids increases.
Speaking of straining, dont force a bowel movement when you dont need to go, either. Straining increases the pressure on your venous cushions, which leads to hemorrhoids. In particular, straining can turn internal hemorrhoids into external ones.
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Will Haemorrhoids Continue After Ive Had My Baby
In most cases, haemorrhoids go away after your baby is born. While regular treatment of haemorrhoids is encouraged during breastfeeding, it is especially important to drink plenty of water at this time to prevent constipation. If you find that your haemorrhoids do not get better even a short time after giving birth, speak to your doctor about further treatment.
What Are The Signs Of Hemorrhoids
Hemorrhoids develop when the veins in and around the anus become swollen due to the pressure caused by the weight of your pregnant uterus. The most common symptoms are anal itching and burning, and pain when you poo. Internal hemorrhoids will bleed when a hard bowel movement passes over the swollen veins. External hemorrhoids appear as swollen, bluish-coloured lumps on the outside of the anus and are painful but usually dont bleed.
Hemorrhoids tend to show up either in your first trimester or your last. In the first couple of months of pregnancy, women tend to become constipated due to hormonal changes. They strain, and we know straining is a risk factor for the development of hemorrhoids, says Arthur Zaltz, chief of obstetrics and gynaecology, and head of the Women and Babies program at Sunnybrook Health Sciences Centre in Toronto. In the final trimester of pregnancy, he says, your heavy uterus puts pressure on nearby veins, causing tiny clumps of blood vessels in and around the rectum to bulge.
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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 .
How To Get Rid Of Hemorrhoids During Pregnancy
First the bad news: Hemorrhoids are permanent, so unfortunately, you cant get rid of them per se. The somewhat good news? Some women may not feel any symptoms, and if thats the case with you, then you dont have anything to worry about, Sullivan says. Just monitor it. However, if yours are uncomfortable, you can at least treat the symptoms. Heres how to ease hemorrhoid pain during pregnancy:
Ice pack. The simplest remedy, a cold compress can offer immediate, albeit very temporary, relief.
A sitz bath. This is an easy home remedy for pregnancy hemorrhoids. If youre having pain, your best friend is a warm tub of water, Minkin says. You dont need to put anything in itjust sit there and read a book for 10 or 15 minutes. Get out of the tub, pat the area dry, and then take your hair dryer on low heat to the areaits soothing, and you dont have to rub the area. Follow up with an over-the-counter medication .
Witch hazel pads. These have a cooling effect and can be used to clean the area or, when folded, as a compress to reduce swelling. One mom, plagued with no less than five hemorrhoids during pregnancy, found these pads to be especially helpful. I use witch hazel wipes or pads every time after I go to the bathroom, she says. In addition to generic witch hazel pads, you can also find treatments specifically for hemorrhoids, such as Tucks.
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Treating Hemorrhoids During Pregnancy
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.
Medications
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 cushion
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.
Physical exam
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How Are Haemorrhoids Treated During Pregnancy
Because constipation worsens haemorrhoids, treatment options centre around preventing or managing constipation, or reducing pain associated with haemorrhoids.
Treatment options include the following:
- Lifestyle changes having a diet high in fibre and drinking lots of water will help ensure you dont need to strain on the toilet. External haemorrhoids can be treated by placing an icepack on the affected area to reduce swelling. Taking a warm bath may also help to reduce the pain.
- Laxatives these help ease any straining associated with constipation. They help you pass bowel movements more easily.
- Pain relief medicine paracetamol can help address pain associated with sore, swollen veins, and can be taken during pregnancy. Be sure to follow the directions for use.
- Haemorrhoid creams help address itchiness, pain or inflammation, and contain active ingredients such as corticosteroids or local anaesthetics.
Speak with a health professional such as pharmacist before using medicines or creams while pregnant.
Avoiding constipation is the best way you can reduce your chance of haemorrhoids. A healthy gut helps stop you from straining during a bowel movement. Eat a diet high in fruit, vegetables and wholegrains, and drink plenty of water.
Risk Factors During Pregnancy
During pregnancy, various factors promote the occurrence of pregnancy thrombosed hemorrhoid, especially during the third trimester of it:
- Altering the venous return, caused by an increase in blood volume, and hormonal fertilization that causes relaxation of tissues including the vein, and the gestational uterus that presses on the pelvic area.
- Constipation due to a decrease in bowel movement, which is itself a result of hormonal changes and the weight of the uterus.
- Tissue relaxation under the influence of hormones, knowing that hemorrhoidal tissues are very rich in estrogen receptors and therefore are very sensitive to hormonal changes.
- The intense expulsion efforts during childbirth also promote the appearance of postpartum thrombosed hemorrhoids.
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Symptoms Of Hemorrhoids During Pregnancy
The main symptoms and signs of hemorrhoids are as follows:
How Can I Prevent Hemorrhoids From Forming
One way to prevent hemorrhoids is to minimize straining. That includes avoiding heavy lifting, like picking up your three-year-old. To alleviate the strain of constipation, Toronto-based registered dietitian Cassandra Reid recommends changing your diet. Along with hormonal fluctuations, she says, constipation in pregnancy can also be caused by a lack of fibre. Eating during pregnancy can be hard, says Reid. Hormonally, you might be going for more of your wants versus what you really need, which is a balanced diet. Along with foods that are rich in fibre, Reid also suggests drinking plenty of water and taking probiotics.
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Hemorrhoids are varicose veins of the rectum and can be painful. Learn more about causes, treatment and prevention of hemorrhoids during pregnancy.
Content provided on this site is for entertainment or informational purposes only and should not be construed as medical or health, safety, legal or financial advice.
Home remedies to treat hemorrhoids: have a stiz bath, adopt healthy bowel practices, avoid pressure on the area, and rest. Also increase fiber intake and exercise.
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2. You have weird dreams. During the beginning of pregnancy, its really common to have vivid, eerie dreams. One minute theres a giant Brussels sprout dancing around in a miniskirt and the next minute, youre kayaking naked with.
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When Should You See Your Healthcare Provider
Consult your provider if preventive efforts and home treatments don’t help, or if you have severe pain or rectal bleeding. In some cases, you may need professional help shrink your hemorrhoids.
Also, always check with your provider before taking any medication for hemorrhoids while you’re pregnant. There are a lot of hemorrhoid relief products available. Keep in mind that most of these products should be used for no more than a week to avoid such side effects as skin irritation or thinning.
For many women, hemorrhoid symptoms resolve after delivery. If they persist, surgical treatment might be recommended.
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What Are The Symptoms Of Hemorrhoids And Varicose Veins In Pregnancy
Hemorrhoids can be internal, forming inside the rectum, or external, located on the outside, around the anal opening. Internal hemorrhoids can sometimes bulge out through the anal opening. The most common symptom is bright red blood passed with a bowel movement. External hemorrhoids can be painful or itch, and may bleed if irritated by straining or wiping.
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.
Why Are They More Common During Pregnancy

Although hemorrhoids can appear at any time, most moms-to-be get them in the third trimester, starting around week 28.
Increased blood flow to the pelvic area, as well as pressure from the enlarging uterus and growing baby, can cause the veins that run through the anus to swell.
Hemorrhoids can also can result from constipation. Thanks to pregnancy hormones, bowels slow down during pregnancy. When stool is hard, the extra straining to eliminate it can put pressure on veins in your rectal area, causing them to become inflamed and bulge. “On top of that, higher progesterone levels cause the walls of the veins to relax and allow them to swell more easily,” said Dr. Harris.
If you had hemorrhoids before pregnancy, you’re more likely to have them during pregnancy. Hemorrhoids may also develop postpartum as a result of pushing during labor.
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