Managing Hemorrhoids Safely During Pregnancy: Expert Tips and Advice

Pregnancy can be a beautiful journey, but we understand it comes with its challenges—and hemorrhoids are one of them. Hemorrhoids, or swollen veins around the anus, are a common and often uncomfortable experience for expectant mothers.

While it’s reassuring to know that hemorrhoids usually improve after delivery, we know that doesn’t ease the discomfort you may be feeling right now. 

At Gastroenterology & Nutrition, P.C., our experts can guide you through them with care and understanding.

Is it Normal to Have Hemorrhoids During Pregnancy?

It is completely normal to develop hemorrhoids during pregnancy. Many expectant mothers experience this condition, particularly during the third trimester.

Studies suggest 25% to 35% of pregnant women develop hemorrhoids in the third trimester.

While hemorrhoids can be uncomfortable, they are usually temporary and often resolve after childbirth. It’s important to discuss symptoms with your healthcare provider for proper management.

What Causes Hemorrhoids During Pregnancy?

Hemorrhoids during pregnancy are caused by a combination of physical and hormonal changes. 

Hemorrhoids may develop due to increased pressure in the pelvic area caused by the growing uterus. It can affect the surrounding veins and lead to swelling.

Pregnancy hormones, like progesterone, also relax the walls of your blood vessels, making them more likely to swell. 

Constipation, another common pregnancy symptom, can also contribute to hemorrhoids due to straining during bowel movements. Additionally, increased blood volume during pregnancy can lead to vein swelling, contributing to hemorrhoid development. 

Symptoms of Hemorrhoids During Pregnancy

  • Itching or Irritation: Inflamed veins can cause persistent itching or irritation around the anus.
  • Pain or Discomfort: Hemorrhoids can cause pain, especially during activities like sitting, standing for extended periods, or passing a bowel movement.
  • Swelling: You may notice a small, tender lump or swollen area near the anus. This swelling can feel sensitive or uncomfortable when touched.
  • Bleeding:  Light bleeding may occur during or after a bowel movement. Bright red blood spots on toilet paper are a common sign.
  • Feeling of Fullness: Many women experience a sensation of fullness or pressure in the rectal area, which can add to the overall discomfort caused by hemorrhoids.

At-Home Care for Hemorrhoids During Pregnancy

  • High-Fiber Diet: Incorporate fruits, vegetables, and whole grains into your meals to prevent constipation and make bowel movements easier.
  • Stay Hydrated: Drink lots of water throughout the day to keep stools soft and reduce the need for straining.
  • Warm Sitz Baths: Soak in warm water for 10–15 minutes several times daily to soothe irritation and reduce swelling.
  • Avoid Prolonged Sitting or Standing: Minimize pressure on the rectal area by alternating between sitting and standing. Use a cushion or pillow when sitting to relieve strain.
  • Gentle Cleaning: Use moist towelettes or unscented wipes instead of dry toilet paper to prevent further irritation. You may try wipes or pads containing witch hazel, a natural ingredient that can soothe and reduce inflammation.

Medical Treatment for Hemorrhoids

So, how can hemorrhoids be treated safely during pregnancy? Dr. Yuriy Israel from Gastroenterology & Nutrition, P.C. explains:

Topical treatments such as low-dose hydrocortisone cream and lidocaine cream are generally considered safe during pregnancy.

Over-the-counter options like Preparation H suppositories or Tucks medicated wipes with witch hazel can also provide relief.

However, avoid oral medications that might harm your baby or enter breast milk during breastfeeding. Always consult your doctor before starting any treatment.

Other Treatment Options

For more severe or persistent hemorrhoids, medical procedures may be necessary:

  • Rubber Band Ligation: A rubber band is placed around the base of the hemorrhoid, cutting off the blood supply so it shrinks and falls off.
  • Infrared Photocoagulation: Heat from infrared light is used to shrink the hemorrhoid.
  • Injection Sclerotherapy: A chemical solution is injected into the hemorrhoid to reduce its size.
  • Surgical Hemorrhoidectomy: A procedure to remove the hemorrhoid, often recommended for large or severe cases.
  • Stapled Hemorrhoidectomy: This involves using a stapling device to reposition and secure the hemorrhoid, cutting off its blood supply.

These treatments are typically recommended after delivery or under specific circumstances. Consult your doctor to determine the safest approach for your situation.

Our experts at Gastroenterology & Nutrition, P.C. can assess your condition and provide personalized guidance to manage hemorrhoids safely during pregnancy. 

Expert Hemorrhoid Care at Gastroenterology & Nutrition, P.C.

During a consultation at Gastroenterology & Nutrition, P.C., one of our experienced providers will carefully assess your symptoms, listen to your concerns, and recommend appropriate treatment options to address your needs. We are committed to offering patient-centered care to help you feel comfortable and supported throughout your treatment journey.

Contact Gastroenterology & Nutrition, P.C. today to schedule your consultation and let us help you manage symptoms with patient-focused hemorrhoid care.

Frequently Asked Questions

Can Hemorrhoids During Pregnancy Harm My Baby?

Hemorrhoids during pregnancy do not harm your baby directly. However, if hemorrhoids cause significant discomfort that affects your overall well-being, it’s important to address these symptoms with your healthcare provider.

What Exercises Can Help Reduce Hemorrhoid Discomfort During Pregnancy?

Gentle exercises like walking, pelvic tilts, and Kegel exercises may help improve circulation, and reduce pressure on veins. Always consult your doctor before starting or modifying your exercise routine during pregnancy.

Can Hemorrhoids Become Infected During Pregnancy?

Yes, though rare, hemorrhoids can become infected if they are irritated or thrombosed. If symptoms like severe pain, redness, or swelling occur, seek medical attention immediately.

Disclaimer

This article is for educational purposes only and is not medical advice. Consult professionals for any medical concerns or before starting any treatment. Do not ignore professional medical advice due to the information read here. The authors are not responsible for any outcomes from the use of this information.

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