Blood in Stool During Pregnancy: Causes and What to Do

Blood in the stool?

Doctor, I am currently pregnant and had pre-existing constipation issues before my pregnancy.
A few days ago, I experienced blood in my stool and pain at the anal area, with a noticeable flow of blood.
The next day, I noticed some light blood traces when wiping.
For the past two days, my bowel movements have been normal, but today there was blood in my stool again, and I noticed blood when wiping.
I have had similar issues in the past, and the doctor diagnosed me with anal fissures and hemorrhoids (a protruding mass at the anal area) as well as irritable bowel syndrome.
However, I have been taking digestive enzymes to help with bowel movements for many years, but I stopped using them after becoming pregnant.
I am also due to give birth next month and would like to know if I can undergo any relevant examinations at this time.
Last year, during my health check-up, the fecal occult blood test results were normal.
I do not have any abdominal pain or related symptoms; I typically have a bowel movement every three days, and my recent stools have been quite bulky.

Irene, 40~49 year old female. Ask Date: 2016/03/29

Dr. Ke Fangxu reply Surgery

If you are close to labor and the amount of bleeding is not significant, it is generally not a concern.
If you wish to undergo related examinations, it is recommended to wait until after delivery and the postpartum period.
Currently, a light diet with an emphasis on consuming more vegetables and fruits is advised, and it is best to avoid taking medications indiscriminately.

Reply Date: 2016/03/29

More Info

Experiencing blood in your stool during pregnancy can be concerning, especially when you have a history of constipation and hemorrhoids. It's important to understand the potential causes and what steps you can take to address the issue.

Possible Causes of Blood in Stool During Pregnancy
1. Hemorrhoids: Given your history of hemorrhoids, this is a likely cause of the bleeding. Hemorrhoids can become more pronounced during pregnancy due to increased pressure on the pelvic region and hormonal changes that can lead to swelling of the blood vessels.

2. Anal Fissures: These are small tears in the lining of the anus that can occur due to straining during bowel movements, especially if you are experiencing constipation. They can cause sharp pain and bleeding during or after a bowel movement.

3. Constipation: Pregnancy can slow down your digestive system, leading to constipation. Straining to pass hard stools can exacerbate hemorrhoids and cause anal fissures, both of which can result in blood in the stool.

4. Gastrointestinal Issues: While less common, other gastrointestinal issues such as diverticulosis or inflammatory bowel disease could also cause bleeding. However, these are less likely if you have not experienced other symptoms such as abdominal pain or changes in bowel habits.

What to Do
1. Consult Your Healthcare Provider: Since you are pregnant and nearing your due date, it is crucial to discuss any bleeding with your healthcare provider. They may recommend a physical examination to assess for hemorrhoids or fissures and may suggest further tests if necessary.

2. Dietary Changes: To alleviate constipation, consider increasing your intake of fiber-rich foods such as fruits, vegetables, whole grains, and legumes. Staying well-hydrated is also essential, as it can help soften stools and promote regular bowel movements.

3. Gentle Laxatives: If dietary changes are not sufficient, your doctor may recommend safe laxatives or stool softeners that are appropriate for use during pregnancy.

4. Avoid Straining: When using the bathroom, try to relax and avoid straining, as this can worsen hemorrhoids and fissures. If you feel the urge to go, don’t delay, as waiting can lead to harder stools.

5. Warm Baths: Soaking in a warm bath can help relieve discomfort associated with hemorrhoids and anal fissures.

6. Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids may provide relief. However, consult your doctor before using any medication.

7. Monitor Symptoms: Keep track of your symptoms. If the bleeding worsens, or if you experience significant pain, changes in bowel habits, or any other concerning symptoms, seek medical attention promptly.

Conclusion
While blood in the stool during pregnancy can be alarming, it is often related to conditions like hemorrhoids or anal fissures, especially given your history of constipation. It is essential to communicate openly with your healthcare provider about your symptoms and follow their recommendations for managing your condition. Maintaining a healthy diet, staying hydrated, and avoiding straining during bowel movements can help alleviate your symptoms. Always prioritize your health and the health of your baby by seeking professional advice when needed.

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