Effective Ways to Relieve Pain from Late Pregnancy Hemorrhoids - Obstetrics and Gynecology

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How to alleviate the pain of external hemorrhoids in late pregnancy?


Hello doctor, my wife is currently in the late stages of pregnancy and often experiences pain that makes it difficult for her to sit or lie down comfortably.
She has been using topical medications and suppositories, but the effects seem to be inadequate.
I would like to ask if there are any other methods to alleviate her pain.
Thank you!

Jingfeng, 30~39 year old female. Ask Date: 2021/04/04

Dr. Wu Xianghui reply Obstetrics and Gynecology


1.
Try using an inflatable ring cushion.
2.
In principle, relief can only be achieved after childbirth.

Reply Date: 2021/04/04

More Info


Hemorrhoids during late pregnancy can be particularly uncomfortable and distressing for many women. The increased pressure on the pelvic region due to the growing uterus, along with hormonal changes, can lead to the development of hemorrhoids, which can cause pain, itching, and discomfort. Here are some effective strategies to relieve pain from hemorrhoids during late pregnancy:
1. Dietary Changes: One of the most effective ways to manage hemorrhoids is through dietary modifications. Increasing fiber intake can help soften stools and reduce straining during bowel movements, which is a significant contributor to hemorrhoid pain. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Additionally, staying well-hydrated by drinking plenty of water can also help prevent constipation.

2. Warm Baths: Soaking in a warm bath can provide immediate relief from hemorrhoid pain. The warmth helps to relax the muscles in the anal area and can reduce inflammation. A sitz bath, where you sit in a few inches of warm water, can be particularly soothing. Aim for 10-15 minutes of soaking several times a day, especially after bowel movements.

3. Cold Compresses: Applying cold compresses or ice packs to the affected area can help reduce swelling and numb the pain. Wrap ice in a cloth and apply it to the hemorrhoids for about 10-15 minutes at a time. This can be done several times a day as needed.

4. Topical Treatments: Over-the-counter creams and ointments specifically designed for hemorrhoids can provide temporary relief from pain and itching. Look for products that contain hydrocortisone or witch hazel, which can help reduce inflammation and soothe the area. However, it’s essential to consult with a healthcare provider before using any topical treatments during pregnancy.

5. Proper Positioning: When sitting or using the toilet, try to maintain a comfortable position. Avoid sitting for long periods, as this can exacerbate hemorrhoid pain. When using the toilet, consider using a stool to elevate your feet, which can help reduce straining.

6. Pelvic Floor Exercises: Gentle pelvic floor exercises, such as Kegel exercises, can improve circulation in the pelvic area and may help alleviate some discomfort associated with hemorrhoids. These exercises involve contracting and relaxing the muscles of the pelvic floor and can be done discreetly throughout the day.

7. Avoid Straining: Straining during bowel movements can worsen hemorrhoids. If you feel the urge to go, try not to delay it. If you’re having difficulty, consider using a stool softener, but consult your healthcare provider before starting any new medication.

8. Consult a Healthcare Provider: If the pain from hemorrhoids becomes unbearable or does not improve with home remedies, it’s essential to consult a healthcare provider. They may recommend additional treatments, such as prescription medications or, in severe cases, procedures to remove the hemorrhoids.

9. Physical Activity: Engaging in light physical activity, such as walking, can help stimulate bowel function and reduce the risk of constipation, which can aggravate hemorrhoids. However, it’s crucial to listen to your body and avoid any activities that cause discomfort.

In conclusion, while hemorrhoids can be a common and painful issue during late pregnancy, there are several effective strategies to manage and relieve the discomfort. A combination of dietary changes, topical treatments, warm baths, and proper positioning can significantly improve symptoms. Always consult with a healthcare provider before starting any new treatment to ensure it is safe for you and your baby.

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