Managing Hemorrhoids During Pregnancy: Relief Options and Recovery

Is there no choice but to endure hemorrhoids during pregnancy?

You mentioned last time that increased abdominal pressure during pregnancy makes it easier to develop hemorrhoids.
Does this mean that it is more difficult for pregnant patients to reduce swelling compared to non-pregnant patients? The repeated application of medication and swelling due to bowel movements can be quite challenging! Will it only be possible to recover after giving birth? Is it better to push the swollen part back inside the anus?

Bao Bei Ma, 30~39 year old female. Ask Date: 2012/07/17

Dr. Ke Fangxu reply Surgery

It is not always necessary to endure.
Textbooks mention that pregnant women can lie on their side for surgery instead of the usual prone position; however, there are associated surgical risks and postoperative care complications.
In Taiwan's challenging medical environment, it is unlikely that many doctors would be willing to take such risks to perform surgery on pregnant women.
Generally, symptoms improve after delivery, but they may not completely resolve, depending on the degree of hemorrhoidal swelling.
It is not advisable to forcibly push the swollen area back into the anus, as this can cause pain and it is likely to protrude again.
It is recommended to wash with warm water and rest in bed for better recovery.

Reply Date: 2012/07/17

More Info

Managing hemorrhoids during pregnancy can indeed be a challenging experience due to the physiological changes that occur in a woman's body. The increase in abdominal pressure, hormonal changes, and the growing uterus can all contribute to the development and exacerbation of hemorrhoids. This condition is not only uncomfortable but can also lead to significant distress for many pregnant women.

Firstly, it’s important to understand that hemorrhoids are swollen veins in the rectal area, and during pregnancy, they can become more pronounced due to increased blood volume and pressure on the pelvic veins. This can lead to symptoms such as pain, itching, and bleeding, particularly during bowel movements. Unfortunately, the condition can be more persistent in pregnant women compared to those who are not pregnant, primarily because the underlying causes—such as increased pressure and hormonal changes—remain throughout the pregnancy.

To manage hemorrhoids effectively during pregnancy, several relief options can be considered:
1. Dietary Changes: Increasing fiber intake is crucial. Consuming a diet rich in fruits, vegetables, and whole grains can help soften stools and reduce straining during bowel movements, which is a significant contributor to hemorrhoid flare-ups. Staying well-hydrated is equally important.

2. Regular Exercise: Gentle exercises, such as walking or prenatal yoga, can improve circulation and promote regular bowel movements, which may help alleviate symptoms.

3. Topical Treatments: Over-the-counter creams and ointments specifically designed for hemorrhoid relief can provide temporary relief from itching and discomfort. However, it’s essential to consult with a healthcare provider before using any medication during pregnancy.

4. Warm Baths: Soaking in a warm bath can help reduce swelling and provide relief from discomfort. This can be done several times a day, especially after bowel movements.

5. Cold Compresses: Applying cold packs to the affected area can help reduce swelling and numb pain.

6. Avoiding Straining: It’s vital to avoid straining during bowel movements. If constipation is an issue, consider discussing with a healthcare provider about safe stool softeners or laxatives that can help.

7. Positioning: When sitting on the toilet, elevating the feet on a stool can help create a more natural position for bowel movements, which may reduce straining.

Regarding your question about whether the swelling will resolve after childbirth, many women find that their hemorrhoids improve significantly after delivery. However, this can vary from person to person. Some women may continue to experience symptoms, especially if they had severe hemorrhoids prior to or during pregnancy.

As for the swollen part of the hemorrhoid, it is generally not advisable to attempt to push it back inside the anus. Instead, focus on managing the symptoms through the methods mentioned above. If the hemorrhoids are particularly painful or do not improve with home treatment, it’s essential to consult a healthcare provider. They may recommend further interventions, such as rubber band ligation or other procedures, which are typically considered after childbirth.

In conclusion, while managing hemorrhoids during pregnancy can be challenging, there are several strategies that can help alleviate symptoms. It’s crucial to maintain open communication with your healthcare provider throughout your pregnancy to ensure that you receive appropriate care and support. Remember, taking care of your overall health and well-being during this time is essential, and addressing hemorrhoid symptoms is just one aspect of that care.

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