Increased Bowel Urgency in Late Pregnancy: What to Expect and Why

Q: Increased Bowel Urgency in Late Pregnancy: What to Expect and Why

Hello： In the later stages of pregnancy, due to the pressure from the uterus and the fetal head, it is possible to experience the symptoms you mentioned, such as hemorrhoids and the urge to defecate. <br>These symptoms often improve after delivery, but if there are issues such as

Frequent urge to have a bowel movement in late pregnancy?

Dear Doctor: I am currently 38 weeks pregnant, and for the past few days, I have been experiencing strong urges to have a bowel movement every day, sometimes more than three times a day, without any constipation.
I've heard that bowel movement frequency can increase as one approaches labor.
Is this true? I'm really confused about why I need to go to the bathroom so frequently! Additionally, I have developed symptoms of hemorrhoids in the late stage of my pregnancy, making each bowel movement quite painful.
Will the swelling of the hemorrhoids have a chance to subside after giving birth? Thank you!

Bao Bei Ma, 30~39 year old female. Ask Date: 2012/07/21

Dr. Dong Yuhong reply Obstetrics and Gynecology

Hello: In the later stages of pregnancy, due to the pressure from the uterus and the fetal head, it is possible to experience the symptoms you mentioned, such as hemorrhoids and the urge to defecate.
These symptoms often improve after delivery, but if there are issues such as pain or bleeding from hemorrhoids, it is important to seek medical attention promptly.
If symptoms persist or worsen after childbirth, it is also advisable to seek medical evaluation and treatment.
Thank you!

Reply Date: 2012/07/21

More Info

In late pregnancy, particularly around the 38-week mark, it is not uncommon for women to experience increased bowel urgency and frequency of bowel movements. This phenomenon can be attributed to several physiological changes occurring in the body as it prepares for labor.

Firstly, as the pregnancy progresses, the growing uterus exerts pressure on the surrounding organs, including the intestines and bladder. This pressure can lead to a sensation of increased urgency to defecate. Additionally, hormonal changes, particularly the increase in prostaglandins, can stimulate bowel activity. Prostaglandins are hormones that help soften the cervix and prepare the body for labor, but they can also affect the gastrointestinal tract, leading to more frequent bowel movements.

Many women report that as they approach their due date, they experience a change in their bowel habits. This can manifest as increased frequency of bowel movements, sometimes occurring multiple times a day. While this can be concerning, it is generally considered a normal part of the late stages of pregnancy. The body is essentially preparing itself for labor, and these changes can be a sign that the body is getting ready for the delivery process.

Regarding your experience with hemorrhoids, it is also common during pregnancy due to increased pressure in the pelvic area and hormonal changes that can lead to swelling of the blood vessels. Hemorrhoids can become more pronounced during late pregnancy, especially with increased straining during bowel movements. It is essential to manage this discomfort through dietary changes, such as increasing fiber intake, staying hydrated, and possibly using topical treatments recommended by your healthcare provider.

After delivery, many women find that their hemorrhoids improve or resolve as the pressure from the uterus is relieved. However, this is not guaranteed for everyone, and some may require additional treatment if symptoms persist. It is crucial to discuss any concerns regarding hemorrhoids or bowel habits with your healthcare provider, who can offer tailored advice and treatment options.

In summary, experiencing increased bowel urgency and frequency in late pregnancy is a common occurrence due to the pressure of the growing uterus and hormonal changes. While it can be uncomfortable, it is typically a normal part of the process as your body prepares for labor. If you have concerns about your symptoms, especially regarding hemorrhoids or any other discomfort, it is always best to consult with your healthcare provider for personalized advice and management strategies.

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