Pregnancy and Rectal Issues: When to See a Specialist? - Obstetrics and Gynecology

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Protruding anal tissue during pregnancy?


Hello Doctor: I am currently 33 weeks pregnant, but I recently noticed a small growth (about 1 centimeter) at the anal opening.
I would like to ask whether I should see an obstetrician-gynecologist or a colorectal surgeon at this stage of my pregnancy?

yu, 20~29 year old female. Ask Date: 2015/03/10

Dr. Cao Guotao reply Obstetrics and Gynecology


Hello: I have discovered a small growth (about 1 cm in size) at the anal opening during my pregnancy.
It is advisable to see a colorectal surgeon, as it could possibly be a hemorrhoid.
Wishing you good health.

Reply Date: 2015/03/10

More Info


When it comes to pregnancy and rectal issues, it is essential to approach the situation with caution and seek appropriate medical advice. In your case, since you are currently 33 weeks pregnant and have noticed a small growth (approximately 1 cm) at the anal area, it is advisable to consult a healthcare professional.
In general, during pregnancy, women may experience various changes in their bodies, including hormonal fluctuations and increased blood flow, which can lead to conditions such as hemorrhoids, skin tags, or other benign growths. However, it is crucial to differentiate between benign conditions and those that may require further evaluation or treatment.

Given your situation, the best course of action would be to start with your obstetrician or midwife. They are trained to handle a wide range of pregnancy-related issues and can assess your condition in the context of your pregnancy. Your obstetrician can perform a physical examination and determine whether the growth is likely to be a benign condition, such as a hemorrhoid or a skin tag, or if it requires referral to a specialist, such as a colorectal surgeon.

If your obstetrician suspects that the growth may be more serious or if it is causing you discomfort, they may refer you to a colorectal surgeon for further evaluation. This specialist can provide a more in-depth assessment and recommend appropriate treatment options if necessary. It is important to address any rectal issues during pregnancy, as they can sometimes lead to complications if left untreated.

In summary, your first step should be to consult your obstetrician. They will be able to evaluate your condition and guide you on whether you need to see a colorectal specialist. Do not hesitate to discuss any concerns you have regarding the growth, including any symptoms you may be experiencing, such as pain, bleeding, or changes in bowel habits. Open communication with your healthcare provider is key to ensuring both your health and the health of your baby during pregnancy.

Additionally, it is important to maintain a healthy lifestyle during pregnancy, including a balanced diet rich in fiber, staying hydrated, and engaging in regular physical activity (as advised by your healthcare provider). These measures can help prevent constipation and reduce the risk of developing hemorrhoids or other rectal issues.

In conclusion, while it is common for pregnant women to experience various changes, any new growth or symptom should be evaluated by a healthcare professional. Starting with your obstetrician is the best approach, as they can provide the necessary care and referrals to ensure your health and well-being during this important time.

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