You’re Not Alone: Understanding Hemorrhoids During and After Pregnancy
BY ELISE SILVER AND HEATHER RUSSELL
Pregnancy is a beautiful journey, but it can also come with some uncomfortable surprises. One of the more common yet less-talked-about issues? Hemorrhoids. If you’re dealing with them during or after pregnancy, rest assured you’re not alone. Let’s dive into what hemorrhoids are, what causes them, and how you can prevent and treat them.
What Are Hemorrhoids?
Hemorrhoids are swollen veins in the lower rectum or anus, similar to varicose veins. They can be internal (inside the rectum) or external (under the skin around the anus), and they often cause discomfort, itching, pain, or even bleeding.
What Causes Hemorrhoids During and After Pregnancy?
Hemorrhoids are particularly common during pregnancy due to several factors:
Increased Pressure: As your uterus grows, it puts pressure on the veins in your pelvis, causing them to swell.
Hormonal Changes: Pregnancy hormones, especially progesterone, relax the walls of your veins, making them more prone to swelling.
Constipation: Pregnancy often slows down your digestive system, leading to constipation. Straining during bowel movements can worsen hemorrhoids or cause new ones to develop.
Labor Strain: The pushing stage of labor can also cause hemorrhoids, even if you didn’t experience them during pregnancy.
How to Prevent Hemorrhoids During Pregnancy
While hemorrhoids are common, there are ways to reduce your risk or at least minimize their severity:
Stay Hydrated: Drink plenty of water to help prevent constipation.
Eat Fiber-Rich Foods: Incorporate fruits, vegetables, and whole grains to keep your digestive system moving smoothly.
Don’t Strain: Avoid straining during bowel movements, as it can cause or worsen hemorrhoids.
Stay Active: Regular exercise can improve circulation and help prevent constipation.
Take Breaks: If you’re sitting or standing for long periods, take regular breaks to avoid putting excess pressure on your lower body.
How to Treat Hemorrhoids
If you already have hemorrhoids, don’t worry—there are several ways to alleviate the discomfort:
Use Warm Baths: Soaking in a warm bath (or sitz bath) for 10-15 minutes can help soothe irritation.
Apply Cold Compresses: Ice packs can reduce swelling and numb the pain.
Use Over-the-Counter Creams: Hemorrhoid creams and wipes (check with your doctor) can provide relief from itching and pain.
Stay Hydrated and Eat Fiber: Prevent constipation to avoid straining during bowel movements.
Elevate Your Feet: Use a small stool to elevate your feet when using the toilet, which can reduce the strain on your rectal area.
When to Seek Medical Help
Hemorrhoids usually improve on their own, especially with home treatments. However, if you experience severe pain, significant bleeding, or if they don’t improve over time, it’s a good idea to consult your healthcare provider.