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Hemorrhoids and Pregnancy
Will They Ever Go Away? Will They Come Back?

By Amber J. Tresca, About.com

Updated April 07, 2009

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Hemorrhoids are a common problem for pregnant women, with up to 50% of women suffering through them. They are painful, itchy, and no one wants to talk about them (or be seen buying Preparation H and Tucks). The good news is that hemorrhoids should get better after the baby is born, and there are some things that you can do right now to lessen your discomfort.

What Is a Hemorrhoid, Anyway?

A hemorrhoid is actually a varicose vein. The veins in and around the rectum become swollen. During pregnancy, your body has more blood circulating through your veins. All your veins, especially those below your uterus, become dilated. Symptoms include itching, burning, pain, and bleeding. Bleeding from a hemorrhoid is usually bright red, and more often seen on the toilet paper than in the bowl. Always have rectal bleeding checked out by a doctor, even if you suspect it is due to a hemorrhoid.

Can I Prevent Hemorrhoids?

Straining while moving your bowels puts even more pressure on the already dilated veins. If you get constipated, talk to your health team about a stool softener. To avoid constipation in the first place:

  • Drink 8-10 glasses of water a day.
  • Eat a high-fiber diet (bulk-forming agents such as psyllium (Metamucil, Fiberall) may be help).
  • Exercise regularly.

I Already Have Hemorrhoids. How Do I Get Rid of Them?

  • Keep it clean: Keep your anal area as clean as possible. Using moist wipes or medicated hemorrhoid pads are more comfortable than toilet paper.
  • Lay down: Avoid sitting and standing for long periods of time, which can put pressure on the hemorrhoids.
  • Don't lift it: Avoid heavy or moderate lifting.
  • Petroleum jelly: Use petroleum jelly on the rectum to cool it off and ease bowel movements.
  • Try some ice: Sitting on an ice pack may give some relief from the burning.
  • Use a sitz bath: Sit in enough warm water to cover the hemorrhoids, either in your bathtub or in a sitz bath that fits on the toilet.
  • Suppositories or creams: Check with your health care team before trying any of the over-the-counter remedies you may find in a drugstore.

If none of these remedies helps, your hemorrhoids get worse, or you see bleeding, check with your health care team. Remember to hang in there -- the hemorrhoids will improve after you deliver.

Source:

National Digestive Diseases Information Clearinghouse. "Hemorrhoids." National Institutes of Health Nov 2004. 24 Mar 2009.

March of Dimes. "Hemorrhoids." March of Dimes Foundation 2009. 24 Mar 2009.

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