Understanding and Managing Hemorrhoids During Pregnancy

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Understanding and Managing Hemorrhoids During Pregnancy

Pregnancy is a time of immense change and growth, both emotionally and physically. It’s a period filled with joy, anticipation, and sometimes, unexpected challenges. 

Among these challenges, hemorrhoids are a common, yet rarely discussed, concern for many pregnant women. 

This post aims to illuminate this topic, offering understanding, support, and practical advice to help you manage this condition with care and compassion.

What are Hemorrhoids?

Hemorrhoids, also known as piles, are swollen veins in the rectum and anus that can cause discomfort, itching, pain, and bleeding. 

While they’re not always discussed openly, they’re pretty standard during pregnancy due to various factors, such as increased blood flow in the pelvic area and the pressure of the growing uterus on the rectal veins.

The Journey Through Pregnancy with Hemorrhoids

First and foremost, it’s essential to acknowledge that experiencing hemorrhoids during pregnancy is nothing to be embarrassed about. 

It’s a natural occurrence for many, and there are empowering steps you can take to ease your discomfort and encourage healing.

5 Causes of Hemorrhoids During Pregnancy

During pregnancy, experiencing hemorrhoids is a common occurrence for many, but understanding why they happen can be empowering and the first step toward effective management. 

Here’s a compassionate overview of the five causes of hemorrhoids during this particular time:

  1. Increased Pressure in the Pelvic Area: The growing uterus exerts more pressure on the veins in the lower abdomen, slowing down the blood return from the lower part of your body. This increased pressure can cause veins in the rectal area to swell, leading to hemorrhoids.
  2. Hormonal Changes: Pregnancy introduces a surge of hormones that cause the walls of your veins to relax, making them more prone to swelling. Progesterone, in particular, can slow down your intestinal tract, contributing to constipation, which, in turn, may lead to the development of hemorrhoids.
  3. Constipation: With the slowing of the intestinal tract often comes constipation, a common issue during pregnancy. The straining associated with constipation can exacerbate and even lead to the formation of hemorrhoids.
  4. Increased Blood Volume: Your body produces more blood during pregnancy to support the growth and development of your baby. This increased blood volume can cause veins to expand, potentially leading to hemorrhoids.
  5. Pushing During Labor: The act of making during the delivery phase can also contribute to the development or worsening of hemorrhoids due to the intense pressure applied to the area.

Hemorrhoids that bleed while pregnant

Bleeding hemorrhoids during pregnancy, though concerning, can be managed with gentle care and understanding. Here are some key points to remember:

  • Common Occurrence: Bleeding hemorrhoids are relatively common during pregnancy, often resulting from increased pressure on the pelvic veins and constipation.
  • Symptoms: You might notice small amounts of bright red blood on toilet paper or in the toilet after a bowel movement, which is a typical sign of bleeding hemorrhoids.
  • When to Consult a Doctor: If bleeding continues or is accompanied by pain, it’s crucial to seek medical advice to ensure both your and your baby’s well-being.

Experiencing hemorrhoids, even those that bleed, is a standard part of pregnancy for some women. Approaching this condition with care and following these measures can offer comfort and support on your pregnancy journey.

Prevention and Management

  1. Stay Hydrated

Drinking plenty of water will help keep your digestive system moving smoothly, reducing the risk of constipation, which can exacerbate hemorrhoids.

  1. Eat a Fiber-rich Diet

Incorporate foods high in fiber, such as fruits, vegetables, and whole grains, into your meals. These foods help prevent constipation, a common trigger for hemorrhoids.

2. Exercise Regularly

Gentle exercise like walking or prenatal yoga can help improve circulation and prevent constipation. Always consult your healthcare provider before starting any new exercise regimen during pregnancy.

  1. Take Time to Relax

Reducing stress and allowing yourself moments of relaxation can improve your overall well-being, positively affecting your physical health.

  1. Seek Support

If you’re struggling with hemorrhoids, don’t hesitate to reach out to your healthcare provider. They can offer advice, treatment options, and reassurance during this time.

During pregnancy, external hemorrhoids

Experiencing external hemorrhoids during pregnancy is quite common, yet it can be managed with gentle care and understanding. Here are key points to know:

  • Why They Occur: Increased pressure from the growing uterus, along with changes in hormones and blood flow, can lead to the development of external hemorrhoids.
  • Symptoms: These may include itching, discomfort, and swelling around the anal area. Sometimes, you might notice bleeding during bowel movements.

External hemorrhoids can be uncomfortable; they are often temporary and manageable with the right approach and care. 

Your well-being during this precious time is paramount; support is always available to guide you.

What is the duration of hemorrhoids during pregnancy?

Many people experience hemorrhoids during pregnancy, which are a gentle reminder of the body’s remarkable journey during this special time. 

They typically arise due to increased pressure on the pelvic blood vessels, with changes in hormone levels and the baby’s growing weight playing significant roles. 

The duration of hemorrhoids in pregnancy can vary significantly from one individual to another, but generally, they might become more prominent as the pregnancy progresses, especially in the third trimester.

After childbirth, hemorrhoids often improve, especially with attentive care and management. For many, symptoms may reduce significantly within a few weeks postpartum, although the exact timeline can differ based on factors like childbirth methods and individual healing processes.

What is the pregnant remedy for hemorrhoids?

Navigating through pregnancy brings its own set of challenges and triumphs, with hemorrhoids being a standard yet manageable concern for many expecting mothers. 

Here are some gentle, holistic remedies to help ease discomfort and support well-being during this particular time:

  • Warm Sitz Baths: Immerse yourself in a warm bath for 10 to 15 minutes a few times daily. The warmth can soothe the area, reducing discomfort.
  • Hydration: Drink plenty of fluids. Staying well-hydrated softens stool, making bowel movements easier and less straining.
  • High-Fiber Foods: Incorporate fiber-rich foods like fruits, vegetables, legumes, and whole grains into your meals. They help prevent constipation, a significant trigger for hemorrhoids.
  • Exercise Regularly: With your healthcare provider’s approval, engage in regular, gentle exercise to stimulate bowel function and reduce pressure on veins.
  • Avoid Prolonged Sitting or Standing: If you’ve been sitting or standing for a while, take short, frequent breaks to walk around. This can help relieve pressure on the pelvic veins.
  • Use Cold Compresses: Apply ice packs or cold compresses to the affected area to help reduce swelling and pain.
  • Over-the-Counter Creams or Pads: Products designed for hemorrhoid relief can be helpful. Look for those that contain witch hazel or hydrocortisone, but consult your healthcare provider before starting any new medication.
  • Wear Comfortable Clothing: Choose loose, soft cotton underwear and clothing to avoid aggravating the area.

Each body and pregnancy is unique; what works for one person may not for another. It’s important to discuss any concerns or symptoms with a healthcare provider who understands your health history and can offer personalized advice. 

Together, you can create a care plan that supports your comfort and the joyous expectation of your new arrival, embracing this time with care, understanding, and self-compassion.

Handling hemorrhoids while pregnant

Managing hemorrhoids during pregnancy is a concern shared by many, but with compassionate and informed care, it can be navigated gently and effectively. 

  • Consult Your Doctor: Before trying any new remedy or treatment, speaking with your healthcare provider is essential. They can offer personalized advice and ensure that your approach aligns with the rest of your prenatal care.

By following these guidelines and maintaining open communication with your healthcare team, you can manage hemorrhoids more comfortably and focus on the joy of anticipating your baby’s arrival.

Gentle Treatment Options

There are several ways to treat hemorrhoids during pregnancy safely:

  • Over-the-counter topical treatments approved by your healthcare provider can relieve symptoms.
  • Warm baths may also soothe the area and reduce discomfort.
  • Using a cold compress on the affected area can help reduce swelling.

The Holistic Approach

Remember, every woman’s pregnancy journey is unique. Treating your body with kindness and patience as it undergoes this miraculous transformation is essential. 

Acknowledging the interconnectedness of your physical and emotional well-being is vital in managing any discomfort you may experience, including hemorrhoids.


Experiencing hemorrhoids during pregnancy is a common challenge, but with the proper knowledge and tools, it can be managed effectively. 

By focusing on prevention, gentle care, and holistic wellness, you can alleviate discomfort and focus more on the joy of your pregnancy. Remember, this time is about nurturing the new life within yourself.

You’re doing an incredible job navigating through the ups and downs of pregnancy. This beautiful yet sometimes challenging experience is a remarkable part of your life’s story. Here’s to health, comfort, and finding strength in the path of motherhood.

About the Author

Jared Levenson is a former binge eating wrestler turned Zen Buddhist Monk, Internal Family Systems counselor and nutrition wellness coach. He's helped hundreds of people through universal meal principles and internal family systems to make peace with food, stop binge eating, and find true health and wholeness.


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