Hemorrhoids During Pregnancy: The Fastest Way to Get Rid of Them

Hemorrhoids During Pregnancy: The Fastest Way to Get Rid of Them

Many of you might be anxious to confront or find relief from hemorrhoids during pregnancy, as they can be incredibly uncomfortable and often painful! That burning sensation each time you use the toilet is difficult to overlook, but it’s a common aspect of pregnancy. While hemorrhoids can affect anyone, pregnant individuals are more susceptible due to the changes their body undergoes. If you’re dealing with this, know that you’re not alone—and there are ways to manage the discomfort and maintain your well-being.

What are Hemorrhoids?

Hemorrhoids are swollen veins in or around the anus. They may be internal (inside the rectum) or external (under the skin). In some cases, they can prolapse or form clots (thrombosed), leading to pain and swelling.

Why Do Hemorrhoids Occur During Pregnancy?

• Blood Volume Increase: Pregnancy increases your blood volume, which can lead to enlarged veins, including those in your rectum.


• Pressure from the Growing Uterus: As your baby grows, the uterus exerts pressure on the pelvic veins and the inferior vena cava, the large vein on the right side of the body that receives blood from the lower limbs. This pressure can slow down blood flow and cause the veins in the rectal area to become enlarged. In some cases, this same pressure can also contribute to uterine hemorrhages, another condition that expectant mothers should be aware of.


• Constipation: Hormonal changes during pregnancy can slow down your digestive system, leading to constipation. Straining during bowel movements can exacerbate or lead to hemorrhoids.


• Increased Hormones: Progesterone, the hormone that relaxes the walls of your blood vessels during pregnancy, can cause veins to swell more easily.

Understanding Internal and External Hemorrhoids

Hemorrhoids can be classified into two types: internal and external. Internal hemorrhoids are located inside the rectum and are usually painless because there are fewer nerve endings in that area. However, they may cause bleeding during bowel movements, which can be alarming but is typically not serious. On the other hand, external hemorrhoids develop under the skin around the anus, making them more likely to cause nerve pain and itching. In some cases, external hemorrhoids can become thrombosed, meaning a blood clot forms inside the hemorrhoid, leading to severe pain and swelling. Understanding the type of hemorrhoid you're experiencing can help you choose the most effective treatment and management strategies. 

Diet Tips and Nutrients to Help Prevent and Manage Hemorrhoids

Taking care of your diet can play a significant role in preventing and managing hemorrhoids during pregnancy. Here are some dietary tips and essential nutrients to consider:

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  Fiber-Rich Foods: Eating a high-fiber diet may protect against constipation and keep your bowel movements regular. Include whole grains, fruits, vegetables, and legumes in your meals. Foods like oatmeal, lentils, apples, and leafy greens are excellent choices.

  
  


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  Hydration: Drinking plenty of water softens your stool, making it easier to pass. Aim for at least 8-10 glasses of water a day. Herbal teas and clear broths can also contribute to your hydration.

  
  


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  Healthy Fats: Incorporating healthy fats such as avocados, nuts, seeds, and olive oil can help keep your digestive system running smoothly.

  
  


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  Magnesium: This mineral can help ease constipation by relaxing the muscles in the digestive tract. Magnesium-rich food includes almonds, spinach, and black beans.

  
  


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  Probiotics: Yogurt, kefir, and fermented foods like sauerkraut or kimchi can help maintain a healthy gut flora, which is crucial for digestion and preventing constipation.
  
  

  
  

Download Pregnancy Bowel Wellness Checklist

Fastest Way to Get Rid of Hemorrhoids During Pregnancy

In some cases, dietary changes might not be enough to alleviate the discomfort of hemorrhoids. If your symptoms persist, consider the following medical interventions:

• Topical Treatments: Over-the-counter creams and ointments that contain hydrocortisone can reduce inflammation and provide relief. Witch hazel pads are also commonly recommended for their soothing properties.


• Stool Softeners: These can help ease the passage of stool, reducing the need to strain during bowel movements. They typically contain an active ingredient called docusate, which helps increase the amount of water absorbed by the stool in the intestines. By drawing more water into the stool, it becomes softer and easier to pass, reducing the need for straining during bowel movements. 

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  Sitz Baths: Sitz baths are a simple and effective home treatment for alleviating the discomfort associated with hemorrhoids. Medically, a sitz bath involves soaking the pelvic region, particularly the anal area, in warm water for about 10 to 15 minutes. The warm water helps to increase blood flow to the area, which can reduce swelling, soothe irritated tissue, and promote healing. Additionally, sitz baths can relieve the pain, itching, and discomfort that often accompany hemorrhoids. They are particularly beneficial for external hemorrhoids and can be used multiple times a day as needed. Sitz baths are a non-invasive and gentle way to manage hemorrhoid symptoms, making them a preferred method of relief for many individuals.

  
  


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  Consulting Your Healthcare Provider: If hemorrhoids become particularly painful or bleed excessively, it’s essential to consult with your healthcare provider. For more severe cases of hemorrhoids that do not respond to conservative measures, treatments such as rubber band ligation and sclerotherapy are commonly used.

  
  


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  Rubber band ligation involves placing a small rubber band around the base of the hemorrhoid, cutting off its blood supply, which causes it to wither and fall off within a week. This procedure is typically performed in a doctor's office and is minimally invasive, with most people experiencing only mild discomfort. 

  
  


• Sclerotherapy, on the other hand, involves injecting a chemical solution into the hemorrhoid, causing it to shrink and eventually disappear. This method is also minimally invasive and can be an effective option for treating internal hemorrhoids that are not amenable to rubber band ligation. Both treatments are generally safe, with quick recovery times, allowing individuals to return to their normal activities shortly after the procedure.
  
  
  

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Living “Comfortably” with Hemorrhoids

Maintaining gentle hygiene is essential for managing hemorrhoids. After each bowel movement, it's best to clean the area gently with unscented wipes or a soft washcloth to avoid irritating the skin, as dry toilet paper can exacerbate discomfort. To further reduce pressure on the rectal area, avoid sitting for prolonged periods; if you must sit, using a cushion or pillow can help alleviate some of the strain. Incorporating regular, gentle exercise like walking or prenatal yoga into your routine can promote healthy digestion and circulation, reducing the risk of developing hemorrhoids. Additionally, when resting or sleeping, lying on your side can help reduce pressure on the rectal veins, offering further relief.

Do Infants Get Hemorrhoids?

Yes, infants and young children can develop hemorrhoids, though it is uncommon. The most common cause is constipation, since straining during bowel movements puts extra pressure on the veins in the rectum. Spending too much time sitting on the toilet can also contribute, particularly in toddlers. In rarer cases, chronic liver disease may play a role (Cleveland Clinic).

To identify whether your infant might have hemorrhoids, look for small lumps or swelling near the anus, or signs of bright red blood in the diaper or on toilet paper. If your baby seems uncomfortable or in pain during bowel movements, this may also be a symptom.

If you suspect your baby has hemorrhoids, it’s important to consult a doctor for proper evaluation and care.

How Sitting and Straining Increase Hemorrhoid Risk in Pregnancy

When you sit down, gravity increases pressure on the rectum. Sitting for long periods puts strain on the veins in the rectal and anal area, which can restrict blood flow and cause the veins to swell — this can lead to hemorrhoids. As noted by Paonessa CRS, prolonged sitting is a significant factor that contributes to the development of hemorrhoids (Paonessa CRS).

Repeatedly sitting for extended periods can also weaken the muscles that support the rectum and anus. The combination of gravitational pressure, straining, swollen rectal veins, and weakened muscles can all work together and result in the development of hemorrhoids. If you have low amniotic fluid and need to spend a lot of time lying in bed, your risk of developing hemorrhoids can increase. Being inactive for long periods can slow down digestion and lead to constipation, which puts extra strain on the veins in the rectal area. This added pressure makes hemorrhoids more likely to develop or worsen.

Safe Ways to Stay Active to Prevent Hemorrhoids

Staying active is a great way to help prevent hemorrhoids, and it can also support your overall well-being during pregnancy. While pregnancy can bring fatigue and your body is working hard to grow new life, even gentle movement can make a big difference.

Activities like yoga, walking, or swimming can be especially beneficial. Staying active supports healthy circulation, lowers the risk of constipation, and reduces pressure on the veins. According to HonorHealth, making time for safe, regular movement throughout pregnancy can reduce hemorrhoid risk and support overall health (HonorHealth).

If you're unsure which activities are best for you and your body during pregnancy, it's always a good idea to consult with your doctor.

Final Thoughts

Hemorrhoids during pregnancy can be challenging, but with the right strategies and support, you can manage them effectively. At Vitabae, we believe in nurturing your body with the best possible care during this transformative time. Remember, you’re not alone on this journey—take the steps to care for yourself, and don’t hesitate to reach out to your healthcare provider for guidance. Your comfort and well-being are paramount as you prepare to welcome your little one into the world.

References

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   Hemorrhoids - NIDDK. (n.d.). [NIDDK]

   
   


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   Staroselsky, A., Nava-Ocampo, A. A., Vohra, S., & Koren, G. (2008, February 1). Hemorrhoids in pregnancy. PubMed Central (PMC). [PMC]

   
   


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   Eating, Diet, & Nutrition for Hemorrhoids. (2022, July 23). [NIDDK]

   
   


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   Lawrence, A., & McLaren, E. R. (2023, August 8). External hemorrhoid. StatPearls - NCBI Bookshelf. [StatPearls]

   
   


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   Treatment of hemorrhoids. (2022, July 23). [NIDDK]

   
   


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   Salgueiro, P., Ramos, M. I., Castro-Poças, F., & Libânio, D. (2022). Office-Based Procedures in the Management of Hemorrhoidal Disease: Rubber Band Ligation versus Sclerotherapy – Systematic Review and Meta-Analysis. GE Portuguese Journal of Gastroenterology, 29(6), 409–419. [GE Portuguese Journal]

   
   


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   Cleveland Clinic. Hemorrhoids in Babies. Updated May 17, 2022 [Cleveland Clinic]

   
   


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   Paonessa Colorectal Specialists. (n.d.). The link between prolonged sitting and hemorrhoids. In Paonessa CRS [Internet]. Paonessa Colorectal Specialists. [Paonessa Colorectal Specialists] 

   
   


9. HonorHealth. (n.d.). Dealing with hemorrhoids during pregnancy. In HonorHealth Healthy Living [Internet]. HonorHealth. [HonorHealth]

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