Hemorrhoids During Pregnancy: Causes, Relief & Prevention

Hemorrhoids—swollen veins in the rectal area—are a common and uncomfortable pregnancy symptom. They can cause itching, pain, and even bleeding, especially in the third trimester and postpartum. The good news? They’re treatable and often go away after delivery! Let’s explore why hemorrhoids happen, how to relieve the discomfort, and what you can do to prevent them.

Why Are Hemorrhoids Common During Pregnancy?

Pregnancy increases pressure on the lower body, making hemorrhoids more likely due to:

1. Increased Blood Flow & Pressure 

• Your growing uterus puts pressure on pelvic veins, slowing circulation.
• This can cause veins to swell, leading to hemorrhoids.

2. Constipation & Straining 

• Pregnancy hormones (progesterone) slow digestion, causing constipation.
• Straining during bowel movements puts pressure on rectal veins.

3. Hormonal Changes 

• Progesterone relaxes vein walls, making them more prone to swelling.

4. Prolonged Sitting or Standing

• Sitting or standing for long periods can worsen circulation, leading to hemorrhoids.

Good news: Hemorrhoids usually shrink after pregnancy, especially if managed properly!

Symptoms of Hemorrhoids During Pregnancy

Itching, irritation, or discomfort around the anus.
Swollen, painful lumps near the rectal area.
Bright red blood on toilet paper after wiping (from external hemorrhoids).
Pain or pressure during bowel movements. Some women also experience anal fissures (tiny tears) due to constipation.

8 Ways to Relieve Hemorrhoids During Pregnancy

1. Eat More Fiber to Prevent Constipation

High-fiber foods soften stool and make bowel movements easier.
Eat whole grains, fruits, vegetables, nuts, and beans.
Consider a pregnancy-safe fiber supplement if needed. Tip: Aim for 25-30g of fiber per day to keep things moving!

2. Stay Hydrated

Drink 8-12 cups of water daily to keep stools soft.
Herbal teas (like ginger or peppermint) may help digestion. Avoid excessive caffeine, which can dehydrate you.

3. Don’t Strain on the Toilet

Go when you feel the urge—don’t delay bathroom trips.
Use a footstool (like a Squatty Potty) to elevate your legs and reduce pressure. Avoid sitting on the toilet too long, as this increases rectal pressure.

4. Try a Warm Sitz Bath

Soak your bottom in warm water (not hot) for 10-15 minutes a few times a day.
Add Epsom salt for extra relief. Tip: Sitz baths also help heal postpartum hemorrhoids!

5. Use Cold Compresses

Apply a cold pack wrapped in a cloth to the area for 10-15 minutes.
This reduces swelling and numbs discomfort. Tip: Try alternating warm sitz baths and cold packs for maximum relief.

6. Apply Pregnancy-Safe Hemorrhoid Creams or Witch Hazel

Witch hazel pads (Tucks) soothe irritation naturally.
Pregnancy-safe hemorrhoid creams (like Preparation H) reduce swelling. Avoid steroid creams unless prescribed by your doctor.

7. Avoid Sitting or Standing for Long Periods

Take breaks every 30-60 minutes to walk around and improve circulation.
Sleep on your left side to reduce pelvic vein pressure.

8. Do Kegel Exercises

Kegels strengthen pelvic muscles, improving circulation and preventing hemorrhoids.
Aim for 10-15 squeezes, 3 times a day. Tip: Kegels also help with postpartum recovery and bladder control!

When to Call Your Doctor

While hemorrhoids are common and harmless, see your doctor if you experience: Severe pain that doesn’t improve.
Excessive bleeding (more than a few drops on toilet paper).
Large, hard, or very swollen lumps that won’t go away.
Signs of infection (fever, pus, worsening pain). Rarely, hemorrhoids may need medical treatment, like prescription creams or minor procedures.

Final Thoughts: Hemorrhoids Are Temporary & Treatable!

Hemorrhoids can be painful, but they’re common and manageable during pregnancy. By eating fiber, drinking water, avoiding straining, and using sitz baths or cold packs, you can relieve discomfort and prevent them from worsening. The best part? Most hemorrhoids shrink or disappear after birth—so hang in there, mama!