Rectal Bleeding During Pregnancy: Causes, Concerns, and How to Manage It

What Causes Rectal Bleeding During Pregnancy?

1. Hemorrhoids

• Swollen veins in the rectal area, caused by increased blood flow and pressure from the growing uterus
• Symptoms may include bright red blood, itching, and discomfort

2. Constipation

• Hormonal changes slow digestion, and iron supplements can contribute to hard stools
• Straining during bowel movements may cause small tears in the rectal lining (anal fissures)

3. Anal Fissures

• Small tears in the tissue lining the anus, often caused by passing hard stools
• These can cause pain and bleeding during bowel movements

4. Increased Blood Flow

• Pregnancy increases blood volume, which can make the blood vessels more sensitive and prone to bleeding

When to See a Doctor

• Heavy or Persistent Bleeding: If you notice a significant amount of blood or prolonged bleeding
• Severe Pain: Pain that does not improve or worsens over time
• Dark or Tarry Stools: This may indicate bleeding higher up in the digestive tract
• Accompanied by Other Symptoms: Such as dizziness, fever, or abdominal pain

Tips for Managing Rectal Bleeding

1. Prevent and Relieve Constipation

• Eat a high-fiber diet rich in fruits, vegetables, and whole grains
• Drink plenty of water to keep your stools soft
• Consider a pregnancy-safe fiber supplement if necessary

2. Stay Active

• Gentle exercise, like walking or prenatal yoga, can help stimulate bowel movements

3. Avoid Straining

• Take your time during bathroom trips and avoid forcing a bowel movement

4. Use Hemorrhoid Treatments

• Try sitz baths (soaking the rectal area in warm water) to reduce swelling
• Use over-the-counter creams or pads specifically recommended for hemorrhoids during pregnancy

5. Good Bathroom Hygiene

• Gently clean the rectal area with unscented wipes instead of toilet paper

Can It Affect Your Baby?

Final Thoughts: Don't Suffer in Silence

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.