Pregnancy Hemorrhoids: Symptoms, Causes and Treatment

Written by Medicover Team and Medically Reviewed by Dr Amatul Hafsa , Gynecologists


Hemorrhoids develop when the veins around the anus become swollen and enlarged, much like varicose veins. This swelling can lead to itching, burning, pain, and lumps near the anus. Many people first notice hemorrhoids because of bleeding or pain during bowel movements.

While hemorrhoids are a common cause of rectal bleeding, they are not the only cause. That's why it's important to see a doctor for the right diagnosis before starting any treatment.

What are Pregnancy Hemorrhoids?

Hemorrhoids, often called piles, are swollen veins in and around the rectum and anus. They are especially common during pregnancy, affecting about 1 in 3 pregnant women. These swollen veins can be painful, itchy, or cause bleeding during bowel movements.

There are two main types

  • Internal hemorrhoids: These occur inside the rectum and are usually not visible.
  • External hemorrhoids: These are found under the skin around the anus and may be painful or itchy.

Some women may experience both types during pregnancy.


What Are the Symptoms of Pregnancy Hemorrhoids?

Pregnancy hemorrhoids are swollen veins in the rectal area that often appear during pregnancy. They can be uncomfortable and sometimes painful. The symptoms may vary depending on how mild or severe the hemorrhoids are.

Common symptoms include:

  • Itching or burning around the anus
  • Pain during or after a bowel movement
  • Bright red blood on the toilet paper or in the toilet
  • Swelling or a lump near the anus
  • A feeling of pressure or fullness in the rectal area
  • Discomfort while sitting

In most cases, the symptoms go away after giving birth. But if the pain or bleeding becomes worse, it's best to see a doctor.


What Are the Causes of Pregnancy Hemorrhoids?

Pregnancy hemorrhoids are caused by changes in the body during pregnancy. As the baby grows, more pressure is put on the lower body. This makes it harder for blood to flow smoothly in the veins around the rectum.

Main causes include:

  • Increased pressure from the uterus: As the uterus grows, it puts pressure on the veins in the pelvis and rectum.
  • Constipation: Many pregnant women have trouble passing stool. Straining during painful bowel movements can lead to hemorrhoids.
  • Hormonal changes: Pregnancy hormones can relax blood vessels and slow digestion, increasing the risk of hemorrhoids.
  • Sitting or standing for long periods: Staying in one position too long can increase pressure in the lower body.
  • Weight gain: Extra body weight adds pressure on the rectal veins.

Understanding these causes can help you take steps to prevent or manage hemorrhoids during pregnancy.


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Why Are Hemorrhoids Common During Pregnancy?

Pregnancy places extra pressure on the veins in your lower body. As the uterus grows, it pushes against the rectum and surrounding veins, making it harder for blood to flow smoothly.

This pressure can cause the veins to swell, especially in the later stages of pregnancy.

Another major trigger is constipation, which is common during pregnancy. Straining while passing stool can make hemorrhoids worse or cause new ones to form.


How is Hemorrhoids Diagnosed?

Diagnosing hemorrhoids is usually straightforward and doesn't require complex tests. Doctors rely on a mix of physical exams, medical history, and, in some cases, minor procedures to confirm the condition and rule out other causes of rectal bleeding.

Medical History Review

Your doctor will start by asking about your symptoms like pain, itching, bleeding during bowel movements, or swelling near the anus. They may also ask about your diet, toilet habits, and any family history of digestive issues.

Physical Examination

For external hemorrhoids, a simple visual check of the anal area is often enough. If the hemorrhoids are internal, the doctor may perform a digital rectal exam using a gloved, lubricated finger to feel for lumps or swelling inside the rectum.

Anoscopy or Proctoscopy (if needed)

If internal hemorrhoids are suspected or if there's rectal bleeding, the doctor might use a small, lighted tube called an anoscope or proctoscope to get a better view of the inside of the rectum. This exam is quick and usually not painful.

Additional Tests (only if necessary)

If your symptoms seem unusual like heavy bleeding, weight loss, or changes in bowel habits your doctor might suggest a colonoscopy to rule out other conditions like colorectal cancer or polyps. This is more common in people over 50 or those with risk factors.

Final Diagnosis

Once other possible causes are ruled out, and hemorrhoids are confirmed, your doctor will suggest the best treatment based on the type (internal or external), severity, and how much it's affecting your daily life.


How Are Hemorrhoids Treated During Pregnancy?

Treatment focuses on relieving symptoms and preventing constipation.

Managing Hemorrhoids During Pregnancy

Hemorrhoids are common during pregnancy due to increased pressure from the growing uterus and hormonal changes. Fortunately, there are several effective ways to find relief and prevent them from getting worse.

Support Regular Bowel Movements

Reducing constipation can ease pressure on swollen veins and make hemorrhoids less painful. Here's how to keep things moving:

  • Increase your fiber intake: Aim for rich fiber each day from fruits, vegetables, whole grains, and legumes.
  • Stay well hydrated: Drink plenty of water daily to soften your stool and support healthy digestion.
  • Ask about safe laxatives: Only use a stool softener or laxative that your healthcare provider has approved.

Try Safe Home Remedies

These gentle, natural methods may help reduce pain, itching, or swelling caused by hemorrhoids:

  • Use soothing oils: Applying a small amount of pure aloe vera or coconut oil can help reduce irritation.
  • Try witch hazel pads: This natural astringent may ease swelling and calm the itch.
  • Baking soda for itching:Wet or dry baking soda can help relieve itching and discomfort.
  • Soak in a sitz bath: Sit in a few inches of warm water for 10-15 minutes a few times a day to relax the muscles around the rectum and boost blood flow.

Reduce Pressure on the Rectal Area

While you can't avoid the extra pressure from your pregnancy, you can take steps to limit additional strain:

  • Avoid sitting or standing too long: Instead, lie on your side when resting to ease pressure on your lower body.
  • Use a cushion when sitting: A donut-shaped pillow can reduce pressure when you sit.
  • Don't strain on the toilet: Avoid pushing or sitting for long periods during bowel movements. Focus on relieving constipation naturally instead.

When Should You See a Doctor?

If you notice blood in your stool, feel pain during bowel movements, or see a lump near your anus, it's best to speak with a doctor. While hemorrhoids are common, similar symptoms can also point to other conditions that require medical attention.


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Can I Prevent Hemorrhoids During Pregnancy?

Yes, and prevention starts with avoiding constipation.

Here are some tips

  • Eat foods high in fiber (like fruits, vegetables, and whole grains)
  • Drink plenty of water
  • Avoid sitting for long periods, especially on the toilet
  • Stay physically active (as recommended by your doctor)
  • Keeping your digestive system healthy can greatly reduce your risk of hemorrhoids.

Our Experience in Treating Hemorrhoids

At Medicover Hospitals, we understand how pregnancy-related issues like hemorrhoids can affect your comfort and peace of mind.Our kind and skilled doctors help with pregnancy care.

We give clear advice and safe treatments to make you feel better. We use gentle care and the latest methods to keep you healthy and comfortable during your pregnancy.


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Frequently Asked Questions

Yes. Straining during labor and pushing can suddenly increase rectal pressure, causing hemorrhoids even if none were present during pregnancy.

Yes. Carrying multiples puts more pressure on pelvic veins, making hemorrhoids more common or severe than in single pregnancies.

Yes. Iron supplements often cause constipation, which increases straining and can aggravate or trigger hemorrhoids.

Yes. Soaking in a sitz bath with warm water can relieve discomfort and is safe for most pregnant women.

They can. Pain from hemorrhoids may make it uncomfortable to sit for long periods, which can affect breastfeeding comfort and recovery.

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