Hemorrhoids are a common pregnancy issue. Find out why they happen and how to lower your risk.
Why do hemorrhoids occur?
Due to changes in hormonal levels, the venous valves become less elastic. And because of the growing uterus, intra-abdominal pressure increases. As a result, the veins in the small pelvis swell, blood flow slows, and hemorrhoids develop. About 25 to 35% of women experience hemorrhoids by the time of childbirth [1].
How to understand what hemorrhoids begin?
Hemorrhoids begin with swelling of varicose veins in the anus. At first, it may cause an itchy and burning sensation. It often hurts to void the bowels. You may notice drops of blood on the toilet paper [2]. The sooner the problem is identified, the easier it will be to deal with [1].
If there is blood but no pain, is this normal?
The appearance of pain in the anus indicates a complication of hemorrhoids. But bleeding that is painless can lead to anemia (which already often develops in pregnant women), and in the worst case, it may be a symptom of polyps or intestinal tumors. Therefore, it is imperative to tell the doctor about pain or blood in the anus.
Can hemorrhoids be treated without surgery?
Yes, if the examination reveals a case of hemorrhoids, you can treat unpleasant symptoms with the help of ointments and suppositories. However, no hemorrhoid drugs have been evaluated for safety during pregnancy. Doctors proceed from the assumption that topical pain relief and wound healing and anti-inflammatory drugs ointments, when applied externally, will not harm a child [1].
Phlebotonics (drugs that tone the veins) are also considered safe. Bandages help to stop the development of the disease, which, by supporting the abdomen from below, reduce the pressure on the veins.
But the most natural and safe method of preventing and treating hemorrhoids in the early stages is proper nutrition and an active lifestyle [3].
What exercises are needed to prevent hemorrhoids?
Nothing special. Simply, the more you move, the less chance of venous congestion. Therefore, walking is a great option [1].






