What to do if you have hemorrhoids in late pregnancy
The third trimester of pregnancy is a period of anticipation and nervousness for expectant mothers. However, as the fetus grows and the physical burden increases, hemorrhoids have become a common problem for many pregnant women. This article will combine the hot topics and hot content on the Internet in the past 10 days to provide structured solutions to the problem of hemorrhoids in late pregnancy.
1. Why is it easy to get hemorrhoids in the third trimester of pregnancy?
| Reason | Description |
|---|---|
| uterine compression | The enlarged uterus compresses the pelvic veins, causing obstruction of venous return around the anus |
| Hormone changes | Elevated progesterone levels relax blood vessel walls, making varicose veins more likely to form |
| constipation problem | About 50% of pregnant women will suffer from constipation, and straining to defecate will increase the risk of hemorrhoids. |
| decreased activity | Inability to move around in late pregnancy, sitting or lying down for long periods of time affects blood circulation |
2. Symptom classification of hemorrhoids in late pregnancy
| Grading | Symptoms | frequency of occurrence |
|---|---|---|
| Ⅰ degree | Anal discomfort and mild itching | 35% pregnant women |
| Ⅱ degree | Hemorrhoids prolapse during defecation and can be retracted on their own | 28% pregnant women |
| III degree | Prolapsed hemorrhoids require manual retraction | 20% pregnant women |
| IV degree | Hemorrhoids that prolapse for a long time cannot be recovered | 7% pregnant women |
3. Safe and effective mitigation methods
1. Dietary conditioning
• Daily intake of 25-30g dietary fiber (whole grains, vegetables, fruits)
• Ensure 2000ml water intake (small amounts and multiple times)
• Avoid spicy food
2. Improvement of living habits
| Suggestions | Specific measures |
|---|---|
| toilet habits | Do not defecate for more than 5 minutes at a time and avoid straining |
| Exercise advice | Walk for 30 minutes every day and do Kegel exercises |
| Postural adjustment | Rest on your left side to reduce pelvic pressure |
3. Safe Medication Guide
| drug type | safe choice | Contraindications for use |
|---|---|---|
| topical ointment | Contains witch hazel and zinc oxide | Avoid products containing lidocaine |
| suppository | Glycerin suppositories (short-term use only) | Avoid steroid ingredients |
| Oral medicine | Lactulose (doctor’s guidance required) | Senna-based laxatives are prohibited |
4. When do you need medical treatment?
You should seek medical attention immediately if:
• Continuous bleeding or heavy bleeding
• Severe pain that interferes with daily activities
• Prolapsed hemorrhoids cannot be treated for more than 2 hours
• Accompanied by symptoms of infection such as fever
5. Postpartum precautions
According to statistics, about 60% of hemorrhoids during pregnancy will resolve on their own within 3 months after delivery, but please note:
• Continue a high fiber diet
• Avoid sitting for long periods of time while breastfeeding (it is recommended to use a nursing pillow)
• Consult your doctor at the 6-week postpartum check-up
Warm reminder:There is no need to be overly anxious when hemorrhoids occur in late pregnancy. Most of them can be effectively controlled through scientific treatment. It is recommended to record changes in symptoms every week, communicate with the obstetrician in a timely manner during prenatal check-ups, and never use drugs with unknown ingredients on your own.
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