No matter what the reason, seeing blood after you go to the bathroom can be frightening, especially when you are pregnant. Finding out it is “just” bleeding hemorrhoids may be a relief, but that doesn’t mean you have to live with the pain, irritation, itching, and discomfort that accompany not only trips to the bathroom but affect other areas of your life as well. While pregnancy is a common factor in this condition, that doesn’t mean you can’t take steps to relieve pain and enjoy this time in your life.
It doesn’t seem fair that in addition to gaining weight, retaining fluid, and enduring morning sickness, pregnant women often also have to contend with irritating, itching, and inflamed veins in the anal region. Why is this? As the uterus grows, it puts more pressure on the veins in the pelvis and on the inferior vena cava, a large vein that carries deoxygenated blood from the lower limbs to the heart. The increased pressure can slow down the blood flow in the lower half of the body, which in turn, places more pressure on the veins below the uterus.
When women are pregnant, their hormone levels fluctuate. The hormone progesterone increases, which causes vein walls to relax. This creates a propensity for swelling. Another side effect of higher levels of progesterone is that intestinal tract function is slowed. This leads to constipation, which is a major risk factor.
Can women do anything about the causes of bleeding hemorrhoids during pregnancy? Since constipation is a leading risk factor, adding more fiber, drinking plenty of water, and exercising regularly will help a great deal. Most pregnant women also know about Kegel exercises. These strengthen and tone the muscles of the rectum and anus, reducing the risk of developing this condition. (Kegels also tone the vaginal and perianal muscles, which will help with delivery.) Simply contract your vaginal and rectal muscles and hold for ten seconds. Relax. Repeat this several times throughout the day.
To relieve pain and irritation, try using flushable wipes instead of toilet paper, avoiding heavy lifting, applying ice several times a day, bathing frequently in warm water, apply pads soaked in witch hazel or apple cider vinegar, and lay down. Lying on left side will help because it eases pressure on the inferior vena cava.
Being pregnant is a special time in any woman’s life, but it also comes with its share of unglamorous changes. Prevent and soothe irritated and inflamed veins immediately so you can concentrate on more important things.