Understanding And Managing Piles In Pregnancy For A Healthier Journey

It’s entirely normal to experience piles during pregnancy, and while it might seem daunting, remember you’re not alone in this. Many expectant mothers face this uncomfortable side effect as their bodies adapt to nurturing a growing baby. Piles, medically known as hemorrhoids, are basically swollen blood vessels that can form either inside or around your anus. Though bothersome, they can occur to anyone, not just pregnant individuals.

Research suggests that roughly 25% to 35% of women encounter piles at some point during their pregnancy. Interestingly, the physical exertion of childbirth can also leave women vulnerable to developing them after pregnancy.

To offer insight on this topic, we consulted Dr. Susanna Unsworth, a seasoned women’s health and menopause specialist with over 15 years in the field. She reassures us that while piles during pregnancy aren’t typically dangerous, they can definitely hinder your daily life. “Piles in pregnancy are usually not a cause for concern and often improve after childbirth,” Dr. Unsworth explains, acknowledging the discomfort these symptoms can bring.

Symptoms of Piles in Pregnancy

If you’re grappling with piles, be aware of the following symptoms, as noted by the NHS:

– Itching or pain around the anus, possibly accompanied by soreness, swelling, or aching.
– Discomfort during bowel movements.
– Mucus discharge after a bowel movement.
– A noticeable lump or swelling near the anus, which may require manual adjustment after passing a stool.
– Bright red bleeding after a stool.

Why Do Women Get Piles in Pregnancy?

Dr. Unsworth sheds light on the underlying causes. “Hemorrhoids, or piles, are swollen and inflamed veins around the anus or lower part of the bowel,” she clarifies, pointing out that they stem from a combination of factors during pregnancy, including:

– Increased Pressure: As your uterus expands, it puts added strain on the veins in your pelvic area.
– Hormonal Changes: The surge of pregnancy hormones, particularly progesterone, relaxes blood vessel walls, making them more susceptible to swelling.
– Elevated Blood Volume: The increase in blood circulating through your system can lead to enlarged veins.
– Constipation: This is a common issue for many pregnant women, often exacerbated by hormonal effects that slow digestion, iron supplements, and pressure from the uterus. If you had IBS before your pregnancy, it may flare up now, increasing the likelihood of constipation.

How to Ease Piles During Pregnancy

While there isn’t a magic solution to instantly eliminate piles, there are numerous strategies to alleviate discomfort. Dr. Unsworth emphasizes the importance of diet, hydration, and gentle exercise. “Adopting a high-fiber diet loaded with fruits, vegetables, and whole grains is essential,” she suggests. Drinking plenty of water can keep stools soft, and engaging in regular physical activities like walking or swimming can stimulate bowel movements safely.

If you find yourself needing relief, avoid standing for prolonged periods, and try to sidestep straining while on the toilet. Dr. Unsworth also endorses home remedies that can ease discomfort. Warm baths lasting about 10 to 15 minutes can soothe the area, while cold compresses may help reduce swelling. Using donut-shaped cushions while seated can take pressure off the affected area. Remember to maintain good hygiene; using moist toilet paper or a damp cloth can make cleanup easier and more gentle.

Can I Prevent Piles During Pregnancy?

While not always avoidable, you can take proactive steps to reduce your chances of developing piles. Focus on preventing constipation by following the dietary and exercise recommendations made by Dr. Unsworth—high-fiber foods, regular movement, and mindfulness about prolonged standing can make a significant difference.

When to Consult a Doctor

If the pain or bleeding becomes severe, or if your symptoms disrupt your daily life, consider reaching out to your doctor. “If you find yourself needing specific aids, like cushions, frequently for comfort, it’s worth getting checked,” Dr. Unsworth advises. Some topical creams containing hydrocortisone or local anaesthetics may be safe during pregnancy, but be sure to consult your healthcare provider before using anything new.

Rest assured, any piles that develop typically resolve themselves within a couple of weeks post-delivery. However, if they persist, don’t hesitate to consult your GP for further assistance.