What should pregnant women do about hemorrhoids?

Written by Du Rui Xia
Obstetrics
Updated on September 01, 2024
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Women who develop hemorrhoids during pregnancy should stop eating spicy and stimulating foods. They should eat more vegetables and fruits that are rich in fiber to facilitate bowel movements, such as bananas, daylilies, black fungus, apples, peaches, and pears. They can also use some medications for sitz baths, twice a day after each bowel movement, once in the morning and once in the evening. Additionally, they should avoid standing or sitting for long periods and can perform anal lifting exercises or massage the anal area. Massaging can help with blood circulation and can be somewhat helpful in improving hemorrhoids.

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Written by Du Rui Xia
Obstetrics
39sec home-news-image

What should pregnant women do about hemorrhoids?

Women who develop hemorrhoids during pregnancy should stop eating spicy and stimulating foods. They should eat more vegetables and fruits that are rich in fiber to facilitate bowel movements, such as bananas, daylilies, black fungus, apples, peaches, and pears. They can also use some medications for sitz baths, twice a day after each bowel movement, once in the morning and once in the evening. Additionally, they should avoid standing or sitting for long periods and can perform anal lifting exercises or massage the anal area. Massaging can help with blood circulation and can be somewhat helpful in improving hemorrhoids.

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Written by Chen Tian Jing
Colorectal Surgery
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What should I do if hemorrhoids are bleeding?

Hemorrhoids that bleed should be treated to stop the bleeding as soon as possible. The common clinical symptoms of hemorrhoids mainly include localized bleeding, repeated prolapse of the internal part of the anus, and pain. Early bleeding can be managed with oral hemostatic medications, application of hemorrhoidal creams to the anal area, and use of anal plugs with thrombotic agents for comprehensive treatment, for minor bleeding. The symptoms can be relieved with medications. However, if the bleeding lasts long or if there is a greater amount of bleeding from mucous membranes and the bleeding points are fragile, further surgical ligation may be necessary to stop the bleeding. Common surgical methods mainly include excision of mixed hemorrhoids, internal ligation, or hemorrhoid banding procedure, and can also be combined with submucosal sclerotherapy injections.

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Written by Ren Zheng Xin
Gastroenterology
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What causes hemorrhoids to bleed?

Internal hemorrhoids can easily cause rectal bleeding. The main reason is the varicosity of hemorrhoidal veins. During defecation, dry and hard stools scratch the hemorrhoidal veins causing them to rupture and bleed. Additionally, due to the long-term presence of hemorrhoids, the hemorrhoidal veins become overstretched, making the vein walls thin and fragile, and easily damaged during bowel movements. For hemorrhoid-induced rectal bleeding, treatment can be administered through medications aimed primarily at reducing bleeding symptoms and alleviating the varicosity of the hemorrhoidal veins. Sitz baths can also be used to reduce swelling around the anus. If medication provides limited relief, minimally invasive or surgical treatments may be considered.

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Written by Chen Tian Jing
Colorectal Surgery
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What to eat when hemorrhoids bleed?

When symptoms of bleeding occur in hemorrhoids, it is generally necessary to first carry out symptomatic treatment with oral hemostatic medications and local anal suppository for hemorrhoids. Simple bleeding or minor bleeding can be alleviated by oral medication or conservative topical drugs. If the bleeding hemorrhoids are accompanied by recurrent protrusion of internal masses or severe anal pain, in addition to oral hemostatic drugs, it is also necessary to combine surgical ligation or internal hemorrhoidal banding for hemostasis, and if necessary, combined with internal sclerosant mucosal injection for comprehensive treatment. When patients with hemorrhoids bleed, it is generally advised to eat liquid food and avoid hard textured food, and certainly not to eat spicy and irritating food.

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Written by Zhang Lu
Obstetrics
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What are the symptoms of hemorrhoids in pregnant women?

After pregnancy, the volume of the female uterus increases, and in late pregnancy, the fetus descends into the pelvis. These factors can compress the veins in the pelvic area, obstructing blood flow around the anus, causing venous blood stagnation around the anus, and making it easy for pregnant women to develop hemorrhoids or for pre-existing hemorrhoids to worsen during pregnancy. The symptoms of hemorrhoids in pregnant women include the following aspects: first, you can feel polyp-like tissue outside the anus with your hand. Second, when hemorrhoids are severe, they can cause the prolapse of hemorrhoidal tissue or be accompanied by anal bleeding. Third, hemorrhoids can sometimes be accompanied by constipation, and hemorrhoids during pregnancy should be treated through diet, exercise, and medication.