Does hemorrhoids affect natural childbirth?

Written by Jia Rui

Obstetrics and Gynecology

Updated on March 06, 2025

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Women with hemorrhoids during pregnancy can affect childbirth. It is recommended to first treat the hemorrhoids. If the condition of the hemorrhoids is severe, it is also not suitable to treat during pregnancy. In such cases, methods like cesarean section may be adopted for childbirth. Additionally, some topical ointments can be used to locally treat hemorrhoids, which are effective in relieving symptoms such as swelling, pain, and bleeding caused by hemorrhoids. During pregnancy and while suffering from hemorrhoids, spicy foods should be avoided. (Medication should be used under the guidance of a doctor based on specific conditions.)

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Written by Chen Tian Jing

Colorectal Surgery

49sec

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Can hemorrhoidal ointment be used for bleeding hemorrhoids?

Hemorrhoids bleeding needs to be assessed based on the amount of bleeding and the duration of bleeding to determine different treatment methods. If the bleeding is minimal and short-lived, mostly noticed on toilet paper, one can opt for oral hemostatic medications or apply hemorrhoidal cream with hemostatic effects around the anus. However, if the bleeding is significant or persists for a long time, and each bleeding episode appears as dripping or jetting, to further prevent the occurrence of anemia, it is advisable to directly undergo surgical ligation to stop the bleeding, avoiding repeated bleeding episodes that could lead to anemia and further impact body functions.

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Written by Chen Tian Jing

Colorectal Surgery

1min 7sec

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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 Chen Tian Jing

Colorectal Surgery

59sec

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Do hemorrhoids require surgery?

When severe hemorrhoids are in an acute attack phase, it is necessary to undergo surgical treatment as soon as possible. Besides surgery, treatment options for hemorrhoids also include conservative medication to alleviate symptoms. For mild hemorrhoids, or those that flare up less frequently, the primary treatment is conservative topical medication. However, when hemorrhoids repeatedly prolapse, cause pain, and result in significant rectal bleeding, affecting the normal functioning of the patient’s body, it is advised to promptly proceed with hemorrhoidectomy surgery. This helps avoid complications such as severe pain that interferes with normal living, or significant bleeding that could lead to anemia in patients, thereby worsening the condition and increasing the difficulty of future treatments. (Please use medication under the guidance of a professional physician, and do not self-medicate.)

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Written by Chen Tian Jing

Colorectal Surgery

39sec

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Consequences of hemorrhoids bleeding

Rectal bleeding, commonly seen in cases of hemorrhoids, usually appears as bright red blood. The bleeding is not mixed with the stool but is excreted along with it from the anus. Minor hemorrhoid bleeding can cause local anal itching. When the bleeding is heavy or prolonged, it can lead to a significant loss of blood volume, resulting in anemia in the patient. Anemia can then lead to other systemic diseases and problems. Therefore, it is important to treat hemorrhoid bleeding early. Treatment options include oral hemostatic medications combined with the topical application of hemorrhoid cream to stop the bleeding.

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Written by Xu Jun Hui

General Surgery

52sec

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How to alleviate hemorrhoidal bleeding

For hemorrhoid bleeding, it is first necessary to determine the degree of bleeding. If it is mild hemorrhoid bleeding, it can generally be managed with the use of hemorrhoid suppositories to compress and stop the bleeding. If the bleeding is more severe, oral hemostatic medications can be taken. If relief is still not achieved, it is recommended to seek treatment at the hospital's colorectal surgery or gastroenterological surgery departments. If hemorrhoid-induced bleeding occurs frequently and with a large amount each time, it is advisable to consider hemorrhoid surgery as soon as possible. Hemorrhoid bleeding is caused by the tortuous dilation of the inferior rectal venous plexus, which can be injured and cause bleeding either in cases of hard stools or when hemorrhoid symptoms are severe. In the operating room, the diseased vessels need to be removed to fundamentally resolve the cause of the bleeding.