From Discomfort to Relief: Managing Haemorrhoids During and After Pregnancy

Haemorrhoids are one of the most common discomforts women experience during pregnancy and after childbirth. The good news? They’re usually temporary, manageable, and treatable. To help mothers understand what’s happening to their bodies, we spoke with Dr Ganesh Ramalingam, General Surgeon at G&L Surgical Clinic, who shared insights on why haemorrhoids develop and what you can do to find relief safely.

Why Haemorrhoids Happen During Pregnancy

Pregnancy changes the body in many ways, and some of these changes can increase the chances of haemorrhoids forming.

According to Dr Ganesh, “During pregnancy, hormonal changes cause the veins and connective tissue in the pelvic area to relax, while the growing uterus increases pressure on the rectal veins. These two factors make it easier for haemorrhoids to form or worsen, even if you’ve never had them before. Constipation, which is also common in pregnancy, adds further strain.”

Together, these factors make swollen veins around the rectum more likely, especially in the second and third trimesters.

Symptoms to Look Out For

Haemorrhoids can appear gradually or suddenly. Common signs include:

• Itching or irritation around the anus

• A small, painful lump near the anal opening

• Bright red blood after passing motion

• Pain during or after bowel movements

• A feeling of swelling or heaviness in the rectal area

If symptoms are persistent or worsening, it’s important to be evaluated by a doctor.

What You Can Do to Manage Haemorrhoids During Pregnancy

While haemorrhoids can be uncomfortable, simple daily habits can make a big difference. Dr Ganesh recommends focusing on gentle, consistent lifestyle adjustments.

Increase Fibre Intake

A fibre-rich diet is one of the most effective ways to prevent and manage haemorrhoids during pregnancy. Fibre helps soften stools, makes bowel movements easier, and reduces the need to strain, which is one of the biggest triggers of haemorrhoids. Try including more whole grains, leafy greens, fruits, oats and legumes in your daily meals to keep your digestion regular and comfortable.

As Dr Ganesh notes, “A high-fibre diet is the foundation. Whole grains, fruits, vegetables and adequate fluids keep stools soft and reduce straining.”

Hydration

Drink enough water throughout the day. This helps fibre work effectively.

Gentle Movement

Gentle physical activity, such as walking, can help stimulate bowel movements and prevent constipation during pregnancy. Dr Ganesh adds, “Regular gentle exercise like walking also promotes bowel movement. Avoid sitting for long periods and take short breaks to move around, especially in late pregnancy.”

Healthy Toilet Habits

Try to avoid straining when passing motion, as this puts additional pressure on the rectal veins. It also helps to limit the amount of time you spend sitting on the toilet, since prolonged sitting can worsen swelling. Lastly, go to the toilet when you first feel the urge. Delaying bowel movements often leads to harder stools and more straining later on.

Safe Medications

Some pregnant women may need additional relief. Dr Ganesh advises, “If pain or itching persists, mild topical creams prescribed by a doctor are generally safe.” Avoid using over-the-counter creams without medical guidance during pregnancy.

How Delivery Method Impacts Postpartum Haemorrhoids

Your mode of delivery can influence how severe haemorrhoids become after childbirth.

Dr Ganesh explains, “Haemorrhoids are more common after a vaginal delivery because of the prolonged straining and pressure during labour. That said, women who have a C-section can still develop haemorrhoids, particularly if they experience constipation or reduced mobility after surgery.”

Regardless of delivery method, the postpartum period often comes with hormonal shifts and bowel habit changes that may temporarily worsen symptoms.

How Long Do Haemorrhoids Last After Childbirth?

Most new mothers notice improvement within a few weeks.

According to Dr Ganesh, “For most women, haemorrhoids improve within a few weeks after delivery as hormone levels stabilise and pressure in the pelvis decreases. However, if they remain painful or continue to bleed after six to eight weeks, it’s advisable to be reviewed by a doctor.”

If symptoms persist beyond the healing period, there may be other contributing factors such as chronic constipation, hereditary vein issues, or irritable bowel syndrome.

When You Should See a Doctor

Haemorrhoids during and after pregnancy are usually manageable with home care, but medical attention is needed when:

• Pain is severe or worsening

• There is heavy or prolonged bleeding

• A lump becomes very swollen or purple

• Symptoms persist beyond 6–8 weeks postpartum

• You’re unsure whether the symptoms are from haemorrhoids

For some women, surgery may be an option if symptoms remain distressing despite treatment.

Dr Ganesh shares, “If haemorrhoids are large, persistently painful, or continue to bleed despite lifestyle changes and medical treatment, surgical removal can be considered. I usually advise waiting until after recovery from childbirth unless symptoms are severe.”

Haemorrhoids may be uncomfortable, but they are a common part of many women’s pregnancy and postpartum journey, and most importantly, they are treatable. With the right lifestyle adjustments and timely medical guidance, you can manage symptoms effectively and recover well.

If you have concerns or experience symptoms that linger, early review by a doctor can help ensure a smoother, more comfortable recovery.