Managing Piles in Pregnancy: Tips for Relief and Prevention

Pregnancy is a time of immense joy, but it can also come with some uncomfortable health challenges. One common issue many women face during pregnancy is the development of haemorrhoids, commonly known as piles in Singapore. These swollen veins in the lower rectum or anus can cause itching, discomfort, and even pain, particularly during bowel movements. Piles in pregnancy are not uncommon, and knowing how to manage them is essential for the well-being of both the mother and the baby.

Understanding Piles in Pregnancy

Haemorrhoids or piles are swollen blood vessels that can develop internally (inside the rectum) or externally (around the anus). Pregnant women are particularly prone to piles due to increased pressure on the pelvic region as the uterus expands. Constipation, a frequent pregnancy complaint, also contributes to the development of piles as it leads to straining during bowel movements.

Hormonal changes during pregnancy can further relax the blood vessels, making them more prone to swelling. While piles are generally harmless, they can be uncomfortable and distressing if left untreated.

Symptoms of Piles

Some common symptoms of piles in pregnancy include:

• Itching or irritation around the anus
• Pain or discomfort, especially during bowel movements
• Swelling or lumps around the anus
• Bleeding during or after bowel movements

These symptoms can vary in intensity and may worsen in the later stages of pregnancy as the baby grows and puts more pressure on the rectal veins.

Tips for Relief

Managing piles during pregnancy requires a combination of lifestyle changes, home remedies, and medical interventions. Here are some effective tips for relief:

1. Stay Hydrated and Increase Fiber Intake

One of the primary causes of piles is constipation. Drinking plenty of water and starting a gut-friendly diet by eating fibre-rich foods, such as fruits, vegetables, and whole grains, can help soften stools, making bowel movements easier and reducing the need to strain. Consider adding foods like oats, beans, and leafy greens to your diet to promote healthy digestion and prevent constipation.

2. Exercise Regularly

Light exercise, such as walking or prenatal yoga, can help stimulate bowel movements and relieve constipation. Exercise improves circulation and reduces pressure on the veins, which can help prevent and manage piles. However, always consult your doctor before starting any exercise routine during pregnancy.

3. Use a Cold Compress

If piles cause discomfort or swelling, applying a cold compress to the affected area for 10-15 minutes several times a day can provide relief. The cold helps reduce inflammation and numb the area, easing discomfort.

4. Practice Good Bathroom Habits

Avoid sitting on the toilet for prolonged periods, as this can put additional strain on the rectal veins. It’s also important to respond promptly when you feel the urge to go to the bathroom, as holding in a bowel movement can lead to harder stools and increased straining.

5. Try Over-the-Counter Creams or Wipes

There are several creams and wipes available that can help soothe the itching and irritation caused by piles. However, it’s essential to consult your doctor before using any medication, especially during pregnancy.

6. Elevate Your Legs

When sitting or lying down, try to elevate your legs to reduce pressure on the rectal veins. This can help improve blood flow and reduce the chances of piles worsening.

Preventing Piles in Pregnancy

While it may not always be possible to prevent piles, especially if they are caused by genetic factors or hormonal changes, there are steps you can take to reduce your risk:

• Avoid Straining During Bowel Movements: Straining puts unnecessary pressure on the rectal veins, increasing the likelihood of developing piles.
• Eat a Fibre-Rich Diet: A healthy diet rich in fibre helps promote smooth bowel movements, reducing constipation and the strain associated with piles.
• Stay Active: Regular physical activity helps improve digestion and circulation, both of which can reduce the likelihood of developing piles.
• Manage Weight Gain: Gaining excessive weight during pregnancy can increase pressure on the pelvic region. Aim for a healthy weight gain based on your doctor’s recommendations.

When to See a Doctor

If you experience severe pain, excessive bleeding, or persistent symptoms despite trying home remedies, it’s essential to consult a healthcare professional. A piles specialist can provide treatment options tailored to your specific condition. In some cases, piles may require minor medical interventions such as banding or sclerotherapy to reduce the swelling.

Conclusion

Piles in pregnancy can be uncomfortable, but with the right lifestyle changes and treatment options, you can manage the condition effectively. By staying hydrated, eating a fibre-rich diet, and practising good bathroom habits, you can alleviate the symptoms and prevent piles from worsening.

If you’re experiencing persistent or severe symptoms, don’t hesitate to seek help from a healthcare professional. Here at GUTCARE, our specialists can provide the appropriate care and advice to help you manage your symptoms.

Reference(s):

https://my.clevelandclinic.org/health/diseases/23498-pregnancy-hemorrhoids

https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/piles/