Hemorrhoids, Pregnancy, Now What?

Written by Kathleen Morrison
Medically Reviewed by Andrea Sleeth WHNP-BC, MSCP

Pregnancy is wild—in the best and weirdest ways. Alongside all the magic of growing a tiny human, there are also some not-so-glamorous side effects.

Hemorrhoids? Unfortunately, one of them. And if you're dealing with them, there are ways to fix it. So, what’s going on down there? Hemorrhoids are swollen veins in anus (yep, we’re going there), and they’re actually super common during pregnancy—especially in the third trimester when there’s more weight and pressure in your pelvic area. They might show up as itching, discomfort, or a bit of bleeding when you go to the bathroom. It’s not exactly fun, but it’s also not something you need to panic about.

With a little care (and a touch of honesty), you can feel more comfortable and supported while your body does something seriously incredible.

The what and why of hemorrhoids

Pregnancy comes with all kinds of surprises, and hemorrhoids are one of those unexpected “bonuses” that no one really talks about.

Hemorrhoids are super common during pregnancy and happen when the veins around your butt get a little too much pressure and start to swell.

They’re kind of like varicose veins, just in a more private location. As your body works overtime to grow a whole human, it’s normal for your rectal veins to stretch and puff up a bit, especially as your baby gets bigger.

But they’re usually more annoying than dangerous, and for many people, things calm down after delivery when the pressure on your pelvic area eases up.

Internal vs. external hemorrhoids

Internal hemorrhoids live inside your rectum, which means you probably won’t feel them. They’re usually painless (thank you, nerve endings!) but might show up as a bit of blood on the toilet paper or in the toilet bowl. If they pop out a bit when you go to the bathroom, that’s called a prolapsed hemorrhoid. Still not fun—but also not uncommon.

External hemorrhoids hang out under the skin around your anus and are a lot more noticeable. They might feel like small bumps or lumps and can be itchy, sore, or both. If one of them develops a blood clot inside (aka a thrombosed hemorrhoid), it can get extra tender and appear as a firm, bluish bump. Sounds intense, but it’s manageable—and there are ways to get it sorted.

Why do pregnant women get hemorrhoids?

If you're dealing with hemorrhoids while growing a whole human, your body isn't betraying you. It’s just doing a lot. Understanding what’s going on can help you feel more in control and a little less over it.

Increased blood volume and flow

When you're pregnant, your blood volume ramps way up, like, up to nearly 50% more than usual by the end of your pregnancy. That’s amazing for your baby, but it also puts your veins on double duty. The ones in your rectal area? They’re feeling it.

Your heart is also working overtime, pushing all that extra blood around your body. But when it comes time for blood to flow back up, gravity's not exactly helping. Especially in places like your lower half, where things already move a little slower.

So, if those veins swell up and start to feel sore or puffy, that’s a hemorrhoid.

Growing baby, growing pressure

Fast-forward to the third trimester, and your baby’s officially throwing their weight around.

As your uterus expands, it starts pressing on the big vein (the inferior vena cava) that helps move blood from your legs and lower body back to your heart. With that pressure in the mix, blood flow slows down, including the area around your rectum.

It’s kind of like standing on a garden hose. Everything backs up behind that pressure point, and the veins in your butt are the ones taking the hit. That’s why hemorrhoids often pop up (or get worse) as your due date gets closer.

Constipation and painful bowel movements

Constipation during pregnancy is extremely common, and it’s more than just inconvenient. Your pregnancy hormones affect your digestive system, iron supplements can clog things up, and your growing uterus is crowding your intestines. The result? Bowel movements can get seriously backed up.

If you’re straining to go, that extra pressure can make hemorrhoids show up—or turn a small one into something seriously painful. And once you’re dealing with that soreness, it’s easy to want to avoid going, which only makes constipation worse.

What do pregnancy hemorrhoids feel like?

Pregnancy hemorrhoids are super common—especially in the third trimester—and while they’re not exactly a highlight, they’re totally manageable once you know what to look out for.

Here’s what you might notice:

• Itching or irritation around the anus (yep, it’s as annoying as it sounds)
• **Swelling or soft lumps **that may feel tender or sore, especially after going to the bathroom
• Pain or discomfort when sitting, walking, or having a bowel movement
• Bright red blood on the toilet paper or in the bowl—usually from straining
• Hard, painful lump near the anus (could be a thrombosed hemorrhoid, which sounds scary but isn’t dangerous)
  

When to talk to a healthcare provider

A little spotting is common, but if you notice:

• Excessive bleeding that soaks through a pad
• Dizziness, weakness, or extreme fatigue
• Bleeding that lasts more than a few minutes

It’s a good idea to check in with a provider, just to be safe.

Treating hemorrhoids during pregnancy

When hemorrhoids show up during pregnancy (and they often do!), you don’t have to just grit your teeth and wait it out. There are safe, effective treatment options designed to help you feel better, fast.

Internal relief

If you're dealing with hemorrhoids deeper inside the rectal area, prescription suppositories can bring serious relief. These are small, easy-to-use inserts that help calm inflammation from the inside out. They’re ideal for tackling internal discomfort like itching, swelling, and that deep, aching pressure that just won’t quit.

External relief

For hemorrhoids that show up on the outside, topical hemorrhoid creams are a game-changer. These treatments soothe the burning, itching, and swelling around the skin near your anus. They’re easy to apply and formulated to be gentle on sensitive tissue—perfect for those extra-tender days.

Wisp treatment options are available only after consultation with a licensed medical professional. You should consult with your healthcare provider before starting a new supplement or treatment regimen. Individual results may vary.

Natural hemorrhoid relief during pregnancy

These everyday habits and natural tricks can work alongside your treatment to ease discomfort and help you feel more like yourself.

Keep it warm

Warm water is magic when it comes to soothing irritated skin and swelling down there. No fancy spa setup required.

• Sitz baths: Just sit your butt in a few inches of warm water (in your tub or a toilet-top basin) for 10–15 minutes, especially after going to the bathroom. This can do wonders to relieve pain and reduce swelling.
• Bonus tip: Add a bit of Epsom salt for extra comfort (check with your provider first).
• Not into soaking? A warm compress works too—just a soft washcloth and a little patience.

On the other hand, you could also try ice packs! Afterward, gently pat the area dry or use a hair dryer on a cool setting to avoid extra friction.

Focus on fiber

Hemorrhoids and constipation are BFFs in the worst way. So let’s break them up—with fiber, fluids, and smart snacking.

• Load up on fiber-rich foods: Whole grains, fruits with the skin on, veggies, beans, lentils, and prunes all help keep things moving and relieve constipation.
• Stay hydrated: Aim for 8–10 glasses of water a day to prevent constipation. Herbal teas (like peppermint or ginger) count too!
• Need a boost? Ask your provider about fiber supplements like psyllium husk or methylcellulose.

Pro tip: Add fiber slowly to avoid the dreaded bloat.

Move your body (gently)

Sitting all day = extra pressure. Moving = better blood flow and smoother digestion.

• Go for a daily walk: even 20 minutes helps as part of your daily routine.
• Swim or stretch: great for circulation without putting pressure on your body.
• Try gentle prenatal yoga: poses like child’s pose or cat-cow can work wonders.
• Do Kegels: yep, they help down there too.

Just listen to your body. No need to push it—movement should feel good, not exhausting.

Keep it clean

Wiping the wrong way can make things worse. Go for gentle movements instead of aggressive ones every time.

• Use unscented, alcohol-free wipes or plain warm water
• Try a peri bottle or bidet attachment for hands-free cleaning
• Pat dry—don’t wipe
• Keep the area dry with a little unscented powder or cornstarch if needed
  

Support your bum (literally)

A few smart changes to your day-to-day for avoiding strain can seriously dial down pressure on your backside.

• Elevate your feet on a small stool when pooping to go easy on those swollen blood vessels
• Use a donut cushion if you’re sitting for long stretches
• Lie on your left side when resting or sleeping to improve blood circulation
• Avoid tight waistbands or undies that dig in

All of these lifestyle tweaks work beautifully alongside the right medical treatments.

When to talk to a provider—ASAP

Some hemorrhoids can be managed at home, but sometimes your body needs a little extra backup. Here’s how to know when it’s time to loop in a pro:

You're in severe pain that isn’t going away

If it hurts to sit, walk, or sleep—and nothing seems to help—it’s time to check in with your provider. Persistent or worsening pain could be a sign of a thrombosed hemorrhoid or another issue that needs proper treatment. You don’t have to push through it alone (and honestly, you shouldn’t). Relief is possible.

There’s bleeding you weren’t expecting

If you notice blood in your rectal area during pregnancy—whether it’s a few drops or a more noticeable amount—go ahead and call your provider. They can help confirm whether rectal bleeding is being caused by hemorrhoids or something else. Be ready to describe what you’re seeing (bright red? dark? a clot?), how much, and when it happens. It’s all helpful info.

There’s a painful lump or clot

If you spot a dark, swollen lump that’s super painful, you might be dealing with a thrombosed hemorrhoid. These aren’t dangerous, but they can be really uncomfortable. In some cases, your provider might recommend a simple in-office treatment to help you feel better quickly and safely.

You’ve got pain and a fever

This combo isn’t typical when it comes to hemorrhoid symptoms and could signal an infection. In rare cases, hemorrhoids can become infected, and this needs attention right away. Antibiotics that are safe during pregnancy can clear things up fast—but only if you get checked out.

Real relief for hemorrhoids during pregnancy

Develop hemorrhoids during pregnancy? Super common. Super annoying. But also super treatable. Many women deal with itchiness, swelling, and that uncomfortable pressure nobody warned them about, but there are options—and you don’t have to just live with it.

Prescription treatments like creams or suppositories can be total game-changers. They’re designed to soothe irritation, calm inflammation, and help you feel like yourself again. If you’re not sure what’s safe or where to start, that’s where care tailored to you comes in. The right support makes a huge difference—and yes, you can feel better without playing guessing games in the pharmacy aisle.

Add in some simple lifestyle shifts—like warm soaks, fiber-rich foods, and keeping things hydrated—and you’ve got a whole toolkit to take care of your body while it’s doing the big work of growing a baby.

Wisp makes it easy to connect with licensed providers who actually listen, and get access to prescription treatments designed with you and your comfort in mind. It’s fast, private, and made for real life.

Frequently Asked Questions (FAQ):

How do you treat hemorrhoids when pregnant?

Many pregnant folks use medicated prescription or over-the-counter creams or suppositories that are considered safe during pregnancy to help calm swelling, itching, and pain. If you're dealing with more intense symptoms, your provider might recommend a prescription treatment or a simple in-office procedure.

Should I tell my OB if I have hemorrhoids?

Yes, one hundred percent. Hemorrhoids are super common in pregnancy, and your OB won't bat an eye. Whether you’re managing mild discomfort or dealing with something more stubborn, they can recommend treatments that are safe for you and your baby. Plus, they can help rule out anything more serious that might need attention.

Can you give birth naturally if you have hemorrhoids?

Totally. Hemorrhoids don’t get in the way of a vaginal birth. That said, if they’re causing a lot of discomfort, your provider may talk through ways to ease the pressure during labor—think better positioning, extra support, or topical treatments that help you stay more comfortable.

This blog post is for informational and educational purposes only and should not be taken as professional advice. Always consult with a qualified professional before making any decisions based on the information provided here.