Hemorrhoids during pregnancy: What's the best treatment?

Hemorrhoids are painful, swollen veins in the anus and rectum. To ease the pain of hemorrhoids during pregnancy:

• Soak in warm water. Fill the tub with plain water and soak several times a day.
• Use ice. Apply ice packs or cold compresses to your anus several times a day to help relieve swelling.
• Try witch hazel. Soak cotton pads with the astringent witch hazel and apply to your anal area. Change the pads frequently. Witch hazel is available over-the-counter at most pharmacies.
• Avoid sitting for long periods of time. Sitting puts pressure on the veins in your anus and rectum. When you can, lie on your side or stand up. If you must sit, take frequent breaks.
• Keep your anal area clean. Pre-moistened wipes may be more comfortable than dry toilet paper. Choose brands that don't contain perfumes or alcohol — or use medicated wipes made specifically for people who have hemorrhoids.
• Try an over-the-counter hemorrhoid remedy. Ask your health care provider to recommend a suppository or hemorrhoid cream that's safe to use during pregnancy.

Keep in mind that constipation is often the main culprit behind hemorrhoids during pregnancy. To relieve or prevent constipation:

• Include plenty of fiber in your diet
• Drink plenty of water and other fluids
• Include physical activity in your daily routine
• Ask your health care provider about stool softeners and fiber supplements

If these suggestions don't help or your hemorrhoids get worse or begin to bleed, consult your health care provider. Treatment for severe hemorrhoids during pregnancy may include prescription medication or a minor surgical procedure.