Nature created mothers for miraculous things, like childbirth. What are the disadvantages? Pregnancy and childbirth can cause unpleasant symptoms such as postpartum hemorrhoids. Although they are technically harmless, they can be really annoying (literally) and if you have them, you probably can’t wait to find them. Here you can read expert advice on what postpartum hemorrhoids are, what causes them, how best to relieve them and how to avoid them.

What are postpartum hemorrhoids?

Postpartum hemorrhoids can be a continuation of hemorrhoids that occurred during pregnancy or new hemorrhoids that appear after childbirth. According to the Johns Hopkins School of Medicine, hemorrhoids occur when the veins or blood vessels in and around the lower part of the rectum become swollen and irritated.” They look like fleshy balloons,” said Cynthia Flynn, an obstetrician and gynecologist from Florida who works for Just Answer. Hemorrhoids are perfectly safe, but they can be uncomfortable. There are four types of hemorrhoids.

  • External hemorrhoids: occur under the skin around the anus and are usually invisible. External hemorrhoids typically form after childbirth.
  • Internal hemorrhoids: occur in the rectum and are invisible but can cause bleeding.
  • Protruding hemorrhoids: are similar to polyps and appear in the rectum but then protrude outwards.
  • Thrombotic hemorrhoids: occur when a blood clot forms in the hemorrhoidal vein, blocking blood flow and causing painful swelling. Thrombotic hemorrhoids can be internal or external.
  • Do you want to know how often hemorrhoids occur after childbirth? According to a 2022 study, about 40% of women experience hemorrhoids and anal tears during pregnancy and postpartum, usually in the third trimester and one or two days after delivery.

What are the causes of postpartum hemorrhoids?

Hemorrhoids no more review are caused by increased pressure on the blood vessels, causing them to swell. During pregnancy, the pregnant woman’s blood volume increases, but the pressure from the growing uterus and baby reduces the blood flow. Flynn said: The pressure from the baby and the uterus dilates the veins in the rectum, so [hemorrhoids] are a normal and normal part of pregnancy. In addition, constipation is a common problem in babies over nine months old. Hemorrhoids during pregnancy may persist even after childbirth.
However, childbirth itself can also be a cause of postpartum hemorrhoids. The stress of childbirth can cause hemorrhoids (or worsen existing hemorrhoids). During childbirth, the pushing during labor causes blood to flow into the veins surrounding the rectum. This causes the veins to swell and clot, leading to so-called thrombotic hemorrhoids, says Dr. Alan Lineman, an obstetrician and gynecologist in North Dakota and co-author of Modern Medicine: What You Want to Know. Studies show that the longer you push, especially if you push for more than 20 minutes, the more likely you are to develop hemorrhoids.

According to the same study, instrumental childbirth (when tools such as forceps are used during labor) may also increase the risk of postpartum hemorrhoids, according to the same study. Flynn says the most likely cause of postpartum hemorrhoids is vaginal or instrumental delivery, but they can also occur after cesarean section surgery. He warns: Childbirth does not have to be difficult or complicated for hemorrhoids to occur.

Another factor may be the size of the baby: the birth of a newborn weighing eight kilograms or more may increase the likelihood of postpartum hemorrhoids.

The risk of hemorrhoids after childbirth may increase if the baby has a higher incidence of postpartum hemorrhoids
Although postpartum hemorrhoids vary from person to person, experts say that this is one of the most common symptoms.

  • Blood in the stool, on the toilet, or when cleaning towels.
  • Pain, itching, swelling, and irritation in the rectal area.
  • An enlarged or swollen area around the rectum.
  • Discomfort when sitting or defecating in the early postpartum period.

Sometimes the only symptom is pain or discomfort that resembles the postpartum situation, said Flynn. According to the Johns Hopkins School of Medicine, many symptoms of hemorrhoids can be similar to those of other health problems, so it’s always a good idea to let your doctor know of any symptoms.

How long do hemorrhoids last after childbirth?

Hemorrhoids after childbirth can be a real pain. Here’s how you can alleviate the problem.
According to Flynn, postpartum hemorrhoids can seem very big and upsetting immediately after giving birth, but they should shrink quite a bit in a few days. They are usually painful for five days after birth but improve significantly within two weeks of birth. During this period, you notice that the uterus shrinks, bleeding decreases, and you sweat a lot, so blood volume and pressure naturally decrease in that area,”says Tanya Wills, CNM, a certified midwife in New York City.

Experts agree that while some postpartum hemorrhoids may last longer and require treatment by a healthcare provider, in most cases they go away on their own within six to 12 weeks after delivery. However, some women may develop spots on their skin after giving birth. This happens when blood from the hemorrhoids is returned to the body, but the skin remains stretched,” explains Lindemann.

Recurrent hemorrhoids in subsequent pregnancies.

Wondering if your hemorrhoids will recur with your next pregnancy? Experts say it’s likely. Flynn explains that hemorrhoids can worsen during the trimester at the start of the next pregnancy. The good news is that they “go away or decrease significantly after childbirth,” she says.

Treating hemorrhoids after childbirth: Although most postpartum hemorrhoids go away on their own, there are ways to improve symptoms in the meantime. Lindemann says the simplest treatment for external hemorrhoids after childbirth is rectal retraction (always consult your doctor, of course). If this is not possible, experts recommend the following methods of relief:

  • Sitz bath
  • Epsom salts bath
  • Epsom salt water Epsom salt water
  • Witch hazel
  • Use of ice packs after childbirth
  • Take ibuprofen
  • over-the-counter medicines, sprays and other products
  • Surgery, which is often performed in the doctor’s office under local anesthesia.
  • Another way to treat hemorrhoids after childbirth is to watch your diet. Flynn says it can be helpful to avoid spicy foods, which can cause painful bowel pain. “Changing your diet to include more water, fruits and vegetables can help prevent constipation, which can make hemorrhoids worse.”

How to prevent hemorrhoids after childbirth.

Although hemorrhoids are sometimes unavoidable, there are ways to reduce risk factors. According to medical experts at Johns Hopkins, these include:

Maintaining a healthy weight. Maintaining a healthy weight is a good way to maintain a healthy weight. Being overweight or obese increases the risk of hemorrhoids.

Avoid constipation. Constipation often requires more effort to evacuate, which increases the risk of developing hemorrhoids. To prevent constipation, make sure your diet is high in fiber, such as vegetables, whole grains, and magnesium, as well as fluids. If necessary, use a stool softener.

When should you call your doctor about postpartum hemorrhoids?

If you have postpartum hemorrhoids, mention this to your gynecologist during a routine visit, Flynn says. If you have severe pain that home remedies don’t relieve, or if you have heavy bleeding, you should see your doctor right away. Your doctor’s office can help you manage your hemorrhoids after childbirth.

The end result? Although postpartum hemorrhoids are uncomfortable and sometimes painful, Flynn says they’re “normal” in about half of moms. They usually resolve on their own and, in the meantime, there are options that can improve them. But if you’re in a lot of pain, you should see your gynecologist. Don’t worry, says Wills. It’s not your fault! And we see them all the time. You don’t have to suffer.