What is safe to take for hemorrhoids in pregnancy?

Is Preparation H safe in pregnancy?

Tucks Medicated Pads for Hemorrhoids
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Hemorrhoids are inflamed and swollen veins of the rectum. Hemorrhoids are fairly common in pregnancy, but also painful. They should be treated with a combination approach. This means, try to prevent constipation, which can help alleviate hemorrhoids and reduce those that you may already have.

"I had no idea what I had going on and I was really embarrassed to even talk about it. I mean, who wants to talk about their butt?" asked one mom.

"My doctor was really cool about it and stopped me before I said much. While it was nice to hear that this was common - who wants to find out about it at all? Thankfully she gave me some great suggestions."

One reason that pregnant women get hemorrhoids is constipation. So the first step in treating hemorrhoids in pregnancy is to prevent constipation. This means staying well hydrated with water and making dietary changes to include more fiber. Exercise is also important in the fight to prevent hemorrhoids. If you follow these tips, it should help relieve constipation.

You may already have some hemorrhoids. They may also cause you to have pain from the varicose veins, hemorrhoids. For this you can try many things that are considered safe in pregnancy including:

  • sitz baths
  • Preparation H 
  • Tucks (or other witch hazel pads) 
  • Anusol 

You may wonder if things like Preparation H are safe in pregnancy?

These over-the-counter products can be used at any point in pregnancy. The relieve pain quickly and help provide relief. You will want to figure out what works best for you, but remember, prevention and treatment can go hand in hand. 

"The cooling relief of the hemorrhoid pads was pretty amazing," says another mother.

"I was amazed at how quickly it started working to relieve the pain. While it wasn't gone, it was definitely more tolerable. I used the pads to wipe and that was really helpful. My doctor said I could use them any time. But with a change in vitamins, some different snacks, and this treatment, I was doing much better very quickly. 

You should talk to your doctor or midwife about your constipation and hemorrhoids. There may be other changes you can make, like switching your prenatal vitamins to be helpful. Iron in many supplements can be particularly binding (cause constipation). So if you're experiencing any anemia, your doctor or midwife might suggest extra iron to help with your blood work, be sure to remind them that you have an issue with constipation and/or hemorrhoids.

When it comes to giving birth, sometimes pushing and the positions that you chose can exacerbate hemorrhoids that you already have or create new ones. The best advice I can give you here is to push when your body tells you to push (if you can feel it), called spontaneous bearing down. If you have an epidural and can't feel an urge to push, you can also ask about laboring down. The second thing that you can do is to use a side lying position for pushing.

This can alleviate the pressure on the area that tends to have hemorrhoids. If you do have a recurrence or new case of hemorrhoids after giving birth, the remedies are the same.

Since hemorrhoids generally get better after you've given birth, surgery is generally not an option until the postpartum period. The vast majority of women will not need surgery to recover from hemorrhoids, but it can be an option in particularly severe cases.


Obstetrics: Normal and Problem Pregnancies. Gabbe, S, Niebyl, J, Simpson, JL. Fifth Edition.

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