Piles are very common and many women will have some experience of them before they become pregnant. At least one in ten women will develop piles in pregnancy in the third trimester and one in five new mothers will develop them after giving birth.

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Why are piles common in pregnancy?

Lots of women get piles during pregnancy. You’re more prone to constipation while you’re pregnant, and straining to go to the loo puts extra pressure on the veins in your anus.

Another culprit is the pregnancy hormone progesterone; this loosens things up ready for labour, including your veins.

A further cause could be the weight of your baby. Having a big weight resting on the main blood vessels in your lower abdomen has a damning effect on the blood.

How can I avoid piles in pregnancy?

Piles in pregnancy are not inevitable but you can do your bit to keep them at bay by following the usual healthy advice:

• Eat a high fibre diet: wholemeal bread, cereal, wholewheat pasta and brown rice, and plenty of fruit and vegetables.
• Try to excercise regularly - little and often is fine.
• Try not to strain while on the loo. If the poo isn't coming easily, take your time, or try again later after you've had a drink of water, some fibre, or had some exercise.
• Try putting your feet up on a stool when doing a poo. It may make opening your bowels easier.
• Drink plenty of water and try to avoid caffeine because it can dehydrate you.
• Sleep on your side, rather than on your back, to reduce pressure on that area. It’s also smart to lie down on your left side a few times a day to relieve the pressure on your rectal veins.
• Don’t sit or stand for long stretches at a time.
  

If this still doen't help and you feel a little constipated, then talk to your Doctor or Midwife and ask for a prescription for a laxative.

How can I treat piles?

If the above tips don't help and you are still suffering with piles during pregnancy, then there are a number of treatments available to help.

• Soak in a tub and ensure the effected area is clean
• Ice packs on the painful area may also provide a little much-needed relief.
• Unscented, pre-moistened wipes are often less irritating than toilet paper.
• Try pushing the piles gently back into your rectum with a clean finger when you are having a bath or shower.
  

If this doesn't help then ask your Doctor or Midwife for a prescription for pile ointment or cream to help relieve the pain. If buying them over the counter always check with the pharmacist that they are safe to use whilst pregnant.

Is there any risk to my baby?

No, there is no known risk to you baby if you get piles in pregnancy. Mum is really the only one to suffer and the good news is that, for the majority of women, piles disappear within weeks of giving birth.

Remember you don't need to suffer in silence. Our Coffeehouse pregnancy forum is full of other Mums who have suffered from pile in pregnancy, so why not say hello?