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Piles and Fissures In Pregnancy: Understanding Symptoms, Causes, and Treatment

Pregnancy brings about numerous changes in a woman’s body, and some of these changes can lead to conditions like piles (hemorrhoids) and fissures. Understanding their symptoms, causes, and treatment options is crucial for expectant mothers to ensure a healthy and comfortable pregnancy journey.

Symptoms of Piles and Fissures in Pregnancy

Piles Symptoms:

  • Swollen, painful lumps around the anus.
  • Itching or irritation in the anal region.
  • Bleeding during bowel movements.

Fissures Symptoms:

  • Pain and discomfort during bowel movements.
  • Bright red blood on the stool or toilet paper.
  • Persistent anal pain or spasms.

Causes During Pregnancy

Several factors contribute to the development of piles and fissures during pregnancy:

  • Increased Pressure: The growing uterus exerts pressure on pelvic blood vessels and the rectum, leading to swelling and inflammation.
  • Hormonal Changes: Pregnancy hormones can relax the veins in the rectum, making them more susceptible to swelling and irritation.
  • Constipation: Common during pregnancy, constipation puts strain on the rectal area during bowel movements, aggravating piles and fissures.

Treatment Options

  1. Dietary Changes: Increasing fibre intake, staying hydrated, and consuming fruits and vegetables can alleviate constipation and soften stools, reducing discomfort.
  2. Topical Treatments: Over-the-counter ointments or suppositories can help soothe pain and reduce inflammation.
  3. Sitz Baths: Warm baths can relieve and promote the healing of fissures and piles.
  4. Medication: Sometimes, a doctor might recommend mild pain relievers or stool softeners to manage symptoms.
  5. Medical Procedures: Procedures like rubber band ligation or surgical interventions might be necessary for severe cases.

Preventive Measures

  • Maintain a Healthy Diet: Incorporate fiber-rich foods and stay hydrated to prevent constipation.
  • Regular Exercise: Physical activity can aid in proper bowel movements and reduce pressure on the rectal area.
  • Practice Good Toilet Habits: Avoid straining during bowel movements and use mild, unscented wipes to clean the anal area.

Consultation with a Healthcare Professional

Pregnant women experiencing symptoms of piles or fissures should seek medical advice promptly. A healthcare professional can offer tailored guidance and appropriate treatment options to ensure a comfortable pregnancy journey.


Understanding the symptoms, causes, and available treatments for piles and fissures during pregnancy is vital for expectant mothers. By adopting preventive measures and seeking timely medical advice, women can manage these conditions effectively, ensuring a smoother and more comfortable pregnancy experience.

For personalized guidance and support, consult our experts at Abhilasha Nursing Home.