Haemorrhoidal disease during pregnancy may first appear or worsen if it already existed previously. It is due to pelvic occupation and the difficulty of venous return.
Measures should be conservative, such as topical agents, laxatives, fibre and water in the diet. Caution should be exercised because most symptoms disappear after birth if the patient did not have them before pregnancy.
The most common complication during pregnancy is thrombosed external haemorrhoid. Treatment should remain conservative if possible. If thrombosis was severe, surgical treatment depends on the evolution of gestation.
Pregnancy and Postpartum
Thrombosed external haemorrhoid is also the main complication in the immediate postpartum period, and it is usually solved without any sequel in a few days though sometimes it requires a more aggressive treatment.
Constipation that often accompanies the period of breastfeeding is responsible for the appearance of anal fissure, also frequent in the postpartum period, and which require a surgical solution in most of the cases.
Dr. José Rocamora