Hemorrhoids . . .
What a Bummer!

Hemorrhoids Happen — But You’ve Got Options!

Even though pregnancy-and-birth-related hemorrhoids are pretty common, it’s not a topic people talk about much! So we want to spill the tea about what causes hemorrhoids and how to reduce the risk or impact of them, and what to do if you get them.

Why Are Hemorrhoids So Common in Pregnancy?

Three big reasons:

  1. Hormones — Progesterone relaxes your blood vessels (hello, varicose veins… and yes, that includes the rectal area).

  2. Growing uterus — As your baby grows, the pressure in your pelvis increases. That can reduce blood flow from the lower body, which can make veins swell.

  3. Constipation — Very common in pregnancy and a major contributor to hemorrhoids. Straining = pressure = inflamed veins.

So, yeah… it’s a perfect storm. But it’s not inevitable.

What You Can Do During Pregnancy to Prevent Hemorrhoids

Here are some strategies to keep things moving and your veins happy:

  • Stay Hydrated: Water is your best friend. Aim for 80–100 oz daily to help soften stool and reduce straining.

  • Eat Fiber-Rich Foods: Think: oatmeal, berries, beans, leafy greens, and chia seeds. Fiber keeps everything flowing (pun intended).

  • Move Your Body: Even short walks help circulation and digestion. Gentle yoga or pelvic tilts are great, too.

  • Don’t Delay the Urge: If you need to go, go. Waiting can cause stool to harden, making things more difficult later.

Consider These Supplements:

  • Magnesium citrate or oxide – Helps soften stool. 200–400 mg daily is a common dose.

  • Probiotics – Supports healthy gut function and reduces constipation.

  • Vitamin C with bioflavonoids – Supports vein integrity and reduces inflammation.

  • Psyllium husk or soluble fiber – Adds bulk and softens stool (just add water!).

Preventing Hemorrhoids During Labor

Labor can bring them on if you're pushing for a long time or bearing down hard. Here's what helps:

  • Change positions often: Hands-and-knees, side-lying, and using a birth stool can reduce pressure on the rectal area.

  • Avoid coached pushing: Follow your body’s natural urge instead of purple pushing.

  • Warm compresses or counterpressure: We are happy apply gentle support to the perineum to reduce strain and swelling. Just say the word.

  • Slow the pushing stage if possible: Controlled pushing allows your tissues to stretch gradually, reducing trauma (and therefore inflammation). Take pushing easy.

What to Do Postpartum if Hemorrhoids Show Up

They might flare postpartum—especially if you pushed for a long time or are dealing with constipation. Here’s how to treat them gently:

  • Sitz baths – Warm water soaks several times a day can ease pain and swelling. You can purchase special herbal blends for this.

  • Witch hazel pads or sprays – Anti-inflammatory and soothing. You can even chill them.

  • Ice packs – Wrapped in soft cloths to reduce inflammation.

  • Magnesium – Keep it up to prevent constipation.

  • Topical treatments – Ask your provider about safe creams or suppositories.

  • Keep your feet elevated on the toilet – Use a stool to get into a natural squat position and reduce pressure.

Quick Supplement Recap

Here’s a list of supplements that can help prevent and treat hemorrhoids safely in pregnancy and postpartum:

  • Magnesium citrate/oxide Softens stool

  • Probiotics Supports healthy gut & reduces constipation

  • Vitamin C + bioflavonoids Supports vein strength & reduces inflammation

  • Psyllium husk / soluble fiber Adds stool bulk, helps ease bowel movements

  • Docusate sodium (Colace)Safe stool softener postpartum

  • Topical witch hazel External relief

  • HemCalm - Boiron Homeopathics Supports vein health

  • Collagen - may strengthen blood vessels and tissues

  • NORA Tea - Nettles (the first ingredient in this blend)

Easy Safe Herbal Tea Blend for Vein Health (Pregnancy-Friendly)

You can bl a gentle tea blend to sip daily:

  • 1 part nettle leaf (mineral-rich)

  • 1 part chamomile (anti-inflammatory)

  • 1 part calendula (lymph/skin support)

  • Optional: a pinch of lemon balm or rose petals for taste and calm

Steep 1–2 tsp per cup, covered, for 10–15 minutes. Drink warm or iced.

Final Thoughts

Yes, hemorrhoids are annoying, uncomfortable, and sometimes downright painful—but they’re also super common in pregnancy and birth. The good news? You’re not helpless. With some simple daily habits, helpful supplements, and a good plan, you can reduce your chances of a flare-up and handle them like the postpartum boss you are.

And if you ever have questions or feel like something’s not right—reach out. You don’t have to suffer in silence.