Week 27 β€’ Second Trimester

Hemorrhoids at Week 27

Swollen veins in rectum, painful

πŸ“† Second Trimester Overview

More common as uterus grows

πŸ” What Causes Hemorrhoids at Week 27?

  • β€’Constipation and straining
  • β€’Increased blood volume
  • β€’UterusεŽ‹pressing pelvic veins
  • β€’Progesterone relaxing veins
  • β€’Extra weight
  • β€’Prolonged sitting

βœ“ Normal Signs

  • βœ“Itching or pain
  • βœ“Small bleeding with bowel movement
  • βœ“External bumps
  • βœ“Discomfort sitting

⚠ Concerning Signs

  • ⚠Severe pain
  • ⚠Heavy bleeding
  • ⚠Prolapsed hemorrhoid
  • ⚠Thrombosed (clotted) hemorrhoid

πŸ’Š Relief Strategies

  • βœ“Prevent constipation - fiber, water
  • βœ“Don't strain during bowel movements
  • βœ“Sit in warm sitz bath
  • βœ“Apply ice packs
  • βœ“Use witch hazel pads
  • βœ“Hemorrhoid cream if approved
  • βœ“Don't sit too long
  • βœ“Keep area clean
  • βœ“Sleep on side

πŸ₯ When to Call Your Doctor

Contact your healthcare provider if you experience:

  • ⚠Severe pain
  • ⚠Heavy rectal bleeding
  • ⚠Hemorrhoid won't go back inside
  • ⚠Signs of thrombosis (very painful, blue)
  • ⚠Not improving with treatment