PEAK WEEK
Week 39 β’ Third Trimester
Hemorrhoids at Week 39
Swollen veins in rectum, painful
π Third Trimester Overview
Very common - 50% affected, worsens with pushing during delivery
π What Causes Hemorrhoids at Week 39?
- β’Constipation and straining
- β’Increased blood volume
- β’Uterusεpressing pelvic veins
- β’Progesterone relaxing veins
- β’Extra weight
- β’Prolonged sitting
β Normal Signs
- βItching or pain
- βSmall bleeding with bowel movement
- βExternal bumps
- βDiscomfort sitting
β Concerning Signs
- β Severe pain
- β Heavy bleeding
- β Prolapsed hemorrhoid
- β Thrombosed (clotted) hemorrhoid
π Relief Strategies
- βPrevent constipation - fiber, water
- βDon't strain during bowel movements
- βSit in warm sitz bath
- βApply ice packs
- βUse witch hazel pads
- βHemorrhoid cream if approved
- βDon't sit too long
- βKeep area clean
- βSleep on side
π₯ When to Call Your Doctor
Contact your healthcare provider if you experience:
- β Severe pain
- β Heavy rectal bleeding
- β Hemorrhoid won't go back inside
- β Signs of thrombosis (very painful, blue)
- β Not improving with treatment