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Can Fam Physician
Vol. 54, No. 2, February 2008, pp.189 - 190
Copyright © 2008 by The College of Family Physicians of Canada
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Motherisk Update

Hemorrhoids in pregnancy

Arthur Staroselsky, MD, Alejandro A. Nava-Ocampo, MD, Sabina Vohra and Gideon Koren, MD FRCPC
QUESTION One of my patients is in the third trimester of her first pregnancy. She has recently experienced spotting during her bowel movements. She has hemorrhoids. What medications are safe?

ANSWER The treatment is mainly symptomatic for most patients. Most forms of the condition can be treated by increasing fibre content in the diet, administering stool softeners, increasing liquid intake, and training in toilet habits. Although none of the topical antihemorrhoidal agents commonly used have been assessed for safety in pregnancy, it is unlikely that the constituent parts (anesthetic, corticosteroids, and anti-inflammatory agents) will harm the third-trimester infant. In most women, most symptoms of the condition will resolve spontaneously soon after giving birth.






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