TY - JOUR T1 - Hemorrhoids in pregnancy JF - Canadian Family Physician JO - Can Fam Physician SP - 189 LP - 190 VL - 54 IS - 2 AU - Arthur Staroselsky AU - Alejandro A. Nava-Ocampo AU - Sabina Vohra AU - Gideon Koren Y1 - 2008/02/01 UR - http://www.cfp.ca/content/54/2/189.abstract N2 - 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. ER -