Pregnancy and Haemorrhoids
Pregnancy brings many changes to your body some expected, and others less welcome. One of the more uncomfortable ones? Haemorrhoids. If you’re experiencing pain, itching, or swelling around the anus, you’re not alone studies suggest up to 83% of pregnant women develop haemorrhoids during pregnancy.
What Are Haemorrhoids?
Haemorrhoids are swollen, inflamed veins in the anus or lower rectum. They can develop internally (inside the rectum) or externally (under the skin around the anus).
During pregnancy, haemorrhoids often appear in the third trimester, when the growing uterus increases pressure on the pelvic veins and slows blood flow leading to vascular engorgement and venous stasis (blood pooling).
Other contributing factors include:
Increased blood volume and intra-abdominal pressure (IAP)
Hormonal changes – progesterone relaxes smooth muscles that support the veins
Constipation and straining with bowel movements
Reduced tone in the pelvic floor muscles
Common Symptoms
Haemorrhoids can range from mildly uncomfortable to quite painful. Symptoms may include:
Itching or irritation around the anus
Pain or discomfort when sitting
Bleeding during bowel movements
A feeling of fullness or prolapse (a lump that may come out of the anus)
Sharp, knife-like pain if an anal fissure (small tear in the skin) is also present
Sometimes, when haemorrhoids or fissures heal, they can leave behind a small skin tag, which is harmless but can make hygiene a little more difficult.
How Osteopathy Can Help
While haemorrhoids are common, they don’t have to be something you just “put up with.” Osteopathic treatment can help reduce the contributing strain and pressure within the body by focusing on:
Pressure management systems - improving the strain placed on your pelvic floor
Breathing and posture techniques to ease intra-abdominal pressure
Lymphatic drainage to support circulation and reduce congestion
Constipation management - gentle techniques to encourage bowel motility
Your osteopath may also recommend seeing a nutritionist or dietitian for dietary support to keep your bowels moving smoothly, reduce constipation, as well as discuss safe over-the-counter options to reduce inflammation and shrink haemorrhoids during pregnancy.
Home Tips for Relief
Sitz baths – sitting in warm water for 10–15 minutes can soothe discomfort
Padsicles with witch hazel – help reduce inflammation and soothe pain
Gentle exercise and hydration – support healthy circulation and bowel movement
Avoid straining during bowel movements
When to Seek Help
If you experience persistent pain, heavy bleeding, or severe discomfort, speak with your healthcare provider. Haemorrhoids are common and treatable, and with the right support including osteopathic care most symptoms can be managed safely and effectively during pregnancy.