However, this bleeding may not come from the vagina at all in some cases. It is caused by haemorrhoids, a condition that affects almost 50% of pregnant individuals when they reach the last trimester. This may be the reason for the bleeding, and you can manage it.
What Are Haemorrhoids?
Haemorrhoids are swollen blood vessels in your anus or lower rectum region. They are similar to varicose veins that develop on the legs. An increase in pressure from your growing uterus, hormonal changes, or constipation results in this condition during pregnancy.In this article:
- Itching or irritation around the anus
- Pain after passing the stool
- Swelling or lumps near the anus
- Bright red blood on toilet paper or stool
Why Are Haemorrhoids Common During Pregnancy?
Many factors may cause haemorrhoids during pregnancy.- Your blood volume increases by nearly 40–50%. This increased blood flow and pressure put your veins under extra strain in your lower body.
- Your uterus grows as your pregnancy progresses to support your baby, which slows blood return and causes veins to swell.
- Progesterone relaxes blood vessel walls and makes them more susceptible to swelling.
- Constipation due to hormonal changes and iron supplements is common in pregnancy. It leads to straining, which worsens haemorrhoids.
How Can Haemorrhoids Cause Bleeding During Pregnancy?
You may notice small spots of bright red blood when you wipe after passing stool. That is how you know it is due to haemorrhoids. The swollen vessels can rupture and begin to bleed in some cases.- Blood is bright red
- You may notice it on toilet paper or in the toilet bowl
- You may experience pain, itching, or a burning sensation
How to Tell if Bleeding is Vaginal or from Haemorrhoids?
You can identify haemorrhoids during pregnancy by observing the signs listed below:| Signs | Vaginal Bleeding | Bleeding from Haemorrhoids |
| Source | From the vagina | From the rectum/anus |
| Color | May be light pink, brown, or red | Usually bright red |
| Associated Symptoms | Cramps, discharge, or back pain | Pain, itching, or swelling near the anus |
| Timing | Random or after physical activity | After bowel movements |
When Should You Be Concerned?
Bleeding due to haemorrhoids is harmless in most cases, but you may need medical help in the following cases:- If the bleeding is heavy or continuous
- If it is accompanied by dizziness or fainting
- If you notice severe pain, swelling, or pus near the anus
- If bleeding is dark brown or mixed with mucus
- If there’s any doubt whether it’s vaginal or rectal bleeding
What Can You Do to Manage and Prevent Haemorrhoids?
Haemorrhoids can be uncomfortable, but the condition is manageable at home with some simple measures.- Drink at least 8–10 glasses of water daily to prevent constipation
- Eat high-fibre foods, which include fruits, vegetables, and whole grains, to keep stools soft
- Do not force bowel movements, and go when you feel the urge
- Walking or prenatal yoga improves circulation and bowel movement
- Sitting in warm water for 10–15 minutes helps relieve pain and swelling
- Gently pat dry your rectal area after a bowel movement
- To reduce pressure on pelvic veins, sleep on your left side
- Avoid over-the-counter creams unless your doctor approves them
Can Haemorrhoids Affect Your Baby?
Haemorrhoids do not affect your baby directly, but they can be very uncomfortable for you. Excessive straining or chronic constipation can increase your blood pressure and cause stress, which is not good for pregnancy. So, you can manage your bowel health to support both you and your baby.What To Do Next: A Quick Checklist
- Notice when and how bleeding occurs
- Drink more water and eat fibre-rich foods
- Avoid sitting for long periods
- Use remedies for relief that your doctor prescribes
- Visit the hospital if bleeding continues or worsens
Emotional and Social Aspects
You may feel anxious about haemorrhoids if you do not know how to manage them. Most pregnant women suffer from this problem, so you are not alone in this. Talk about your feelings with your partner or doctor to ease your worries. You may benefit from the emotional support and care during pregnancy.Spotting during pregnancy does not always mean a problem, as haemorrhoids may cause it. These are different from vaginal bleeding. Drink more water and eat fibre-rich foods to regulate your bowel movements. You can reach out to your doctor for help if there are no changes in your condition with lifestyle changes.
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FAQs on How Spotting or Minor Bleeding During Pregnancy Can Be a Sign of Haemorrhoids?
- Is bleeding from haemorrhoids dangerous during pregnancy?
Haemorrhoids are harmless during pregnancy, but any heavy or prolonged bleeding needs to be checked by your doctor to detect the cause. - Can haemorrhoids go away after delivery?
Haemorrhoids may disappear within a few weeks after you deliver the baby as your body slowly returns to normal. - What can I use to relieve haemorrhoid pain during pregnancy?
You can use cold compresses, ointments approved by your doctor, and warm baths to relieve the haemorrhoids problem. Consult your doctor before using any creams.