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Trina J - gosh I do sympathise with you! I 've had TERRIBLE problems with piles both before dS1 and after. I've actually had to have one lanced (TMI Sorry!)which although sounds ghastly was actually such a relief I could have hugged my GP! Post natal piles were terribly painful (mind you I was pushing for a long long time) and you are often fobbed off with anusol etc which never really worked for me. Best thing to do is get them sorted NOW. Insist that your GP offers you something very strong preferably with hydrocortisone anusol HC I've had which was quite good. Make sure you are properly examined too to check for thrombosing - embarrassing but definitely worth it. Long term though - water has been the key for me - 2 litres a day has really really helped.
Umm actually you can't use proctosedyl or similar if you are pregnant and the GP will just tell you it's tough because it's the pressure of the baby. Mine stuck around post partum for quite a while but you can get prescription gubbins too numb and shrink them. You wait till after you've given birth