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Childbirth

Share experiences and get support around labour, birth and recovery.

Thrombosed haemorrhoids and giving birth vaginally

6 replies

EmzieMurf1987 · 13/01/2023 11:19

Please help! Any stories good or bad gratefully appreciated!

im currently 32 weeks pregnant and I’ve been suffering with haemorrhoids since 28 weeks ( I have had them in the past due to undiagnosed food intolerances but after a week or so they tend to disappear) at first it wasn’t too bad it was not painful just noticeable when wiping after a bowel movement. Then one became thrombosed last week, that one seems to have improved but I now have a second thrombosed one and they both seem to end at my vaginal opening!! So I’m starting to worry this problem will only get worse even though I’m doing everything in my power to improve them!

I use germaloids cream and suppositories, cooling pads, sitz bath with Epsom salts, use daily stool softener, use wet wipes etc etc - nothing helps!!

im so scared that because of where they are (right up to my vaginal opening) I’m going to have issues during birth and if I tear or need episiotomy they will be in the way or it will cause me to be incontinent of my bowels - probably totally over reacting but panic is truly setting in!!

anyone given birth Vaginal my while suffering from something similar and willing to share? Good bad or ugly - I need to know I’m not alone

OP posts:
Hopeful2654 · 13/01/2023 23:24

Sorry I can’t help with labour stories as not given birth yet but I’m in a similar position. I’m not sure if mine are thrombosed but they are external. I was wondering if you had spoken to a midwife or doctor? I’m 40 weeks and had them for 3 weeks now but I think they are getting worse. I’m considering calling the midwife tomorrow and see if they can prescribe me something stronger like you the germaloid cream / suppositories just aren’t working!
I’m also worried about the birth and thinking I should try and sort this before. I have heard of people being prescribed steroid cream?

Gingersauras · 18/01/2023 15:43

I am in the same position, I am due in 1 weeks time and I've had piles since October! They will not go away with the cream at all, not painful but just worried that I prolapse when giving birth. My midwife is aware but doesn't seem phased I have another appointment soon so I'm going to ask. Sorry can't be much help as I've not given birth yet but you are not alone!

EmzieMurf1987 · 20/01/2023 10:09

I did speak to my midwife at my 31 week app. A few weeks ago and basically said it was normal and I’m doing everything I can and not to worry!! Bit hard when il be pushing a baby out in a few weeks!!

so I’ve been a bit naughty and ordered the Anusol with hydrocortisone both cream and suppositories from Superdrug - it has to be approved by a pharmacist in my DHs name and had it delivered to the house 😂😂 only started it yesterday so will see if it makes any improvement 🤷🏼‍♀️🤷🏼‍♀️ I tried to order it but they refused my order as I’m pregnant 😬😬

so glad I’m not the only one freaking out about this!! Although I’m sorry u are both going through the same thing it’s horrible!! Why can’t I just try and look forward to this birth without worrying my insides are going to come out through my bum hole!!

OP posts:
Gingersauras · 20/01/2023 10:18

My midwife said it was ok to use the anusol cream. I found this oil online that's meant to work wonders and pregnancy safe but it's £65 and with me being due in a week I don't think it will work in time, with delivery time etc so I have the doctors today and going to ask for a stronger cream than anusol (not very hopeful that I'll be allowed anything) I also have thrush since November and now I have a cyst down there so at this point I think I want a section now 🙈🙈 I'm so done with having a vagina 🙈😭🤣

Sunnydayz · 20/01/2023 10:28

I had a tiny pile that developed during 2nd trimester of pregnancy (I have had the same before becoming pregnant that would come and go…)

I was induced and had a relatively short period of pushing, 10-20 minutes, managed to get the baby out with help (ventouse), which required an episiotomy. Feet in stirrups. Nurse and doctor instructing me to push like I was trying to get a poo out! (Pretty much the worst position and action for cashing piles)

I had terrible piles after my delivery, really nasty, it was the the thing that I was most upset about post birth. Scheriproct and pelvic floor exercises helped a great deal. (Extend the exercise so that you squeeze the muscles towards the back too)

My baby is 5 months now and episiotomy scar healed nicely but I still have a tiny pile that pops out every now and then!! It’s not bad enough for me to be too upset, so I don’t regular use cream or exercises to get rid of it, but I should however I’m sure it will eventually go away.

When I think about having another baby, it is the thought of dealing with the piles again that puts me off!!

In your situation I would try and treat it as best you can now. See GP or midwife for stronger cream… I’m not sure what the treatment is for thrombosed piles.
Keep up pelvic floor exercises, and ensure plenty fibre and water so that your bowel movements are regular and you don’t have to strain.

I think that you should be prepared for them getting worse after delivery (unless you have a c-section) but know that it will probably get better, there are treatments for them, in the absolute worse case you might need surgery, but you won’t be stuck with them forever.

If you suspect you might need a c section might be worth going straight for it rather than push push push, make piles worse, then section anyway.

All the best for the rest of your pregnancy and a safe delivery.

Hopeful2654 · 20/01/2023 15:26

Sunnydayz · 20/01/2023 10:28

I had a tiny pile that developed during 2nd trimester of pregnancy (I have had the same before becoming pregnant that would come and go…)

I was induced and had a relatively short period of pushing, 10-20 minutes, managed to get the baby out with help (ventouse), which required an episiotomy. Feet in stirrups. Nurse and doctor instructing me to push like I was trying to get a poo out! (Pretty much the worst position and action for cashing piles)

I had terrible piles after my delivery, really nasty, it was the the thing that I was most upset about post birth. Scheriproct and pelvic floor exercises helped a great deal. (Extend the exercise so that you squeeze the muscles towards the back too)

My baby is 5 months now and episiotomy scar healed nicely but I still have a tiny pile that pops out every now and then!! It’s not bad enough for me to be too upset, so I don’t regular use cream or exercises to get rid of it, but I should however I’m sure it will eventually go away.

When I think about having another baby, it is the thought of dealing with the piles again that puts me off!!

In your situation I would try and treat it as best you can now. See GP or midwife for stronger cream… I’m not sure what the treatment is for thrombosed piles.
Keep up pelvic floor exercises, and ensure plenty fibre and water so that your bowel movements are regular and you don’t have to strain.

I think that you should be prepared for them getting worse after delivery (unless you have a c-section) but know that it will probably get better, there are treatments for them, in the absolute worse case you might need surgery, but you won’t be stuck with them forever.

If you suspect you might need a c section might be worth going straight for it rather than push push push, make piles worse, then section anyway.

All the best for the rest of your pregnancy and a safe delivery.

I agree it is the worst part about post birth by a mile and I also had stitches.
How long did it take to at least be able to walk properly?
I thought I had them had before but this is a whole new meaning of big and external! I think I’ll need surgery.

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