I am 23 weeks PG with DC2 and my piles have resurfaced. I have had them on and off for years but am generally not that bothered by them at all. The last time they really gave me trouble was when PG and after the birth of DS (17 months ago). I could barely sit down at some points and it was sooooooo sore! Yesterday I (TMI alert) went to the loo and there was loads of bright red blood in the toilet, one of my little friends had burst. So they are getting worse and I have constipation too so I am trying to up my fibre intake. Is there anything else I can do? Do I need to see my GP? Or anything over the counter I can buy?