Hi, I am 24 weeks pregnant and have always suffered from ibs. I have recently been straining to go to the toilet and started to bleed from the back. I've been taking lactulose but not frequently enough so going to start taking it twice a day. But at the minute even when I'm just trying to go I bleed. I'm hoping it's piles because I have a history of this or an anal fissure. Has anyone else had experience of this? Midwife told me to keep taking lactulose and eat fruit and drink plenty of water. Thanks