Hemorrhoids at 20 Weeks Pregnant
Hemorrhoids — swollen veins in the rectum or anus — are very common during pregnancy, affecting up to 50% of women. They are caused by increased pressure on pelvic veins and constipation.
👶 What's Happening at Week 20
Your baby is now the size of a banana.
- The fetus is actively swallowing amniotic fluid, practicing for digestion.
- Meconium (first stool) begins accumulating in intestines.
- The skin thickens into four layers.
🔬 Why You're Experiencing Hemorrhoids at Week 20
- Growing uterus puts pressure on pelvic blood vessels, causing venous engorgement
- Progesterone relaxes vein walls, making them more prone to swelling
- Constipation and straining during bowel movements
- Increased blood volume in pregnancy
- Prolonged standing or sitting
💊 Relief Tips for Week 20
📋 Other Week 20 Symptoms
⚠️ Call Your Doctor If…
- Bright red rectal bleeding that is more than a streak on tissue
- Severe pain that is not relieved by sitz baths or OTC treatments
- A lump near the anus that is extremely tender, hard, or gets suddenly worse (possible thrombosed hemorrhoid)
- Hemorrhoids after delivery that don't improve within a few weeks
Frequently Asked Questions
Are hemorrhoids during pregnancy dangerous?
Hemorrhoids are painful and uncomfortable but not dangerous. They typically resolve after delivery.
Will hemorrhoids get worse during labor?
Pushing during labor can worsen hemorrhoids temporarily. Most improve significantly within weeks after delivery.
Can I use Preparation H while pregnant?
Most topical hemorrhoid preparations are considered safe, but confirm with your provider, especially formulations containing hydrocortisone.
How do I know if I have hemorrhoids or something more serious?
Hemorrhoidal bleeding is typically bright red and on the toilet tissue or surface of the stool. Blood mixed in or around the stool, dark blood, or large amounts warrant medical evaluation.