hi im 13 weeks pregnant with my 4th pregnancy and for about the last 6 weeks i have been having problems going to the toilet to do a poo i get the urge to go almost as if im about to poo myself but when i get to the toilet i cant seem to push it out its very hard and very big width wise firstly im scared of over pushing in case it can harm the baby in any way as i seem to bleed vaginaly as i am pushing i am also bleeding from my bottom as the skin tears and secondly its causing me to have very swollen piles to protrude from my bottom which im having to push back in with my fingers it takes me 45 minutes or over to go and it is really worrying me is there anything i can do to stop this from happening i would be very gratefull for your advice
Constipation is a very common problem during pregnancy. Constipation can be accompanied by hemorrhoids and anal fissures, making defecation very painful. Constipation is treated with a proper diet: food containing cellulose fibers such as fruits and vegetables are most helpful. If your body needs more fiber, you can take a water-soluble fiber supplement like psyllium husks or acacia. For a really troubled gastro-intestinal tract, moderate laxatives (dulcolax, liquid paraffin) are recommended. Strong laxatives (MgSO4, oleum ricini) are not recommended because the can cause contractions in the uterus. Bowel cleaning (enema or colonic) is a final possibility if the previous methods donât help. It sounds as though you are bleeding from an anal fissure but your gynecologist will have to confirm this AND exclude vaginal bleeding. It is very important to maintain proper hygiene in the pelvic basin to prevent infections.
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Pregnancy Q and A , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.