Postpartum Constipation & Hemorrhoids Prevention Tips

Becoming a new mom comes with its share of challenges, and for many, postpartum constipation and hemorrhoids are unexpected ones. For some, going to the bathroom becomes a painful ordeal marked by dry, hard stools and discomfort. This article addresses why constipation and hemorrhoids are so common postpartum and offers practical strategies for prevention and relief.

Why Does Postpartum Constipation Happen?

Many new moms experience constipation due to a mix of physiological changes, post-delivery soreness, and lifestyle adjustments:

• Physical Recovery: Many moms may feel hesitant to push during bowel movements if they have stitches from a C-section, perineal tears, or episiotomy, leading to irregular or incomplete bowel movements.

• Weakened Muscles: During and after pregnancy, abdominal and pelvic floor muscles may lose some strength due to hormonal changes, which makes pushing during bowel movements harder.

• Low Fiber and Activity Levels: A low-fiber diet and limited movement can slow digestion, making constipation more likely.

Tips to Prevent and Relieve Postpartum Constipation

New moms can make small lifestyle changes to help prevent or relieve constipation. If constipation persists, consider consulting a doctor for medication options.

1. Increase Fiber Intake

Include fiber-rich foods in your diet, such as celery, carrots, mushrooms, dragon fruit, and prunes. You can also add whole grains, like brown rice or barley, to your meals.

2. Stay Hydrated

Aim to drink 2,100–2,300 ml of water daily. Plain water, lemon water, or mild honey water can keep you hydrated and support digestion.

3. Get Moving

While resting is essential postpartum, staying in bed for extended periods can worsen constipation. Gentle movements, such as short walks around the house or gradual postpartum exercises, can stimulate digestion and reduce constipation.

4. Establish a Regular Bowel Routine

The bowel is most active in the morning and within two hours after meals. Use these times to establish a regular routine, and try not to delay when you feel the urge to go. Avoid distractions, like your phone, and focus on relaxation.

5. Use Laxatives if Needed

If lifestyle changes aren’t enough, ask your doctor about safe laxatives for breastfeeding, such as lactulose syrup, wheat fiber supplements, or glycerin suppositories. Avoid self-prescribing, as some laxatives may not be safe for nursing moms.

Hemorrhoids: Causes and Prevention Tips

Hemorrhoids can develop during pregnancy due to pressure on blood vessels or constipation. Signs include fresh blood during bowel movements, anal itching, and discomfort.

What Are Hemorrhoids?

Hemorrhoids occur when the veins around the anus or lower rectum become swollen. They can be external (visible outside the anus) or internal (inside the rectum). During pregnancy, constipation and increased abdominal pressure can lead to the development of hemorrhoids.

Tips to Prevent and Manage Hemorrhoids

Preventing or treating constipation is the first step in managing hemorrhoids. The following tips can also provide relief:

1. Maintain Cleanliness
   After bowel movements, gently clean the area with warm water and a soft towel or use unscented wet wipes. Avoid using dry toilet paper on sensitive areas to prevent irritation.

2. Try Warm Sitz Baths
   Soaking in warm water twice daily for 10–15 minutes can promote blood circulation, reduce inflammation, and ease pain in the affected area.

3. Use Hemorrhoid Cream or Suppositories
   Under a doctor’s guidance, apply a suitable hemorrhoid cream or suppository. Gently push any external hemorrhoid back into place after applying the cream to reduce discomfort.

4. Pain Management
   If pain persists, consult your doctor about using over-the-counter pain relievers like ibuprofen or acetaminophen, which are safe for breastfeeding.

5. Surgery (If Needed)
   In cases where lifestyle changes and medication don’t help, surgery may be recommended for long-term relief.

Conclusion

Constipation and hemorrhoids are common postpartum concerns, but they can be managed effectively with dietary adjustments, increased activity, and simple home remedies. New moms may need time to adjust, but with consistent habits, these discomforts will gradually improve. Remember, your well-being is crucial, so don’t hesitate to seek medical support if needed.