title: Hemorrhoids in pregnancy.
abstract: OBJECTIVE
  One of my patients is in the third trimester of her first pregnancy. She has recently experienced spotting during her bowel movements. She has hemorrhoids. What medications are safe?
  
  
  CONCLUSIONS
  The treatment is mainly symptomatic for most patients. Most forms of the condition can be treated by increasing fibre content in the diet, administering stool softeners, increasing liquid intake, and training in toilet habits. Although none of the topical antihemorrhoidal agents commonly used have been assessed for safety in pregnancy, it is unlikely that the constituent parts (anesthetic, corticosteroids, and anti-inflammatory agents) will harm the third-trimester infant. In most women, most symptoms of the condition will resolve spontaneously soon after giving birth.
authors.forename: Arthur
authors.initials: A
authors.lastname: Staroselsky
authors.forename: Alejandro A
authors.initials: AA
authors.lastname: Nava-Ocampo
authors.forename: Sabina
authors.initials: S
authors.lastname: Vohra
authors.forename: Gideon
authors.initials: G
authors.lastname: Koren
mesh_terms: D005260:Female; D006484:Hemorrhoids / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology / Q000628:therapy*