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Postpartum care: What to expect after a vaginal birth

Hemorrhoids and bowel movements

If you notice pain during bowel movements and feel swelling near your anus, you might have swollen veins in the anus or lower rectum (hemorrhoids). To ease discomfort while the hemorrhoids heal:

  • Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone.
  • Use pads containing witch hazel or a numbing agent.
  • Soak your anal area in plain warm water for 10 to 15 minutes two to three times a day.

If you find yourself avoiding bowel movements out of fear of hurting your perineum or aggravating the pain of hemorrhoids or your episiotomy wound, take steps to keep your stools soft and regular. Eat foods high in fiber — including fruits, vegetables and whole grains — and drink plenty of water. Ask your health care provider about a stool softener, if needed.