Becoming a new mother is a joyful yet challenging experience. Amidst the whirlwind of caring for a newborn, mothers often face various physical changes and health issues. One such common issue is hemorrhoids, which can be particularly distressing. Understanding when to seek professional help from a gastroenterologist can significantly ease the discomfort and prevent complications. Here, we share expert advice from Manhattan Gastroenterology to guide new mothers on managing hemorrhoids effectively.

Understanding Hemorrhoids

Hemorrhoids are swollen veins in the lower rectum or anus. They are common during pregnancy and after childbirth due to increased pressure in the pelvic area, hormonal changes, and straining during labor. Hemorrhoids can be internal (inside the rectum) or external (under the skin around the anus).

When to See a Gastroenterologist

While hemorrhoids can often be managed with home remedies and lifestyle changes, certain situations warrant a consultation with a gastroenterologist. Manhattan Gastroenterology recommends seeking professional help under the following circumstances:

  1. Persistent Symptoms: If symptoms such as pain, itching, swelling, or bleeding persist for over a week despite home treatment, it’s time to see a gastroenterologist. Persistent symptoms may indicate a more severe condition requiring medical intervention.
  2. Severe Pain or Discomfort: Severe pain, especially if accompanied by a lump around the anus, can be a sign of thrombosed hemorrhoids (a clot in a hemorrhoid). This condition often requires prompt medical attention.
  3. Significant Bleeding: While minor bleeding during bowel movements is common with hemorrhoids, significant or recurrent bleeding should be evaluated by a specialist. It’s crucial to rule out other potential causes of rectal bleeding, such as colorectal polyps or cancer.
  4. Changes in Bowel Habits: Any noticeable changes in bowel habits, such as persistent diarrhea or constipation, should be discussed with a gastroenterologist. These changes can exacerbate hemorrhoids and may indicate underlying gastrointestinal issues.
  5. Non-Responsive to Home Treatment: If home remedies, including over-the-counter creams, sitz baths, and dietary changes, do not alleviate symptoms, a gastroenterologist can offer more effective treatments. These may include prescription medications, minimally invasive procedures, or surgery.

Treatment Options

At Manhattan Gastroenterology, a range of treatment options is available based on the severity of hemorrhoids:

  • Lifestyle and Dietary Changes: Increasing fiber intake, staying hydrated, and avoiding straining during bowel movements can prevent and manage hemorrhoids.
  • Medications: Prescription creams, ointments, and suppositories can reduce inflammation and pain.
  • Minimally Invasive Procedures: Rubber band ligation, sclerotherapy, and infrared coagulation are effective treatments for persistent hemorrhoids that do not respond to conservative measures.
  • Surgical Interventions: In severe cases, surgical options such as hemorrhoidectomy or may be necessary to remove or reposition hemorrhoids.

Preventive Measures

To prevent the recurrence of hemorrhoids, new mothers should adopt healthy habits:

  • Dietary Fiber: Consuming a fiber-rich diet (fruits, vegetables, whole grains) helps maintain regular bowel movements.
  • Hydration: Drinking plenty of water keeps stools soft and more accessible to pass.
  • Regular Exercise: Physical activity promotes healthy digestion and prevents constipation.
  • Proper Bathroom Habits: Avoid prolonged sitting on the toilet and straining during bowel movements.


Hemorrhoids can be an uncomfortable and distressing condition for new mothers. Recognizing when to seek help from a gastroenterologist can ensure timely and effective treatment.


Manhattan Gastroenterology provides expert care and a range of treatment options to help new mothers manage hemorrhoids and improve their quality of life. Prioritizing health and seeking professional advice when needed is essential for the well-being of both mother and baby.

For more personalized advice and treatment, visit Manhattan Gastroenterology or schedule an appointment with one of their experienced specialists.