Common Pregnancy Discomforts: 3rd Trimester

Below is a list of Common Pregnancy Discomforts you may experience during your pregnancy, especially during your 3rd trimester. If you experience any of these, we have offered some suggestions for relief of the discomfort.

Hemorrhoids

Hemorrhoids are caused by the general increase in blood volume, as well as relaxation of blood vessels throughout the body, and by pressure from the enlarging uterus on veins in the rectum. Constipation and straining most definitely aggravate the problem, and should be avoided.

Local application of Tucks pads, or Anusol or Preparation H may be helpful. Soaking in a warm tub of water, or applying warm compresses can help relieve symptoms, too. Hemorrhoids usually improve dramatically after delivery.

A sudden and severe increase in pain from hemorrhoids may signal the formation of a blood clot, which although not hazardous, will usually take some time to resolve. Please let us know if this occurs so that we can see you in the office and confirm this disorder for consideration of surgical relief.

Swelling of the Lower Extremities

Some swelling of the lower extremities, especially during the third trimester, is perfectly normal, and by itself causes no problem more hazardous than discomfort. If you are not uncomfortable, no measures need be taken. Elevation of the lower extremities, decreasing salt intake, and increasing fluid intake all seem to help.

While swelling is almost always innocent, you should let us know if it becomes severe, or is accompanied by facial swelling, headache, visual changes or nausea. We will need to at least check your blood pressure if these occur.

Varicose Veins

Varicose veins occur during pregnancy for several reasons, including increased blood volume and relaxation of blood vessels, combined with an inherited tendency to develop them. They are usually not hazardous, but can be quite uncomfortable. Moderate exercise, elevation of the legs, and full-length support hose can help somewhat. Try to avoid standing for long periods of time, crossing your legs at the knew, and constrictive clothing. Please notify us if you have severe calf or leg pain, especially if there is a specific area of tenderness or redness.