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Hemorrhoids are common in pregnancy as a result of constipation and increased intra-abdominal pressure. Hemorrhoids can cause bleeding, pain, and itching. [31] Treatment is symptomatic, including improving underlying constipation. Symptoms may resolve spontaneously after pregnancy, although hemorrhoids may remain in the days after childbirth. [32]
Genitourinary Changes in Pregnancy. Progesterone causes many changes to the genitourinary system. A pregnant woman may experience an increase in the size of the kidneys and ureter due to the increase blood volume and vasculature. Later in pregnancy, the woman might develop physiological hydronephrosis and hydroureter, which are normal. [33]
One review stated that the most common causes of disruption to the defecation cycle are associated with pregnancy and childbirth, gynaecological descent, or neurogenic disturbances of the brain-bowel axis. [44] The pathophysiologic mechanisms are thought to be different in obstructed defecation compared with slow transit constipation. [43]
Some common causes of constipation include inadequate fiber intake, dehydration, irritable bowel syndrome, stress, certain medications, a lack of exercise, uncoordinated movements between ...
Hemorrhoids are typically caused by straining from constipation or anything that increases intra-abdominal pressure leading to straining, such as pregnancy and childbirth, says Dr. David Greenwald ...
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Constipation is the most common chronic gastrointestinal disorder in adults. Depending on the definition employed, it occurs in 2% to 20% of the population. [18] [58] It is more common in women, the elderly and children. [58] Specifically constipation with no known cause affects females more often affected than males. [59]
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