Pregnant and Experiencing Bloody Stools? Here Are the Causes and How to Manage It

31 Dec, 2025

Pregnancy brings many changes to a woman’s body, some of which can be uncomfortable or concerning. One issue that may arise is bloody stools (hematochezia). While this can be alarming, it’s not always a sign of a serious problem. Understanding the causes and knowing how to address them can help expectant mothers stay calm and seek appropriate care.

Pregnant and Experiencing Bloody Stools

Common Causes of Bloody Stools During Pregnancy

  1. Hemorrhoids

    • Hemorrhoids (swollen veins in the rectum or anus) are a common cause of bloody stools in pregnant women.
    • They occur due to increased pressure from the growing uterus, constipation, and hormonal changes.
    • Blood from hemorrhoids is usually bright red and may appear on toilet paper or the stool’s surface.

  2. Anal Fissures

    • Small tears in the anal lining (anal fissures) can cause pain and bleeding, especially with hard stools.
    • Like hemorrhoids, blood from fissures is typically bright red.

  3. Constipation

    • Pregnancy hormones slow digestion, leading to constipation. Straining during bowel movements can cause bleeding from hemorrhoids or fissures.

  4. Gastrointestinal Issues

    • Conditions like ulcers, colitis, or diverticulosis may also cause bloody stools, though these are less common during pregnancy.
    • If blood is dark or tar-like, it could indicate bleeding higher in the digestive tract.

  5. Dietary Factors

    • Certain foods (like beets) or iron supplements can sometimes make stools appear red but are harmless.

When to See a Doctor

While mild rectal bleeding may not be serious, consult a doctor if you experience:

  • Heavy or persistent bleeding
  • Dark or tarry stools (could indicate internal bleeding)
  • Severe pain, dizziness, or signs of anemia (fatigue, paleness)

How to Prevent and Manage Bloody Stools

  1. Prevent Constipation

    • Eat high-fiber foods (whole grains, fruits, vegetables).
    • Drink plenty of water.
    • Stay active with gentle exercise (walking, prenatal yoga).

  2. Treat Hemorrhoids & Fissures

    • Use over-the-counter hemorrhoid creams (check with your doctor first).
    • Soak in warm sitz baths to relieve discomfort.
    • Avoid straining during bowel movements.

  3. Adjust Iron Supplements

    • If iron supplements worsen constipation, ask your doctor about alternatives or stool softeners.

  4. Practice Gentle Hygiene

    • Use soft, unscented toilet paper or wet wipes to avoid irritation.

Final Thoughts

Bloody stools during pregnancy are usually caused by minor issues like hemorrhoids or fissures. However, always check with your healthcare provider to rule out serious conditions. With proper diet, hydration, and care, most women can manage this discomfort effectively.

Have you experienced this during pregnancy? Share your tips in the comments!

(Note: This article is for informational purposes only. Always consult a healthcare professional for medical advice.)

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