Your pregnant patient complains of hemorrhoids.On physical examination,vital signs are 98.6 T,80 pulse,14 resps/min,110/ 60.Heart has regular rate and rhythm,no S3,no murmurs.Lungs are clear to auscultation.Abdominal examination is negative.Uterus fundus is at the umbilicus.Ankles show +1/4 bilateral ankle non-pitting edema.Dorsalis pedis pulses +2/4 bilaterally.Rectal exam: + external haemorrhoid.Urine dipstick is negative for protein.The clinician should:

Question

Quizplus · Accepted Answer

Hemorrhoids are a common problem during pregnancy due to increased pressure on the pelvic vessels. The best option for managing hemorrhoids is conservative management, such as increasing fiber intake, maintaining hydration, and avoiding straining during bowel movements. Sleeping in the left lateral recumbent position can help reduce pressure on pelvic vessels and may alleviate the symptoms of hemorrhoids. It is not necessary to refer for diuretic prescription or obtain 24-hour urine for protein as there are no indications of hypertension or proteinuria. Obtaining HbA1c and fasting serum glucose are not necessary as they are not relevant to the management of hemorrhoids during pregnancy.

Your Pregnant Patient Complains of Hemorrhoids