2nd degree tear & hemorroids

Hi all. Just gave birth a couple of days ago! Had#advicepls a 2nd degree tear but everything else is okay. However, my piles got worse after giving birth. I can't sit, stand or lie down without pain! Anyone exp it too and what did you do?

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Oh congratulations on your new baby! The combination of a second degree tear and haemorrhoids at the same time is really tough, I won't sugarcoat it, the first two weeks can feel quite miserable, but most mums do turn the corner fairly quickly once the swelling starts to go down. For the haemorrhoids, a few things that seem to help are a sitz bath (even just a basin of warm water, 10-15 minutes a few times a day), keeping stools soft with lots of water and fibre so you are not straining, and asking your doctor for a topical cream, don't just use any over-the-counter one without checking it is safe postpartum. My friend who delivered at KKH said the ward nurses there were very upfront about haemorrhoid management after birth, so do ask the nurses or your gynae before you go home if you haven't already, since they can prescribe something stronger if needed. For the tear itself, the recovery can honestly vary a lot, some mums say it healed faster than expected, while others found the first week really painful especially sitting down, so a donut cushion or just a folded towel to take pressure off can make a real difference. That said, since you are dealing with both issues together and the pain sounds quite significant, it is really worth going back to see your gynae or a colorectal specialist rather than just waiting it out, so they can check both are healing properly and give you the right treatment.

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