It is common to have piles/haemorrhoids during pregnancy and treatment is the same with or without pregnancy. You have to be careful with the oral medication you take, some of which have be used under doctor's supervision. taking a sitz bath, or sitting in warm water for 15–20 minutes applying a topical numbing ointment taking over-the-counter anti-inflammatory medication eating a diet high in fiber and drinking plenty of water to prevent constipation and straining during a bowel movement using a stool softener, which makes it easier and less painful to have a bowel movement sitting on a cushion, which may decrease the pressure on the rectum taking antibiotics for bacterial infections