This is not an infrequent question at the 6-week postnatal visit
It is usually due to an anal fissure. An anal fissure results from tearing the anal mucosa with passage of hard large stools.

What can be done about it?

  • Rectal Bleeding After DeliveryYou will need an examination to clarify a diagnosis
  • Try to avoid hard large stools and constipation
  • Change your diet so you have more fruit and vegetables and less red meat (which can constipate you). Have bran, sultanas, prunes and liquorice. Keep away from processed food and junk food which is more constipating (as well as not being healthy for you), and from oral iron which can also be constipating.
  • Increase your water intake to 1 – 2 litres per day
  • Exercise with lots of walking. Lack of activity tends to constipate
  • Metamucil or similar anti-constipation medication can help
  • A topical anti haemorrhoid preparation can make you more comfortable

Usually, it will heal after a short time. Occasionally you will need to see a colo-rectal surgeon if doesn’t heal. If on examination there is no fissure and you have rectal bleeding you will need to be assessed by a colo-rectal surgeon.

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*Saturday morning appointments are not available for initial antenatal visit.