Piles - TMI

Hi Everyone. I got terrible piles from two hours of pushing with my 1st. They calmed down, but I’m now 24 weeks pregnant with my 3rd and I want to cry they hurt so much. I can’t Poo without shedding a tear. I have to push them back in or they hurt when I walk but after 30 mins they are back out. They are the size of marbles and on the outside. the midwife gave me suppository’s but they arnt helping and complete agony again. Has anyone had anything more done whilst pregnant to fix this? I’ve still got 15/16 weeks I just don’t know how I’ll cope 🥺🥺🥺🥺 I’m only 27, fit, healthy and it’s really weighing me down. I feel disgusting and I don’t want to talk to my partner about it as I’m trying to keep some dignity.