Practitioner POV: Let’s Normalize the Postpartum Poop Talk

There are plenty of things we prepare women for postpartum: bleeding, hormones, sleep deprivation, the emotional whiplash...

But bowel movements?
Not a peep! Still taboo. Still whispered. Still wildly misunderstood.

This is a major problem because what’s happening with your poop postpartum is deeply connected to healing, recovery, and daily comfort.

So we’re opening the conversation—with help from Dr. Wendi LeBrett, gastroenterologist and medical advisor to Norms*, a company dedicated to normalizing (and treating) common but stigmatized digestive issues like hemorrhoids.

This is the real deal scoop on poop.

First Things First: What Are Hemorrhoids and Fissures?

Hemorrhoids
Hemorrhoids are veins in the anorectal region that become symptomatic when they dilate and their supporting structures weaken. Translation: swollen, irritated veins that can itch, ache, or bleed.

Anal fissures
Fissures are small tears in the lining of the anus. They’re often intensely painful—especially during and after bowel movements.

Neither are rare. Neither are a personal failing. And both are extremely common during pregnancy and postpartum.

Why Pregnancy & Postpartum Set the Stage for Poop Problems

Several totally normal physiologic changes pile on at once:

1. Pressure from Pregnancy

As the uterus grows, it compresses pelvic veins and slows blood return from the lower body. Blood pools in rectal veins → swelling → hemorrhoids.

2. Hormones Doing What Hormones Do

Rising progesterone relaxes smooth muscle:

Slower gut motility
Weaker vein walls
More constipation

It’s a perfect storm.

3. Constipation + Straining

Hard stools and straining dramatically increase pressure in the anal canal, worsening hemorrhoids and increasing the risk of fissures.

4. Vaginal Delivery & Pushing

Prolonged pushing causes intense intra-abdominal and pelvic pressure, which can create or worsen hemorrhoids and fissures—fast.

Is This Normal Postpartum Discomfort—or Something More?

Some degree of discomfort postpartum is common. But here’s when to get checked:

Symptoms worsening instead of improving
Pain, itching, or bleeding lasting more than 1–2 weeks
Severe pain interfering with daily life
Persistent or heavy bleeding

Bottom line: you don’t need to “power through.” Help exists!

That First Postpartum Poop: What Actually Helps (and What to Avoid)

The goal early postpartum is simple:
Soft stool. Minimal pressure. Zero heroics.

Do This:

Hydrate generously
Eat fiber-rich foods
Consider an osmotic stool softener (draws water into stool)
Take your time—feet supported, body relaxed

Avoid This:

Straining or forcing
“Just get it over with” energy
Stimulant laxatives (they can worsen cramping and irritation)

What Should Poop Look Like, Anyway?

We love a visual aid. Enter: the Bristol Stool Scale.

Type 4—smooth, soft, easy to pass—is the gold standard.

Frequency? Anywhere from:

3 times per day
to 3 times per week

What matters most isn’t comparison—it’s what’s normal for you.

Healing Hemorrhoids & Fissures—Now and Long-Term

Prevention Is the Real MVP

Don’t strain
Use a pooping stool (e.g squatty potty)
Stay hydrated
Eat adequate fiber (like in Mamala Support Snacks ;))

Soothing Support

Sitz baths are especially helpful postpartum
They encourage blood flow and promote healing

When Symptoms Flare

Evidence-based topical treatments can significantly reduce pain, swelling, and irritation. Norms offers medically backed options designed specifically for hemorrhoids—without shame, gimmicks, or guesswork.

(Just for Mamala a 25% off with code: MAMALANORMS)

Still Struggling Years After Birth? You’re Not Alone.

If you’re 3, 5, or even 10 years postpartum and still dealing with GI symptoms, here’s the truth:

Pregnancy and childbirth are major stressors on the pelvic floor and anorectal region. Lingering symptoms can stem from:

Pelvic floor dysfunction
Perineal trauma
Ongoing motility issues

Common? Yes.
Something you have to live with forever? Absolutely not.

A medical evaluation can unlock real relief—and you deserve that care.

One Last Thing, Mamala

Postpartum recovery isn’t just about sleep, mood, or nutrition, it’s about how your body functions day to day, including digestion.

Supporting bowel health means:

Less pain
Faster healing
More comfort in your body

And while food alone won’t fix everything, adequate fiber, hydration, and gentle nourishment absolutely matter especially when your system is depleted.

(Hence why we believe Mamala Support Snacks™ should support all of you.)

Got more questions? DM us @mamala_organics

*If you need relief use code MAMALANORMS for 25% off.