How can I manage hemorrhoids during pregnancy?

Diet. High fiber, high fluid diet. Hot sitz bth. Topical therapy.
Fluids and fiber. First, keep your stool soft with lots of fluids and fiber. If needed a stool softener can be used (something like docusate). If needed, preparation h and tucks (witch hazel) pads can be used to shrink hemorrhoids and relieve the swelling.