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swollen perineum and labia from constipation during 3rd trimester

I needed to have a number 2 this morning but was very constipated, was sat on the loo for about half an hour or more. it obviously wouldnt just come out as dry and felt huge. (sorry tmi) so i was pushing and squeezing to try and get it moving... at 1 point i felt all dizzy. I also have an abscess on top of a varicous vein just inside my vagina so as you can imagine its quite sore to keep pushing. After all that time i managed to pass 2 tiny pieces. so i cleaned up and stood up to feel like my vagina was inside out... my perineum and labia was really swollen. After 15 mins i managed to have a number 2 and again after another half hour. The swelling has gone down alot but i still feel sore and dread going for a number 2 again.... its made my abscess and varicius vein more sore aswell... i wanted to know if this is normal because at the moment i feel like my whole downstairs area is just ruined... 1 thing after another... my boyfriend is understanding and great at looking after me but the lack of sex is getting to him and weve argued about it twice. i know hes just frustrated but its upsetting me coz i feel like im broken... 31 weeks pregnant and sore... plz help :( xx
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Avatar universal
the abscess had already burst when id found it. its been getting better since. ive been checked by 2 doctors and they both say its nothing to worry about. i will keep having it looked at tho just so im not worried all the time. ive been told that all these things should get better and clear up after the birth. as for the constipation im ok for now, i just ate some fruit and drank more water. the worst thing now is having SPD, its driving me insane.
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603463 tn?1220626855
MEDICAL PROFESSIONAL
Hi!
If you were my patient I would advise you a couple of things:
First if you truly have an abcess you need to have that drained--an abcess is a collection of pus that represents a significant infection and it can spread, so it is not something I would fool around with!
Secondly, you need something to soften that stool!  Lots of things will do--some of the best remedies are plain old fashioned prunes, MIlk of Magnesia is safe, as is Colace.  Those will help to soften the stool, but won't help to get you going.  For that I would recommend drinking about 3-5L of water in one day (yes that's right!).  Daily until things start to happen.  Miralax is another very good alternative.
Thirdly, your boyfriend needs more experience using the cold water while showering--you've got enough other things to worry about without pressure for that right now!
Hope this helps!
Dr B
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