The H word

I receive an online newsletter that provides me with information about my pregnancy tips for coping, etc. I have to admit that I hardly pay attention. Until yesterday when this came through my inbox:

Week 37 Pregnancy Tip

Keeping Hemorrhoids Quiet

Hi J Bo,
Many women experience hemorrhoids during pregnancy, to their great discomfort. Here are some things you can do to manage the itching, bleeding and general pain:
~Gradually increase your intake of fiber-rich foods, such as whole wheat breads and cereals with bran, to avoid constipation which can cause hemorrhoids
~Don't strain during bowel movements
~Use moistened toilet paper or packaged wet wipes for meticulous cleaning
~Perform Kegel exercises daily to strengthen your pelvic floor and aid circulation in your pelvic area

I didn't realize hemorrhoids were loud.