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massage from a specialist masseur can release tension in the muscles of your neck,
shoulders, and back.

Which headache symptoms are signs I need to call my healthcare provider?

Call your provider right away if:

• You're in your second or third trimester and have a bad headache or a headache for
the first time. It may or may not be accompanied by visual changes, sharp upper
abdominal pain or nausea, sudden weight gain, or swelling in your hands or face.
You'll need to have your blood pressure and urine checked right away to be sure
you don't have pre-eclampsia. (If you've been having any problems with high or
rising blood pressure, call even if you have only a mild headache that persists after
taking paracetamol.)
• You have a sudden "explosive" headache. This type of headache is a violent pain
that wakes you up, doesn't go away, or feels unlike any you've ever experienced.
• Your headache is accompanied by a fever or a stiff neck.
• Your headache gets worse and you have other problems, such as blurry vision or
other visual disturbances, slurred speech, drowsiness, numbness, or a change in
normal sensation or alertness.
• You have a headache after any kind of head injury.
• You have congestion in your nose, as well as pain and pressure underneath your
eyes or other facial or even dental pain. This could signal a sinus infection that
needs to be treated with antibiotics
• You notice that that you get headaches after reading or looking at a computer
screen.

In any case, don't hesitate to call your doctor whenever you're worried about a headache.
Even if you've had headaches before, talking to your doctor can help you decide which
treatment might be best for you during your pregnancy.

Haemorrhoids

Haemorrhoids are unusually swollen blood vessels in the rectal area. They can be merely
itchy or quite painful and can sometimes cause rectal bleeding, especially during a bowel
movement. Some women get haemorrhoids for the first time while they're pregnant, but if
you've had them before you got pregnant, you're very likely to have them again now.

How to ease piles
Constipation can cause piles. If this is the case, try to keep your stools soft and regular by
eating plenty of food that's high in fibre.

This includes:
• wholemeal bread
• fruit
• vegetables

Drinking plenty of water can help, too.