Should postpartum hemorrhoids and constipation require surgery?

Patient's question:

Just had a baby. For about two or three days, my hemorrhoids flared up. These past few days, I've been constipated and only been able to use the restroom once every three days. It's truly excruciating. Every day, I feel the urge to go to the bathroom, as if my stomach is very full and bloated, but I can't relieve it. What should I do about postpartum hemorrhoids and constipation?

Doctor's answer:

Hemorrhoids are a common condition after childbirth, generally related to the pressure of the fetus during pregnancy. Postpartum constipation is often considered to be caused by blood deficiency, which is relatively common. However, excessive stomach fire can also lead to hemorrhoids. Hemorrhoids require a thorough rectal examination. If the condition is severe, surgery is usually recommended. For postpartum constipation, it is best to drink more water and have a blood test. If anemia is detected, targeted treatment for anemia can help stabilize the condition.

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