Painful hemorrhoids in late pregnancy can be relieved by lying down, elevating the buttocks, increasing fiber foods, warm salt water fumigation, and applying topical medications. Pregnant women in late pregnancy due to fetal enlargement compression of the inferior vena cava and intestinal peristalsis slowed down and other factors, resulting in hemorrhoidal veins within the pressure rises hemorrhoids enlargement, pain is difficult to relieve. Pregnant women can improve the situation through lifestyle adjustments and topical medications. Lifestyle adjustments include reducing the pressure on the lower abdomen by lying down or elevating the hips, and increasing the intake of fiber-rich fruits and vegetables. Warm salt water can also be used to fumigate perianal hemorrhoids to improve local blood circulation and reduce hemorrhoid pain. Pregnant women with severe hemorrhoidal pain that cannot be relieved by the above methods are advised to seek timely medical attention in order to clarify the specific cause of their condition and to give targeted treatment under the guidance of the doctor.