Pregnant women need to be on the alert for mixed hemorrhoids Question replay: After Ms. Lin had a baby, she developed an anal lump, about the size of her little finger, which came out of her anus after each bowel movement, accompanied by pain and fresh blood, and required hand-holding and pushing to send it back after the bowel movement. But as soon as I ate chili peppers, it came back, and in the last few days the area around the anus has been itchy and weird, and there is a damp feeling, and it bleeds even more after defecation. Can it be cured? Is there any special medicine? Is there a minimally invasive surgical method? A: According to the patient’s description, the diagnosis of mixed hemorrhoids is clear, and it is recommended to go to a regular large hospital anorectal surgery department as soon as possible to confirm the diagnosis and treatment. Due to physiological reasons, pregnant women are particularly prone to hemorrhoids. It is generally not advocated to treat surgically during pregnancy, but to use conservative therapy and wait until after delivery for further treatment. This is because after giving birth, the abdominal pressure decreases, the venous reflux obstacle is lifted, and the progesterone level in the body decreases. The hemorrhoid nucleus will generally shrink or atrophy within 6 months. If the symptoms disappear at this time, surgery can be avoided. If the hemorrhoids are still present, then surgery can be performed, as they are significantly smaller than they were during pregnancy. The pain of surgery will be relatively less and the course of treatment will be significantly shorter. The procedure takes only about half an hour to complete, and if you don’t consider financial reasons, supra-hemorrhoidal mucosal circumcision, also known as hemorrhoid PPH surgery, should be the first choice. Since the surgery not only removes the prolapsed rectal mucosa, but also blocks the terminal anastomotic branch of the rectal terminal artery and vein, eliminating the root cause of hemorrhoids, the results are ideal, with the advantages of less trauma, less bleeding, less pain, quicker recovery and shorter hospital stay.