Today, we are talking about the right part of the post-operative problems related to mixed hemorrhoids, which is another problem that many patients are worried about in the clinic, the problem of defecation after surgery. In fact, many hospitals will encourage patients to defecate the day after surgery (plus the day of surgery is the third day). However, some patients who had normal stools in the past may develop constipation after surgery because of the change of environment and diet, and the main clinical manifestations are: dry stools, difficult defecation, prolonged defecation time, and even fecal impaction. Active prevention and treatment of postoperative constipation can help the recovery of the wound. A. Etiology: anesthesia reaction, wound pain, bed rest and abdominal distension cause less food, less residual fluid diet, less fiber content in food, weakened intestinal peristalsis; wound pain causes spasm of anal sphincter; fear of defecation, prolonging the interval between defecation, resulting in excessive absorption of fecal water; loss of tissue near the dentate line during surgery, resulting in temporary destruction or reduction of defecation reflex; prolonged bed rest after surgery, resulting in weakened intestinal peristalsis; patients with postoperative constipation. The patient may have a history of constipation due to old age and weakness, lack of energy and blood, and weakness in defecation, so that the stool stays in the intestine for too long and the intestine is dry and knotted, which is not easily discharged. Prevent patients from taking laxative drugs to help defecation the night before the first defecation, such as polyethylene glycol 4000, hemp pills, liquid paraffin, etc.; eating more fiber-rich vegetables and fruits; appropriate bedside activities to increase intestinal peristalsis and develop good defecation habits. For patients with mild defecation difficulties, symptomatic treatment such as aromatic oil, hemp pills and liquid paraffin can be given appropriately, and the symptoms can be relieved through changes in diet structure; for those with dry stools, oral administration of polyethylene glycol 4000 powder, Shu Taiqing, etc. can be given orally, or topical application of open plug, etc.; for patients with fecal impaction, physicians can wear gloves to clear out the stool; according to the different conditions of the patients, the identification and treatment of Chinese medicine can be applied, such as heat For those who have dry intestines, we can use Da Cheng Qi Tang, and for those who have constipation with Qi deficiency, we can apply Tonic Zhong Yi Qi Tang and Ginseng and Bai Zhu San. The post-operative defecation of mixed hemorrhoids is generally divided into two categories, one is the inability to defecate and the other is the excessive number of defecations; there is no better than the other in both cases, both will affect the wound recovery. There is always a misconception among post-operative patients and their families that surgery has been done, a big injury, and they need to make up, followed by fish, meat, chicken, and hooves all on, in fact, there is no need, we instead want patients to eat more coarse fiber foods such as vegetables, and after the intestines recover, they can eat fish soup, lean meat, etc., as appropriate, and nothing else is recommended.