Does hemorrhoids affect natural childbirth?

Written by Jia Rui
Obstetrics and Gynecology
Updated on March 06, 2025
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Women with hemorrhoids during pregnancy can affect childbirth. It is recommended to first treat the hemorrhoids. If the condition of the hemorrhoids is severe, it is also not suitable to treat during pregnancy. In such cases, methods like cesarean section may be adopted for childbirth. Additionally, some topical ointments can be used to locally treat hemorrhoids, which are effective in relieving symptoms such as swelling, pain, and bleeding caused by hemorrhoids. During pregnancy and while suffering from hemorrhoids, spicy foods should be avoided. (Medication should be used under the guidance of a doctor based on specific conditions.)

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Written by Ai Bing Quan
General Surgery
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Do hemorrhoids cause bleeding?

Hemorrhoids are a relatively common disease in surgical clinics, characterized by varicose veins. They generally occur when there is increased abdominal pressure or constipation, which can easily lead to hemorrhoids. Bleeding during defecation is the most common symptom of hemorrhoids. Not all hemorrhoids involve bleeding; it is most common in internal and mixed hemorrhoids. Minor bleeding may not require treatment, but significant bleeding may necessitate the use of topical ointments and oral hemostatics. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, drink plenty of water, consume fresh vegetables and fruits, and avoid prolonged sitting or standing.

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Written by Xu Jun Hui
General Surgery
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Hemorrhoids with bloody stools belong to what type of hemorrhoids?

Hemorrhoids are divided into internal and external hemorrhoids. Bleeding from hemorrhoids generally belongs to internal hemorrhoids or develops into mixed hemorrhoids. Therefore, hemorrhoidal bleeding is due to internal hemorrhoids or mixed hemorrhoids. Hemorrhoids are classified into four degrees: First-degree hemorrhoids do not prolapse. Second-degree hemorrhoids prolapse during defecation when abdominal pressure increases but can retract spontaneously afterward. Third-degree hemorrhoids involve prolapse of the hemorrhoidal tissue that requires manual replacement. Fourth-degree hemorrhoids are incarcerated and cannot be retracted. The treatment of hemorrhoidal bleeding depends on the amount and nature of the bleeding. If it is a small amount of bleeding, conservative treatment is generally sufficient, and the bleeding symptoms will disappear. If the bleeding is significant and persistent, failure to promptly address and surgically treat it may lead to chronic anemia and iron deficiency anemia.

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Written by Yang Dong
Colorectal Surgery Department
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Can hemorrhoids cream be used for bleeding hemorrhoids?

Bleeding, as one of the common symptoms of hemorrhoids, is relatively common in daily life. If hemorrhoidal bleeding occurs, hemorrhoid creams can be used. Many hemorrhoid creams have the effects of stopping bleeding, reducing swelling, and alleviating the erosion of hemorrhoidal mucosa. Using hemorrhoid cream can provide limited relief for mild hemorrhoids, especially in reducing bleeding symptoms. However, if the bleeding is substantial or frequent, the effectiveness of hemorrhoid creams will be relatively limited, and it is necessary to seek timely medical treatment at a hospital.

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Written by Chen Tian Jing
Colorectal Surgery
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How many days does hemorrhoid surgery hurt?

After hemorrhoid surgery, the local wound can be quite painful, especially in the early postoperative period. As the local anesthesia wears off, patients may experience varying degrees of pain, which usually lasts about a week. For those with less severe conditions, the pain may only last for three days. However, for severe hemorrhoids, especially after circular mixed hemorrhoid surgery, there are more ligations and deeper wounds at the site, thus the pain may extend to 10 days. Additionally, when the ligation thread falls off, there may also be varying degrees of bloating, sagging, pain, and bleeding in the anal area. To avoid intensifying postoperative pain, it is recommended that patients use stool softeners to ease bowel movements after the surgery. For severe pain, patients can also take painkillers when the pain becomes unbearable. (Please use medication under the guidance of a doctor)

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Written by Xu Jun Hui
General Surgery
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Do hemorrhoids bleed?

Hemorrhoids can progress to a stage where there is rectal bleeding characterized by bright red blood that is separate from the stool. This is caused by the severe tortuosity and dilation of the superior hemorrhoidal veins. As the hemorrhoids worsen, congestion and dilation of the hemorrhoidal venous plexus become more pronounced. In the presence of bowel dysfunction and hard stools, the hemorrhoidal venous plexus can be injured, leading to rupture and bleeding. Initially, the bleeding is typically minimal yet frequent. Over time, this may lead to frequent and substantial bleeding. Chronic bleeding from hemorrhoids can cause chronic blood loss anemia, which impacts the physical and mental health of the individual.