Can patients with hemorrhoids eat durian?
Patients with hemorrhoids can eat durian, but should control the amount consumed and make decisions based on their individual conditions. If abnormalities occur, prompt medical attention is advised. Detailed analysis is as follows:

If hemorrhoid symptoms are stable and the individual does not easily experience heatiness or suffer from constipation, small amounts of durian may be consumed. Durian is rich in nutrients, and moderate consumption can provide energy. Generally, as long as it is not consumed in excess, it will not significantly affect hemorrhoids. At this time, pairing it with other cooling foods such as watermelon or pear can help neutralize durian's warming properties, reduce the risk of heatiness, and avoid constipation triggered by heat, which could worsen hemorrhoids.
However, when hemorrhoids are in an acute phase with symptoms such as pain, swelling, or bleeding, or if the individual is prone to heatiness or has a tendency toward constipation, durian is not recommended. Durian has a warm nature, and excessive consumption may increase internal heat, triggering or worsening constipation. Constipation often requires straining during bowel movements, which increases pressure on the anus, aggravating hemorrhoidal congestion and potentially causing increased pain, bleeding, and other discomforts, thus hindering recovery.
Before consuming durian, patients with hemorrhoids should assess their symptoms and physical condition, limit each serving to less than 100 grams, avoid eating it on an empty stomach, and may drink some light salt water or consume cooling fruits afterward.