It is recommended to consult a doctor if the painful hemorrhoids do not improve after 6 days postpartum. The use of sitz baths, Preparation H cream, and cold compresses can help alleviate symptoms. It is important to avoid sitting for long periods and to regulate bowel movements to prevent constipation. Laxatives may be used if needed. Pain relief can be managed with acetaminophen and topical creams containing zinc sulfate and pramoxine. If the pain is severe or if there are other symptoms present, it may indicate a different issue and prompt medical consultation is advised.