Female patients who exhibit a significant downward sensation in the anus should first undergo anoscopy for a clear diagnosis and targeted treatment. The most common cause is hemorrhoids, which are divided into internal and external hemorrhoids, and initially there is also blood in the stool, which occurs due to habitual constipation. For patients with severe constipation, you can take oral laxative medication, commonly known as phenolphthalein tablets, or choose the herbal medicine Ma Ren Lun Yin Wan. The patient should also be advised to drink more water and eat more vegetables and fruits, which can promote bowel movement and improve the symptoms of constipation. In the acute phase of hemorrhoid attack, if combined with perianal soft tissue infection, anti-inflammatory drugs should be applied, either oral roxithromycin dispersible tablets or application of amoxicillin capsules. You should also pay attention to the hygiene around the anus and, if possible, insist on daily sitz baths with warm salt water, which can also relieve the symptoms.