A 32-year-old man with protruding meatballs in his anus for several years may be due to internal hemorrhoids, anal papillomas, or anal polyps. 1. Internal hemorrhoids: internal hemorrhoids usually occur inside the anus, patients due to improper diet caused by dry stool or constipation, hard defecation may lead to internal hemorrhoids hemorrhoid nuclei are strongly extruded outside the anus, or stuck in the anus to form a protruding ball of meat, or accompanied by swelling, pain and other symptoms. 2. Anal papilloma: anal papilloma is a kind of benign tumor occurring in the anal canal area, which will cause the patient to have incomplete bowel movement, anal swelling and pain, anal bleeding, anal itching, and swelling prolapse or incarceration of the situation occurs. 3. Anal polyps: the cause of anal polyps is still unclear, this disease will cause patients to appear blood in the stool, intestinal irritation and polyp prolapse occurs, causing patients to appear in the anal area of the phenomenon of meatballs. Anal protruding meatballs for many years, patients should go to the hospital in time for examination, a clear diagnosis, to avoid blindly using their own medication, delaying the condition caused by adverse consequences.