1, doctor I have hemorrhoids for two years, if now with Ma Yinglong hemorrhoid cream there is no effect? The hemorrhoids are divided into internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. The internal hemorrhoids are located 2 or 5 cm above the tooth line inside the anus, and if they are stage 1 internal hemorrhoids, they show bleeding during stool and no pain in the anus. The bleeding is intermittent and usually does not last for 2 weeks. When internal hemorrhoids bleed in the stool, applying hemorrhoid cream has a significant effect. If you had blood in the stool or anal discomfort 2 years ago, there is no need to apply the cream if you don’t have blood in the stool now. This week I had a patient in my clinic who asked for a hemorrhoid cream. He had been having frequent blood in his stool for 3 months and stopped bleeding when he took some herbs and plugged it with hemorrhoid cream. I persuaded him to have a colonoscopy and found 3 polypoid masses in the colorectum (he was bleeding from the masses) and took the tissue and sent it to pathology to clarify the nature, pending a report next week. Internal hemorrhoids develop into stage 2 or 3 mainly manifested as hemorrhoids prolapsing out of the anus during bowel movements and then retracting on their own or by hand afterwards, this prolapse will persist and can only be cured by surgery. Some people can feel comfortable applying hemorrhoid cream when retracting hemorrhoids, but it does not solve the problem of prolapse. If the internal hemorrhoid prolapses and then becomes embedded applying hemorrhoid cream can reduce the pain. If there is no discomfort, there is no need to apply hemorrhoid cream to remove the skin flap; if there is a painful and swollen swelling of the swelling outside the anus (thrombosed or inflamed external hemorrhoids), applying hemorrhoid cream will have a significant therapeutic effect; a swelling that does not hurt when the anal edge is raised during stool and can slowly disappear after stool is a varicose external hemorrhoid, and applying cream will not have a therapeutic effect. The signs and symptoms of internal hemorrhoids and the signs and symptoms of external hemorrhoids are called mixed hemorrhoids. In summary, regardless of how long you have a history of hemorrhoids, apply hemorrhoid cream when you have swelling and pain and anal discomfort. If there are no symptoms and only signs (skin tags, varicose veins), you can not apply the medicine. To prevent the development of hemorrhoids, it is important to keep your bowels open. 2.What is the best ointment for anal fissure? You can use any ointment that has an anti-inflammatory and muscle-generating effect. You can use hemorrhoid cream (any brand can be used), Jiuhua cream, anal tai cream, taining cream, moist burn cream, erythromycin cream, comfrey cream (oil), raw muscle yuhong cream, etc. The key is to apply the cream to the place where the fissure is located in the anus or stuff it. If the fissure does not heal for a long time or a pregnant woman can make her own egg butter and apply it to the fissure.