If you have painful hemorrhoids and anal fissures, you can first observe whether they are combined with other symptoms. If the pain is not severe and there is no blood in the stool, you can treat it by paying attention to diet and medications as follows: First, pay attention to diet, drink more water, eat more vegetables, drink more honey to soften the stool, and if it is difficult to defecate, you can give enema treatment. Second, you can take oral painkillers, such as tramadol. Third, perianal fumigation can also be performed to reduce the swelling of anal fissures and promote perianal blood circulation, for example, pain relief such as Shen Tang or bitter ginseng soup can be used for fumigation. At the same time, hemorrhoids anal fissure can be applied to the affected area with hemorrhoid cream or Jiuhua cream, and fumigation with the role, can play a very good effect. If the hemorrhoid fissure is particularly serious and accompanied by blood in the stool, surgical treatment, such as hemorrhoidectomy or fissure removal, is needed in a timely manner.