Generally, external hemorrhoids do not cause bleeding in the stool; bleeding in the stool is a symptom of internal hemorrhoids. The symptoms of internal hemorrhoids include blood in the stool and prolapse of the hemorrhoid nucleus through the anus, while the symptoms of external hemorrhoids mainly include anal pain and moist and itchy anus. To clarify this point, you can know that external hemorrhoids do not usually cause bleeding in the stool. If the symptoms of blood in the stool occur, you should actively treat them conservatively, along with improving your lifestyle habits. Use Yunnan Baiyao hemorrhoid cream topically and form a daily habit of taking sitz baths with warm salt water anal local fumigation. Avoid any raw, cold, pungent, spicy and other irritating diet. Keep your bowels smooth and avoid diarrhea and constipation. Also pay attention to avoid getting cold in the anus, avoid sitting and standing for a long time, and avoid any behavior that can stimulate the anus. If conservative treatment does not work and the symptoms of blood in stool are severe or even cause anemia, then surgery can be considered.