Positive fecal occult blood is less commonly seen in hemorrhoids and is usually more likely to be fresh blood during defecation; positive fecal occult blood is most often seen in gastrointestinal bleeding. Hemorrhoids are most commonly seen predominantly as internal hemorrhoids, whose clinical manifestation is fresh blood on the surface of the stool during defecation. At the same time, some patients may have a prolapse of the perianal mass during defecation. In severe cases, the mass may not be able to retract. Treatment for hemorrhoids includes sitz baths, medication, ligation, surgery and other treatments. Positive fecal occult blood test is mostly seen in gastrointestinal bleeding, generally gastrointestinal bleeding is greater than 5ml will have fecal occult blood, bleeding further increase will appear black stool or even tarry stool and red blood stool. The treatment for this is to address the cause such as treatment of ulcers and treatment of varicose veins in the esophagogastric fundus. It is recommended that if hemorrhoids or occult blood in the stool are considered, further medical examination should be conducted to clarify the diagnosis, and then reasonable treatment or prevention should be given.