This problem is one that I often encounter in my clinical practice. A patient with blood in his stool came to the hospital very nervous, and when the doctor told him that his bleeding was not colorectal tumor special, but definitely bleeding caused by hemorrhoids, the patient was very happy, so how unwilling to operate to treat hemorrhoids, because in his heart he felt that hemorrhoid bleeding was not a big deal, and firmly requested to give up surgical treatment. In fact, this issue must be viewed separately. Hemorrhoids are not a disease in modern medicine, but only when they prolapse and bleed do they become a disease that needs to be treated. Bleeding is a symptom of the onset of hemorrhoids, and hemorrhoid bleeding generally has the following characteristics, divided by degree in three forms: blood on paper, dripping blood and jet bleeding. When jet bleeding occurs it is generally more serious, which is the general criteria for choosing treatment. However, bleeding hemorrhoids have a characteristic that they can stop bleeding on their own without treatment or with the local use of hemorrhoid suppositories, which means that bleeding hemorrhoids are not an absolute criterion for choosing surgical treatment. Hemorrhoids are really classified by the degree of prolapse, when a swelling (hemorrhoid) prolapses outside the anus after defecation and is able to retract itself into the anus as a 2nd degree hemorrhoid, a 3rd degree hemorrhoid that requires hand support or lying down to retract each time, and a 4th degree that cannot retract. The latter two cases are severe hemorrhoids that generally require surgical treatment to be effective, which are the main clinical manifestations of internal hemorrhoids, and treatment strategies.