If the bleeding from external hemorrhoids is severe, first of all, you should not be nervous, but you should first have a routine blood test to clarify the degree of bleeding and anemia. If the bleeding is heavy and the anemia is serious, you should also cross-match blood and give blood transfusion treatment. There are many surgical procedures, such as external hemorrhoidectomy or rectal bleeding stitching, which can be performed by simply ligating the ruptured external hemorrhoid and then applying a medicated thread to ligate the varicose vein mass and remove it completely. Secondly, sclerosing agents can also be injected, which can be injected under the mucosa of the hemorrhoid nucleus to produce aseptic necrosis, thus eliminating the hemorrhoid. If the bleeding is particularly heavy and the hemorrhoids are particularly large, external peeling and internal ligation of the mixed hemorrhoids can also be performed.