Determining whether it is a hemorrhoid or a prolapse requires the doctor to perform a physical examination as well as a colonoscopy. The technical term for prolapse is rectal prolapse, where the wall of the rectum is partially or completely shifted downward, called rectal prolapse. Partial downward displacement of the rectal wall, that is, the rectal mucosa downward, called mucosal prolapse or incomplete prolapse; rectal wall throughout the downward displacement of the rectal wall is called complete prolapse; if the downward displacement of the rectal wall in the rectal cavity of the anal canal is called internal prolapse; downward to the outside of the anus is called external prolapse. The prolapse of hemorrhoids is above the dentate line of internal hemorrhoidal tissue prolapse, internal hemorrhoids according to the degree of development of the disease is divided into Ⅳ degree: Ⅰ degree, bleeding after defecation, hemorrhoids do not prolapse out of the anus; Ⅱ degree, often blood in the stool, defecation, prolapse out of the anus, defecation automatically return to; Ⅲ degree, hemorrhoids need to be assisted to return to the hand after the prolapse of hemorrhoids; Ⅳ degree, hemorrhoids in the anus outside for a long time, can’t return to the. To distinguish between hemorrhoids and prolapse, you need to go to a regular hospital to find a professional doctor to check clearly, and then give the appropriate treatment. Can not judge on their own, to avoid delaying the condition.