Colonoscopy is a commonly used test in anorectal medicine and is performed by an endoscopist in the colonoscopy room. Most treatments for hemorrhoids, on the other hand, require a surgeon to remove them in the operating room, and usually cannot be done at the same time. However, some simple internal hemorrhoids can be treated by ligation at the time of colonoscopy, depending on the doctor’s opinion. Colonoscopy is a clinical examination tool that can be used to observe the presence of polyps, tumors and other proliferative lesions in the intestinal tract, as well as the intestinal mucosal tissues with or without edema, congestion, erosion and other changes. General colonoscopy is usually performed without anesthesia. If the hemorrhoids need to be surgically removed, it needs to be done under anesthesia. Commonly used surgical procedures include anastomotic hemorrhoidectomy, hemorrhoidectomy, and thrombosed hemorrhoidectomy. But not all hemorrhoids need surgical treatment, if there is no obvious clinical symptoms, it is recommended that regular exercise, adjust the diet structure, pay attention to perianal cleanliness, maintain good bowel habits can be. If the symptoms of hemorrhoids are serious, the specific treatment can consult a professional physician’s opinion.