Bleeding in the stool with blood on the hand paper is the most common case of bleeding hemorrhoids. Of course other bleeding is also possible such as anal fissures, but most bleeding from anal fissures has pain during defecation and is mostly dripping blood during defecation. Rectal bleeding, for example, can also be bleeding on paper, but the typical symptom is a change in bowel habits first, or mucus and blood in the stool. So if there is just blood on the hand paper alone, with no obvious other symptoms consider it to be bleeding hemorrhoids. The general treatment is internal conservative treatment, stool softening, don’t dry most important, because dry stool can cause bleeding caused by the breakdown of the mucous membrane of hemorrhoids. Try to shorten your bowel movement time to once a day, and try not to exceed three minutes at a time. Avoid spicy and stimulating diet and alcohol because it can aggravate the tortuousness of the veins. Avoid prolonged prolonged sitting and squatting, which can aggravate the impaired circulation. Then buy a box of hemorrhoid suppositories nano-anal, once a day, a week’s time can basically be relieved, if after a week or no relief, it is recommended to do an anoscopy.