The difference between advanced intestinal metastasis bleeding and hemorrhoids can be manifested in the color and nature of the bleeding, as well as the way of bleeding, accompanied by symptoms and other aspects. It is recommended to go to the hospital in time to improve the relevant examination, under the guidance of the doctor targeted treatment. 1. Bleeding color, character: advanced intestinal metastasis bleeding, bleeding color is usually dark red, may also appear blood clots, blood may also be mixed with stool, some patients may also appear in the stool mucus or pus. Hemorrhoidal bleeding is usually bright red in color, usually not accompanied by blood clots, the blood is mostly on the surface of the stool, in the distribution of mucus or pus does not usually appear. 2. Bleeding mode: in advanced intestinal metastasis bleeding, blood is usually discharged with feces. Hemorrhoidal bleeding can be jet-like bleeding during defecation or dripping blood after defecation. 3. Accompanying Symptoms: Advanced intestinal metastatic bleeding may be accompanied by abdominal pain, abdominal distension, change in bowel movement frequency, and mostly accompanied by a sense of urgency and heaviness. Hemorrhoidal bleeding patients may have anal swelling and foreign body sensation. The difference between advanced intestinal metastatic bleeding and hemorrhoids needs to be identified and diagnosed by a professional doctor through a series of relevant examinations such as medical history, physical examination and colonoscopy, etc. It is recommended that the patient go to the hospital as soon as possible if he/she has any uncomfortable symptoms in his/her body in order to avoid any delay in his/her condition.