When an external hemorrhoid breaks and bleeds, first of all, you should not be nervous and you should observe the amount of bleeding. If the external hemorrhoid breaks and shows dripping or spraying blood, and the bleeding stops after the bowel movement, you can take conservative treatment, such as paying attention to your diet and eating less spicy and stimulating food. You can give warm salt water or 1:5000 potassium permanganate sitz bath to promote perianal circulation. You can apply topical hemorrhoid creams, such as tylenol suppositories and tylenol cream, which is compounded with carrageenan, which can play an anti-inflammatory and hemostatic role. If the external hemorrhoid ruptures and bleeds heavily, external hemorrhoidectomy should be performed in the emergency room as soon as possible, and bleeding sutures can be performed, which should be treated differently depending on the specific cause. If the bleeding is particularly heavy, an anoscope should be placed to observe whether the fissure is combined with internal hemorrhoids, and if it is combined with the fissure and internal hemorrhoids, external and internal ligation of the mixed hemorrhoids should be performed as soon as possible.