If a bunch of small meatballs fall out of the outside of the hemorrhoid, consider it to be an internal hemorrhoid prolapse. If it prolapses during defecation and can be returned after defecation, it is a Ⅱ degree prolapse; if it prolapses outside the anus and needs to be returned manually, it is a Ⅲ degree prolapse; if it cannot be returned or is returned and then prolapsed again, it is a Ⅳ degree prolapse, and there are usually the following types of treatment: 1. Injection therapy: It is usually effective in the treatment of Ⅰ and Ⅱ degree bleeding internal hemorrhoids. By injecting sclerosing agents, such as petrocarbonate vegetable oil, sodium cod liver oil acid, etc., a sterile inflammatory reaction occurs around the hemorrhoid and hemorrhoidal mass, and submucosal tissue fibrosis occurs to promote atrophy and detachment of the hemorrhoid mass; 2. Drug therapy: You can take oral medications such as Mai Zhi Ling tablets and Diosmin tablets as prescribed by your doctor, as well as topical medications such as compound carrageenan cream or suppositories and Jiuhua hemorrhoidal suppositories. You can also take a hot water sitz bath or potassium permanganate solution sitz bath, which is also more effective. The medication needs to be judged by the doctor according to the patient’s specific condition and the dosage of medication; 3. Surgical treatment: Adhesive ring ligation therapy is applicable to Ⅰ, Ⅱ and Ⅲ degree internal hemorrhoids; Doppler ultrasound guided hemorrhoid artery ligation is applicable to Ⅱ, Ⅲ and Ⅳ degree internal hemorrhoids, other treatments also include hemorrhoid simple excision, thrombosed external hemorrhoid stripping, etc., which need to be chosen according to the patient’s specific condition. In addition to active treatment, patients are advised to add high-fiber foods to their diet, such as cereal, spinach, pumpkin, silver ears, apples, cherries, etc., which help improve stool properties and prevent diarrhea or constipation. At the same time, sufficient rest should be maintained to avoid aggravating the condition or causing recurrence of the condition by staying up late or being overly tired.