The first thing is not to be nervous if the swelling is seen to prolapse out of the anus during stool. If the prolapsed swelling can be returned by itself, conservative and medication treatment can be carried out. You should pay attention to your diet, avoid spicy and stimulating foods, avoid drinking a lot of alcohol, eat more vegetables and coarse fiber foods to ensure the smooth discharge of stool and reduce constipation, thus reducing the downward movement of the anal cushion leading to hemorrhoids. The hemorrhoids will be returned to the anus after the swelling of the hemorrhoidal vein stasis is reduced or the symptoms of hemorrhoidal vein stasis are reduced. You can also take oral medication to reduce swelling, insert hemorrhoid plugs into the anus, and apply hemorrhoid cream outside the anus to reduce the symptoms of mixed hemorrhoids. If the hemorrhoid cannot be returned to the anus, you can perform a perianal massage to promote relaxation of the anal sphincter and thus promote the return of the hemorrhoid to the anus. If the mixed hemorrhoid is prolapsed for a longer period of time, and a local thrombus or even necrosis is formed, surgical treatment should be performed in time, such as thrombectomy or external and internal ligation of the mixed hemorrhoid.