The second stage internal hemorrhoids are mainly manifested as blood in the stool, dripping or spraying bleeding, sometimes accompanied by internal hemorrhoids prolapse, which can be returned by themselves after the stool. The first thing you can do is to pay attention to your diet, avoid spicy and stimulating food, drink more water, eat more coarse food, eat more coarse fiber food to promote the smooth discharge of stool, you can take honey or paraffin oil orally to soften the stool, so that the stool can be discharged smoothly and prevent constipation, thus reducing the stagnation of hemorrhoid veins. You can take a sitz bath with warm salt water or 1:5000 potassium permanganate solution to promote blood circulation around the anus and reduce the stagnation and swelling of hemorrhoid veins, thus reducing hemorrhoids. You can also take topical oral mai zhi ling for swelling treatment, insert hemorrhoid plugs inside the anus, and apply hemorrhoid cream outside the anus for anti-inflammatory, anti-swelling, and hemostatic effects. Stage II internal hemorrhoids can be treated with conservative medication and generally do not require surgical treatment.