Pulling stool with fresh blood, this situation is first considered hemorrhoids cause stool with fresh blood. First, it is recommended that internal conservative treatment, including dietary interventions, such as increasing fiber intake, drinking more water, lifestyle changes, such as defecation habits and medication, traditional Chinese medicine internal and external medicinal solution sitz baths and so on. Second, surgical treatment, you can choose traditional outpatient surgery, such as traditional sclerotherapy injection, transparent cap-assisted endoscopic sclerotherapy, rubber band ligation, ultrasound Doppler-guided hemorrhoidal artery ligation, laser photocoagulation, bipolar electrocoagulation, cryotherapy, infrared coagulation therapy. The most recent painless and minimally invasive treatment technique to emerge is transparent cap-assisted endoscopic sclerotherapy, which is quite popular among doctors and patients.