Prolapse or hemorrhoids can be determined by the cause, symptoms and related examinations. 1. Etiology: the cause of prolapse is constipation, diarrhea, perirectal fascia laxity, sigmoid colon redundancy, pelvic floor muscle weakness, etc.; hemorrhoids etiology is not yet completely clear, with straining to defecate, prolonged defecation, long-term constipation, chronic diarrhea, obesity, chronic heart disease, liver disease, and frequent lifting of heavy objects and so on. 2. Symptoms: prolapse patients in defecation or increased abdominal pressure, the anus will appear on the surface of the mucus or blood inverted cone-shaped swelling out of the bright red, there will also be anal incontinence, constipation, bleeding, anal swelling, defecation, such as the feeling of incomplete. The most common symptoms of hemorrhoids are bleeding, perianal itching, pain, prolapse, etc., and may be accompanied by fecal incontinence, perianal flatulence and other symptoms. 3. Relevant examination: through the anal visual diagnosis, to observe the prolapse is hemorrhoidal nucleus or rectal mucosa or wall layer, can also be through anal finger diagnosis or anoscopy to determine whether the patient is prolapsed anus or hemorrhoids. It is recommended that the patient should go to the hospital, ask the doctor to make a diagnosis after relevant examination, combined with medical history, symptoms and so on, do not judge blindly.