The symptoms of mixed hemorrhoids have both internal and external hemorrhoids, with blood in the stool prolapsing during defecation accompanied by inflammation, and also significant pain when thrombosis is formed. The symptoms of internal hemorrhoids are mainly twofold, as follows: 1. blood in stool, blood in stool mainly to fresh blood; 2. prolapse, prolapse outside the anus when defecating, according to the degree and time of prolapse, internal hemorrhoids can be divided into four stages, only blood in stool, no prolapse, for stage Ⅰ; prolapse in stool, but can return to the anus after the stool, belongs to stage Ⅱ; prolapse in stool, after the stool is not able to own It needs to be pushed back by hand or rest and lie down for a period of time before it can be returned, which is called stage III; there is also a situation where it cannot be completely returned when it comes out, and it cannot be returned even if it is pushed and rested by hand, which belongs to stage IV. There are four types of external hemorrhoids according to different situations: 1. superfluous skin elevation, called superfluous skin external hemorrhoids; 2. varicose vein elevation, belonging to varicose vein type external hemorrhoids; 3. inflammatory external hemorrhoids with obvious inflammation called inflammatory external hemorrhoids, the main symptom of inflammatory external hemorrhoids is pain; 4. subcutaneous mucosal vein plexus bleeding to form thrombus, this manifestation is elevation and pain.