In most cases, hemorrhoids do not cause painful bowel movements. If the patient has pain during defecation, it means that the hemorrhoids have inflammatory infections or have thrombosed external hemorrhoids, which in turn leads to painful defecation. For this situation, you can first use diclofenac sodium internal plug anus, play the role of anti-inflammatory analgesic, oral dioxymin tablets, relieve anal edema, and in the defecation can be appropriate with warm salt water sitz bath, to promote normal defecation. If the symptoms can not be improved after the use of medication, you need to take hemorrhoid surgical treatment as soon as possible, such as choosing the external peeling and internal ligation, and postoperative medication change treatment. At the same time, we should also exclude whether the hemorrhoids are combined with anal fissure, because anal fissure will lead to pain in defecation and a small amount of bleeding, you can do anal diagnosis, to see whether there are ulcerated wounds on the anal opening, choose the Longzhu ointment or nitroglycerin ointment topical application, to play a role in anti-inflammatory and stop bleeding, to remove the role of the decay of the muscle.