Patients with anal fissures and hemorrhoids at the same time, exactly how to treat the best, usually need to be based on the specific situation, using different treatment methods, including conservative treatment, surgical treatment, as follows: 1. Conservative treatment: in the acute phase, that is, the acute phase of anal fissures, combined with hemorrhoids, usually use conservative treatment, because the acute phase of anal fissures usually use conservative treatment, by oral lactulose to soften the stool, local use The fissure can usually be cured by taking oral lactulose to soften the stool, using a 1:5000 potassium permanganate sitz bath, eating more fresh vegetables, fruits and other high-fiber foods, and avoiding overly oily, spicy and irritating foods. The majority of hemorrhoids belong to mild to moderate internal hemorrhoids and mixed hemorrhoids, mainly using non-surgical treatment, that is, conservative treatment can obtain the relief of clinical symptoms. 2, surgical treatment: patients are old anal fissures, usually need surgical treatment, superficial general use of anal fissure removal. If it is deeper, it usually needs to be cut by the internal anal sphincter to obtain clinical healing. If the hemorrhoid is more than Ⅲ degree, that is, a lump protrudes after defecation and cannot be retracted, it also needs surgical treatment to relieve the symptoms. So how to treat patients with anal fissures combined with hemorrhoids is mainly based on different situations and different treatment methods.