Internal hemorrhoids in severe cases will have mole nuclei formation, through palpation can be felt locally there is a bulge and rectal mucosa contrast its texture is tougher. Due to abnormal bowel habits, unclean diet, occupational relationships can lead to the appearance of internal hemorrhoids, drinking too much alcohol, too much spicy and stimulating food, long-term sedentary will trigger the appearance or recurrence of internal hemorrhoids. When patients have blood in stool, painless, intermittent, fresh blood after stool, they can go to the hospital to confirm the diagnosis through anal visualization, rectal finger diagnosis, anoscopy. Internal hemorrhoids mainly occur above the dentate line due to the formation of localized varicose vein masses, which can lead to hemorrhoidal core formation in severe cases. At this time, through the doctor’s palpation can feel the local appearance of bulging and rectal mucosa compared to the internal hemorrhoids tough texture. Severe internal hemorrhoids are prone to incarceration, through the doctor’s palpation when the patient will experience pain its need for timely surgical treatment.