Internal hemorrhoids manifesting as bleeding and having blood clots are considered to be bleeding at a relatively rapid rate, and should have mucosal damage or a rupture in the feeding vessels of the hemorrhoid nucleus. In this case surgical treatment should be chosen promptly, preferably operated under epidural anesthesia, because the relative anesthesia is better and the anal relaxation is more satisfactory. After dilating the anus during surgery, an exploration is performed to find the exact nucleus of the internal hemorrhoid and local ligation is performed, or the mucosa of the internal hemorrhoid is locally removed by applying an anastomosis, which can stop bleeding. After the surgery you should be treated with intravenous anti-infection, choosing broad-spectrum penicillin sodium combined with metronidazole, and also pay attention to the hygiene around the anus. During the treatment period, a liquid diet is the mainstay, and after each bowel movement the patient is instructed to perform timely local cleansing and sitz baths, and also to use topical hemorrhoid suppositories, which also have a hemostatic effect.