The causes of painful hemorrhoids in the stool are divided into bleeding internal hemorrhoids and bleeding anal fissures. Anal fissure bleeding is usually accompanied by pain, while simple internal hemorrhoids usually do not cause pain. Simple internal hemorrhoids are first treated conservatively, i.e. medication, by applying Chinese herbs that clear heat and dampness, invigorate blood and stop bleeding, or applying local suppositories and herbal ointments, which are more effective. If the conservative treatment is not effective, taking injection therapy such as elimination of hemorrhoids can have a very good effect. For stage II and III internal hemorrhoids, if the hemorrhoids are prolapsed with blood in the stool, conservative treatment or injection therapy is not effective, surgical treatment is required. There are many surgical methods, usually taking treatments such as excision, ligation and ligature. Anal pain with bleeding is mostly caused by anal fissures, mainly due to dry stools causing anal fissures that are not healed for a long time. Firstly, treat the local anal fissure, after the fissure is healed, the blood in the stool will be cured naturally.