The main reason for this symptom is that the patient has mixed hemorrhoids, which include internal and external hemorrhoids. The main symptom of internal hemorrhoids is painless blood in the stool and the nucle of internal hemorrhoids prolapses through the anus when defecating, while the main symptom of external hemorrhoids is anal pain, discomfort and anal itching. The possibility of having mixed hemorrhoids is greater. It is recommended that patients consider conservative treatment, topical anal medication, as well as daily fumigation and sitz baths in the anal area to promote perianal blood circulation and relieve the symptoms brought on by hemorrhoids, and at the same time, pay attention to avoiding the mouth to avoid local anal stimulation. If the symptoms are not relieved, consider visiting the anorectal department of a regular hospital.