Blood in stool: Painless, intermittent, bright red blood after stool is its characteristic, and it is also a common symptom in the early stage of internal or mixed hemorrhoids. Blood in the stool is mostly caused by the rupture of dilated blood vessels due to feces rubbing the mucous membrane or excessive fecal force. In mild cases, it is mostly blood in the stool or on the stool paper, followed by dripping blood, and in severe cases, it is jet-like bleeding, which can often stop on its own after a few days. This is important for diagnosis. Constipation, dry and hard stools, drinking alcohol and eating irritating food are all triggers for bleeding. If the bleeding is repeated over a long period of time, anemia can occur, which is not uncommon clinically and should be differentiated from bleeding disorders. Hemorrhoid prolapse: It is often a late symptom, mostly with blood in the stool followed by prolapse, as the body of the hemorrhoid increases in size in the late stage and gradually separates from the muscle layer and is pushed out of the anus when defecating. The lighter ones prolapse only during stool and can return on their own after stool, the heavier ones need to be pushed back by hand, and the more serious ones can prolapse outside the anus with a little abdominal pressure, even when coughing, walking and other abdominal pressure increases slightly, the hemorrhoid can prolapse, making it difficult to return and unable to participate in labor. A few patients complain that prolapse is the first symptom. Pain: Simple internal hemorrhoids are painless, a few have a feeling of swelling, when internal hemorrhoids or mixed hemorrhoids prolapse and become embedded, edema, infection, necrosis, there are varying degrees of pain. Pruritus: In advanced internal hemorrhoids, prolapsed hemorrhoids and relaxed anal sphincter, there is often discharge, and due to the stimulation of discharge, there is often pruritus discomfort around the anus, and even skin eczema, which is extremely uncomfortable for the patient.