Mixed hemorrhoids can also be fatal. I recently met a young man with mixed hemorrhoids that had been bleeding in his stool for years and had not been taken seriously. When he came to my clinic he was wobbly and pale. The whiteness was like a white sheet of paper. The hemoglobin had dropped to 50 g/L. After an emergency blood transfusion, a quick surgery was performed to stop the bleeding. Do not underestimate this matchstick-thin small artery spurting blood, an hour will be as much as a washbasin of blood. When I was helping out in Xiamen, I also encountered a patient with a more severe case of severe hemorrhagic anemia due to mixed hemorrhoids bleeding than the young man here. In addition, mixed hemorrhoids can often be confused with rectal cancer. You must remember the following: blood in the stool, mucus-purulent stool, anal swelling, increased frequency of stool, incomplete bowel movement, urgency, unexplained weight loss, long-term unexplained diarrhea weight loss. Be sure to go to the doctor.