Hemorrhoids prolapse out of the anus can not be returned, first of all, do not be nervous, you can orally take Mai Zhi Ling for swelling treatment, Mai Zhi Ling 300mg twice a day. The second, you can warm salt water as well as 1:5000 potassium permanganate solution sitz bath, promote perianal blood circulation, reduce hemorrhoidal venous stasis swelling, reduce hemorrhoidal hemorrhoidal core swelling, reduce hemorrhoidal venous stasis. Thirdly, you can apply hemorrhoid cream on the surface of hemorrhoids, and insert hemorrhoid suppositories into the anus to reduce swelling and stop bleeding and anti-inflammatory effects. If after conservative as well as medication treatment, hemorrhoid prolapse can be returned, you can continue the treatment. If the hemorrhoids out of the anus for a longer period of time, hemorrhoidal veins tortuous swelling is more powerful, will form a thrombus or even necrosis, need to timely surgical treatment, such as thrombus stripping and mixed hemorrhoids external peeling and internal ligation.