(Disclaimer: This article is only for popular science purposes, in order to protect the privacy of patients, the following content in the relevant information has been dealt with) Abstract: As the saying goes, “ten people nine hemorrhoids”, hemorrhoids is a common anal anal disease, and hemorrhoids in a common type of hemorrhoids is mixed hemorrhoids, light and moderate mixed hemorrhoids can be relieved effectively through conservative treatment, but with the usual methods are difficult to relieve mixed hemorrhoids need surgical treatment. The mixed hemorrhoids can be effectively relieved by conservative treatment, but the mixed hemorrhoids that are difficult to be relieved by normal methods need surgical treatment. In this case, the patient had a prolapse of anal swelling, which could not be returned by herself, accompanied by blood in the stool and difficulty in defecation, etc. The patient was considered and diagnosed as mixed hemorrhoids, and was given surgical treatment, after which the hemorrhoids disappeared without recurrence. Basic information] Female, 33 years old [Disease type] Mixed hemorrhoids [Hospital] The First Affiliated Hospital of Harbin Medical University [Date of consultation] March 2022 [Treatment plan] Hemorrhoidectomy with anoplasty + lifestyle modification [Treatment cycle] Hospitalization for 7 days, outpatient follow up for 1 month [Treatment effect] Anal prolapse and blood in stool disappeared, and difficulty in defecation and perianal discomfort were significantly relieved I. First visit A young couple came to the hospital, the lady walked a little differently, her legs were spread out to both sides when she stepped forward, very careful. Asked the patient where the discomfort is, the woman shook her head, said that from time to time there is a swelling out of the anus has been 5 years, in the past 2 months the swelling has been prolapsed and can not be retracted, defecation is difficult, the anus is painful and swollen, and can not sit in a chair, lie down, and even now even normal walking is affected. With the consent of the couple and the presence of outpatient nurses, the patient underwent anal diagnosis, which confirmed my judgment that it was a very serious mixed hemorrhoid, a common type of hemorrhoids. The patient said that the anal mass has been prolapsed for 5 years, sometimes light and sometimes heavy, at first also have to the local anorectal hospital, the doctor said it is mixed hemorrhoids, temporarily not too serious, let usually pay attention to the diet, to develop good defecation habits, if necessary, you can use hemorrhoidal ointment or hemorrhoidal suppositories. In the first 3 years of the disease, the swelling will come out when defecating, but after defecating, it can go back by itself. Occasionally, when she did not pay attention to her diet, the swelling would increase in size and cause blood in the stool, which could be effectively relieved by resting, controlling her diet, and applying hemorrhoid suppositories externally. However, one year ago when she was pregnant and gave birth to a baby, the mass became bigger and bigger and less and less could go back on its own. After giving birth, she used a lot of ointments and suppositories for hemorrhoids, but the effect was very little, so that in the last two months the mass could not go back at all, which seriously affected her normal life. In view of the patient’s previous symptoms of blood in stool, the patient was firstly examined by enteroscopy to exclude bleeding caused by intestinal pathology, and at the same time, a rectal perianal ultrasound examination was performed to confirm the diagnosis of mixed hemorrhoids on imaging and to exclude other diseases of the anus and anal canal, and then it was recommended that the patient be hospitalized for surgical treatment. After completing the necessary preoperative examinations and adequate preoperative preparations, the patient underwent ultrasonic knife hemorrhoidectomy with anoplasty under lumbar anesthesia, which completely excised the perianal prolapse of the huge prune hemorrhoids, and the patient recovered well after the operation without any other clinical discomfort symptoms. After the surgery, the patient said that the perianal prolapse of the swelling completely disappeared, no longer have a constant feeling of distension and pain, defecation is also much easier and smoother than before, finally able to live a normal life. The patient left the bed one day after the operation, resumed a less residue, easy-to-digest diet two days after the operation, and was able to pass soft stools normally. After five days of postoperative observation of the bleeding risk period, the patient was discharged from the hospital, and before discharge, the patient was educated about the precautions of perianal care after going home and was allowed to have an outpatient follow-up for one month. After a month of outpatient follow-up, the patient was discharged on time for suture removal and dressing change and anal dilatation, etc. The patient recovered well after the operation, and there was no sign of hemorrhoidal recurrence for the time being. Fourth, the precautions for the patient after treatment can live a normal life, this result is very happy for the patient to feel happy. In addition also need to pay attention to the following matters: 1, pay attention to develop good habits, such as usually light diet, eat more food rich in dietary fiber, to keep the bowel movement, avoid frequent spicy stimulating food and excessive alcohol consumption, avoid defecation when playing cell phones or other increase the time of defecation behavior. 2.Keep the anus clean after surgery, pay attention to daily cleaning, and keep the anus and its surrounding dry. 3, maintain appropriate exercise, promote gastrointestinal peristalsis, can help defecation, prevent constipation. 4, the occurrence of blood in the stool to seek medical attention in a timely manner, so as not to delay the condition, and ultimately lead to aggravation of the condition. Personal perception The diagnosis and treatment of hemorrhoids is not difficult, but we should pay attention to the identification of colorectal tumors, for the age of patients, and defecation habits change, can not be diagnosed only by the symptoms of mixed hemorrhoids, if necessary, the line of rectal fingerprinting and enteroscopy, the timely detection of colorectal tumors, so as to do not misdiagnosis, no omission, early detection, early diagnosis and early treatment. If diagnosed with hemorrhoids, it is necessary to consult a doctor and assess which type, and symptomatic treatment, to prevent delays in the condition, resulting in aggravation, and after the correct treatment, to change the bad habits in daily life, to prevent recurrence of hemorrhoids.