The diagnosis of mixed hemorrhoids does not have nursing and medical care, are mainly rely on the symptoms, standardized anal examination, as well as anoscopy, symptoms, the presence of anal mass prolapse, mostly in the stool as well as after the bowel movement. Most of the patients have intermittent blood in the stool, which is found to cover the surface of the stool with fresh blood after defecation, find the anus dripping fresh blood during defecation, or have fresh blood on the toilet paper, and some of the patients have pain and swelling in the anus. Anal examination of some patients can be found in the anal opening detachment, the surface of the smoother pink swelling, there is no incarceration and thrombosis, the swelling is softer, there is no tenderness, rectal palpation usually can not touch the obvious swelling, you can find the glove with fresh blood. Anoscopy is able to detect a bulging mass near the dentate line, and the surface of the mass is mostly smooth, with no obvious lobulation and clear borders. Mixed hemorrhoids care measures are mainly to keep the bowel clear, dietary education for patients, including drinking more water, eating more fruits and vegetables, defecation habits of patients, do not squat for a long time to stool, do not play with cell phones, reading books in the bowel, to assist patients with anal sitz baths, soak the anus into about 35 degrees of warm water for sitz baths three times a day for ten minutes each time, that is, you can maintain perianal cleanliness, and It can reduce swelling, promote blood circulation, and reduce the swelling and pain of mixed hemorrhoids.