Hemorrhoids out of the anus first of all do not be nervous, if the hemorrhoids out of the anus without the formation of thrombus or necrosis, bleeding is not big, can be conservative and drug treatment. The first, pay attention to diet, avoid spicy and stimulating food. You can avoid drinking a lot of alcohol, eat more vegetables, eat more fruits, eat more coarse fiber food, promote the smooth discharge of stool, reduce constipation. Secondly, you can take a sitz bath with warm salt water or 1:5000 potassium permanganate solution to promote perianal blood circulation and reduce hemorrhoidal vein stasis and swelling. The third, you can carry out local anal massage, promote the prolapse of hemorrhoidal nuclei to return, anal plug into the hemorrhoidal suppository, perianal smear hemorrhoid cream, play anti-inflammatory, reduce swelling, stop bleeding effect. If the hemorrhoids out of the anus can not be returned to the longer time, hemorrhoidal vein stasis, swelling, easily lead to thrombosis, embedded longer lead to necrosis, need to timely line of surgical treatment, such as thrombus stripping or mixed hemorrhoids external peeling and internal ligation.