The first thing to consider is hemorrhoids or anal papilloma. Anal papilloma is caused by repeated inflammatory stimulation of the anal fossa, resulting in hypertrophy and hyperplasia of the anal papilla. The surface of the papilloma is light red, tough and smooth, and it can come out of the anus during defecation, and it needs to be returned to the anus by hand after defecation, and the papilloma is mainly surgically removed in clinical practice. The main symptom of internal hemorrhoids is blood in the stool with the swelling prolapsing after the stool, and in serious cases, it can be retracted by hand after the stool. If the hemorrhoid is accompanied by more serious protruding symptoms, surgery is needed to control the symptoms, so the patient needs to go to the hospital in time to get a clear diagnosis and then undergo surgery.