Mixed hemorrhoids have the clinical symptoms of both internal and external hemorrhoids, and are caused by the fusion of internal and external hemorrhoids at the same point. The main clinical manifestations are as follows: 1, blood in stool, is also the most common clinical symptoms, blood in stool is characterized by painless, intermittent blood dripping or even ejaculation after stool. 2, anal swelling prolapse, mixed hemorrhoid patients in the defecation of anal swelling prolapse, prolapse of the swelling will be narrowed after the stool, but will not disappear, the later symptoms of seriousness will be manifested as hemorrhoidal nucleus prolapse outside the anus for a long period of time. 3, localized swelling and pain, the hemorrhoidal nucleus prolapse, the hemorrhoids can not be returned, or local thrombus formation. The mixed hemorrhoids prolapse, incarcerated, can not be back or local thrombosis, will lead to local severe pain symptoms. 4, itching around the anus, repeated prolapse will lead to increased exudate around the anus, moist, and cause itching symptoms.