Hemorrhoids with blood is a common manifestation that occurs due to rupture of the mucosal surface of hemorrhoids or skin damage. Hemorrhoids are specifically divided into internal and external hemorrhoids, and the combination of both is also known as mixed hemorrhoids, which commonly manifest as perianal pain, blood in the stool, and in severe cases, difficulty defecating. The most common reason for the formation of hemorrhoids is the formation of localized varicose vein masses, which can form emboli when repeated episodes of aggravation occur, and whenever you defecate, especially in patients with a history of habitual constipation, defecation can cause the mucous membrane of the hemorrhoid to break down and manifest itself as bleeding. In addition, patients with recurrent diarrhea and patients with perianal infections can also experience bleeding from the rupture of the mucous membrane. For hemorrhoids, you should pay attention to your diet and perianal hygiene, and you can choose topical medications to treat them, or surgery in severe cases.