Patients can distinguish hemorrhoidal bleeding or vaginal bleeding by the site of bleeding and accompanying symptoms. 1. Bleeding site: bleeding caused by hemorrhoids is from the anal area, vaginal bleeding is located in the female vaginal opening. 2. Accompanying symptoms: hemorrhoidal bleeding is usually accompanied by anal itching, anal pain and prolapsed hemorrhoids and other situations; vaginal bleeding may be due to gynecological inflammation, vaginal mucosal damage, menstruation and other reasons, the patient may have abdominal pain, frequent urination, urinary urgency and other situations. 3. Bleeding symptoms: bleeding caused by hemorrhoids will show jet or dripping blood, usually in the process of defecation or after defecation, usually intermittent bleeding; vaginal bleeding can be intermittent bleeding, but also can be persistent bleeding, contact bleeding. When bleeding occurs, patients should go to the hospital in time to find out the cause of bleeding, and give targeted treatment and therapy.