Anal protrusion and bleeding during bowel movements are considered to be caused by constipation, especially in elderly patients. Prolonged bed rest and low activity may also slow down bowel movement. In addition, chronic diseases, such as prostate enlargement, urinary difficulties or chronic obstructive pulmonary disease, frequent coughing and phlegm may also lead to increased abdominal pressure, which can trigger the formation of hemorrhoids and, in severe cases, anal fissures. Therefore, the patient may experience significant anal pain during defecation, blood in the stool, or even induce localized skin fissures around the anus. In this case, local disinfection and medication change should be carried out, and the underlying disease should also be actively treated, and it is best to eat more vegetables or fruits. If the condition allows, drink more water to keep the bowel movement regular and smooth, and the patient’s symptoms can gradually improve.