Simple hemorrhoids bleeding generally has no pain symptoms. Pain only occurs when the hemorrhoids are inflamed or when there is prolapsed or thrombosed external hemorrhoids. Hemorrhoids are caused by the tortuous dilation of hemorrhoidal venous plexus. Some patients have symptoms of hemorrhoidal prolapse, some have rectal bleeding with fresh blood that is separate from the stool, and a few have both prolapse and bleeding. If the prolapse of hemorrhoids is severe, or if there is a significant amount of bleeding, surgical treatment is recommended. If the bleeding is minor and the hemorrhoids are not severe, conservative treatment can be implemented, including topical medication and maintaining smooth bowel movements. It is advised to avoid alcohol, spicy and irritating foods, and to keep the perianal area clean and hygienic.