Hemorrhoids can lead to local bleeding, and anal fissures can similarly cause bleeding in the local anal area during bowel movements. Therefore, if it is clearly diagnosed as hemorrhoids combined with an anal fissure, and the patient is experiencing bleeding, it is necessary to carry out hemostatic treatment as soon as possible to avoid further exacerbation of bleeding, which may lead to symptoms of anemia in the patient. Both hemorrhoids and anal fissure bleeding can temporarily be managed with oral hemostatic drugs. If the hemorrhoidal bleeding is more severe, direct ligation of the hemorrhoids can be performed. Bleeding from an anal fissure mainly manifests as bleeding from a local fissure, primarily caused by dry stools, so patients with an anal fissure who experience bleeding must receive treatment that softens the stool and facilitates bowel movements. If both hemorrhoids and anal fissures are present and recur frequently, and conservative medication does not easily heal the condition, a mixed hemorrhoidectomy which includes an external peeling and internal ligation surgery combined with a lateral internal sphincterotomy can be performed. (Note: This answer is for reference only. Medication should be taken under the guidance of a professional physician, and one should not medicate blindly.)