Mixed hemorrhoids and internal hemorrhoids are both clinical types of hemorrhoids. Generally speaking, mixed hemorrhoids mainly occur simultaneously with both internal and external hemorrhoids, while internal hemorrhoids are mainly local mucosal bulges near the dentate line in the anal canal. Both mixed and internal hemorrhoids belong to hemorrhoids, so there are many similarities in treatment. However, since mixed hemorrhoids generally involve both internal and external hemorrhoids acting together, they are generally more severe than internal hemorrhoids alone. Treatment for both mixed and internal hemorrhoids can involve conservative medication, primarily focusing on topical applications; for mixed hemorrhoids, local anal suppositories and hemorrhoidal ointment applications are commonly used, while treatment for internal hemorrhoids primarily involves hemorrhoidal suppositories. If both mixed and internal hemorrhoids meet certain surgical criteria, surgical treatment can be chosen. The surgical approach for mixed hemorrhoids mainly includes excision and ligation, while the surgical approach for internal hemorrhoids mainly involves hemorrhoid ligation or hemorrhoid banding. (Note: This answer is for reference only, use medication under the guidance of a professional physician, do not self-medicate.)