Internal hemorrhoid prolapse is not the same as mixed hemorrhoids. Mixed hemorrhoids mainly occur when a patient has both internal and external hemorrhoids, forming a local mucosal bulge at the dentate line. Simple internal hemorrhoid prolapse is just a clinical symptom of internal hemorrhoids, whereas mixed hemorrhoids primarily include both internal and local external hemorrhoids. In cases of internal hemorrhoid prolapse, mild prolapses can generally retract back into the anus on their own, and the primary treatment method involves the topical application of hemorrhoid cream. For severe prolapses, each prolapse requires manual reinsertion by the patient, or in cases of severe prolapse, prolapse may occur when squatting or exerting excessive abdominal effort, and surgery is recommended.