The invention belongs to the technical field of multi-stage treatment of sewage, and particularly relates to a treatment device for sewage. The device comprises a machine frame and a cleaning bucket,the cleaning bucket is provided with a water inlet pipe and a water outlet pipe, a filter plate is arranged in the cleaning bucket, a telescopic oil filter plate is arranged in the cleaning bucket, two openings for taking out the oil filter plate are symmetrically arranged in the side walls of the cleaning bucket, a water wheel is rotatably connected with the interior of the water outlet pipe, thewater wheel is coaxially connected with a cam and a ratchet wheel, the machine frame is fixedly provided with a piston cylinder, the piston cylinder is provided with a one-way gas inlet valve, the machine frame is fixedly provided with a limit plate, an air bag is placed on the limit plate, the air bag is provided with an air inlet and an air valve, the piston cylinder communicates with the air inlet of the air bag, a replacement plate is slidably connected with the machine frame, the replacement plate abuts against one end of the oil filter plate, and the replacement plate is provided with apawl that cooperates with the ratchet wheel. According to the device provided by the invention, multi-stage treatment can be performed on the sewage, mud and sand do not block the water inlet pipe inthe treatment process, and the device is mostly used for treatment of the sewage.