Hemorrhoids have a pointed hard and painful, may be due to thrombosed external hemorrhoids, but also does not exclude the combination of acromegaly. 1. thrombosed external hemorrhoids: the etiology of this disease is not clear, may be associated with infection, poor bowel habits and other factors, its clinical features are mostly anal edge of the phenomenon of raised lumps, accompanied by pain, itching, but may also appear pointed hard phenomenon. 2. warts: usually due to human papilloma virus infection caused by the disease, its clinical symptoms are mostly manifested as reddish pimples, the tip of the sharp, when hemorrhoids combined with warts, may lead to the appearance of hemorrhoids have a pointed hard very painful phenomenon. When the hemorrhoids have a sharp, hard and painful, it is recommended that the patient go to the hospital for examination in a timely manner, to clarify the cause of the disease, and under the guidance of the doctor to carry out reasonable treatment.