The acute attack of inflammatory external hemorrhoids will cause severe anal pain. The said inflammatory external hemorrhoids are not inflammation caused by bacterial infection, it is a sterile inflammation, so the treatment of this inflammatory external hemorrhoids does not require oral antibiotics. You just need to take a sitz bath with warm water or potassium permanganate water to the anus after a bowel movement, which can improve the blood circulation around the anus and reduce the pain to some extent. Then apply a frothy hemorrhoid cream, such as anal tide ointment or Ma Yinglong hemorrhoid cream, to the anal opening, which can help clear heat and detoxify, reduce swelling and pain. If the pain is still intense, you can also incorporate diclofenac sodium suppositories in the anus for pain relief. Try to eat a light diet, avoiding spicy and stimulating foods and fried foods, and keep the bowels open. If you have constipation, you should take oral medicine such as Maren Pills or Sophora Pills for laxative purposes. Generally, the symptoms of anal pain can be largely reduced by the above conservative treatment for about 3-5 days. If the conservative treatment is not effective, it is recommended to go to the hospital for surgery.