Hemorrhoids at night especially itchy may be due to perianal hemorrhoid secretions, digestive fluids stimulate the skin caused by itching, may also be perianal eczema caused by itching, generally can be treated by medication or surgical treatment and other ways to treat. 1. medication: hemorrhoids itching discomfort, is due to perianal hemorrhoid secretions, digestive fluids stimulate the skin caused by itching, it is recommended that patients under the guidance of a doctor to use Diosmin tablets, tretinoin gel and other drugs, can reduce itching or pain and other symptoms, to promote the healing of the wounds, allergy patients should not take. 2. Surgical treatment: patients with severe symptoms, accompanied by blood in the stool, anal swelling and pain and other reactions, it is recommended that patients go to the hospital in a timely manner, under the advice of the doctor for external peeling and internal ligation surgery and other surgical treatments for hemorrhoids, attention to post-operative care, each time after defecation, wash with warm water or warm water sitz baths, to keep the perianal area clean and dry, to help the wound healing. Eczema around the anus, can also cause itching, need to go to the hospital dermatology department, confirmed by the doctor and then symptomatic treatment. The appearance of hemorrhoids at night especially itchy phenomenon, it is recommended to go to the hospital as soon as possible to check, clear the cause of the disease, to give reasonable and correct treatment, to avoid aggravation of the condition, to the body to bring adverse effects.