Hemorrhoids cause anal itching for two reasons: first, external hemorrhoids can deepen the skin folds around the anus, resulting in localized itching that can be caused by superficial infection; second, it is the advanced stage of hemorrhoid prolapse will, resulting in the mucous membrane of the perianal skin moving down, often with secretions flowing out, causing itching and discomfort around the anus due to the stimulation of secretions, and even perianal skin eczema can occur. The itchy skin around the anus caused by external hemorrhoids can be controlled by using ointments, for example, potassium permanganate 1:5000 ratio with warm water for sitz bath treatment. If there is local anal eczema present, topical Denide ointment can be used, while late stage hemorrhoids causing anal itching mostly require surgery to be able to relieve the symptoms.