Extreme itching around the perianal area of hemorrhoids can be treated with warm water sitz baths or local application of ointments such as Dinaid, and surgery if necessary. Hemorrhoids perianal skin folds more, easy to hide bacteria, but also difficult to keep dry, plus hemorrhoids such as infection with inflammation or fecal stimulation will lead to an increase in secretions, stimulate the perianal skin caused by itching. If long-term local hygiene do not do well, can cause perianal eczema, more cause extreme itching and other discomforts. You can pass 1:5000 potassium permanganate solution sitz bath, accelerate the blood circulation in the perianal area, promote the body to the absorption of swelling, help relieve the symptoms, can also be used externally, such as dinexed ointment to symptomatic control of itching symptoms, if it is difficult to control the itching symptoms of conservative treatment, serious impact on the life and work, you can consider surgical treatment. Pay attention to keep the perianal skin clean, dry, light diet, avoid spicy, stimulating food, if any discomfort, timely consultation.