Usually there is no most effective way to treat itchy internal hemorrhoids. Patients can relieve their condition through general treatment, medication and surgery according to their personal situation. 1. General treatment: patients should pay attention to personal hygiene, often wash the affected area, itching can be used 1:5000 potassium permanganate solution sitz bath, but also can be scrubbed with povidone-iodine disinfection, avoid wearing tight underwear, usually eat more fruits and vegetables, avoid eating spicy food. 2. medication: patients with itchy internal hemorrhoids can use antipruritic drugs, such as hydrocortisone ointment, tretinoin econazole cream, etc.; antibiotic drugs, such as erythromycin ointment, clindamycin phosphate gel, etc., the patient can also use hemorrhoidal fasting tablets and other drugs to ease the symptoms of itching for the emergence of dry stools and defecation difficulties in the patient, you can use Keselu laxative treatment. 3. Surgical treatment: for conservative treatment or more serious patients can be removed through hemorrhoidectomy, anastomosis hemorrhoidal mucosal circumferential resection and other ways to improve the symptoms of itching internal hemorrhoids. It is recommended that patients strictly follow the doctor’s instructions for medication, actively cooperate with the doctor’s treatment, develop good defecation habits, regular defecation, to maintain a smooth bowel movement, toilet paper should be soft, avoid squatting or too much force, and so on.