Hemorrhoids are arguably the most common anal condition, and they can be itchy due to external hemorrhoids. Hemorrhoids are divided into internal and external hemorrhoids. The most important symptoms of internal hemorrhoids are painless blood in the stool and the nucleus of the internal hemorrhoid prolapsing out of the anus, while the most important and common symptoms of external hemorrhoids are anal itching and anal pain and discomfort, so if you have hemorrhoids and have symptoms of anal itching, it means that the patient has a heavy external hemorrhoid. The presence of external hemorrhoids can allow anal residual feces and intestinal fluid to exist in the folds between the external hemorrhoids, which can irritate the anus and lead to anal itching, especially if the patient is standing or sitting for a long time, eating cold, spicy and other irritating foods, and aggravated after fatigue. So if the symptoms of itchy hemorrhoids appear, it must be more pronounced in external hemorrhoids, and it is recommended to use symptomatic medication and consider conservative treatment first.