Hemorrhoids pain at night may be due to conditions such as thrombosis, ingrown hemorrhoids or infection. Hemorrhoids are divided into three categories depending on where they are located, i.e., internal hemorrhoids, external hemorrhoids, and mixed hemorrhoids. Internal hemorrhoids are mainly characterized by bleeding and prolapse, usually painless, but if thrombosis, infection or hemorrhoidal prolapse embedded conditions, causing internal hemorrhoid pain. External hemorrhoids, if there is acute thrombosis that is thrombosed external hemorrhoids, can cause severe anal pain, the degree of pain can be related to the size of the thrombus. Mixed hemorrhoids, i.e., internal hemorrhoids, external hemorrhoids symptoms are present, when the prolapsed hemorrhoidal nuclei embedded in the anal opening, can make its edema, stasis or even necrosis, but also make the anal sphincter spasm, causing hemorrhoidal pain. Painful hemorrhoids, it is recommended to go to the hospital specialist consultation, clear cause of the treatment prescribed by the doctor, timely reduction and elimination of symptoms.