Painful hemorrhoids that make it difficult to sleep are mostly caused by thrombosed external hemorrhoids, inflammatory external hemorrhoids, and embedded mixed hemorrhoids. It is generally recommended that patients be treated with medication or surgery according to the cause of the disease. 1. thrombosed external hemorrhoids: due to the formation of thrombus, resulting in severe local pain, difficult to sleep. Patients are generally advised to undergo thrombectomy or thrombectomy. 2. Inflammatory external hemorrhoids: this type of hemorrhoids is mainly caused by bacterial infection, local inflammatory stimulation leads to pain symptoms. It is generally recommended that patients take conservative treatment as the main, to be hemorrhoid ointment, erythromycin ointment and other topical application, fumigation baths to improve the discomfort; if conservative treatment is ineffective, it is recommended that the surgical excision treatment. 3. mixed hemorrhoids embedded: mixed hemorrhoids sagging prolapse, difficult to recover on their own to shrink back to the anus, resulting in hemorrhoids embedded in the anus, the patient appeared to be severe pain symptoms, the general recommendation of the patient surgical treatment. The appearance of hemorrhoids is very painful, affecting sleep and normal life, it is recommended to go to the hospital in time to check, clear condition, give reasonable standardized treatment. Specific medication and treatment program should be selected under the guidance of the doctor.