The burning sensation in hemorrhoids may be due to an irritating stinging pain caused by an enlarged localized hemorrhoid nucleus that ruptures the mucosa, or an increase in localized anal discharge. The first thing you need to do is to perform an anal finger and electronic anoscopy to check the severity of the hemorrhoids. If the hemorrhoid is mild, you can choose bitter ginseng lotion fumigation, hot bath local skin of the anus, and apply Bactrim ointment on the anal opening and insert Puzi hemorrhoid suppository inside the anus for anti-inflammatory treatment. In case of increased secretion, you can choose to squeeze Carbomer gel into the anus for anti-inflammatory and analgesic treatment. Further clinical examination of local accompanying symptoms is also required, and if there is obvious repeated prolapse of internal hemorrhoids or a lot of blood in the stool, direct surgery is recommended.