Hemorrhoids are very common anal conditions that include internal and external hemorrhoids. The most common symptoms of hemorrhoids are internal hemorrhoids and external hemorrhoids are the most common symptoms. Internal hemorrhoids are mainly blood in the stool and prolapsed internal hemorrhoid nuclei. External hemorrhoids are mainly anal pain and anal itching. So, whether you have pain or itchy symptoms, it is basically an external hemorrhoid symptom. Whether a hemorrhoid is painful or itchy depends on the specific condition and depends on which type of external hemorrhoid it is; some external hemorrhoids cause pain and some external hemorrhoids cause itchiness, so you can’t simply generalize. Connective tissue external hemorrhoids basically cause itching in the patient’s anus. Thrombosed and inflamed external hemorrhoids basically cause perianal pain. If you have hemorrhoids and the symptoms are indistinguishable, you should visit the anorectal department of a regular hospital to clarify the specific diagnosis.