External hemorrhoids are effective when washed with salt water. This is because salt water itself has an anti-inflammatory and antiseptic effect. For external hemorrhoids it can avoid inflammatory infection of external hemorrhoids and also clean the skin around the anus to avoid dampness, itching and inducing eczema around the anus. Clinically, patients are advised to choose warm salt water sitz bath after defecation or before bedtime, which is easy and convenient and can improve the circulation of Qi and blood in the perianal area, thus relieving the anal swelling and foreign body sensation caused by external hemorrhoids. So external hemorrhoids can be cleaned with salt water. The patient also needs to keep the bowels open, avoid prolonged sitting and squatting, and develop good bowel habits. A light diet with seasonal fresh fruits, vegetables and meat foods rich in high quality protein can also improve the symptoms of hemorrhoids. If inflammatory edema or thrombosed external hemorrhoids are present, you will need to opt for medication or surgical treatment.