Mild external hemorrhoids can also cause localized itching in the anal area, but the itching is not pronounced. This is because the external hemorrhoids themselves stimulate the perianal skin, causing mild itching and a sensation of a foreign body in the anus. Moreover, external hemorrhoids can lead to increased secretions around the anus, further irritating the perianal skin and, in severe cases, causing anal eczema. Thus, in most cases, mild external hemorrhoids can cause itching, although it is not intense. For such situations, it is primarily important for patients to keep the perianal area dry and hygienic, wear loose, breathable cotton underwear, and avoid friction against the hemorrhoids. For mild itching, topical treatments such as calamine lotion can be used, along with keeping the perianal area dry. Additionally, a light diet should be maintained.