There are many reasons for abdominal pain and anal pain, including gynecological diseases and anorectal diseases, such as ectopic pregnancy, pelvic inflammatory disease, endometriosis, perianal abscess, hemorrhoids and proctitis, which should be promptly treated by a doctor to clarify the cause and then targeted treatment. Common causes and treatments 1, gynecological diseases 1, ectopic pregnancy: can have menopause, abdominal pain with anal pain, vaginal bleeding and other manifestations, feasible blood HCG, ultrasound and posterior vault aspiration diagnosis, follow medical advice to apply methotrexate or surgery; 2, pelvic inflammatory disease: can have persistent lower abdominal pain, cervical lifting pain involving the anus, accompanied by symptoms of increased vaginal discharge, feasible blood and endometrial biopsy to confirm the diagnosis. The patient may have abdominal pain, sometimes radiating to the anus, vulva and thighs, and may be treated with non-steroidal anti-inflammatory drugs or surgery under medical advice. The patient may have persistent perianal pain, lower abdominal pain with shortness of breath and other symptoms, it is recommended to perform C-reactive protein test and CT to confirm the diagnosis, oral levofloxacin, topical erythromycin ointment and other treatments; 2, hemorrhoids: often have perianal pain and abdominal pain, accompanied by bleeding during defecation, rectal diagnosis should be performed to confirm the diagnosis, and can follow medical advice to improve the itching with topical hydrocortisone ointment. The daily use of warm water sitz bath, drink more water, eat more fresh fruits and coarse grains, eat less chili peppers and other stimulating food; 3, proctitis: often have pain on the left side of the abdomen, anal drop with diarrhea, bloody stools and other symptoms, should be performed stool routine and CT examination to confirm the diagnosis, treatment can be prescribed by the use of aluminum thioglycollate to control inflammation, can also use mesalazine local medication. Third, other diseases such as appendicitis and interstitial cystitis can cause abdominal pain and anal cramping, and the corresponding treatment can be taken after clarification.