There are many differences between perianal abscess and hemorrhoids, such as different etiologies, different clinical symptoms, and different treatments, which can be distinguished from the above. 1. Different causes: perianal abscess is mainly due to perianal soft tissue or interstitial purulent infection; and hemorrhoids is mainly due to the perianal venous plexus or arteriovenous anastomosis occurs in the vascular changes. 2. Clinical symptoms are different: perianal abscess is mainly manifested as persistent or paroxysmal pain around the anus, and the appearance of redness and swelling, fluctuating sense of pressure; hemorrhoids are mainly manifested as a prominent lump outside the anus, or bleeding after bowel movement, anal moisture, anal itching, pain, foreign body sensation and other symptoms. 3. Treatment is also different: perianal abscess mainly take surgical incision and drainage; hemorrhoids can be treated by local injection, or rubber ring sleeve therapy, and arteriovenous ligation. The body appears anal discomfort symptoms, should be timely to the hospital, active cooperation, follow the doctor’s instructions for examination and treatment.