If it is found that the bag next to the anus is long and painful, it is first recommended to make a clear diagnosis by local ultrasound, CT, MRI, etc. and give incision and drainage plus anti-inflammatory treatment, anti-inflammatory plus surgical treatment and comprehensive treatment according to the specific etiology, as follows: 1. incision and drainage plus anti-inflammatory treatment: if it is caused by perianal abscess, it is recommended to choose a suitable incision according to the site of the cyst, make incision and drainage in time, and at the same time put If the painful bag next to the anus is caused by a sebaceous cyst combined with an infection, it is recommended to actively carry out anti-inflammatory symptomatic treatment and then elective surgery three months later to avoid repeated infections. 3. comprehensive treatment: If the painful bag next to the anus is caused by a rectal tumor, it is recommended to go to a doctor in time. It is recommended to go to the regular specialized hospital to improve the examination in time, and after clear analysis, according to different analysis, take the comprehensive treatment mainly by surgery, including chemotherapy, radiotherapy, targeted therapy, immunotherapy, etc.