There are many reasons for anal spicy and painful stools: first, the more common is anal fissure, if the stool is dry and easy to damage the skin around the anus and the formation of anal fissure, in the stool, usually causes hot pain around the anus, should pay attention to diet, but also warm salt water sitz bath. If it is difficult to defecate, you can apply corked milk to help defecation treatment. If the symptoms are more serious, the disease is longer and does not heal for a long time, you need to perform anal fissure removal. Second, pain around the anus when defecating, hot and swollen, may be a perianal abscess, such as an abscess caused by perianal infection. Once an abscess is formed, abscess incision and drainage is required. Therefore, when there is spicy anal pain during stool, the cause of it should be analyzed and rectal examination or necessary auxiliary examinations, perianal ultrasound, etc. should be performed.