Most of the abscesses around the anus are due to infection of the anal glands, which spread along the rectal canal to the perianal area to form abscesses. After a perianal abscess appears, we should perform a perianal ultrasound to clarify whether an abscess has formed, and if pus has formed, it should be promptly incised and drained. If pus has not yet formed and it is only an inflammatory mass, conservative and medication treatment can be carried out, such as paying attention to diet, avoiding spicy and stimulating foods, and taking sitz baths with warm salt water or potassium permanganate solution to promote perianal blood circulation. You can take oral medication to reduce swelling and apply topical hemorrhoid cream such as tylenol, which is compounded with keratanate. You can also take oral anti-inflammatory drugs, such as cephalosporin anti-inflammatory drugs, and anti-anaerobic bacteria such as metronidazole or tinidazole. So the appearance of perianal abscesses can also be treated with conservative medication in the early stages, and if pus forms, surgical incision and drainage should be performed in a timely manner.