There is a bulge near the perianal area, a little painful to touch but no blood may be caused by perianal abscess, external hemorrhoids, sebaceous cysts and other causes. 1. Perianal abscess: the rectum and anal canal tissue or its surrounding interstitial space by staphylococcus and other pathogens, can cause perianal localized bulging lumps, there may be tenderness. 2. External hemorrhoids: the venous plexus under the dentate line of the anus can form a mass protruding from the anal verge due to pathologic dilatation or thrombosis, connective tissue hyperplasia, etc., which may be accompanied by tenderness. 3. Sebaceous cysts: If there is obstruction of follicular glands near the perianal area, cysts can be formed and accompanied by tenderness. There is a bulge near the perianal area, touch a little pain but no blood, it is recommended to go to the hospital in time, to clarify the cause of the disease, standardized treatment under the guidance of the doctor, to avoid causing delays in the condition.