Due to the lack of knowledge and the importance of privacy, many patients are ashamed to go to the hospital for treatment of perianal diseases. So many patients, as long as the discovery of anal discomfort, will be attributed to hemorrhoids. Unbeknownst to them, hemorrhoids are just one of the more common perianal diseases. With the modern openness of sexual concepts, the incidence of perianal acromegaly is also rising. However, many patients can not correctly distinguish between perianal acromegaly and hemorrhoids, thus delaying the condition. Hemorrhoids and perianal acromegaly identification points: 1, abnormal perianal swelling external hemorrhoids and perianal acromegaly can be touched in the perianal area, and the acromegaly in the anal canal often after the stool can be accompanied by the internal hemorrhoids prolapse. The warts have a variety of morphology, but generally have a small base and a rough surface, and tend to be papillary, cauliflower-like or cockle-like fleshy excrescences. The proliferation of warts is rapid, and warts in different parts of the body can be self-inoculated and infected with each other.2, moist feeling, itching feeling due to long-term inflammation infiltration, both may have a serious moist feeling, itching feeling. But the itchy feeling caused by perianal warts, moist feeling, difficult to use drugs to relieve, and gradually aggravated situation. 3, pain hemorrhoids pain is generally due to thrombosed hemorrhoids, or mixed hemorrhoids embedded, necrosis and other causes of pain, often occurs in the hard after defecation. The pain of perianal warts is mostly due to long-term repeated perianal itching, scratching, resulting in perianal skin cracks caused by pain, usually chronic, and more moderate pain. 4, bleeding perianal warts are generally very little bleeding, the same is due to the long term scratching can occur. Early hemorrhoids is the main manifestation of bleeding, often in the hard to defecate, late at night after the aggravation of exertion. 5, history of perianal warts often have a history of impure sexual behavior, but also through the bedding, bathtubs, bath towels, toilet seat cover, and other indirect ways to spread. Hemorrhoids are often caused by incorrect bowel habits.6. The white acetate test is an important test for detecting acromegaly. Warts and hemorrhoids can sometimes occur at the same time, so it is important to get to the hospital in time for specialized diagnosis and treatment.