Anal swelling and itching, the specific treatment program is mainly combined with the condition to carry out, the causes of the corresponding conditions mainly include perianal disease, rectal lesions and pelvic lesions, etc., the treatment program mainly includes anti-inflammatory treatment, surgical treatment, physical therapy and daily care. 1. Perianal diseases: mainly include perianal inflammatory reaction and perianal abscess, etc. Accordingly, firstly, anti-inflammatory drugs need to be applied to deal with the situation, commonly used drugs are amoxicillin, levofloxacin, etc. Serious perianal abscess can be drained through surgery. 2. Rectal diseases: Proctitis can be treated with anti-inflammatory drugs such as levofloxacin, immune system diseases can be treated with salicylic acid drugs such as mesalazine; rectal tumors can also cause symptoms, which can be treated with radical resection. 3. Pelvic lesions: prostatitis in men and pelvic inflammatory disease in women can cause symptoms, and anti-inflammatory drugs can be applied, such as metronidazole and levofloxacin, etc., in addition to the application of physical therapy, such as deep heat therapy, which can help the inflammation subside. If you have anal swelling and itching that affects normal bowel movements, you need to seek medical attention and diagnose your condition, and then under the guidance of your clinician, carry out standardized treatment to avoid delays in your condition.