Perianal abscess can be treated conservatively if the initial symptoms are mild. It is important to eat a light diet, avoid spicy, stimulating, and hot foods, and not to drink alcohol. Oral antibiotics can be given, choosing cephalosporins or quinolones broad-spectrum antibiotics, plus metronidazole or tinidazole, choosing antibiotics for anaerobic bacterial infections. If necessary, intravenous infusions of anti-infective drugs can be given, choosing cephalosporins, also in combination with metronidazole or tinidazole, for the most common causative organisms of perianal abscesses. You can also give warm water or sitz bath with Chinese herbal medicine, which can promote blood circulation around the anus and promote the absorption of inflammation on the one hand, and improve local pain symptoms on the other. Pay attention to personal cleanliness and hygiene, keep the local area dry and pay attention to the local hygiene of the anus. After conservative treatment, if the symptoms are obviously relieved, the pain is reduced and the lump is no longer enlarged or has shrunk after 1-2 days, you can continue to use conservative treatment. However, if the symptoms worsen, the temperature rises and the fever starts, or the pain increases and the lump becomes larger, you should go to the hospital and seek medical advice, and if necessary, use surgical treatment.