The hemorrhoids and perianal abscesses sometimes both show perianal pain, some patients can not distinguish, are treated as hemorrhoids, delaying treatment, from the following aspects to identify: 1, the cause is different, hemorrhoids are pathological hypertrophy of the anal cushion, displacement and perianal subcutaneous vascular plexus blood flow stagnation formed mass, and therefore cause bleeding, embolism or hemorrhoid nucleus prolapse. Perianal abscess is an infectious disease of the perianal area, mostly caused by infection of the anal saphenous fossa and formation of abscesses in the perianal area. 2, local performance is different, when hemorrhoids form thrombus, prolapse or inflammation, the swelling at the edge of the anus, perianal abscess caused by a hard mass, a certain distance from the anal edge, can have severe pain, redness and fever, and even general discomfort, urinary difficulties, and then the redness and swelling of the white head, break down and flow of pus, after a long time and become anal fistula. The actual fact is that you will be able to get a lot more than just a few of these.