Anal cramps with constipation and old gas, you can choose general treatment, drug treatment, surgical treatment and other options. 1. General treatment: usually in the daily diet, should be low-fiber, low-fat, high-protein food, and prohibit the consumption of alcohol and spicy stimulating food. Secondly, it is also necessary to keep the perianal skin clean and dry, and it is recommended to take a sitz bath with 1:5000 potassium permanganate solution, which can effectively relieve the discomfort. 2. Drug treatment: If it is due to ulcerative colitis, you can apply mesalazine to the rectal area locally, glucocorticoid retention enema treatment. If it is due to radiation proctitis, you can follow the doctor’s instructions to choose aluminum sulfate, metronidazole and other drugs for treatment. If it is due to inflammation and infection caused by sinus lesions, usually can choose ceftazidime, metronidazole, amoxicillin and other antibiotics for treatment. 3. Surgical treatment: If it is caused by inflammatory lesions in the anal sinus, sinus incision and drainage can be carried out under the guidance of the doctor. If it is caused by hemorrhoids, you can choose infrared coagulation therapy, rubber band ligation therapy, hemorrhoidectomy, thrombosed hemorrhoid stripping surgery under the guidance of the doctor for treatment. However, after the surgical treatment, we should pay attention to the local care work to avoid infection, which is not conducive to recovery. If there is anal swelling with the intention of old exhaust after the situation, it is recommended to consult the anorectal department in time, under the guidance of the doctor to determine the cause of the disease and choose the appropriate treatment plan.