Milky and painful around the anus may be caused by internal hemorrhoids, warts, perianal abscesses and anal fistulae, etc. The details are as follows. 1. internal hemorrhoids: internal hemorrhoids are hemorrhoids above the dentate line, when the abdominal pressure increases, the internal hemorrhoids will have a situation of prolapse, then it will show the anus out of the milky white and there will be a feeling of pain. 2. Warts: Warts are caused by human papillomavirus infection, the anus is often manifested as cauliflower-like organisms, there can be milky white secretions covering the top, and there can also be pain. 3. Perianal abscess: a purulent infection of the anal canal and rectal tissues and the surrounding soft tissue space, the anus can secrete milky white secretions, and accompanied by severe pain. 4. Anal fistula: after incision and drainage of perianal abscess, part of the anal fistula can be formed, fistula secretion of milky white material, also accompanied by pain, itching. When the phenomenon of anal milky white material and pain, should be timely consultation, according to the doctor’s advice to do specific treatment, to avoid aggravation of the condition.