How to get rid of hard lumps next to the anus, if the hard lumps appear suddenly and local pain with fever, the first consideration is caused by perianal abscess, it is recommended that warm water sitz bath twice a day for 20 minutes each time, rectal plug application hemorrhoid cream and hemorrhoid suppository treatment, and intravenous infusion application of antibacterial drugs, mainly choose for E. coli, mixed bacterial infection effective drugs, such as ceftriaxone sodium, cefoperazone sodium Sulbactam sodium, ceftazidime, metronidazole and other drugs. Secondly, if the hard lump has a fluctuating sensation, it can be cut and drained. If the hard lump repeatedly breaks down and flows pus for a long time, it is considered to be caused by anal fistula, which needs to be surgically treated by anal fistula incision and hanging. In addition, if the perianal lump is progressively larger and more mobile, it is considered a perianal sebaceous cyst, which can be surgically removed under local anesthesia.