The most common cause of a very painful anal meatball is the development of thrombosed external hemorrhoids or perianal abscesses. 1. thrombosed external hemorrhoids. Thrombosed external hemorrhoids are more common in the clinic, mostly found in the anal opening of a long strip of meatballs or lumps, meatballs or lumps are not big, but more painful, dark purple color. Generally, it can be handled by conservative treatment or surgical treatment. (1) Conservative treatment: Common conservative treatments include applying hemorrhoid cream, taking sitz baths with warm water, taking painkillers, etc. Meanwhile, you need to maintain good lifestyle and dietary habits, try to avoid prolonged standing and sedentary activities, exercise more, and eat more fiber-rich foods to promote defecation. (2) Surgical treatment: thrombosed external hemorrhoid stripping is often used in surgery, and a certain degree of conservative treatment is still needed after surgery, in the same way as above. 2. Perianal abscess. Infection of the skin around the anus, or the patient’s previous sinusitis aggravation, may appear perianal abscess, often found in the anus red swollen lumps, pain is extremely strong, it is recommended that the patient to go to the hospital in a timely manner, surgical treatment and give anti-infection treatment. Anal meatball pain, there may also be other factors, it is recommended to go to the hospital in a timely manner to check, clarify the cause of the disease, and give appropriate treatment to avoid aggravation of the condition.