Hemorrhoids are a familiar condition that causes severe pain in the anus when internal hemorrhoids become embedded or external hemorrhoids become edematous or form blood clots. But is anal pain always hemorrhoids? That’s not necessarily the case. It’s probably a much more serious condition than hemorrhoids – a perianal abscess. A perianal abscess is a common anorectal disease, an acute purulent infection around the anus, which is a pustule around the anus, the main symptom is also pain, if not treated in a timely and correct manner, it is easy to cause sepsis, necrotizing fasciitis, infectious toxic shock, life-threatening. Once a perianal abscess is diagnosed, an incision and drainage surgery should be performed immediately, which means that an opening is made on the surface of the abscess under anesthesia to release the pus. Conservative treatment with fluids (antimicrobials), hemorrhoid creams and suppositories will only delay the condition. The disease is usually found in patients who are tired and have a reduced resistance, and diabetic patients are more likely to develop the disease because of the high blood glucose concentration and easy reproduction of bacteria. The following symptoms will gradually appear after getting the disease: 1. anal pain. This is the earliest symptom, a continuous and gradually increasing pain, more severe at night. The patient is restless during the day, can only maintain a posture, dare not move and dare not touch, can not sleep at night. 2. Perianal or with mass. Patients with shallow abscesses can feel a mass in the perianal area at this time, and find that the pain comes from there, not daring to touch it or press it. The deeper abscesses cannot feel the mass by themselves, but just feel the severe pain in the whole lower body. 3.Incompetent urination and defecation. Due to the pain, the patient does not dare to relieve the bowels and thus does not dare to eat. The muscles around the anus tighten protectively and the sphincter of the bladder and urethra cannot be relaxed, so urine cannot be defecated. 4. Fever. A part of the patient can feel afraid of cold fever, body what sieve Kirk 39 degrees or more. Self-preliminary diagnosis. With the above-mentioned symptoms of pain, lump, poor urination and fever, the patient can have a preliminary self-diagnosis. Do not self-medicate. Many patients who have a perianal abscess think it is hemorrhoids based on their senses and go to the pharmacy to buy some hemorrhoid medication for their own treatment. Never do this, but make sure to go to a specialist hospital in time to avoid delaying the condition and increasing the pain.