The main reasons for pain above the anus are the following possibilities: First, consider the cause of hemorrhoids, in the fire or eating spicy, irritating food, stimulated hemorrhoids can cause swelling of the perianal rectal mucosa, and the mucosa near the anus is more sensitive, pulling causes pain above the anus. Second, it may be due to inflammation of the muscle fibers around the anus, or injury to the soft tissues, and over time, the previous inflammation or injury can cause irritating pain in the surrounding nerve fibers. (3) It may be due to herniated lumbar discs, which compress the nerves around the discs, or prolonged poor sitting posture, causing sciatica or trigeminal neuralgia. 4. It may be a perianal abscess formed by the inflammation near the perianal area, and the abscess may cause pain around the anus under the stimulation of fire or drinking. V. Pain caused by constipation due to the usual dry food.