Anal long a meatball swelling pain has a variety of reasons, generally considered external hemorrhoids, perianal abscess, anal fistula, folliculitis, tumor and other causes, need to be based on the different causes of the patient’s physician, to take appropriate treatment measures and methods. 1. External hemorrhoids: is the most common cause, can lead to the anal area long meatball accompanied by pain, blood in the stool and other manifestations. Most of them are induced by constipation, dry stools, etc. They can be treated with oral hemorrhoidal tablets, external hemorrhoid cream, and surgical methods such as thrombosed hemorrhoidal stripping. 2. Perianal abscess: due to local inflammation and infection, can lead to abscess lesions in the anal area with pain and other symptoms, need to be incised and drained under the guidance of a physician or radical surgery. 3. anal fistula: due to the formation of anal fistula fistula can be formed locally chronic inflammation, stimulate the patient to appear local pimples, flow of pus, pressure pain, should be cut, excision, radical surgery. 4. Folliculitis: due to inflammation of individual hair follicles, can be manifested as localized pimples with pain and other symptoms, can be used under the guidance of a physician erythromycin ointment, ichthyolite ointment, with oral amoxicillin capsules and other antibacterial drugs to treat. 5. Tumor: It can be seen in anal cancer, rectal cancer and other diseases, and patients can have hard lumps in anal area, accompanied by blood in stool, pain, emaciation, loss of appetite and other manifestations. It can be treated by radiotherapy, chemotherapy and combined surgery. If you have the above symptoms, you should go to the hospital in time to get a clear diagnosis of the cause of the disease and then carry out targeted treatment, and you should not use medicines indiscriminately, so as to avoid delaying your condition.