1.Clinical manifestations: Clinically, due to the different locations of anal papilloma, the clinical manifestations also vary. However, the general symptoms are: when a small hard lump or mass is found around the anorectum, followed by sudden localized severe pain, redness, swelling, heat, discomfort, restlessness, shortness of breath, constipation, poor urination, and rectal irritation symptoms. The symptoms of systemic toxicity such as elevated body temperature, loss of appetite, chills, fatigue, etc. may also appear. Generally, abscesses can be formed in about 1 week, and fluctuating, soft pus cavities can be palpated in the perianal or rectal area by finger palpation. At this time, pus can be extracted by puncture with a syringe. If incision and drainage treatment is performed, or after the pus flows from the self-collapse, the local pain and other symptoms will be relieved or disappear, the body temperature will drop, and the general condition will improve. The above are the main symptoms of perianorectal abscess caused by bacterial infection. ① Anal discomfort: at first, there is a feeling of swelling in the anus, sometimes itching and discomfort in the anus, and if there is inflammation, not only the feeling of swelling is obvious, but also the desire to defecate frequently due to irritation. ② Prolapsed anal papilla: The anal papilla grows to a certain extent and can prolapse out of the anus when defecating. At first, it can retract in the anus by itself after defecation, but gradually it needs to be pushed by hand to retract in the anus, or even prolapse out of the anus for a long time. ③ Bleeding and pain: When dry and hard stool bruises the anus, it can be bloody, dripping blood and painful. ④Embedding: If the enlarged anal papilla is not pushed back into the anus in time after prolapsing out of the anus, embedding will occur. After embedding, edema and pain will be intense, and it will be difficult to move, sit and lie down, and even to urinate and defecate. ⑤Anoscopy shows congestion and edema at the dentate line. 2. Treatment: ① Early treatment is the key to prevent anal disorders: although anal papilloma is a benign tumor, its occurrence is closely related to anal sinusitis, and the two are mutually causal. According to statistics, 85% of all anal disorders are caused by anal sinusitis. At present, some people also believe that the occurrence of rectal and anal canal cancer is related to its chronic inflammatory stimulation. Therefore, it is important to adopt active and effective treatment at an early stage to prevent the occurrence of anorectal disorders. ②Strengthen comprehensive treatment: Although surgical treatment is radical for anal papilloma, the timing of its surgery should be strictly controlled. According to the development of the disease in different periods, we should adopt corresponding comprehensive treatment methods, adopt some preventive treatment for the early ones, and for patients who cannot be operated, cooperate with Chinese herbal enema treatment at the same time to improve the efficacy. During the operation, attention should be paid to protect the skin of the anal canal to minimize the damage to the skin of the anal canal and avoid the occurrence of sequelae. Intraoperative and postoperative complications: for larger papillomas, the ligature should be ligated with “8” sutures to prevent the ligature from slipping and hemorrhage. In case of hemorrhage, pain and edema, local anesthesia should be given in time to stop the hemorrhage under the scope, and Chinese herbal medicine should be given in sitz bath to stop the pain and swelling.