The persistent vague pain in the rectum above the anus is related to a variety of factors, mainly considered to be anal swelling, perianal inflammation, perianal rectal trauma, hemorrhoids, intestinal dysfunction, etc. The clinical manifestations of different diseases are different, and it is recommended to take appropriate treatment according to the etiology. 1. anal swelling: persistent vague pain in the rectum above the anus is mainly considered to be due to high-fat diet, intestinal microecological imbalance and other problems, resulting in rectal The presence of huge polyps and rectal cancer may result in blood in the stool and rectal pain. It is suggested that timely excision of the mass, such as Miles surgery, endoscopic mucosal dissection, etc.; 2. Perianal inflammation: mainly due to perianal infection caused by pathogenic microorganisms, inflammation stimulates the perianal mucosa, resulting in the performance of continuous vague pain in the rectum above the anus, which can be accompanied by fever, diarrhea, constipation and other symptoms, commonly seen in perianal abscess, anal fistula and other diseases. It is recommended to control the infection in a timely manner and give antibiotics such as metronidazole and norfloxacin as prescribed by the doctor to relieve the local pain symptoms, and in serious cases it is recommended to go to the hospital for perianal abscess incision and drainage, anal fistula excision, etc. to promote recovery; 3. Perianal rectal trauma: mainly including anal laceration, foreign body trauma, surgical injury, etc., resulting in the performance of persistent vague pain in the rectum above the anus. Patients may also be accompanied by itching and blood in the stool. Prompt surgical repair is recommended, and anti-infective treatment with antibacterial drugs such as cefradine and levofloxacin is given as prescribed by the doctor. In addition, if there is more bleeding, it is recommended that timely hemostasis and anti-shock treatment be given; 4. Hemorrhoids: mainly due to the formation of vascular thrombosis, hemorrhoids irritate the rectum, resulting in the performance of persistent vague pain in the rectum above the anus, which can be accompanied by blood in the stool. In the early stage can take conservative treatment, it is recommended to give hemorrhoid cream for treatment according to medical advice. If the hemorrhoids can not be relieved, it is recommended that timely hemorrhoidectomy, endoscopic hemorrhoid sclerotherapy injection and other methods of treatment; 5, intestinal dysfunction: such as irritable bowel syndrome, may be overeating, anxiety and other abnormalities of the brain and intestinal axis, intestinal flora dysbiosis resulting in stool stimulation rectum, thus appearing above the anus rectal continuous vague pain performance, can be accompanied by pain, constipation, diarrhea and other performance. Antispasmodic drugs, such as pivetonium bromide tablets and belladonna tablets, can be applied to improve local symptoms.