Painful hemorrhoids do not dare to defecate, to determine in the end to determine whether the pain is caused by hemorrhoids, anal fissures and perianal abscesses can also lead to anal pain. For pain relief alone, you can use indomethacin suppositories inserted into the anus, or take oral pain medication such as painkillers, acetaminophen or tramadol, etc. For hemorrhoids, you can use warm salt water sitz baths, or potassium permanganate sitz baths, topical Ma Yinglong hemorrhoid cream, or anal tylenol ointment applied to the perianal area, and you can take oral Mai Zhi Ling and Diosmin tablets. If the anal fissure is causing painful anal sphincter spasm, you can use Potassium ointment and then add tylenol suppositories to insert. If the anal pain is caused by perianal abscess, you need to go to the hospital for incision and drainage in time