Bumps near the anus with painful symptoms are commonly caused by external hemorrhoids, which also have triggering factors, especially after prolonged sitting, overeating, exertion, and staying up late. The symptoms are hypothermia, and on examination you will find a swelling in the perianal area that is clearly painful to the touch, congested and edematous. External hemorrhoids occur below the dentate line with pain sensitivity. In mild cases of external hemorrhoids, conservative treatment options are available, commonly physical therapy, applying warm saline sitz baths to improve microcirculation, which can significantly relieve the patient of local pain as well as discomfort. In severe cases, surgical treatment can also be a further option. The surgery is relatively simple and is performed under local anesthesia to remove the external hemorrhoid. After the surgery, regular medication changes are also required to avoid local infection.