The differences between perianal abscess and hemorrhoids are mainly as follows: 1. Different causes of pathogenesis: hemorrhoids are degenerative changes in local tissues, caused by bad living habits, defecation habits that cause the anal cushion to move down and the formation of connective tissue in external hemorrhoids; perianal abscess is caused by local infection in the anus, and even the accumulation of pus; 2. Itching, etc.; 3. Different pain medication: hemorrhoid pain is mostly mild swelling and pain, which can be relieved by using hemorrhoid medication; but perianal abscess pain, which is mainly relieved by oral antibiotics; 4.