The difference between perianal abscess and external hemorrhoids is still mainly in the symptom presentation. 1. The full name of perianal abscess is perianal rectal abscess, the main symptom is persistent pain and swelling and discomfort in the local area of the anus, especially when the activity or defecation will make the condition worse, and the pain will be obviously aggravated. Perianal abscess is a common bacterial infectious disease, according to the occurrence of different parts of the different depths, clinical manifestations are also different. Minor patients can take oral antibiotics, local topical anti-infective ointment, for patients who have difficulty in defecation can take laxative to soften the stool and reduce the pain caused by defecation; patients with serious symptoms, need to be given timely surgical treatment, to avoid the spread of inflammation and bacteremia and other systemic adverse reactions. 2. External hemorrhoids is the formation of vein masses under the dentate line of the anal canal, the symptoms will first appear anal swelling, pain, movement or defecation will lead to an increase in the pain of the external hemorrhoids, after the stool will make the anal area is not easy to clean, but also produces secretions, often feel the sense of irritation and itching. External hemorrhoids will bleed and oedema will occur after rupture or infection. Minor external hemorrhoids, available general treatment as well as medication, such as warm water sitz bath or 1:5000 potassium permanganate solution sitz bath, local application of musk hemorrhoid cream, bear bile hemorrhoid cream and other treatments to alleviate the symptoms; symptoms of serious, to the hospital in a timely manner for surgical treatment, such as hemorrhoid peeling, hemorrhoidectomy and other ways. External hemorrhoids and perianal abscess are common anorectal diseases, according to the different circumstances of individuals, different clinical manifestations, it is recommended that patients with perianal discomfort symptoms, the first to go to the hospital for examination, a clear diagnosis, in the guidance of a professional doctor to give reasonable standardized treatment.