Hello, Anal abscess is a very painful condition. The most common type of abscess is a perianal abscess. This often appears as a painful boil-like swelling near the anus. It may be red in color and warm to the touch. The treatment of anal abscess are prompt surgical drainage is important, preferably before the abscess erupts, and superficial anal abscesses can be drained in a doctor s office using a local anesthetic. Large or deeper anal abscesses may require hospitalization and the assistance of an anesthesiologist. Antibiotics may be required like Amoxicillin clavulanate. Analgesics like NSAIDs ibuprofen and paracetamol may be required for pain relief. About 50% of patients with an anal abscess will develop a complication called a fistula. A fistula is a small tunnel that makes an abnormal connection between the site of the abscess and the skin. Anal fistula if present, requires surgery. You need to once visit a surgeon for detailed clinical examination and evaluation of abscess depth and presence or absence of fistula. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist