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Boil on anus can be very painful due to its location and can cause pain while doing various routine activities like sitting, bowel movement etc. One can feel the boil on anus while cleaning the anal area, pain while sitting, an expulsion of faecal matter etc. an anal abscess is a painful condition in which a collection of pus develops near the anus. Most anal abscesses are a result of infection from small anal glands. boils on anus can be caused due to exposure of fecal matter to cuts and bruises in and around the anal area. You can feel the painful boils while defecating, cleaning, or while sitting down. An anal, or rectal, abscess occurs when a cavity in the anus becomes filled with pus. It causes extreme pain, fatigue, rectal discharge, and fever. Doctor answers on symptoms, diagnosis, treatment, and more dr. Kaplan on how to treat a boil near the anus by a gynecologist. Anal abscess medical treatment depending upon the severity of the abscess and any other medical problems, treatment may be accomplished on an outpatient or inpatient basis. The treatment plan should be explained to the patient in detail.