Anal Skin Tags: Causes, Treatments, and Concerns - Dermatology

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Understanding anal skin tags can be a complex issue, especially when there are underlying conditions such as previous infections or irritations. Anal skin tags are benign growths that can occur around the anal area. They are often the result of friction, irritation, or previous conditions such as hemorrhoids or infections like human papillomavirus (HPV), which causes warts.
In your case, it seems that you have a history of genital warts (commonly referred to as "cauliflower" due to their appearance) and have experienced itching around the anal area. The development of small flesh-colored growths after using a topical steroid could be due to several factors. Steroids can sometimes cause skin thinning, which may lead to changes in the appearance of the skin, but they do not typically cause skin tags directly. Instead, the irritation or inflammation that led you to use the steroid cream may have contributed to the formation of these tags.

When it comes to treatment, it’s crucial to first confirm the nature of the growths. If they are indeed skin tags, they are generally harmless and may not require treatment unless they become bothersome. However, if there is any uncertainty about whether they are warts or another type of growth, it is essential to seek medical advice. Warts caused by HPV can be treated with various methods, including topical treatments, cryotherapy, or surgical removal, depending on their size and location.

Regarding the use of "Lidocaine" (which I assume you meant by "樂得美藥膏"), it is a topical anesthetic that can help relieve itching and discomfort but does not treat the underlying cause of skin tags or warts. If you suspect that the growths are warts, using a topical anesthetic may provide temporary relief from discomfort, but it will not eliminate the warts themselves.
In summary, while skin tags are generally benign and can be left untreated unless they cause discomfort, it is essential to differentiate them from warts or other growths, especially given your history. If you are unable to see a doctor immediately, monitor the growths for any changes in size, color, or symptoms. If they become painful, bleed, or change significantly, it would be prudent to seek medical attention as soon as possible.
In the meantime, avoid any harsh treatments or irritants on the area, and maintain good hygiene. If you can, consult with a healthcare provider when you have the opportunity to ensure that you receive the appropriate diagnosis and treatment. Remember, your health and peace of mind are paramount, and seeking professional advice is always the best course of action when dealing with skin concerns.