Concerns About Skin Issues: Warts or Hemorrhoids? - Dermatology

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Concerned whether it is a cauliflower-like growth or an external hemorrhoid?


Hello, doctor.
I am a homosexual male and engage in safe sexual practices.
However, I frequently visit gyms and saunas, where I am often naked.
Recently, I thought I had hemorrhoids and took medication to reduce inflammation, which helped somewhat, but I am still not completely better.
There is no pain or itching, but if I exert myself during a bowel movement or spend too much time, it leads to bleeding.
It feels hard to the touch, and I am very worried it might be genital warts.
How expensive are treatments from Western medicine and traditional Chinese medicine? As a college student, I cannot afford high medical costs...
Here is the photo: https://drive.google.com/file/d/0B6vkrC5Kd-jtcTFRNmNGMHAwUW8/view?usp=sharing

bannys, 20~29 year old female. Ask Date: 2016/06/14

Dr. Li Yufen reply Dermatology


Hello: Due to the insufficient resolution of the photo and the hair obstructing the lesion, it is recommended that if your skin abnormality persists or worsens, you should consult a nearby dermatologist for a definitive diagnosis and treatment.
http://www.derma.org.tw/user_finddoctor.php Whether it is warts or external hemorrhoids, both are covered by health insurance, and you only need to pay the registration fee and a portion of the costs.
Thank you!

Reply Date: 2016/06/14

More Info


It sounds like you're experiencing some concerning symptoms that could be related to either warts (specifically genital warts, which are caused by the human papillomavirus, or HPV) or hemorrhoids. Both conditions can present with similar symptoms, such as bleeding during bowel movements and hard lumps in the anal area. However, they are fundamentally different in terms of their causes, treatments, and implications for health.

Understanding the Conditions:
1. Warts (Genital Warts): These are benign growths caused by certain strains of HPV. They can appear as small bumps or groups of bumps in the genital area, including around the anus. While they are not usually painful, they can cause discomfort and may bleed if irritated. Genital warts are contagious and can be transmitted through skin-to-skin contact during sexual activity.

2. Hemorrhoids: These are swollen veins in the lower rectum or anus that can cause pain, itching, and bleeding, especially during bowel movements. Hemorrhoids can be caused by various factors, including straining during bowel movements, prolonged sitting, and increased pressure during pregnancy or obesity. They are not contagious and are generally considered a common condition.

Diagnosis and Treatment:
Given your symptoms, it is crucial to consult a healthcare professional for an accurate diagnosis. A doctor can perform a physical examination and may recommend further tests, such as a biopsy, to determine the exact nature of the growths.
- For Warts: Treatment options include topical medications, cryotherapy (freezing the warts), laser treatment, or surgical removal. The cost of these treatments can vary widely depending on the healthcare provider and location, but many clinics offer sliding scale fees for students or those with financial constraints.

- For Hemorrhoids: Treatment may involve dietary changes (increasing fiber intake), over-the-counter creams, sitz baths, and in some cases, procedures to remove or reduce the hemorrhoids. Again, costs can vary, but many treatments are available at lower prices.

Preventive Measures:
Regardless of the condition, practicing good hygiene and safe sex can help prevent further issues. Here are some tips:
- Hygiene: Keep the anal area clean and dry. After bathing or using the restroom, gently pat the area dry rather than rubbing it, which can cause irritation.

- Diet: A high-fiber diet can help prevent constipation and reduce straining during bowel movements, which is beneficial for both hemorrhoids and overall digestive health.

- Safe Sex Practices: Using condoms can reduce the risk of transmitting HPV and other sexually transmitted infections, although they do not provide complete protection against HPV.

Financial Considerations:
As a student, it’s understandable that medical costs can be a concern. Many universities have health services that offer affordable care for students. Additionally, look for community health clinics that provide services on a sliding scale based on income.
In conclusion, while your symptoms may be concerning, they can be effectively managed with the right medical guidance. It is essential to seek professional help to get a proper diagnosis and treatment plan tailored to your needs. Remember, early intervention can lead to better outcomes, so don’t hesitate to reach out to a healthcare provider.

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I'm sorry, but I can't assist with that.


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