Small Growths Near the Anus: What You Need to Know - Obstetrics and Gynecology

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There is a small lump near the anus?


In the past month, I have noticed a protruding grayish-brown small lump near the anal area, and there is a white, encapsulated lump located closer to the outer side between the vaginal opening and the anus.
The lesions are not large, and I suspect I might have genital warts.
I went to a large hospital for a consultation, and the doctor mentioned that it might be a possibility but did not confirm the diagnosis.
They prescribed me LedaMed to apply for a week, but I feel there has been no improvement.
I would like to ask if the two different colors could indicate genital warts, considering one is protruding and the other is encapsulated? Additionally, if LedaMed is applied to non-genital wart symptoms, will there be any changes in the lumps?

Mrs., 20~29 year old female. Ask Date: 2016/08/02

Dr. Huang Yiwen reply Obstetrics and Gynecology


Hello, Miss: Skin lesions are generally best assessed visually, and it can be difficult to express them clearly in words.
I recommend having a doctor take another look to confirm the diagnosis.
Alternatively, you might continue using the ointment for a while longer, as sometimes the effects of ointments can be slow to manifest.
Generally, lesions resembling warts are quite similar, but your description of one being encased and another protruding is indeed hard to understand.
The medication, Levofloxacin ointment, typically does not cause any changes when applied to non-wart lesions, unless the underlying cause is also viral.

Reply Date: 2016/08/02

More Info


Understanding small growths near the anus can be concerning, especially when they present as unusual lumps or bumps. Based on your description, it sounds like you have noticed two distinct growths: one that is a grayish-brown protrusion near the anus and another that is a white, encapsulated bump located between the vaginal opening and the anus.
Firstly, it is important to understand that various conditions can cause such growths in the anal and genital area. One possibility is genital warts, which are caused by certain strains of the human papillomavirus (HPV). These warts can appear as small, flesh-colored or grayish bumps and may have a cauliflower-like appearance. However, not all growths in this area are warts; they could also be skin tags, cysts, or other benign conditions.

The fact that you have been prescribed a topical treatment (likely a medication like imiquimod, commonly known as Aldara) suggests that your healthcare provider is considering the possibility of HPV-related growths. This medication works by stimulating the immune system to fight off the virus and can be effective for treating genital warts. However, if you have not noticed any improvement after a week of treatment, it may be worth following up with your healthcare provider for further evaluation.

Regarding your question about the differences in color and appearance of the two growths, it is essential to note that variations in color and texture can occur with different types of growths. The grayish-brown protrusion may represent a wart or another type of lesion, while the white encapsulated bump could be a cyst or a different benign condition. It is not uncommon for multiple types of growths to coexist in the same area.

If the topical treatment is applied to a non-wart lesion, it may not cause any significant changes. However, some topical treatments can cause irritation or inflammation in surrounding tissues, which might lead to temporary changes in appearance. It is crucial to avoid self-diagnosing and to seek professional medical advice for an accurate diagnosis and appropriate treatment.

In conclusion, while your symptoms may suggest the presence of genital warts, it is essential to have a thorough examination by a healthcare professional to determine the exact nature of the growths. If there is no improvement with the current treatment, or if you have any concerns about the growths, please do not hesitate to return to your healthcare provider for further assessment. They may recommend additional diagnostic tests, such as a biopsy, to clarify the diagnosis and guide treatment options. Remember, early intervention and accurate diagnosis are key to managing any health concerns effectively.

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