Anal Growths: What You Need to Know About Skin Tags

Anal issues

About four to five years ago, I was working part-time and, in order to save money, my nutrition was not balanced.
For a while, I experienced diarrhea and noticed blood in my stool for about 1 to 2 months without seeking medical attention.
After that, I developed a small protrusion at the anal area, which has now grown to about the size of a fingernail.
It was only two months ago that I finally gathered the courage to visit a clinic, where I underwent a colonoscopy.
I initially thought it would be hemorrhoids, but the doctor said it was a skin tag.
However, I don't quite understand what a skin tag is.
I asked if it could be removed, but the doctor said it might not be possible, so I'm still unclear about what this growth at my anus is...
It's just a strange protrusion.
Now, I don't experience pain during bowel movements, but there are a few instances over the past few months where I've noticed some bleeding.

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

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be a typical symptom of anal fissure, which is characterized by pain during bowel movements accompanied by slight bleeding.
If there is concurrent bleeding from hemorrhoids, the amount of blood may be more significant.
The term "small tag" is formally known as a sentinel pile, which is a small polyp that develops on the outer side of the fissure due to the injury.
It is generally not recommended to remove it, as if the fissure is not treated, it will likely grow back.
The primary cause of anal fissures is usually hard stools, but diarrhea, frequent bowel movements, or prolonged straining can also lead to fissures.
It is advisable to improve bowel habits and to take warm sitz baths to alleviate symptoms.
Topical ointments and suppositories can also be used for treatment.
If symptoms persist for more than a week without improvement, it is important to consult a physician to identify the underlying issue.

Reply Date: 2016/08/20

More Info

Skin tags, also known as acrochordons, are benign growths that can appear on various parts of the body, including the anal region. They are typically small, soft, and can vary in color from flesh-toned to darker shades. Skin tags are generally harmless and are not associated with any serious health issues. However, they can be bothersome, especially if they become irritated or if they bleed occasionally, as you mentioned.

The development of skin tags is often linked to several factors, including genetics, obesity, and friction from skin rubbing against skin or clothing. In your case, the history of gastrointestinal issues, such as diarrhea and rectal bleeding, could have contributed to the irritation and subsequent formation of the skin tag. It’s important to note that while skin tags are not cancerous, any new growth or change in the anal area should be monitored closely, especially if there are symptoms like bleeding.

Regarding your experience with the doctor, it’s understandable to feel confused about the diagnosis. Skin tags are often mistaken for other conditions, such as hemorrhoids or warts, but they are distinct in their characteristics. The fact that your doctor ruled out hemorrhoids and identified the growth as a skin tag is a positive sign, as it indicates that more serious conditions have been excluded.

As for the possibility of removal, skin tags can often be removed if they cause discomfort or if you simply wish to have them gone for cosmetic reasons. However, the decision to remove them should be made in consultation with a healthcare provider. They may recommend removal if the skin tag is frequently irritated or if it is causing you distress. Removal methods can include snipping, freezing (cryotherapy), or cauterization, depending on the size and location of the tag.

It’s also worth mentioning that while skin tags are benign, any persistent bleeding should be evaluated further. Even if the bleeding is infrequent, it’s essential to ensure that there are no underlying issues that need to be addressed. If you experience any changes in the growth, such as increased size, color changes, or persistent pain, it’s crucial to seek medical advice promptly.

In summary, skin tags are common and generally harmless growths that can occur in various areas of the body, including the anal region. While they are not typically a cause for concern, monitoring their behavior and consulting with a healthcare provider for any changes or symptoms is advisable. If you have further questions or concerns about your skin tag or any other symptoms, don’t hesitate to reach out to a healthcare professional for personalized advice and treatment options.

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