Soft Tissue Near the Anus: Is It External Hemorrhoids?

Discovery of tissue resembling hyperplastic tissue?

I apologize for the interruption during your busy schedule.
I would like to ask you the following questions:
1.
After a physician's diagnosis, there are no internal hemorrhoids, but there are a few soft, hanging skin tags near the anus.
The doctor did not specify whether these are external hemorrhoids.
They feel like a few lumps of flesh and there is no bleeding.
Is it possible that these are external hemorrhoids?
2.
If I am very concerned about these lumps of flesh, is there a way to have them surgically removed? Thank you.

Niming, 20~29 year old female. Ask Date: 2016/08/23

Dr. Ke Fangxu reply Surgery

Yes, it is likely an external hemorrhoid.
Generally, asymptomatic external hemorrhoids are not recommended for surgical removal.
However, some physicians may be willing to perform excision under local anesthesia in an outpatient setting, but patients should be aware of the risks of postoperative pain and bleeding.

Reply Date: 2016/08/23

More Info

When it comes to understanding soft tissue near the anus, particularly in the context of your concerns about whether these could be external hemorrhoids, it’s essential to consider a few key points regarding anal anatomy and potential conditions.

1. External Hemorrhoids: External hemorrhoids are swollen veins that develop around the anus. They can be felt as soft lumps or masses and are typically associated with discomfort, itching, or pain, especially during bowel movements. However, if your physician has diagnosed you with no internal hemorrhoids and has not explicitly stated that the soft tissue you are feeling is external hemorrhoids, it’s possible that what you are experiencing could be something else.
The soft tissue you describe as "soft and hanging" could be a variety of things, including skin tags, which are benign growths that can occur after an episode of hemorrhoids or due to friction or irritation in the anal area. These skin tags are usually painless and do not bleed, which aligns with your observation of no bleeding.
2. Differential Diagnosis: Other conditions that may present similarly include anal warts (caused by the human papillomavirus), perianal dermatitis, or even benign tumors. It’s crucial to have a thorough examination by a healthcare professional to rule out any serious conditions, especially if you have concerns about the growths.

3. Surgical Options: If you are worried about the soft tissue and it is causing you distress, there are surgical options available. Skin tags can be removed through a simple outpatient procedure, often performed under local anesthesia. The procedure is generally quick and has a low complication rate. However, it’s essential to discuss this with your healthcare provider, who can assess the growths and determine the best course of action based on their characteristics and your overall health.

4. Consultation with a Specialist: If you have ongoing concerns or if the soft tissue changes in size, color, or becomes painful, it would be prudent to consult a specialist, such as a colorectal surgeon or a gastroenterologist. They can provide a more definitive diagnosis and discuss potential treatment options tailored to your specific situation.

5. Self-Care and Monitoring: In the meantime, practicing good anal hygiene, avoiding straining during bowel movements, and maintaining a high-fiber diet can help prevent further irritation or the development of new hemorrhoids or skin tags. Keeping an eye on any changes in the area is also advisable.

In summary, while the soft tissue near your anus could potentially be external hemorrhoids, it is equally possible that they are benign skin tags or another condition. A thorough examination by a healthcare professional is essential for an accurate diagnosis and to discuss any concerns you may have regarding treatment options. If surgical removal is desired, your doctor can guide you through the process and what to expect.

Similar Q&A

Understanding External Hemorrhoids: Symptoms and Concerns

Hello doctor, I have noticed three raised folds around my anus. They are not itchy or painful, and there is no bleeding when I use the restroom. However, I frequently experience diarrhea due to irritable bowel syndrome. I would like to know if this could possibly be external hemo...

Dr. Chen Shidian reply Gastroenterology and Hepatology
It may be normal skin connective tissue; regular attention to cleanliness and dryness is sufficient.

Understanding Soft Bumps Near the Anus: Hemorrhoids or Something Else?

I personally feel that I have internal and external hemorrhoids. There are two soft lumps at the anal opening. They are not painful, but walking feels a bit awkward. Soaking in hot water seems to make them swell, but they go back down afterward. There is no bleeding during bowel ...

Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: It is recommended to visit the colorectal surgery outpatient clinic for diagnosis. Wishing you safety and health. Sincerely, Dr. Chi-Feng Chen, Attending Physician, Department of Gastroenterology, Taoyuan Hospital, Ministry of Health and Welfare.

Understanding Hard Tissue Around the Anus: Causes and Treatment Options

Hello, Doctor. When my anal area relaxes, a small hard lump appears around the opening. I'm not sure if it's an external hemorrhoid, a skin tag, or a polyp, but it feels quite firm. Sometimes, right after using the restroom, this lump enlarges, but as long as my stool i...

Dr. Ke Fangxu reply Surgery
The photo appears to show only mild swelling of the hemorrhoids. If there is no severe pain or significant bleeding, surgery may not be necessary. It is recommended to avoid constipation during this period and to shorten the time spent on the toilet. Increasing dietary fiber inta...

Is It a Tumor or Hemorrhoids? Understanding Your Symptoms

Hello, doctor. I would like to ask if hemorrhoids are located inside or outside the anus? Recently, I discovered a hard lump on the skin in the left gluteal fold (not the buttock crease) between the anus and the coccyx, which is painful to touch. Additionally, I have been experie...

Dr. Hou Yongji reply Surgery
Hello: 1. Based on your description, it is likely not hemorrhoids, but an examination is necessary to confirm. Please seek treatment from a colorectal specialist as soon as possible. 2. Educational materials on our hospital's website may be helpful, please refer to them.