Anal Lesions: When to Seek Medical Attention

Anal foreign body

Recently, I have been experiencing anal itching, which comes and goes.
When it itches, it is very intense.
I noticed that there seems to be a growth of tissue between the anus and the vagina.
The color of this tissue appears different from the surrounding skin, looking lighter.
For the past couple of days, it hasn't been itchy, but it still looks the same.
What could this be? Should I see a doctor soon?

Xiao Xiao Fan, 20~29 year old female. Ask Date: 2017/03/13

Dr. Ke Fangxu reply Surgery

Based on your description, it seems to be external hemorrhoids accompanied by anal itching.
If there is no pain or bleeding, there is no need for concern.
In addition to medication and topical treatments for anal itching, you should pay attention to three important things: avoid scratching to prevent wound infection, temporarily refrain from consuming spicy foods to prevent capsaicin from irritating the skin, and avoid using soap or body wash to clean the anal area to prevent excessive removal of the skin's natural oils.
If you can follow these guidelines, improvement can generally be seen in about a week.

Reply Date: 2017/03/13

More Info

When it comes to anal lesions, it is essential to understand the potential causes and when to seek medical attention. The symptoms you describe—itching around the anal area, the presence of a growth that appears different in color from the surrounding skin, and the intermittent nature of the itching—can be indicative of several conditions.
Firstly, the growth you mentioned could be a variety of things, including but not limited to hemorrhoids, skin tags, or even warts. Hemorrhoids are swollen veins in the lower rectum and anus that can cause discomfort, itching, and sometimes bleeding. Skin tags are benign growths that can occur in various areas of the body, including the anal region, and are usually harmless. Warts, caused by the human papillomavirus (HPV), can also appear in this area and may require treatment depending on their size and symptoms.

The fact that the itching is intermittent and that the growth has not changed significantly over the past few days may suggest that it is not an acute issue. However, the appearance of a new growth, especially one that differs in color from the surrounding skin, should not be ignored. Changes in the skin, especially in sensitive areas, can sometimes indicate underlying conditions that may require medical evaluation.

It is crucial to consider other symptoms that may accompany these changes. For instance, if you experience bleeding, significant pain, or if the growth changes in size, shape, or color, it would be prudent to seek medical attention promptly. Additionally, if the itching returns and becomes bothersome, or if you notice any other unusual symptoms, it is advisable to consult a healthcare professional.

In terms of when to seek medical attention, here are some guidelines:
1. Persistent Symptoms: If the itching or discomfort persists for more than a few days, or if it worsens, it is a good idea to see a doctor.

2. Changes in the Growth: If the growth changes in size, shape, or color, or if it starts to bleed, you should seek medical advice.

3. Associated Symptoms: If you experience other symptoms such as pain, bleeding, or discharge, these could be signs of a more serious condition that requires immediate attention.

4. Concern About Cancer: If you have any concerns about the possibility of cancer, especially if you have a family history of skin cancer or other risk factors, it is essential to get evaluated.

5. Mental Health Impact: If the symptoms are causing you significant anxiety or affecting your quality of life, it is worth discussing these concerns with a healthcare provider.

In conclusion, while some anal lesions can be benign, it is always better to err on the side of caution. A healthcare professional can provide a proper diagnosis and recommend appropriate treatment options. They may perform a physical examination and, if necessary, conduct further tests to rule out any serious conditions. Remember, your health is important, and seeking medical advice is a proactive step towards ensuring your well-being.

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