Anal Polyps: Symptoms, Concerns, and Treatment Options

Anal polyps

Hello, Doctor.
I would like to ask about the following situation: about two years ago, I experienced symptoms similar to anal fissures for a few months, with pain in the anal area.
Later, I noticed what seemed to be a lump near the anus and was concerned it might be hemorrhoids, so I consulted a doctor.
The doctor mentioned it was likely a papilla or something similar and reassured me that it probably wasn't hemorrhoids, so I shouldn't worry too much.
However, due to my concerns about potential serious issues, I visited another doctor six months ago.
That doctor identified a small polyp and also said not to worry.
A few days ago, I went back to the first doctor for another issue and asked him to check my anus.
He said it was nothing to be concerned about, but when I asked if it was considered a polyp, he confirmed it was a type of polyp.
Although the doctor said it wouldn't have any significant impact, hearing the term "polyp" makes me anxious.
I found information online suggesting surgical treatment is recommended, but I also searched for terms like "anal papilloma," "anal polyp," and "perianal skin tag," and I'm unsure which category my situation falls into.
It seems that most sources recommend surgical treatment.
I often experience diarrhea, and I had symptoms of anal fissures recently, which makes me wonder if that could be related to the lump.
However, I hadn't particularly noticed the lump near the anus before.
I would like to ask the doctor if my condition really doesn't require special attention or treatment.

Niming, 10~19 year old female. Ask Date: 2017/03/15

Dr. Ke Fangxu reply Surgery

The exact issue can only be determined through a personal examination, but based on your description, it is likely that you have a fissure accompanied by polyps.
If these are indeed the type of polyps, then surgical removal may not be necessary.

Reply Date: 2017/03/15

More Info

Understanding anal polyps and related conditions can be quite concerning, especially when symptoms such as pain, discomfort, or the presence of unusual growths are involved. Based on your description, it seems you have been experiencing symptoms related to the anal area for some time, including pain during bowel movements, the sensation of a lump, and concerns about potential diagnoses such as hemorrhoids or polyps.

Firstly, it’s important to clarify what anal polyps are. Anal polyps are growths that can occur in the anal canal or around the anus. They can vary in size and may be benign (non-cancerous) or, in rare cases, malignant (cancerous). Common types of anal growths include anal warts (caused by the human papillomavirus), anal skin tags, and polyps. Symptoms associated with anal polyps can include bleeding, discomfort, or a sensation of fullness in the anal area. However, many individuals with anal polyps may not experience any symptoms at all.

In your case, the previous evaluations by healthcare professionals seem to indicate that the growths you have are not immediately concerning. The terms "anal papilla" or "small flesh growth" suggest that these may be benign conditions. However, the anxiety surrounding the term "polyp" is understandable, as it often raises concerns about potential malignancy.
Regarding treatment options, the management of anal polyps or similar growths often depends on their characteristics, symptoms, and the patient's overall health. If the growths are asymptomatic and benign, many healthcare providers may recommend a watchful waiting approach, meaning that no immediate action is taken unless symptoms worsen or change. However, if the polyps are symptomatic, painful, or if there is any uncertainty about their nature, surgical removal may be considered. This is often done through a minor outpatient procedure.

Your mention of experiencing anal fissures (tears in the anal lining) and frequent diarrhea could potentially contribute to the discomfort and the presence of growths in the anal area. Chronic irritation from bowel movements can lead to the development of skin tags or exacerbate existing conditions. It’s crucial to manage bowel habits and ensure that you are not straining during bowel movements, as this can worsen fissures and lead to further complications.

If you are experiencing ongoing symptoms such as pain, bleeding, or changes in bowel habits, it is advisable to seek a follow-up consultation with a gastroenterologist or a colorectal surgeon. They can perform a thorough examination, possibly including a colonoscopy, to rule out any serious conditions and provide peace of mind.

In summary, while your healthcare providers have indicated that the growths are not a cause for concern, it is essential to monitor your symptoms and maintain open communication with your healthcare team. If you notice any changes or if your symptoms worsen, do not hesitate to seek further evaluation. Regular check-ups and being proactive about your health are key to managing any potential issues effectively.

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