Anal Skin Tags: When to See a Doctor for Bleeding - Surgery

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There are small flesh-like growths around the anus, and sometimes there is slight bleeding when wiping?


Because I often squat, sometimes I feel a lump protruding from my anus.
When I shower, I push it back in with my hand, but it pops out again shortly after.
When I wipe, it sometimes feels like a small tear, causing slight pain and a little bit of blood.
Should I see a colorectal surgeon, or would it be sufficient to use hemorrhoid ointment? I looked up pictures online, and most of them show redness, swelling, and pus, which seem severe.
However, I don't have any redness or severe symptoms like pus.
How long would it take to see a doctor for my symptoms?

Johnny, 20~29 year old female. Ask Date: 2017/04/09

Dr. Xu Kaixi reply Surgery


Hello: Based on your description, this condition may be internal hemorrhoids.
I recommend that you visit a surgical outpatient clinic for an examination to rule out other possibilities.

Reply Date: 2017/04/09

More Info


When it comes to anal skin tags and the symptoms you are experiencing, it's important to approach the situation with care and understanding. Based on your description, it sounds like you may be dealing with a common issue related to anal skin tags or possibly hemorrhoids. The presence of a "meatball" that protrudes from the anus, along with minor bleeding and discomfort, can indeed be indicative of these conditions.

Anal skin tags are benign growths of skin that can occur around the anal area. They are often painless but can become irritated, especially if they are frequently pushed back in or if there is friction during activities like wiping. The small amount of bleeding you mentioned could be a result of irritation or minor trauma to the skin tag or surrounding tissue. It’s also worth noting that if you have a history of straining during bowel movements, this could contribute to the development of hemorrhoids, which can also cause similar symptoms.

While your symptoms may not seem severe, it is crucial to consult a healthcare professional, particularly a colorectal surgeon or a gastroenterologist, for a proper evaluation. Here are a few reasons why seeing a doctor is advisable:
1. Accurate Diagnosis: Self-diagnosing based on internet searches can lead to misunderstandings. A healthcare provider can perform a physical examination and possibly recommend further tests to determine the exact nature of your symptoms.

2. Treatment Options: Depending on the diagnosis, treatment options may vary. For skin tags, if they are causing discomfort or bleeding, a doctor may recommend removal. For hemorrhoids, treatments can range from topical medications to more invasive procedures if necessary.

3. Preventing Complications: While your symptoms may not seem severe now, untreated issues can lead to complications. For example, persistent bleeding could indicate a more serious condition that requires prompt attention.

4. Peace of Mind: Consulting a doctor can alleviate anxiety about your symptoms. Understanding what is happening in your body can help you manage your health better.

As for the concern about how long it might take to see a doctor, this can vary based on your location and the availability of specialists. In many cases, you may be able to get an appointment relatively quickly, especially if you explain that you are experiencing bleeding and discomfort.
In the meantime, while waiting for your appointment, you can take some self-care measures to minimize discomfort. These include:
- Gentle Hygiene: Use mild, unscented soap and warm water to clean the area. Avoid harsh scrubbing.

- Avoid Straining: If you are experiencing constipation, consider dietary changes to increase fiber intake or consult a healthcare provider for appropriate laxatives.

- Topical Treatments: Over-the-counter hemorrhoid creams may provide temporary relief from discomfort, but they should not replace a doctor's evaluation.

In summary, while your symptoms may not seem severe, it is essential to seek medical advice to ensure proper diagnosis and treatment. Taking proactive steps in managing your health is always the best approach.

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