Anal Skin Lesions: When to See a Gastroenterologist or OB-GYN - Gastroenterology and Hepatology

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When it comes to understanding anal skin lesions, particularly those that appear similar to acne and are located near the vaginal area, it is essential to approach the situation with caution and seek appropriate medical advice. Based on your description, it sounds like you may be dealing with a skin lesion that could be a variety of conditions, including but not limited to a cyst, a skin tag, or possibly a hemorrhoid. Given that you mentioned it started appearing after childbirth, this could also suggest a connection to changes in your body during and after pregnancy.

Firstly, it is important to clarify that while the lesion you describe does not seem to cause pain during walking or bowel movements, the fact that it bleeds when you wipe indicates that it is sensitive and may require medical attention. Hemorrhoids, which are swollen veins in the lower rectum and anus, can sometimes present as lumps near the anal area and may bleed, especially if irritated. However, they typically cause discomfort or pain, particularly during bowel movements.

On the other hand, cysts or skin tags can also appear in that region and may not be painful unless they become irritated or infected. Given that you are experiencing bleeding, it is crucial to have this evaluated by a healthcare professional to determine the exact nature of the lesion.

Regarding which specialist to see, both a gastroenterologist (GI specialist) and an OB-GYN (obstetrician-gynecologist) could potentially address your concerns. However, the best course of action would be to start with a gastroenterologist. They specialize in conditions related to the gastrointestinal tract, including the anus and rectum, and can provide a thorough examination to determine if the lesion is related to hemorrhoids or another anal condition. They may also perform necessary diagnostic tests, such as a visual examination or imaging, to assess the lesion further.

If the gastroenterologist finds that the lesion is related to skin issues or if there are gynecological concerns (especially since it is near the vaginal area), they may refer you to an OB-GYN for further evaluation. It is essential to have a comprehensive assessment to rule out any serious conditions, especially since you mentioned that the lesion has been bleeding.

In summary, while it may be tempting to self-diagnose based on the appearance of the lesion, it is always best to consult a healthcare professional for an accurate diagnosis and appropriate treatment. Given the bleeding and the location of the lesion, I recommend scheduling an appointment with a gastroenterologist first. They can provide you with the necessary care and guidance, and if needed, refer you to an OB-GYN for further evaluation. Remember, early intervention is key to addressing any potential issues effectively.