Are Anal Growths Warts? Anal Skin Tags vs. Condyloma - Dermatology

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Is anal granulation tissue the same as cauliflower (condyloma acuminatum)?


In the past couple of days, while showering, I noticed small growths around the anus that are not painful or itchy.
I took a photo with my phone, which can be viewed here: http://ppt.cc/uB6nH.
Could this be genital warts? If it is genital warts, will they grow significantly in size within a month?

T, 40~49 year old female. Ask Date: 2017/05/11

Dr. Wu Yuxin reply Dermatology


Medical regulations state that "physicians may not administer treatment or prescribe medications without personally examining the patient," and therefore, online diagnosis is also not permitted.

Reply Date: 2017/05/11

More Info


When it comes to anal growths, distinguishing between skin tags and condyloma (also known as genital warts) is crucial for proper diagnosis and treatment. Skin tags are benign growths that often appear as small, soft, flesh-colored or slightly pigmented protrusions. They are typically painless and do not cause any discomfort. Skin tags can occur in various areas of the body, including the anal region, and are often associated with friction or skin rubbing against skin.

On the other hand, condyloma is caused by certain strains of the human papillomavirus (HPV). These growths can appear as small, cauliflower-like clusters and may be itchy or uncomfortable. While some condylomas can be painless, they can also cause discomfort depending on their size and location. If you notice a growth that resembles a wart, especially if it has a rough surface or appears to be clustered, it may be a condyloma.

Regarding your specific question about whether the growth you found is a wart and if it could grow significantly in size within a month, it is essential to understand that condylomas can indeed grow and multiply over time, especially if left untreated. The rate of growth can vary significantly from person to person, and some individuals may notice rapid changes in size or number of growths.

If you suspect that the growth is a condyloma, it is advisable to seek medical evaluation. A healthcare professional can perform a thorough examination and may recommend a biopsy or other diagnostic tests to confirm the nature of the growth. If it is determined to be a condyloma, there are several treatment options available, including topical medications, cryotherapy (freezing the wart), laser treatment, or surgical removal.

In contrast, if the growth is identified as a skin tag, treatment is often not necessary unless it becomes bothersome or causes discomfort. In such cases, skin tags can be easily removed by a healthcare provider.

It is important to note that while skin tags are harmless, condylomas are associated with HPV, which is a sexually transmitted infection. Therefore, if you have concerns about sexually transmitted infections or HPV, discussing these with your healthcare provider is essential. They can provide guidance on prevention, including vaccination against HPV, which can help reduce the risk of developing condylomas and other HPV-related conditions.

In summary, while both anal skin tags and condylomas can present as growths in the anal area, they have different characteristics and implications. If you notice any new growths, especially if they change in appearance or cause discomfort, it is best to consult a healthcare professional for an accurate diagnosis and appropriate management. Early intervention can help prevent potential complications and provide peace of mind regarding your health.

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