Should You Worry About a Mole Near Your Baby's Anus? - Pediatrics

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A mole has developed in the folds around the baby's anus?


Hello, doctor.
Recently, I noticed a small black mole about 0.2 centimeters in size at the fold of my baby's anus.
It is not red, and my baby does not show any signs of pain during diaper changes.
However, I am concerned that it may get irritated due to friction when using the bathroom.
Should I take my baby to see a doctor for an examination? If so, should I go to a pediatrician or a dermatologist? Thank you.

Niming, 30~39 year old female. Ask Date: 2017/06/01

Dr. Pei Rensheng reply Pediatrics


Hello: Moles on the body generally do not become inflamed due to ordinary friction.
If there is redness, swelling, heat, pain, enlargement, or bleeding, it is advisable to seek medical attention.
If there are no such changes, please have a doctor examine them during your preventive health check-up to decide whether to continue monitoring or to take proactive measures.
Wishing you health and happiness! Sincerely, Rensheng.

Reply Date: 2017/06/01

More Info


When it comes to noticing a mole or any new growth near your baby's anus, it's understandable to feel concerned. Moles, or nevi, can appear in various places on the body, including sensitive areas like the anal region. In your case, the mole you described is small (approximately 0.2 cm), not red, and your baby does not show signs of pain during diaper changes or bowel movements. These are positive indicators, but it’s still important to monitor the situation closely.

First and foremost, it’s essential to understand that while many moles are benign, any new growth in a child should be evaluated by a healthcare professional, especially in sensitive areas. The fact that your baby does not appear to be in discomfort is reassuring, but it does not eliminate the need for a medical evaluation. Moles can change over time, and certain characteristics may warrant further investigation, such as changes in size, color, or texture, or if the mole becomes painful or starts to bleed.

In terms of which specialist to consult, both pediatricians and dermatologists can evaluate skin lesions, including moles. A pediatrician can assess the mole and determine if it requires further evaluation by a dermatologist. If the pediatrician feels that the mole has characteristics that are concerning, they may refer you to a dermatologist for a more specialized examination.
It’s also worth noting that while the location of the mole may raise concerns about irritation or inflammation due to friction from bowel movements, the absence of redness or pain is a good sign. However, if you notice any changes in the mole or if your baby starts to show signs of discomfort, it would be prudent to seek medical advice sooner rather than later.

In addition to monitoring the mole, it’s a good practice to keep the area clean and dry, as moisture can lead to irritation or infection. If you are concerned about the mole's potential for inflammation or irritation, you might consider using gentle, hypoallergenic wipes during diaper changes to minimize friction and irritation.

In summary, while the current characteristics of the mole do not seem alarming, it is always best to err on the side of caution when it comes to your child's health. Scheduling an appointment with your pediatrician for a thorough examination is advisable. They can provide reassurance, monitor the mole over time, and refer you to a dermatologist if necessary. Keeping an eye on any changes and maintaining good hygiene in the area will also help ensure your baby's comfort and health.

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