Black Growths Around the Anus: Causes and Concerns

Black objects appearing around the anal area?

At least six months ago, I noticed black objects growing around my anal area.
Initially, there was some itching, but for the most part, it has been neither itchy nor painful.
Recently, I thought to take a look, and I discovered several large black bumps around the anus, some of which are in a clustered formation.

Niming, 30~39 year old female. Ask Date: 2021/02/09

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
It could be an infection or other lesions; it is recommended to visit an outpatient clinic for examination.
2.
Vaginal infections can cause abnormal discharge, itching, fever, bleeding, and lower abdominal pain, which are among the most common symptoms in women.
The causes are numerous, and treatment methods require comprehensive patient education.
It is advised to consult a specialist in obstetrics and gynecology for evaluation.

Reply Date: 2021/02/09

More Info

Understanding the presence of black growths around the anus can be concerning, and it is essential to approach this issue with a clear understanding of potential causes and implications. The symptoms you describe, including the presence of black, large, bean-like growths around the anal area, warrant careful evaluation by a healthcare professional.
Firstly, it is important to recognize that various conditions can lead to the development of growths or lesions in the anal region. These can range from benign to more serious conditions. Some common benign causes include:
1. Skin Tags: These are small, benign growths that can appear around the anus. They are usually flesh-colored but can sometimes appear darker, especially if they are pigmented.

2. Hemorrhoids: Swollen blood vessels in the rectal area can sometimes appear as dark lumps, particularly if they are thrombosed (clotted). Hemorrhoids can cause itching, discomfort, and sometimes bleeding.

3. Pigmented Lesions: Some benign pigmented lesions, such as seborrheic keratosis or lentigines, can appear as dark spots or growths on the skin. These are generally harmless but should be evaluated to rule out malignancy.

4. Warts: Genital warts, caused by the human papillomavirus (HPV), can also appear as growths around the anal area. They may vary in color and size and can be itchy or uncomfortable.

5. Fungal Infections: Certain fungal infections can lead to dark, raised lesions in the anal area, often accompanied by itching or irritation.

6. Melanoma: Although rare, melanoma can occur in the anal region and may present as a dark, irregularly shaped growth. This is a serious condition that requires immediate medical attention.

Given that you have experienced these growths for at least six months, it is crucial to seek a thorough evaluation by a healthcare provider. They may perform a physical examination and, if necessary, a biopsy to determine the nature of the growths.
In terms of concerns, it is essential to monitor any changes in the growths, such as changes in size, shape, color, or if they become painful or start to bleed. These changes could indicate a more serious condition that requires prompt medical intervention.

In summary, while there are several benign explanations for the black growths around the anus, it is vital to have them evaluated by a healthcare professional to ensure an accurate diagnosis and appropriate management. Early detection and treatment are key to addressing any potential issues effectively. If you experience any additional symptoms such as bleeding, significant pain, or changes in bowel habits, seek medical attention as soon as possible.

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