White Spots Around the Anus: Causes and When to Seek Help

Anal white spots issue?

Hello doctor, I have recently been feeling a persistent wet and itchy sensation around my anal area.
I was wondering if there might be a skin issue, so out of curiosity, I took a few pictures to observe.
To my surprise, I noticed a white spot on the anus (I tried to wipe it off, but it wouldn't come off, and it feels flat to the touch).
Here are a few reasonably focused images: https://upload.cc/i1/2022/03/18/oI1chC.jpg https://upload.cc/i1/2022/03/18/QBHIPN.jpg https://upload.cc/i1/2022/03/18/mhSGY5.jpg.

I would like to ask the doctor:
1) What could that white spot be? Is it related to the recent wet and itchy sensation?
2) Based on this superficial observation, does the anus appear to have any significant issues? Should I seek medical attention for this?
3) If a consultation is necessary, should I see a dermatologist or a colorectal specialist? Thank you for your clarification, doctor.

QWQ, 20~29 year old female. Ask Date: 2022/03/18

Dr. Ke Fangxu reply Surgery

1.
The white spots in the photo are likely just follicular elevations and are not related to anal itching.
2.
Upon initial examination, there does not appear to be any significant issues.
Anal itching may be caused by excessive wiping.
There are three important points to pay special attention to: 1.
Do not scratch to avoid causing a wound infection.
2.
Temporarily avoid consuming spicy foods to prevent capsaicin from irritating the skin.
3.
Avoid using soap or body wash to clean the anal area to prevent excessive removal of the skin's natural oils.
If these points are followed, improvement can generally be seen in about a week.
If there is no improvement, it is advisable to consult a physician for examination and possible medication.
3.
Anorectal specialist.

Reply Date: 2022/03/18

More Info

Understanding white spots around the anus can be concerning, and it's important to address any symptoms you may be experiencing. Based on your description, it sounds like you are noticing a white spot in the anal area, accompanied by a sensation of moisture and itchiness. Here’s a detailed analysis of what this could mean, potential causes, and when to seek medical help.

Possible Causes of White Spots Around the Anus
1. Skin Conditions: The white spot could be a result of various skin conditions, such as:
- Fungal Infections: Conditions like candidiasis can lead to white patches and irritation.

- Lichen Sclerosus: This is a chronic skin condition that can cause white patches in the genital area, including around the anus.

- Psoriasis: This autoimmune condition can also manifest as white or silvery patches on the skin.

- Eczema: Atopic dermatitis can cause dry, itchy patches that may appear white.

2. Infections:
- Sexually Transmitted Infections (STIs): Some STIs can cause lesions or spots in the genital area, including herpes or HPV (human papillomavirus).

- Warts: Anal warts, caused by HPV, can appear as small white or flesh-colored bumps.

3. Other Conditions:
- Molluscum Contagiosum: This viral infection can cause small, painless bumps that may appear white.

- Anal Fissures or Hemorrhoids: While these typically do not present as white spots, they can cause discomfort and irritation that may lead to secondary skin changes.

Relationship Between Symptoms
The moist and itchy sensation you are experiencing could be related to the white spot. Conditions like fungal infections or eczema often present with both symptoms. It’s also possible that irritation from scratching or moisture could exacerbate the appearance of the white spot.

When to Seek Medical Help
It is advisable to seek medical attention if:
- The white spot persists or changes in appearance.

- You experience increased pain, bleeding, or discharge.

- The itching or discomfort worsens.

- You have any concerns about sexually transmitted infections.

Which Specialist to Consult
For your situation, you may consider visiting either a dermatologist or a proctologist (a specialist in rectal and anal disorders). A dermatologist can evaluate skin conditions, while a proctologist can address any specific concerns related to the anal area. If you suspect an STI, a visit to a sexual health clinic may also be appropriate.

Conclusion
In summary, while the white spot around your anus could be due to various benign conditions, it’s essential to monitor your symptoms and consult a healthcare professional for a proper diagnosis and treatment plan. Early intervention can help alleviate discomfort and prevent potential complications. Remember, it’s always better to err on the side of caution when it comes to your health.

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