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

There are white spots near the anus?

I have a history of hemorrhoids and sometimes experience severe symptoms, but I haven't had any issues for about six months.
However, I now have some individual white spots in the area.
I usually wash with water after using the restroom, so I don't use toilet paper much.
I would like to ask the doctor what kind of problem this might be and whether I should see a surgeon or a dermatologist.

xuesheng, 20~29 year old female. Ask Date: 2022/10/31

Dr. Xu Kaixi reply Surgery

The white spots near the anus could possibly be polyps or other tumors.
It is recommended to visit an outpatient clinic for examination.
Thank you for your inquiry.

Reply Date: 2022/10/31

More Info

White spots near the anus can be concerning, especially for someone with a history of hemorrhoids. There are several potential causes for these spots, and understanding them can help determine the appropriate course of action.

1. Skin Conditions: The white spots could be due to various skin conditions such as dermatitis, fungal infections, or even warts. Conditions like lichen sclerosus can also cause white patches in the genital area. These conditions may not be serious but can cause discomfort and require treatment.

2. Hemorrhoids: Given your history of hemorrhoids, it is possible that the white spots are related to this condition. Hemorrhoids can sometimes become thrombosed (clotted), leading to changes in the skin around the anus, including discoloration or the appearance of spots.

3. Anal Fissures: If you have experienced any pain or discomfort during bowel movements, it could be indicative of anal fissures, which can also lead to changes in the skin appearance around the anus.

4. Infections: Sexually transmitted infections (STIs) can also present with white spots or lesions in the anal area. If there is any chance of exposure, it is essential to consider this possibility.

5. Skin Tags: Sometimes, skin tags can develop around the anal area, which may appear as small white spots. These are generally harmless but can be bothersome.

6. Other Conditions: Other less common conditions, such as psoriasis or vitiligo, can also cause changes in skin pigmentation around the anus.

When to Seek Help
It is advisable to seek medical attention if:
- The white spots persist or worsen over time.

- You experience pain, itching, or bleeding.

- There are changes in your bowel habits or any unusual discharge.

- You have concerns about sexually transmitted infections.

Which Specialist to See
Given your symptoms and history, you might consider seeing a colorectal surgeon or a dermatologist. A colorectal surgeon can evaluate any potential issues related to hemorrhoids or anal fissures, while a dermatologist can assess skin conditions. If there is a concern about STIs, a visit to a specialist in sexual health may also be warranted.

Conclusion
In summary, while the presence of white spots near the anus can be due to various benign conditions, it is essential to monitor the situation closely. If you notice any changes or experience discomfort, seeking medical advice is the best course of action. Early diagnosis and treatment can help prevent complications and ensure your overall health and well-being.

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