What Are the White Bumps Around the Anus? Possible Causes Explained - Dermatology

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There are white substances in the anus?


Recently, I noticed white, grainy spots around my anus, but I don't feel any particular discomfort.
Could this be genital warts?

GARY, 20~29 year old female. Ask Date: 2015/09/12

Dr. Li Yufen reply Dermatology


Hello: The photo cannot be linked.
If your skin condition persists, it is recommended that you consult a nearby dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2015/09/12

More Info


The presence of white bumps around the anus can be concerning, and it's important to understand the possible causes and implications of such symptoms. While I cannot view the photo you provided, I can offer insights based on common medical knowledge regarding similar conditions.

One of the potential causes of white bumps around the anus is anal warts, which are caused by the human papillomavirus (HPV). These warts can appear as small, flesh-colored or white bumps and may be painless. They can vary in size and may cluster together, resembling cauliflower, which is why you might have referred to them as "菜花" (cauliflower). Anal warts are typically transmitted through sexual contact, and while they are not usually harmful, they can be bothersome and may require treatment.

Another possibility is pilonidal cysts, which are small lumps that can occur near the anus or in the crease of the buttocks. These cysts can become infected and may produce pus, leading to painful symptoms. However, if the bumps are not painful or inflamed, they are less likely to be cysts.

Folliculitis is another condition that can cause small, white bumps around the anus. This occurs when hair follicles become inflamed, often due to bacterial infection or irritation. Folliculitis can be itchy or uncomfortable but is generally not serious.

Additionally, sebaceous cysts can form in the anal area. These are benign lumps that occur when sebaceous glands become blocked. They are usually painless and may not require treatment unless they become infected or bothersome.

In some cases, skin tags may also appear around the anus. These are benign growths that can be skin-colored or slightly darker and are often associated with friction or irritation. Skin tags are typically harmless but can be removed if they cause discomfort.

It's important to note that while some of these conditions are benign, others may require medical evaluation and treatment. If the bumps persist, change in appearance, or if you experience any discomfort, bleeding, or other concerning symptoms, it is crucial to consult a healthcare professional, preferably a dermatologist or a proctologist. They can perform a thorough examination and may recommend a biopsy or other diagnostic tests to rule out more serious conditions, such as anal cancer.

In summary, while the white bumps around the anus could potentially be anal warts, other benign conditions like folliculitis, sebaceous cysts, or skin tags could also be responsible. Given the variety of possible causes, a professional evaluation is the best course of action to ensure accurate diagnosis and appropriate treatment. Always prioritize your health and seek medical advice when you notice changes in your body.

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