Is It a Polyp or Hemorrhoids? Your Anal Concerns - Surgery

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Is it a polyp or hemorrhoids at the anal opening?


It sounds like you are experiencing some changes in the appearance of the skin around the anal area, possibly due to excessive wiping and friction.
This can lead to skin irritation or even the development of skin tags, which are benign growths that can occur in that region.
Since you mentioned that there is no pain, itching, or bleeding, it is less likely to be a serious condition.
However, if you are concerned about the appearance or if any new symptoms develop, it would be advisable to consult a healthcare professional for a proper evaluation and guidance.

Guo, 20~29 year old female. Ask Date: 2016/03/07

Dr. Cai Xingzhi reply Surgery


It is possible to have anal fissures, hemorrhoids, and diseases around the rectum.
You can consult a gastroenterologist or a colorectal surgeon nearby.
Dietary restrictions include avoiding spicy foods and alcohol.
It is also advisable to minimize staying up late and prolonged sitting.
Incorporate more vegetables into your diet and drink plenty of water.

Reply Date: 2016/03/07

More Info


When it comes to concerns regarding anal health, particularly distinguishing between hemorrhoids and polyps, it's essential to understand the characteristics and symptoms associated with each condition. Based on your description, it seems you are experiencing some changes in the appearance of the skin around the anus, which you describe as loose or having an extra "petal." Let's delve into the differences between hemorrhoids and polyps, as well as what your symptoms might indicate.

Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They can be classified as either internal or external. Internal hemorrhoids are located inside the rectum and typically do not cause pain, but they can lead to bleeding during bowel movements. External hemorrhoids, on the other hand, are located under the skin around the anus and can cause discomfort, itching, and pain, especially if a blood clot forms. The fact that you mention no pain, itching, or bleeding suggests that if you are experiencing hemorrhoids, they may be mild or external.

On the other hand, polyps are growths that develop on the lining of the colon or rectum. They can vary in size and shape and are usually benign, but some types can develop into cancer over time. Polyps typically do not cause symptoms unless they are large or there are many of them, in which case they might lead to rectal bleeding or changes in bowel habits.

From your description, it sounds like you are experiencing some skin changes around the anal area, which could be due to a few factors:
1. Skin Tags: These are small, benign growths of skin that can occur around the anus, often as a result of irritation or friction. They are not harmful and do not require treatment unless they become bothersome.

2. Hemorrhoids: As mentioned, if you have been straining during bowel movements or wiping aggressively, this could lead to the development of hemorrhoids or exacerbate existing ones. The appearance of the skin could be a result of this irritation.

3. Anal Fissures: Although you mentioned no pain, anal fissures can sometimes heal and leave behind changes in the skin texture.

4. Other Skin Conditions: Conditions such as dermatitis or infections can also cause changes in the skin around the anus.

Given that you have not experienced bleeding, pain, or significant discomfort, it is possible that what you are observing is a benign condition, such as a skin tag or mild hemorrhoids. However, it is crucial to consult with a healthcare professional for an accurate diagnosis. A physical examination, possibly including a digital rectal exam or anoscopy, may be necessary to determine the exact nature of the changes you are experiencing.

In conclusion, while your symptoms may not indicate a serious condition, it is always best to err on the side of caution and seek medical advice. A healthcare provider can offer a thorough evaluation and discuss potential treatment options if necessary. Maintaining good anal hygiene, avoiding excessive straining during bowel movements, and using gentle wiping techniques can help prevent further irritation. If you have any concerns about your symptoms or if they change, do not hesitate to reach out to a healthcare professional for guidance.

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