Alternatively, aggressive wiping to get around this problem can result in tearing and irritation of the skin tags and surrounding area. Residual stool can sit on the skin and irritate the area, which then leads to pain and irritation. Wiping after a bowel movement can be ineffective when skin tags are in the way. In some patients anal skin tags get in the way of keeping the anus clean. A combined approach to treat the hemorrhoids using office-based hemorrhoid treatments followed by tag excision results in the best outcomes. Removing the tag without treating the hemorrhoids can result in swelling of the hemorrhoids and recurrence of the tag. For skin tags associated with hemorrhoids it is important to determine if there is any ongoing hemorrhoidal swelling or symptoms before removal of the tags.
This situation is very common after pregnancy and its not uncommon to see patients seeking treatment for their anal skin tags many years postpartum. These tags can stay around eternally and be quite bothersome for patients. After resolution of the painful hemorrhoid, the skin overlying the area never really shrinks back down.
When hemorrhoids swell, the overlying skin stretches to create a skin tag. People who have had hemorrhoid flares will frequently be left with these skin growths once the hemorrhoid flare has resolved. A combined approach however, to treat the fissure and associated skin tag can allow resolution of both the pain, and the bothersome growth!Īnother situation I see commonly are skin tags associated with a history of hemorrhoids. Since the pain is caused by the fissure, removing the tag alone, without treating the fissure will simply lead to regrowth of the tag, or worse, exacerbation of the fissure. A thorough anal exam allows me to determine if there is more to the problem than just the tag.įor example, patients with painful tags often have a chronic anal fissure, a tear inside the anus which has actually caused the tag growth. For others, tags can be associated with itching and irritation, difficulty keeping their bottom clean, or swelling and pain. In my practice, the first step in treating patients with skin tags is to figure out the specific symptom caused by the tags. Some people are unaffected and unbothered by these tags but for others, these little growth can cause cosmetic concerns or problems with cleanliness. These are generally caused by various pathologies of the anus, most commonly hemorrhoids and anal fissures. Anal skin tags are benign skin growths around the anus.
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