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A skin tag is a noncancerous growth of excess skin. Skin tags that form around the anus or rectum are called anal skin tags.
Anal skin tags are typically small, measuring a few millimeters or less. They may be the same color as the skin or slightly darker. They often go unnoticed or cause no problems and can be left alone.
On the other hand, some people may want them removed for cosmetic reasons, because they get in the way, cause sensitivity, or they itch. But anal skin tags should only be removed by a dermatologist or another qualified medical professional.
In this article, we explore why skin tags develop around the anus and how a doctor can diagnose and remove them. We also describe steps a person can take to prevent them from forming.
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A skin tag is a noncancerous growth.
Trying to remove anal skin tags at home can cause pain and other complications, and at-home removal methods are not proven safe for skin tags in this sensitive area.
Also, not all anal skin tags should be removed, even by a professional. There is sometimes a risk of injury or infection because of the proximity to bacteria in stool.
Before someone undergoes a removal, they should discuss the risks and benefits with a doctor.
Some more dangerous growths, such as skin cancer, can look like anal skin tags, and so it is essential to get any unusual growth checked by a doctor.
Tags may crop up almost anywhere on the skin. Often the cause is unclear, but some people may be genetically prone to them.
When skin tags form around the anus, one or more of the following factors is usually involved:
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A doctor may diagnose an anal skin tag with a physical exam.
When a tag is easily visible, a doctor can diagnose it with a physical exam and, if necessary, discuss removal options.
A doctor may need to perform a digital rectal exam to determine whether there are any growths in less visible areas.
The doctor will insert a lubricated, gloved finger inside the rectum.
It may be necessary to examine the inside of the rectum visually for growths.
This is done in a procedure called an anoscopy, where a doctor places a small scope just inside the anus and uses a lighted tube to see inside the rectum. Most people feel little or no discomfort.
When a doctor needs to see further into the lower digestive tract, they may perform a sigmoidoscopy. This involves using a thin, flexible tube with a light and a camera to view inside the rectum and the lower portion of the colon.
A sigmoidoscopy is not always required after diagnosing a skin tag. A doctor will perform this only when they suspect that a person has growths or polyps in the bowel.
It may not be safe or necessary to remove an anal skin tag. A doctor will describe the risks and determine the best course of action.
Some small skin tags can be removed without any incision.
A doctor may freeze off skin tags by applying liquid nitrogen. Most tags fall off within a few days. This procedure is known as cryotherapy.
Or, a doctor may use a laser to kill the tissue, causing the skin tag to drop away slowly.
Certain skin tags can be carefully cut off with surgical scissors, but larger tags may require more intricate removal and stitches. Doctors tend not to recommend this, however, because bacteria from stool can easily infect a healing incision.
If an anal skin tag is removed with liquid nitrogen, a laser, or scissors, most people can return home the same day and resume light activity the next day. The doctor may advise against strenuous exercise for several days.
As the skin heals, it may be necessary to clean the anal area thoroughly after each bowel movement. A doctor may recommend using medical wipes or cleansers, as well as creams that promote healing and prevent infection.
A person is often advised to take stool softeners and drink plenty of fluids, so that bowel movements are easy to pass. Sitz baths can also be soothing and help the skin to heal.
People should not try to remove an anal skin tag at home. This can lead to bleeding, pain, and infection.
If a person suspects that they have an anal skin tag, they should see a doctor, who can rule out the presence of cancer or another condition.
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Maintaining a healthy weight may make anal skin tags less likely.
It is not always possible to prevent skin tags from developing.
However, the following tips may help to reduce their occurrence:
Anal skin tags are not usually a cause for concern, and some can be removed. People should consult a doctor for a correct diagnosis.
If an anal skin tag is causing discomfort, a doctor can discuss appropriate removal options.
Last medically reviewed on May 11, 2018
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© 2004-2021 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. All rights reserved. MNT is the registered trade mark of Healthline Media. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional

Mum-of-two and fitness instructor Tracey Kiss, 30, from Aylesbury, says the procedure has boosted her confidence in the bedroom
WOULD you be brave enough to try out anal bleaching?
The bizarre trend was sparked after celebrities including Kourtney Kardashian, Charlotte Crosby and Sophie Kasaei revealed they have lightened their behinds.
In fact, there's been a 23 per cent surge in the number of women seeking anal bleaching as they feel the pressure to "look like porn stars" in the bedroom, according to a top London clinic.
The procedure involves lightening the colour of the skin around the anus. It's done purely for cosmetic reasons to make the skin the same colour as the surrounding skin on the backside.
But, is it worth it? And does it hurt?
Two weeks ago we sent fitness instructor and mum-of-two Tracey Kiss, 30, from Aylesbury, along to HB Health Clinic in Knightsbridge, London, to have a 30 minute session.
She took boyfriend Freddie Shaw, 27, along with her and claims it's boosted her confidence in the bedroom...
TO be honest I'd not really given too much thought to that area of my body, I guess because it's not talked about a lot and people find it all a bit embarrassing.
But I can see why more and more women are having it done. We all like to be well groomed - I get regular bikini waxes and remove all my pubic hair.
Reading more about it, I did become a bit concerned deep down as to how mine looked.
I love sunbathing and wearing G-strings, and I've even had designer vagina surgery!
I'm into body building and I realised I'd not really been giving that part of my bum as much attention as everywhere else. So I thought, why not look into it?
I never realised just how many shades and colours skin in that area could be, and that I could even select as my "end result" colour.
Bizarrely, Freddie seemed to know more about the procedure than me! Perhaps he'd done his research. It was great to be able to ask him what he thought and not have him freak out in horror or laugh at me.
Obviously I don’t look at that area of my behind very often, but from time to time he does "encounter" me from that view. While he had no complaints, I decided it would nice to have the dark-ish brown colour of the skin down there look more uniformly like the rest of me.
That’s the reason most models and celebrities say is behind them having the procedure.
I was surprised at how quick and simple it was.
When I got to the clinic I had to lie on my back with my knickers off - just like I was having a smear.
I was given special glasses to wear to protect my eyes from the laser and EMLA Cream was then applied to the surface area to allow the skin to numb for several minutes before treatment began.
The Double Wave Laser removes the melanin layer present in the sensitive area, meaning the source of the darker colouring is permanently treated, without leaving any scars or burning.
I didn't know how sensitive I would be for the very first zap, and I was worried I might jump with the surprise of it.
I'd imagined it would be painful but it was over with really quickly. I've had my underarms and rosacea on my face treated with laser before and I’d always felt a short, sharp sting during those procedures.
With this, I merely felt a couple of pings as laser shots were set off at my bottom. It was certainly easier than child birth or period cramps!
I chatted to Freddie about grocery shopping while Dr Madhok administered the laser, which helped me to relax as it took my mind off it.
Afterwards my bottom felt quite "hot" because of the laser and I was given healing cream which needed applying twice a day. We also couldn’t have sex for a week.
I couldn't wait to see what it looked like, and I was thrilled with the results.
I had Freddie take before and after images and I used a mirror between my legs to check on the recovery. The area is considerably lighter and looks just like my normal skin.
It’s gone from what I would say was latte brown to a strawberry milkshake colour. The whole experience was bizarrely liberating.
Now when I think about it, it's just like having the circles under your eyes improved!
It’s something that has really given me an extra boost down below and certainly smartened everything out there.
I've nicknamed the procedure my "cracking facelift" because it really felt like a face-lift for your anus.
When we had sex a week after the procedure I felt like a virgin again. It's allowed me to be more adventurous between the sheets. It's made me feel super confident.
Having anal bleaching doesn’t mean you want anal sex or are obsessed with it. It's about body confidence. Talking about it with my man was as liberating as having it done.
I think if the treatment makes you feel good about your body, then have it done.
I've never had any negative comments on the appearance of my anus, but I had the procedure for me. I love the results and am glad I did it.
What's all the fuzz about - and is it safe?
ANAL bleaching is the process of lightening the colour of the skin, not the hairs, in the bum region.
It was established for cosmetic reasons, to make the skin around the hole more uniform with the rest of your panty region.
After the rise of Brazilian waxes, women - and some men - began to notice that their anuses had a darker hue.
If you have noticed this on yourself, it is very common - and completely normal.
Thanks to the likes of Kim Kardashian, we're becoming more and more obsessed with our rear ends.
Scores of celebs have spoken out about their new-and-improved bums.
But be careful; if done in a dirty spa or by an untrained professional, anal bleaching can cause herpes, scarring and infection.
It could also lead to strictures, which make the opening smaller and bowel movements difficult, or tears in the anal canal.
"It’s not the most gratifying treatment," New York Dermatologist Doris Day MD told Cosmospolitan.
"The darker pigmentation will always come back so it’s not permanent.
"And there’s also a chance of total depigmentation (the skin going completely white) or in some cases, because of how one’s skin reacts to the bleach, a darkening of the area."
Freddie said: "I love the fact we can talk about these things. If you can accompany your girlfriend for anal bleaching I think you can definitely deal with any of life's other hurdles.
“It’s made us closer as a couple. Tracey is more confident in the bedroom and I love that. I'm glad she did it for herself and not me, because I love her how she is.”
Jane Wiles, clinic manager at HB Health of Knightsbridge, said the laser treatment is currently the most popular among patients, accounting for about 95 per cent of anal bleaching cases. In other cases women are seeking creams.
"The vaginal bleaching has always been quite popular but recently anal bleaching is becoming really popular as well," she said.
"A lot of women have issues where the pigmentation has gotten a lot darker and they are insecure about it.
"It is usually hormonal. So if you become pregnant, if you go through menopause, if your hormones change at all during your lifetime that is what will spark it to get darker."
Dr Minoo Madhok, who performed Tracey's bleaching, added: "Laser treatments tend to require two to three sessions, using a high-tech laser to remove a layer of melanin, which is responsible for darkness.
"Cream treatments work in the same manner as skin bleaching. Most people want it done for body confidence and it’s great to see people walk out feeling better about themselves."
One session at HB Health in Knightsbridge costs £500, while booking a block of three costs £1,300 - a saving of £200.
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