Anal Skin Tag

Anal skin tags, or rectal skin tags, are common and usually harmless growths that hang off the skin around the outside of the anus.

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What are anal skin tags?

Anal skin tags, or rectal skin tags, are common and usually harmless growths that hang off the skin around the outside of the anus. They are often mistaken by patients for warts or haemorrhoids (piles).

Anal skin tags are non-cancerous (benign) and are not contagious. In most people, anal skin tags cause no bother but some people feel concerned about how they look and can also experience irritation and pain. 

Anal Skin Tag Treatment - OneWelbeck

What causes anal skin tags?

Anyone can have anal skin tags but some factors seem to increase the risk of them developing: 

  • Straining from constipation

  • Diarrhoea

  • Heavy lifting

  • Strenuous exercise

  • Pregnancy

  • Haemorrhoids

  • Anal fissures

  • Crohn’s disease and other inflammatory conditions

Anal Skin Tag Treatment - OneWelbeck

Symptoms of anal skin tags

Anal skin tags may feel like small bumps or raised areas of skin on your anus. In most cases, you will have more than one. 

They rarely cause pain but can be uncomfortable as residual stool can get stuck to the skin and cause irritation and itching. Repetitive wiping to avoid residual stool as well as itching can also cause breaks in the skin tags and surrounding area which can be painful.

What to do if your anal skin tag is itchy

If your anal skin tags are causing itching it’s important to resist scratching or rubbing them as this can damage and break the skin.

If you’re experiencing itching, make an appointment to see a OneWelbeck colorectal specialist who will be able to offer you treatment to alleviate this irritating symptom. 

Anal Skin Tag Treatment - OneWelbeck

What to do if your anal skin tag is bleeding

Anal skin tags do not usually bleed so this symptom may be a sign of another problem. We recommend you make an appointment with one of our colorectal consultants for an examination. 

Anal skin tag diagnosis

Anal skin tags are diagnosed by a colorectal consultant during a clinical examination. At your appointment, your consultant will ask you to remove your underwear and lie on your side. They will then perform a visual examination, looking at your anus for signs of skin tags.

Occasionally they will need to feel inside your bottom with a finger or perform a proctoscopy. If there is any doubt about the diagnosis, they may recommend a biopsy or removal of the skin tags.

Anal Skin Tag Treatment - OneWelbeck

Anal skin tag treatment

In most cases, anal skin tags can be effectively managed with lifestyle changes. If you suffer from constipation, for example, increasing the amount of fibre in your diet and the amount of water you drink can help to loosen your stools and avoid the development of anal skin tags.

It is also helpful to avoid straining when you go to the toilet or spending too much time on the loo. When wiping your bottom, gently use a non-perfumed wet wipe, avoid using soap and do not scrub.

If your anal skin tags are very symptomatic or they cause significant cosmetic problems, they can be removed. 

Ms Sarah Mills, Consultant Colorectal Surgeon at OneWelbeck Digestive Health gives an overview of anal skin tags, the common symptoms and how they can be treated.

Anal skin tag removal 

During anal skin tag removal (excision), your colorectal surgeon uses a scalpel or surgical scissors to cut away the tags. This is usually done under general anaesthetic or sedation as an outpatient procedure. 

Once they have been removed, your surgeon will inject a local anaesthetic into the area so that it remains numb after the surgery. The procedure takes around 20 minutes to complete. 

 

Anal skin tag removal aftercare

The excision wounds are usually left open and will usually heal within a few weeks. Your consultant will prescribe laxatives and painkillers for you to take after the procedure while you recover.

You may have some bleeding after the removal. To help stop it, apply firm pressure with a clean tissue for 15 minutes. If your surgeon applied a dressing, leave it in place and apply pressure. 

If you have a dressing applied, remove it when you are ready to have a bowel movement. You can then wash and bathe as normal. Gently pat the area dry with a clean towel and take care not to rub at your skin as this could disrupt healing and cause bleeding. 

We advise that you avoid exercise and sexual activity until your skin has completely healed. 

Anal Skin Tag Treatment - OneWelbeck

Why choose OneWelbeck?

At OneWelbeck we offer fast access to expert care at our London-based clinic. 

Contact us today to make an appointment with one of our leading consultant colorectal surgeons.

How common are anal skin tags?

Anal skin tags are thought to affect 50% to 70% of adults during their lifetime, making them a very common occurrence. 

Can you get anal skin tags after an anal fissure?

In most cases, anal skin tags have no obvious cause. However, you may be more likely to have them if you also have anal fissures, haemorrhoids, or inflammatory conditions such as Crohn’s disease.

How to tell the difference between a haemorrhoid and an anal skin tag

Anal skin tags are growths of skin around the anus. Haemorrhoids are veins around the anus that have become swollen and distended. 

In most cases anal skin tags do not bleed, while haemorrhoids bleed when even mildly irritated.

Read more about the difference between haemorroids and anal skin tags.

Does anal skin tag removal hurt?

The anus is a sensitive area of the body. Anal surgery is certainly not pain-free, but your surgeon will do everything they can to ensure you experience as little discomfort as possible during your treatment and recovery.

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Anal Skin Tag Specialists

We have brought together a group of leading colorectal and general surgeons and gastroenterologists to create our Digestive Health team. With over 300 years of combined experience, these expert clinicians are the best in their field and are all focused on delivering the very best patient care.