What are anal skin tags?

Anal skin tags are small, benign (non-cancerous) growths that develop around the anus. They are typically soft and flesh-coloured, often described as resembling small flaps or bumps of skin. Though they are harmless, anal skin tags can sometimes cause discomfort or concern, especially if they become irritated. These skin tags are quite common and may affect people of any age or gender.

We speak to a specialist colorectal surgeon Mr Rajeev Peravali who explains what they are and how they are diagnosed.

Why do anal skin tags develop?

There are several reasons why anal skin tags might form. The most common cause is friction or irritation around the anal area, which may lead to a slight overgrowth of skin. For instance, chronic constipation, frequent diarrhoea, or even the strain during bowel movements can all contribute to the development of these skin tags.

Another common factor is haemorrhoids, which are swollen blood vessels in the rectum or anus. Haemorrhoids can sometimes lead to the formation of skin tags when they heal or shrink. This is because, once the swollen tissue subsides, some extra skin may remain as a small tag. In some cases, skin tags may also form following an injury or after surgical procedures in the anal area.

Are anal skin tags dangerous?

Generally, anal skin tags are not dangerous. They are benign, meaning they do not have the potential to become cancerous. However, they may occasionally cause discomfort, especially if they become irritated. Irritation may occur due to wiping, tight clothing, or during activities such as cycling or prolonged sitting.

While skin tags themselves are not harmful, it’s important to monitor them. If you notice changes in size, colour, or if they become painful or start to bleed, it may be a good idea to consult a healthcare provider. Although these symptoms are usually related to irritation, they could sometimes indicate other conditions, such as haemorrhoids or infections.

What are the symptoms of anal skin tags?

In most cases, anal skin tags do not cause noticeable symptoms. However, if they do become irritated, individuals may experience some discomfort, itching, or a feeling of fullness around the anus. Sometimes, skin tags can make it difficult to clean the area thoroughly after a bowel movement, potentially leading to mild hygiene issues. This can further contribute to irritation, especially in people with sensitive skin.

If you’re experiencing discomfort or noticing unusual symptoms such as bleeding, discharge, or swelling around the anus, it’s wise to seek a medical evaluation. While these symptoms may not necessarily relate to skin tags, they could indicate other conditions that might require attention.

How are anal skin tags diagnosed?

Diagnosing anal skin tags is a straightforward process. During a consultation, a healthcare provider will perform a visual examination of the area to confirm the presence of skin tags. Occasionally, they may use a tool called an anoscope, a small instrument that allows them to examine the rectum more closely, especially if you’re experiencing other symptoms.

While a physical examination is typically sufficient, your provider may suggest additional tests if they suspect other issues, such as haemorrhoids or an infection. These tests may include imaging or stool analysis to rule out other potential concerns.

Can anal skin tags be treated?

Treatment for anal skin tags is not always necessary. If the tags are not causing discomfort or irritation, they can usually be left alone. However, if they do cause symptoms or become a cosmetic concern, several treatment options are available.

One common method is excision, where the tag is carefully removed under local anaesthesia. This procedure is usually quick and minimally painful, with only minor discomfort during recovery. Another option is cryotherapy, which involves freezing the tag off. Both of these procedures are effective but may result in some mild soreness for a short period afterwards.

If you decide to have skin tags removed, it’s essential to consult with a qualified healthcare professional. Avoid attempting to remove them on your own, as improper removal can lead to infection or other complications.

When should I see a healthcare provider?

If you’re concerned about an anal skin tag, experiencing pain, or noticing other unusual symptoms, it’s advisable to seek a consultation with a healthcare provider. While skin tags themselves are not a cause for alarm, other conditions may require attention, especially if you’re experiencing bleeding, persistent discomfort, or changes in the appearance of the skin tag.

Your provider can assess the situation and help you determine the best course of action, whether it’s leaving the tag alone or opting for treatment.

If you would like to book a consultation with Mr Peravali, simply visit his Top Doctors profile today.