11/8/2023 0 Comments Sentinel pile in rectal examTags due to anal fissures are only removed when the underlying cause of the tag (the painful tear of the anal canal fissure) is healed. Only then can the correct treatment plan be recommended and initiated. It is critical that the correct diagnosis be made through examination by a doctor (such as a colon & rectal surgeon) familiar with the various problems and conditions that can effect the anal region. Probably half of all anal skin tags are not strictly the results of hemorrhoids. What Are The Treatment Options For Anal Skin Tags? On occasion, anal skin tags occur in association with other chronic bowel problems such as Crohn’s disease. Only by properly diagnosing the underlying cause and resolving the problem will the associated skin tags have an opportunity to reduce in size and potentially resolve. Regular anal mucous discharge, subtle stool smearing, and anal wetness are other conditions that can lead to chronic skin irritation/inflammation and development of skin tags. However fissure-tags tend to be more sharply painful during bowel movements. These types of skin tags are often mis-identified as “hemorrhoids”. As the result of a fissure wound within the anal canal, the surrounding skin becomes persistently inflamed and forms a skin tag (“sentinel tag”). Skin tags can also develop in association with a chronic anal fissure (see our section describing Anal Fissures). As the underlying hemorrhoid blood vessel decreases in size the overlying stretched skin may persist, leaving an anal or hemorrhoidal skin tag. Hemorrhoid skin tags commonly occur after an underlying external hemorrhoid blood vessel swells. Anal skin tags are often “innocent bystanders” to a more primary underlying problem or condition. Anal skin tags can occur in anyone and are almost always benign.
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