An urgent and distressing sensation may occur (tenesmus), as if a discharge from the intestines must take place, although none can be effected. Signs and symptoms of enlarged papillae may be anal discomfort, itching, burning, and sometimes pain-all intensified at bowel movement. Inflammation of papillae may result from trauma or chemical irritation, such as the passage of hard stools or of irritating liquid stool. Inflammation of papillae or crypts is frequently associated with fissures, fistulas, Crohn's disease, pruritus ani, and/or internal hemorrhoids.

Papillae may become painful, and reddened. Enlarged papillae may elongate and prolapse at the anal opening during defecation and may need to be replaced digitally. They are covered with skin-usually pale pink or whitish-and have a broad base and a fibrous tip. Any surgery in the anal area, no matter how small, may cause some postoperative pain. If extensive, skin tab surgery may need to be undertaken in the operating room. Laser has been used successfully to obliterate skin tabs and resurface the anal area to achieve a good cosmetic result. If tags are small, local anesthetic is injected, then the area is excised.

Anoscopy may enable the physician to identify the cause or find other lesions. When tags are symptomatic, as a result of itching, pain, anxiety or hygienic problems, they can be removed, and/or biopsied to confirm their etiology. Skin tabs may indicate the presence of a more serious rectal ailment that needs careful attention.ДЄnal tags are generally asymptotic and often are the remnants of previous inflammatory lesion in the anal area. Itching (pruritus) often develops to make a bad situation worse. If there is more than one tab, the problem is multiplied. Fecal debris may become trapped under the tag upon wiping in one direction. If a skin tag is perceived by the patient as causing pain, frequently the physician will find an associated rectal condition which is the actual cause of the pain.Д¬leanliness can be a problem. The skin tag is often first noticed by the patient, as a painless soft protrusion beginning near the opening of the anus. The proximal end of a fissure or fistula may contain granulation tissue that extrudes, beginning the formation of a sentinel tag. Anal fissures and fistula are often associated with secondary changes, which may include a sentinel tag. A sentry or sentinel is one that keeps guard - thus the name. Swollen skin edges as a result of prior rectal surgery may also develop into skin tabs.ДЄ sentinel tag is that skin tab which is situated at the inferior border of an infection or injury, as if it is watching or guarding over. The skin tab's blood supply from the hemorrhoidal artery above may then give rise to the development of an even larger hemorrhoid.

Anal skin tag